The letter went on to say that not only did Dr. Cauls treatment program not teach Milligan that violence and rape are unconscionable, but he was in fact getting positive reinforcement “for his reprehensible actions.” It charged that with Cauls collusion, Milligan had learned “the cultures subliminal but actual message—that violence against women is an accepted occurance [sic], a commercialized and eroticized commodity …”

The letter argued that Cauls “lack of clinical insight is as misogynist as it is predictable. The claim that the rapist personality was a lesbian is a transparent ruse to excuse the patriarchal culture … The fictionalized, lesbian character is a convenient but fallacious, stereotypic scapegoat who can be blamed for Milligans own retaliative violent/aggresive [sic] sexuality. Once again the male is relieved from responsibility for his actions and the woman gets victimized.”

As a result of Dr. Wilburs recommendation, the decision was made to keep Billy in Athens.

The staff on the Admissions and Intensive Treatment ward, upset by the publicity and Billy’s reaction to it, demanded changes in his treatment plan or, they warned, they would strike. Because some of them felt he was spending too much time with Billy, they insisted that Dr. Caul turn over authority for day-to-day management to the staff team and limit his own involvement to medical and therapeutic concerns. To keep Billy from being sent to Lima, Caul reluctantly agreed.

Social worker Donna Hudnell drew up a “contract” for Billy to sign in which he promised to abide by a series of restrictions, the first of which was that there would be “no threats of alienation nor depravation of character and position made toward any staff member.” The penalty for the first violation of this clause would be the restriction of the writer’s visits.

Milligan was not to have glass or sharp objects in his room. No general privileges without prior agreement by the morning treatment team. No incoming phone calls. Outgoing calls were limited to once a week to his attorney, and twice a week to either his mother or his sister. Visitors were to be limited to his sister and her fiance, his mother, his attorney and the writer. He was forbidden “to give advice of any nature whether it be medical, social, legal, economical, or psychological to any other patient on AIT.” He would not be allowed to withdraw more than $8.75 per week from his account at the business office, and he was not to have more than that in his possession at any time. His paint supplies could be given to him foi limited amounts of time, but he had to be supervised while painting. The finished paintings had to be removed weekly. Only if he complied with the rules for two weeks would his privileges be restored in stages.

Billy agreed to their terms.

The unfused Billy followed the rules, feeling that the staf had turned the hospital into a prison. He felt he was again. being punished for something he hadn’t done. With Arthui and Ragen still gone, the unfused Billy spent most of his time watching television with the other patients.