a complete
transition from deep stupor to normal manner and behavior.

The symptomatology consists of an acute delirioid, hallucinatory
episode, usually followed by a more or less complete amnesia which may
go back far enough to include the experience which provoked the
disorder. Such delusional formation as takes place after the
disappearance of the fulminant symptoms may well be considered as part
of the repair process, a mechanism which in most instances reflects the
individual's endeavor to adjust himself to an unpleasant, unbearable
situation, and must not be looked upon necessarily as an indication of
the progressiveness of the disorder.

As we have stated before, complete correction of all delusional ideas
may suddenly take place upon the removal of the causative factor at the
bottom of the entire situation.

As to the treatment of this acute prison psychotic complex
theoretically, we should have no difficulty in deciding this question.
We are dealing with the sequelae of some definite situation, and the
removal of that situation may be, and actually is, in most instances,
sufficient to bring about recovery. When we come, however, to deal with
concrete instances in daily practice, the problem does not lend itself
so easily to solution.

What of the man who upon being arrested following the commission of
murder, develops a psychosis while awaiting trial, or who having been
found guilty of murder develops a psychosis while awaiting execution?
The first question which the psychiatrist is called upon to decide in
many instances is that of malingering. To the lay mind and to the minds
of many of our eminent--but psychiatrically uninformed--jurists the
question of malingering suggests itself at once. To them it is perfectly
evident that this development of a mental disorder, in the wake of a
criminal act, is nothing but a timely preparation for the "insanity
dodge." The clinical pictures presented by the acute prison psychosis
are especially apt to awaken suspicions of malingering in the minds of
the untrained. We see individuals who apparently never before showed any
evidence of mental disorder, and who immediately following the
commission of a criminal act manifest pictures of grave alienation. Many
of them don't know how much twice two is, are absolutely ignorant of the
most elementary subjects, remember nothing of the deed, and most
important of all fashion their deliria in such a way as to entirely
negate th