Fabula
S1E3 · The Naked Now

Medical Evaluation Deadlock Forces Psychic Diagnosis

In Sickbay, Dr. Beverly Crusher conducts an exhaustive physical examination of Lieutenant Geordi La Forge, whose erratic behavior and emotional turmoil baffle the medical team as no tangible illness or toxin can be detected. Captain Picard anxiously confronts the paradox of an invisible contagion that caused the eerie mass suicide aboard the Tsiolkovsky but appears undetectable here. Beverly candidly proposes that the root cause may lie beyond physical disease—in psychological trauma or insanity. Counselor Troi employs her empathic abilities, sensing a pervasive intoxication-like confusion in Geordi’s mind, confirming the shift from somatic to psychic investigation. This event marks a critical turning point, challenging the crew to expand their understanding of contagion to mental and emotional realms, heightening the stakes of the unfolding crisis.

Plot Beats

The narrative micro-steps within this event

2

Beverly reports no physical abnormalities or infection in Geordi despite his symptoms, deepening the medical mystery as Picard questions the possibility of an unseen threat aboard the Enterprise.

hope to growing tension ['Sickbay']

Picard presses Beverly on alternative causes beyond disease that could explain the Tsiolkovsky crew's self-destruction, while Beverly suggests insanity or severe emotional upset as possibilities.

dread to speculative fear ['Sickbay']

Who Was There

Characters present in this moment

5

Uneasy and alert, masking rising anxiety about the contagion’s spread and impact on crew cohesion.

Lieutenant Natasha Yar reports on Geordi’s behavior and emotional state, noting his agitation and peculiar fixation on normal eyesight. She exhibits concern and unease, experiencing subtle physical symptoms herself as the contagion’s effects creep closer.

Goals in this moment
  • Provide accurate behavioral reports to command and medical staff.
  • Monitor the contagion’s effect on herself and others.
Active beliefs
  • Geordi’s symptoms are unusual and troubling.
  • The contagion is increasingly affecting the crew psychologically.
Character traits
Observant Concerned Professional Uneasy
Follow Tasha Yar's journey

Anxious but controlled, deeply troubled by the inexplicable nature of the contagion and its threat to his crew.

Captain Picard arrives urgently at Sickbay, articulating concern for Geordi La Forge’s unusual behavior and the potential spread of contagion onboard. He leads the inquiry with measured authority, questioning medical findings and seeking logical explanations beyond physical illness.

Goals in this moment
  • Determine if the contagion from the Tsiolkovsky is present on the Enterprise.
  • Protect his crew by understanding and containing the threat.
Active beliefs
  • Physical disease is the usual cause of contagions but may not explain this case.
  • The crew’s safety depends on swift and accurate diagnosis.
Character traits
Resolute Analytical Concerned Commanding
Follow Jean-Luc Picard's journey

Concentrated yet increasingly unsettled by the absence of physical diagnosis despite severe symptoms.

Dr. Beverly Crusher carefully examines Geordi, operating medical instruments and administering a hypospray to calm him. She interprets inconclusive medical data, proposes psychological and emotional causes, and coordinates with Troi and Picard in real-time assessment.

Goals in this moment
  • Diagnose Geordi’s condition accurately.
  • Manage his emotional turmoil while searching for treatment options.
Active beliefs
  • Not all medical conditions are physically detectable.
  • Psychological factors may be central to the contagion’s effects.
Character traits
Focused Thoughtful Protective Pragmatic
Follow Beverly Crusher's journey

Empathically engaged but troubled by the mental disarray she perceives in Geordi.

Counselor Deanna Troi applies her empathic abilities, probing Geordi’s mental state and sensing a pervasive intoxication-like confusion. She provides critical insight that the affliction may be psychic rather than physical, informing Picard and Beverly’s evolving understanding.

Goals in this moment
  • Clarify the psychological nature of the contagion.
  • Support the medical team with empathic diagnosis.
Active beliefs
  • Psychic symptoms can manifest as confusion and intoxication.
  • Understanding mental states is key to managing the crisis.
Character traits
Intuitive Empathic Attentive Insightful
Follow Deanna Troi's journey

Overwhelmed by internal turmoil and confusion, desperate for normalcy amidst inexplicable changes.

Lieutenant Geordi La Forge lies on the examination bed visibly distressed, struggling emotionally and cognitively. His repeated longing for normal eyesight and confusion manifest as symptoms without physiological evidence, underscoring the mystery of his condition.

Goals in this moment
  • Find relief from his emotional and psychic distress.
  • Understand what is happening to him and regain control.
Active beliefs
  • His altered state is abnormal and frightening.
  • Medical and command staff can help him.
Character traits
Vulnerable Confused Emotionally turbulent Physically restrained
Follow Geordi La …'s journey

Objects Involved

Significant items in this scene

1
Medical Hypospray

The medical hypospray is administered by Dr. Crusher to Lieutenant Geordi La Forge to help calm his heightened emotional state, reflecting an attempt to medicate symptoms that lack a clear physical cause. It symbolizes the tension between physical medicine and the intangible psychic affliction.

Before: Located in Sickbay, ready for medical use; in …
After: Used on Geordi, remaining available in Sickbay for …
Before: Located in Sickbay, ready for medical use; in possession of Dr. Crusher.
After: Used on Geordi, remaining available in Sickbay for further treatments.

Location Details

Places and their significance in this event

1
Sickbay (USS Enterprise)

Enterprise Sickbay serves as the clinical setting where the crew confronts the limits of physical medicine against an unseen psychological contagion. Its sterile, technology-filled environment frames the emotional and intellectual struggle of diagnosis as the crew grapples with an invisible threat undermining mental stability.

Atmosphere Tense, clinical, underscored by growing anxiety and an undercurrent of helplessness.
Function Sanctuary for medical examination and psychic evaluation, crucible of the unfolding medical mystery.
Symbolism Represents the boundary between known physical science and unknown psychological forces.
Access Restricted to medical and senior command personnel during crisis.
Sterile white lighting highlighting clinical hygiene. Quiet hum of diagnostic machinery and intermittent beeping of monitoring devices.

Narrative Connections

How this event relates to others in the story

What led here 1
Thematic Parallel medium

"Tasha's care for Geordi amid contagion reflects the recurring theme of human vulnerability and the need for compassion in crisis, paralleling Picard's concerns about command and control."

Geordi's Fragile Humanity and Tasha's Resolute Compassion
S1E3 · The Naked Now

Key Dialogue

"PICARD: The entire crew over there somehow managed to kill themselves, Doctor. If it wasn't a disease, what else could have made them do that?"
"BEVERLY: The obvious alternatives would be in areas of insanity, severe emotional upset..."
"TROI: But all I feel from him is confusion. If I didn't know better, I'd say he was intoxicated."