So the next thing we know, Lana is being strapped down to the gurney and prepped for electroshock. On any other show, the entire episode would have built to this horrific inevitability. This show blasts through it in the first ten minutes. She screams and protests about how Sister Jude blackmailed her lover and kidnapped her, but no one is there to help her. It should be noted that this is the same gurney and room where Adam Levine will finger-blast Mrs. Channing Tatum some fifty years later. Dr. Arden invites Sister Jude to assist in the procedure, which in this case amounts to holding the head... thingie that is placed on Lana's temples. "You're not squeamish are you?" he asks her, essentially daring her to confront this practice that he knows she's still ambivalent about. Interesting that even though Jude is clearly not 100% comfortable with electroshock, she'll readily resort to it if it means protecting her asylum. Dr. Arden flips the switch and Lana starts convulsing, and of course the lights dim and flicker in the room, because nobody thinks about power usage requirements when they're installing an electroshock machine. Sister Jude is clearly disturbed by this, as she looks down at Lana with pity and almost sorrow.
The maddening strains of "Dominique" welcome us to the common room, where Kit is led in to meet with his court-appointed evaluator, Dr. Thredson, played with horned-rimmed-glasses period detail by Zachary Quinto. Kit tries to break free of the guards to grab some cigs lying on a table, but they muscle him away. Dr. Thredson is decidedly kind to Kit when he introduces himself; soft-spoken and docile. Also, I swear I'm not doing that gay thing and assuming all hot guys who interact with each other secretly want to do it, but there is more than a hint of sexual tension in these scenes, I am just saying. Particularly as he's lighting the man's cigarette. Intercut with this meet cute are flashes forward to Dr. Thredson typing up his notes on the patient, including details of the crimes (the bodies were found decapitated and drained of blood) and early guesses as to a motive (a purging of "racial guilt" for what Kit's upbringing would have deemed an "illicit coupling"). Kit exposits that Thredson was sent by the court to evaluate him and declare him either sane enough to stand trial (and be executed) or crazy enough to stay locked up in Briarcliff forever. He says he's neither crazy nor guilty of the crimes he's committed and the two men go back and forth, but the gist is that Kit doesn't believe Alma is even dead. After all, the body they found and said was her didn't even have a head. He says he's remembering more, and he believes the aliens took her alive and are keeping her. From Dr. Thredson's notes/voice-over: "Diagnosis: Acute Clinical Insanity." Ahhh, very precise, Doctor. Kind of like your primary care physician saying you've come down with a terrible case of illness.