Client appears physically fit. Mrs. Axon states that other than the usual childhood illnesses she has never been seriously ill, never been hospitalised, and has not had occasion to visit her GP in the last ten years or possibly more. Mrs. Axon is in general very vague about dates. Mrs. Axon states that Muriel is able to wash and dress herself but will “put on anything” and that she has to supervise her washing and also her meals as she will eat unsuitable food. However she is able to help in the house though Mrs. Axon states she is not very willing. She is sometimes taken shopping by Mrs. Axon but not frequently. Mrs. Axon states that client is not able to go out alone because of various incidents that have occurred in the past, but she would not go into any further details about this.
Mrs. Axon is extremely uncommunicative in herself and this is seen as a problem in assessment. According to Mrs. Axon client is able to understand everything that is said to her but often does not answer when she is spoken to. She has no hobbies or pastimes. Difficulties in this case are increased by the uncooperative and almost hostile attitude of Mrs. Axon, who seems to resent any intervention by welfare agencies. Client’s environment seems to be unstimulating and Mrs. Axon seems to be ashamed of her to the extent that she is unwilling for her to be seen by neighbours. Her attitude to her seems to be one of basic contempt and that client does not have ordinary feelings, for instance she referred to client in her hearing as a “hopeless idiot.” It must be said that client appears to be adequately fed and clothed and that although Mrs. Axon’s standards of housekeeping are not high she does attend to client’s physical welfare, but she seems to have a negative attitude to client’s mental and emotional development and it is unlikely that any significant improvement will take place unless Muriel is encouraged to mix a little more with other people and acquire social confidence.
Recommendations: Multi-professional assessment
Day care
C. W. D.
Department of Social Services
Wilberforce House
15th April 1973
Dear Mrs. Axon,
You may remember that I visited you on March 15th to discuss your daughter’s case and we agreed then that it would be helpful to Muriel if she could attend a day care centre where she would be enabled to mix with other young people and take part in group activities. I have looked into the possibility of this but unfortunately there is a waiting list for our Community Daycare Centres and I have only been able to arrange for Muriel to attend initially for one afternoon a week. However, I feel sure she will benefit from this, and we do look forward to extension of our provision in the near future. She will be able to take part in informal activities like community singing, and she will also be able to try her hand at crafts such as pottery and basket weaving. Our Community Daycare Centre is situated on Calderwell Road. Muriel will be collected by minibus from the corner of Buckingham Avenue and Lauderdale Road, and will be returned to the same point. The hours of our Daycare Session are from 1:30 P.M. to 4:30 P.M. and she should be at the collection point by 1:15 P.M. There is no charge for transport. A nominal charge of 15p is made for tea and biscuits. Her first session will be on Thursday 25th April.
Unfortunately because of pressure on our facilities I have not yet been able to arrange for Muriel to be seen by our psychologist, but I assure you that this will take place at the earliest possible opportunity.
Yours sincerely,
CATHERINE W. DAWSON
One year on; noises from above. They are hard at work again, always at work. Sometimes, as today, in one room of the house, shrieking with laughter and tossing her possessions. Or following her from room to room.
Pulling her fawn cardigan about her, Evelyn lumbered over to the calendar. Woolly lambs pranced in a meadow impossibly green, roses bloomed around the door of a thatched cottage. She searched for the month. All the Thursdays were ringed in red; it was a task she had set herself when this last bout of interference with their lives began, over a year ago now. And today was Thursday.
Now for the hallway. She flicked on the light. It seemed empty. As she moved to the foot of the stairs something grazed her sleeve, and she pulled away. Go, go, she thought savagely; I did not invite you here. A bloody handprint stained the cream emulsion, the leprous skull grinned behind glass. Mr. Sidney’s twisted mouth, in another place. Never again.
She mounted the stairs heavily. Her rheumatism was worse this year, in the raw damp April weather; every day sodden petals from the flowering trees flurried across the window, and thrushes sang in the neglected garden. I am sixty-eight, she thought, I am feeling my age this year.
“Don’t you know it’s Thursday?” Evelyn said sharply. Muriel raised her head. She nodded. Evelyn appraised her; the lank black hair cut straight across her forehead, the coarse flaking skin, the ungainly legs and large red hands. Whatever they say, she thought, she has not improved. Whatever they say, is rubbish. “Well, then, we must sort you out some clothes.”
A sign of animation crossed Muriel’s face. She got up. Crossing to her chest of drawers, she proffered Evelyn her pink cardigan of fluffy wool. Evelyn nodded without interest. “If you like.”
Something caught her eye. She plunged her hand into the drawer and delved for the metallic glint. She held it in her palm as if it were contaminated; a tin of furniture polish, half-used, its waxy rag still stuck inside it.
“Did you put it there?”
Muriel’s pale grey eyes gazed at her. She showed neither guilt, nor fear, nor surprise. Evelyn believed her. Muriel never did anything of her own volition; Muriel never lied.
“They’ve been in here, then?” She reached out to grasp Muriel’s arm above the elbow, squeezing it hard. She was a strong woman. Her fingers bit into the flesh. Muriel blinked at her. “Did you see them?” She shook her daughter’s arm. “Tell me what they did.”
Evelyn’s pulse raced. Until now they had never been in this room. But now here was the proof of it, the tin taken some weeks ago. It was always the same kind of trick; the spilt sugar, the small thefts, the china they had smashed piece by piece. She let Muriel’s arm go and it fell limp at her side.
“I could move you from here. But where would you go? They are always getting into my bedroom.”
Muriel said that there was a third bedroom. Evelyn stared at her. She could feel again her heart hammering and pounding in her throat. The woman had made a shocked face when she had called Muriel an idiot. She, Evelyn, lived with the daily confirmation of her idiocy. Only a hopeless idiot would suggest she take up residence in a room already tenanted; and such tenants. “Wash yourself,” she commanded her. She went downstairs.
At ten past one she called up to Muriel. Muriel came down. She wore the fluffy pink cardigan and a red skirt. She showed none of the caution Evelyn used when she moved about the house. Sitting on the step next to the bottom, Muriel put out her feet for her shoes to be laced, her legs stiff like a child’s in the dentist’s chair. There was something almost sly in Muriel’s face. But Evelyn never troubled to interpret her expressions; she could speak, if she wished, she could make herself clear.
“If you can make baskets, why can’t you tie your shoes?” Evelyn said brutally. Probably, she thought, the reason is that she cannot make baskets; if the other week’s example is anything to go by. She took Muriel to the door. She had only to walk fifty yards, along the bushes, around the corner to Lauderdale Road. Let her do that by herself, the Welfare woman had begged; to give her a little sense of independence. She had looked at the woman with contempt. In those days she had been very high-handed with them. She had underestimated their persistence. They had kept coming back. Now she was ready to do anything they said, to make the sacrifice of Muriel, if only it would stop them coming to the house, enquiring into the arrangements she found it necessary to make, the shifts and expedients by which she kept them washed and fed and warm from one day to the next; sniffing around with their implications that life could be improved.
She held the door open to
watch Muriel out of the gate. Florence Sidney was passing, a stout, well-set-up woman. She had the house, now that her mother had been taken away to a home. It was Florence Sidney, Evelyn thought, who reported us to the Welfare. As if persons in our class of life needed the Welfare. Miss Sidney turned her bonneted head curiously, and Evelyn drew back and slammed the door. She turned to the house, alone; so often, in the 1940s, she had wished she were alone, and now her wish had come back to mock her, to gibber and tiptoe and hiss.
They had not eaten lunch. That was Muriel’s punishment for not speaking when she had been asked about the visitors to her room. Whether something she had seen had terrorised her into silence…Evelyn wondered if she had been unjust. It was too late. Still, she would have her tea and biscuits.
On the floor of the hall lay a crumpled piece of paper. Evelyn’s gorge rose. Low stinking entities, she said to herself. Once she had been able to smell them, but her senses were becoming blunter with age. Increasingly they were choosing this method of communication, this, their tricks, the sharp raps on the wall from different rooms of the house, warning her off by their noises or luring her by their silence. She stopped. Her face twisted. She tried always to avoid showing that she was in pain. It was agony for her to bend to the floor, they must know this. Evelyn looked around. She took her umbrella from the hallstand, and with it fished for the paper, dragging it from where she could not reach, like the intelligent ape in the experiment. From her feet, she scuttled the paper ball to the first stair, from there to the second. She picked it up and straightened it out. The wavering great letters were familiar by now, fly-track thin: GO NOT TO THE KITCHIN TODAY.
Evelyn’s heart sank. Like this, they prolonged her existence. They could take her at any time, kill her (broken neck at the foot of the stairs), or leave her a shell without faculties. But they preferred to watch her fear, her pathetic ruses, her flickering hopes which they would dash within the hour; that was the only explanation. Disconsolate, she entered the front parlour. There, placed precisely in the centre of the circular table, lay a tin-opener.
At once she thought, how provident. It was a matter in which she had been careless. She did not touch it, examined it with her eyes. It did not belong in the house, she had never seen it before. Carefully, she picked it up. It was new, quite new. It was the first time they had left her a gift.
She lowered the flap of the sideboard and took out a tin of baked beans. I must make better arrangements, she thought. The days when they forbade her the kitchen were becoming more frequent, they were driving her increasingly to the front parlour with its hard chairs where she had seen the dead. Perhaps, she thought, a paraffin stove. She opened the tin, and cast around. To hand came the heavy glass ashtray, unused since Clifford died. She emptied the cold tan slime into it and sat eating the beans with her fingers. When she had finished she put down the ashtray and sat resting for a moment. Now where would she go, until it was time for Muriel again? The blue light bounced off polished wood. The air was silent, serene. Evelyn breathed deeply. All their ingenuity had satisfied itself, for the afternoon. Travelling around the room searching the corners, her eye fell on the basket which Muriel had brought home two weeks ago from the Handicapped Class. It was a very ill-made basket, very mis-shapen. Evelyn could not think what use to put it to. Because she was very considerate about Muriel’s feelings, she had not discarded it. Now she took it and hobbled out with it to the hall, where she placed it on the table, for display. As an afterthought, she lifted the dead plant in its plastic pot, and placed it inside.
AXON, MURIEL ALEXANDRA
III/73/0059
Client has attended the Calderwell Rd Day Centre once weekly for three months. Whilst we await a comprehensive appraisal, it must be stressed that the ongoing observations of the Day Centre staff have had a great part to play in analysing the client’s difficulties, as in applying multifocal measurement tests it is essential to take into account the degree of emotional retardation probably partly induced by her home environment.
Preliminary estimates suggest that the client has an IQ of around 85 on the Stanford-Binet scale, and that therefore her potential and capabilities are somewhat greater than we were led to expect from History III/73/0059. Whilst the need for special facilities may have been indicated at an earlier date, it is suggested that client when in contact with education professionals suffered from a degree of retardation not readily distinguishable from borderline normality, and thus was not brought to the attention of the Social Services; however, due to impoverished environment her emotional condition has worsened and she is now subsisting at a marginal level of social adequacy.
Client has achieved basic literacy, but as she lacks concentration and motivation no occupational adequacy is envisaged for the future. In carrying out simple mechanical tasks, which are well within her capacity, her lack of sustained self-direction is seen. A marked flattening of affect may give rise to the suspicion of a schizoid or sub-schizoid state. Emphasis must be given to social adjustment and interpersonal relations, and inculcation of a maximum degree of self-direction, and efforts must be directed towards helping to attain a satisfactory level of social independence. Subaverage intellectual functioning may be compensated for in this case by sequential development of self-help skills.
M. S. BYRNE, MA
Community Daycare Supervisor
Dear Jacki,
Sorry to bother you on this one but since my transfer has come up so suddenly Norman suggested I dump this one on you, and you do a home visit this week. I should warn you that in my opinion the old woman is completely gaga, but I don’t see what we can do.
Cheers,
CATH DAWSON
III/73/0059
Home Visit, 23.9.73.
Explained to Mrs. Axon that Miss Dawson had been transferred. Client appears well. Mrs. Axon stated that she was dissatisfied with client’s progress, but that she had not expected her to make any progress. Explained to Mrs. Axon the various activities in which client participates at Community Care Sessions. Enquired why she had not told Miss Dawson that client able to read and write. Mrs. Axon stated “Because it would have been a lie.” Explained to her that client’s achievement was on a basic level. Nevertheless this was a very praiseworthy attainment and client should be given every encouragement to use her skills. Asked client if she would show her mother how she could write. Client agreed that she would do this but when supplied with paper she scribbled on it. Mrs. Axon stated “It is plain that you are all fools and fools in charge of fools.”
Introduced the subject of client’s long-term care. Mrs. Axon expressed the idea that client would be left alone in the house (presumably meaning after she herself was dead). Mrs. Axon did not appear to be able to verbalise the idea of her own death. Explained to her that Muriel had been placed on the waiting list for five-day care at the Centre and that in the event of her decease a place would be found for her in a residential institution or hostel. Mrs. Axon stated “Do you mean Holloway?” and when this queried stated “She has murderous inclinations.” Did not clarify this statement. Asked Mrs. Axon about her own physical health and whether she felt able to care for Muriel as of the present time. Mrs. Axon stated that her own health was excellent. Suggested that client might be able to do more for herself if encouraged. Surprisingly in view of her previous statement Mrs. Axon said that client had always been a good and obedient girl and that she had never been any trouble from her birth. Suggested to Mrs. Axon that Muriel was no longer in this position now, i.e., no longer a girl. Mrs. Axon stated that if Muriel was “any trouble” she would hold caseworker responsible.
Mrs. Axon’s attitude on this visit was most unfriendly.
J.S.S.
Dear Sister Janet,
When you come on duty will you try if you can stop Muriel putting her hand in the tea-money again. M. S. Byrne MA says she had a need to do this as in the present state of her she needs to take things not be given as part of her identity, or autonomy, one of those. It
isn’t her first time thieving so if I were you I’d bring the box at half past three and lock it in the medicine cupboard till you see the back end of her, then she can have her autonomy on Mpoe’s shift next week.
Love,
NORAH
Muriel is walking along Lauderdale Road. Muriel is observing Muriel walking along Lauderdale Road. Off the bus; like puppets of wood the people on the bus nod their heads and jerk their arms at her. She understands it to be their ceremony of farewell. Rigidly, as if saluting some dictator, she raises her right arm in imitation. Always she finds the outward forms the best, the safest. The people on the bus seem perfectly satisfied. She smiles to herself.
Off the bus at the junction of Buckingham Avenue and Lauderdale Road. This is the blind side of the house. Along Lauderdale Road to the end; cross the road; turn. Back along the opposite side. Along the road, in at the gate. No purpose in the detour, except that Evelyn will never know. But wait:
There basking in the weak sunshine is the dog known as pedigree wire-haired fox terrier. Between its paws, a big bone licked clean. Muriel stoops. As her fingers creep towards the bone, the dog wakes and leaps to its feet, a growl in its throat. Muriel extends one of her stiff legs and lace-up shoes and kicks the dog in the ribs with all the force she can muster. The dog known as pedigree wire-haired fox terrier flees, yelping. Around the corner. In at the gate.
Evelyn opens the door without speaking. She shuffles towards the back of the house. The living room is safe then, Muriel thinks sardonically. Muriel stares at the dull floor, at the table. I could be that floor, she thinks, that very floor to walk on; things placed upon it. I could be the thing that is placed. The familiar panic begins to rise up inside her. As her fingers close over the bone in her pocket, her heart slows.