Despite my optimism earlier today, unfortunately, there seems to have been something of a setback in my patient’s treatment. He refused to answer any of my questions today and instead talked on and on about how he thinks his wife may still be alive. He demanded my help in trying to find out about his wife and whether she really died as a result of her attack. I have encouraged him to get in touch with the London police to see if they have any record of this woman even existing, but he said the police wouldn’t listen to a man like him. I don’t know how to help him if he continues to refuse treatment and focus on his delusions. If I knew more about him, I could of course present him with the truth, but I think at this point the truth might only reinforce his anger against authority. I asked who told him about his wife, and he said it was a strange detective with a French accent – who sounds a lot like the detective I hired to look into him. I need to get in touch with him again and find out if he talked with my patient directly.