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This document is a case report from February 9, 1954, detailing the consultation of a patient named John Q. Smith, who received 70 micrograms of a substance orally and experienced feelings of guilt and inadequacy, later attributing his sleeplessness to the FBI placing amphetamines in his food.

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.· .. . . .· . .- .. UAllOLU .t. ••\ lsrt.Uf::\0:->.··::St. D. 1:13 T-'-ST ;su ltTnl:I."'T • ):.00.' l'On" -.:2. :,"!:\•' YO HI>:~ , . . . . . ... ... . . ·Febru.a ry 9, 1954 ' ' ·. .· .. : J .. -~---·--····--·-·-- ------- - ....... .. . . . • For your infor=~tion ~nd !ilcs I ~o enclosing a case rcpo~t r;hich mic;ht be of interest. Yo,u rs s i.nccrc ~y 1 Hnrold A. 11. D. Abra~soo, HAA/nb . . . . - --·· ... --· . . -····- --- ··-·-·· ·-· .... - ..... -- .. . .• · . • - . : \ . . I I ') ( _._/ .. .•.. . . v .... ....... · . ., • • "' . .. ·- ·. • ·, CASE REPO.:T O:\ PAT IE~'T J cftfN Q. SUI7H ·~ I was called in coosult~tion- to see ~r~ John Q. ~cith bout ten d~ys alter 1~. s~itb h3~ received 70 micro;racs by outh in·~· bi~hly protected situ:l.tion. :.:r. Sc1i.th, althou~h. git~ted ~~d cor.ccrned over his relatio~ships in ~ork situ~:io~s, elated ve::-y •::e 11 _to hi.s- iriends, to t.:~, and to co::=uni t y proole=s n ~eneral. It appe~red th~t !~. ~=ith had proiound guilt feel n~s bec~use he had been retired ~s an officer duri~; the l~st a; and w:~.s dr~~~~; a pension. Sis intense .feclin;s of guilt esulted iro~ receivin; ~ove:n:en~ ~o~ey to which ~c felt th~t he as not These not by his c~titlcd. icelio~s ~ere eliui~~ted ealistic had ba!ore a undcrst~n~i=; th~t-he appe~red retire~en: card. A stron: feeli:~ oi inndc~~~cy do:inatcd bis present work. c felt that he was not a as he thou£;ht he doin~ ~s ~;ood jo~ hould even thout;!l he thOt.!!"':ht ;;ell oi by hj_s nr.d. ··;.·~s colle=:.~uc!:i co:e In several hours of ro~otions h~~ rc~dily. intervi~win~ or a pe:-icc or t·.;·o c!:~.y$ his :l~i t::. t ion cou lci no~ be direct 1 y inl;cd ,.,.i th n psychot state un't il he said th:J. t s lccp lc:s:s ~c hi~. es$· h:~.d bec!'l c::.used by the FDI \':ho !ind :.ur:-c?Litiou~ly been laciu; ::.r::phct::.::1ine or C:l...ffcil~~ i:1 hi~ iood :l.t night to keep it1 a·.·:;-..I~e. Thc:se ieclin~3 oi h:1.•>in~ dr~;:;:s 'being- pl:l.c~d in his ood been p:.·cse!lt .1.or :::.t r:onths before he h:1.d h:~.d lc~:;;c fi\·~ eccivcc! his -.:hcr:l.peutic·c!ose of 70 He also dis ~icrot:r=:.::s. .loscd The image contains a digital representation of a document from "The Black Vault," an online database of declassified government documents. On the left side of the image is a stylized graphic of a vault door, suggesting security and the nature of the information. The text on the right explains that the document is from the MKULTRA/Mind Control Collection, a compilation of over 20,000 declassified pages from the Central Intelligence Agency (CIA). The text also provides a URL for accessing the full collection online. There are no photographs, handwritten annotations, official stamps, forms, diagrams, tables, redactions, or any visual evidence of experimental procedures or equipment present in this particular image. the FDI \':ho !ind :.ur:-c?Litiou~ly been laciu; ::.r::phct::.::1ine or C:l...ffcil~~ i:1 hi~ iood :l.t night to keep it1 a·.·:;-..I~e. Thc:se ieclin~3 oi h:1.•>in~ dr~;:;:s 'being- pl:l.c~d in his ood been p:.·cse!lt .1.or :::.t r:onths before he h:1.d h:~.d lc~:;;c fi\·~ eccivcc! his -.:hcr:l.peutic·c!ose of 70 He also dis ~icrot:r=:.::s. .loscd th::. he h.:.:d .:;ho\':n v io.!· £or nine t:.on 1: bet' ore t b.i~~=-re he:h:~. h~ o th:l.. t his ·;,·if c thou;:; !It he needed c:ed:::..c:1.l ::.t tc n t ion. This led - o an outpou:-in:; ot :1.n in:cnse on his to be puni:;hcd cc~ir.e p~rt .· y the for his pas1: co:-:duc-.; q! o:1oney !r:I.ud :lUthoriti~:; t::~.~:5..r.G ire= govern=cnt followipc his by an Army l~ntly ~l1e reti~~rnenc oard. . discussion patient Subse~uent wit~ th~ ~nd :~.n :I.cco~­ friend lad to his to i!'l5ti anyin~ 3greci~; entcri~; ~ ~en1:al ution. Difi ercn1: hospi 't:l.ls r.·ere discussed. He chose one near is and to be relieved th:l.t so:e decisiou b:l.d ho~e ~PP~~red cen to care oi his problecs. Accocp:l.nicd by his c~dc t:~.ke ricnd the rooc hie he went to :l. !o: ~bo sh~rcd s~~e ~i'th ho~el he night bec=.~se the hospital cbo::;en was distant and he could ot be :l.ccepted once. ln the of the ~t ~iddlc 11i~ht ~ithout ny ~:~.rnin; ~e plun;ed he:1.d-firs: throuch :1. be~vy-gl~ss ~indow hattcrin; it ~~j fell to his death on the p~vc:ent below. · Infor::~tion subse.iuentl:,· recci"\•ed rcve~led th:l.t he ad discussed suicide ire.luencl y cur in; the previous :;e~:- :~.nd o the bcs t o.f r::y ini or::1 t.ion h:.d been · t:1.ll~~d out o! suicide wice. . \ I n my o~ini. on ~~- SMith h~d bc~n sui!cri~" ior socc i a of ::'> which, ~e ~1t~ ?:l~~~o1d ty~e dep~cssive psyc~osis ltbou~~.r~l~c~~ntly reco;ni:cd by his i:l~ilr ~nd iriecds, h:l..d ot ~c.:cl\:cd :lcc~u=-:c r.-.ed:::..cal c:1re. It is r::.y opinio:l, :~.lso, n ~~cw ol ~y c~pcr~cncc Wlth V3rious :~.:bul~:ory ty~cs o£ :.1 'J 1 c c t s . t n .J. t t J1 i ~ rl ("") <; :"1 ,.. (' ,.. ("") ~ • , ri '"' ., - r-' , • • 1' ' •• '"' •. ..... -~ •. - • • ~ ~ ·-- ~ •• : The document displays a typed letter dated February 9, 1954, from Harold A. Abramson, M.D. The letter is addressed to "Dear Mr". A circled handwritten number "324" is present in the upper right corner. Below the salutation, the body of the letter states, "For your information and files I an enclosing a case report which might be of interest." The letter concludes with "Yours sincerely," followed by the sender's name and title. At the bottom left, there is an abbreviation "HAA/nb". The document appears to have been scanned, as evidenced by speckling and potential imperfections in the paper. No photographs, diagrams, forms, stamps, or redations are visible. The page is a typed document with handwritten annotations. A circled handwritten note in the top right corner reads "324". The text is dense and appears to be a case report detailing a patient's psychological state and eventual death. There are no photographs, diagrams, forms, tables, or obvious signs of experimental procedures visible on this page.

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