At his initial reception into the asylum he displays classic symptoms of GPI, General paralysis of the insane. The grandiose gestures and unlikely accounts of his life fit perfectly. People suffering with GPI, would lay claim to extreme wealth and even royal birth, the unfortunate suffering from the malady would offer anybody a dukedom or embark on the wildest adventures.
The only compensation to this horrific disease was the patients inability to acknowledge his degeneration and more often than not died in total happiness believing himself to be "on the top of the World"
One other indicator apparent from early on in the condition would be one of the pupils being more dilated than the other. The three stage tragedy as it was known, would as a rule take less than 3 years till death. Death was always the outcome.
I was really surprised to see him discharged and then re admitted 11 years later.
Nice work converting the record to text, I know from personal experience the casebooks can be incredibly difficult to decipher.
1. I can confirm that Jacob's daughter Catharine/Katherine married Charles Williams in 1907.
Information from marriage cert:
3rd August 1907, Register Office, Cirencester, Gloucestershire.
Charles Williams 44 years, widower, domestic servant, No. 8 Rendcombe. Father: William Williams, farm labourer.
Katherine Annie Isenschmidt 35 years, spinster. No. 8 Rendcombe. Father: Jacob John Isenschmidt, meat salesman.
Although Katherine has no occupation on marriage cert (often missed off marriage certs at that time) she was a lady's maid at Rendcombe House, which is where Charles worked. They had no children. I don't know if this is because Katherine was infertile [Charles had 8 children with his first wife Ellen Purvey] or if they avoided children because there were already 8 to cope with - or whether they were afraid, since not only Katherine's father, but Charles' uncle suffered from insanity.
Charles was my great-grandfather and his maternal uncle William Mealing, killed his fiancee in 1962 and spent the rest of his life in Broadmoor, suffering from religious monomania, homicidal mania and melancholy. He was sometimes put on suicide watch and died in 1908.
2) I don't think Jacob had syphilis. His physical health is generally considered either good or fair in asylum reports. Although there is mention of the right hand side of his face looking paralysed, this doesn't imply general paralysis. It might be that he'd suffered nerve damage or maybe a small stroke.