West emerged from Ruby’s cell to announce that the previously sane inmate had undergone “an acute psychotic break” sometime during the preceding “forty-eight hours.” Whatever transpired between West and Ruby in that cell, only the two of them could say; there were no witnesses. West asserted that Ruby “was now positively insane.” The condition appeared to be “unshakable” and “fixed.” In a sworn affidavit accompanying his diagnosis, West described a completely unhinged man who hallucinated, heard voices, and had suddenly acquired the unshakeable belief that a new holocaust was under way in
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