he far more lenient regime of a hospital.
We must seek an explanation for the behavior of these individuals in the
individual himself, in his make-up.

Looking at the life history of the two foregoing patients we find them
both to be of the most depraved class of society. The one is a
professional prostitute; the other subsisting upon the earnings of a
prostitute. Their relation with man has always been characterized by a
sort of vicious vindictiveness. Their high-strung emotional make-up
brought them into serious conflict with those about them on many
occasions before. Being finally taken hold of by the law and made to
submit to a certain well-regulated mode of existence, their inherent
characteristics assert themselves in a most decisive way and they react
to the situation in the manner of a trapped tiger, stopping at no means
to gain their point. The one commits a homicide during one of her
outbreaks of passion; the other risks his life to obtain his purpose, by
jumping out of a moving train with his hands shackled. Their life seems
to be one long series of impulsions, fostered and sustained by the
extreme lability of their emotions. Intellectually they show no defect.
They are keen and alert to every opportunity which presents itself to
them and are very shrewd in the execution of their criminal acts.
Finding themselves under a regime which exacts from them a certain
submission to rules, to regulations, they begin to misinterpret ordinary
occurrences in their environment in a sort of delusional manner: They
are persecuted by the warden because the latter insists upon making them
behave themselves; the keepers are a bunch of anarchists, whose entire
occupation seems to be to persecute them and down them. This for no
other reason than because they are made to work and to behave
themselves. J. J. M. tells me that he will not behave himself, that he
is not here to please anyone but himself and recognizes no authority
other than that of Christ. The other says she raised so much hell at the
prison that they had to send her back to the hospital. The
distinguishing feature of their psychotic manifestations is that they
are provoked essentially by definite situations. They are not a mere
wild, misdirected, meaningless series of insane acts, such as one would
expect from a demented person, but distinct reactions to situations.
Refuse them a request and they at once become wild, abusive and vicious,
smashing up everything that