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So he was found with a broken hip, and doesn't really remember or will not admit what happened, correct?
Then what happened? You took him to the hospital and how did his hip get healed, how long did it take?
Post traumatic stress disorder is common in those who have had alien encounters throughout their lives. If a particular event was extremely traumatic, the characteristic symptoms will be: intense fear, terror, helplessness and partial or complete amnesia. This may include re-experiencing the abduction, recurrent nightmares, flashbacks, and avoidance of stimuli associated with the event and an emotional numbing. The person may develop insomnia, increased arousal to stimuli (i.e., noises in the night), fear of the dark and sleep disorders such as insomnia and night terrors. In young children, they may re-experience the trauma through repetitive play. They may exhibit a marked change in orientation toward the future, for example, a foreshortened future whereby they do not expect to have a long life, career or marriage. The psychic numbing or diminished responsiveness to stimuli usually begins soon after the traumatic event. This emotional anesthesia causes the abductee to feel detached and estranged from other people.
Sounds like some sort of PTSD, he should be encouraged to get help. I dont believe it has anything to do with little gray men. It could also be some form of bleeding in the brain. He should get things checked out, has he served in the military over seas
Based on the story you just told, I think that there are many things that you don't know about this guy OP, and that jumping to the alien conclusion straight off the bat probably says more about you than about him.
For all you know, he might be having trouble with the local crime syndicate (you're in Sicily, right ? ). A quarry owner, in Sicily, with a couple of pits for protection ? Might be more to the guy than you think.