Plus-one cases are rarely seen by a physician. The plus-one patient is basically a happy person, mildly stimulated by a “natural high.” He rarely, if ever, thinks of himself as a candidate for serious illness.
Plus-three and plus-four cases, on the other hand, are sometimes brought to a physician, and such cases could be presented. (In her manic phase, for instance, Nora Barnes was a plus-four case.) These cases are relatively rare, however, since before the average food or chemical addict reaches this stage, his withdrawal symptoms have usually become more and more pronounced. It is this withdrawal phase which brings him to the doctor’s office—not the previous “high.”
This is why a discussion of stimulatory reactions focuses on the plus-two stage. It is here that we find at least three serious medical problems: hyperactivity in both children and adults; obesity; and alcoholism, the acme of the food-addiction problem.