the patient is trying desperately trying to break through the preserverating impulses. the medications have his heartbeat between 90 – 100 per second and pressure of 110/70. he says it feels like rapid cycling between two poles making it relate back to his weeble analogy.

what’s striking is that he asks forgiveness, saying that he hopes he hasn’t been any trouble. certainly he isn’t a threat to me physically. maybe a threat to my objectivity. trouble ? well look up trouble in the oed and it lists disorder, difficulty, worry, inconvience, blame, anxiety. but that’s not a threat which would cause danger or harm. trouble is a challenge to do something difficult, but it’s an enabling task.

so anyone who sees the patient as a “trouble” rather than a “challenge” but is willing to be a caregiver when he can no longer care for himself is simply performing routine business. which is the way everything is being handled these days. slipstreaming, conforming, routine, average.

the creative process of the species is an attempt of rising to a challenge, to foster growth. are we currently accepting as true the goal of zero growth as a means of stabilizing our ecosystems ?

the particular case, this patient is just one instance of a limited resource. from him proceed the transfer real assests by choice or necessity. necessity is either law or physiology such as inheiritance and medication respectively.

obviously he will have to be stabilized on income sufficient to pay for minimal needs and medications for the rest of his life. the question is whether a cost benefit ratio is established before or after the patient is unable to take care of himself. the key element of that question is the degree of inconvenience the patient would cause a caregiver.

if he does in fact inherit what has been promised to him, the potential is enormous. however, nothing is written down and nothing has been finalized since his father’s death. technically this leaves a huge loophole for him to assume authority. but that would place him in ** extreme danger, will robinson ** of acting out. this a more dangerous path than the suicidal ideations they have had me watch for which anti-depressants have been purported to cause.