Clinical significance
Furthermore, the Clinical significance of untreated and undetermined mental illness can destroy someone. As active symptoms of mental illness can lead violence, paranoia, and hallucinations. These issues arise from the psychiatric stress that criminals go through after committing a crime. Thus, making it so crucial that every criminal is evaluated with care and excellence.
Finally, Hawthorne suggests in “The Scarlet Letter” that Dimmesdale carves out a scarlet letter from whipping himself violently in a closet. Dimmesdale remained hidden in his sin and giving acts of penance on himself for the evilness he had done. Later, as his conditions worsens under the treatment of Chillingsworth his guilt and shame give him PTSD. Dimmesdale begins to hallucinate of ghosts of people that are not there, invoking terrible nightmares.