already find him arrested for an offense against the
person, and before having reached his twentieth year he has received a
penitentiary sentence of twelve years. His psychosis is unquestionably
one belonging to that large group developing on a degenerative basis,
the same soil which is at the bottom of his criminal career. What his
future life is going to be may readily be surmised; he has not yet
reached his thirtieth year--and by turning him loose at the expiration
of his present sentence, society adds only another parasitic and
infective organism to gnaw at its roots. It would be indeed ridiculous
to expect the boy who at the age of nineteen was placed in the
environment of a penitentiary--the hot-bed of crime--to be turned out
a better man after having spent twelve years there. Something over two
years has elapsed since the original publication of this paper and I
am able to furnish some additional data concerning this case.

Upon the expiration of his sentence we were obliged to discharge the
patient because he showed no symptoms of mental disease, and in
consequence we had no authority for holding him in a hospital for the
insane. He was discharged in March, 1912. In October of the same year
he was again arrested, charged with assault with a dangerous weapon
and received a seven-year penitentiary sentence.

There can be very little doubt as to what his future career will be
following this second penitentiary sentence.

CASE V.--W. A., white male, aged 36 on admission to the Government
Hospital for the Insane, January 18, 1911. Father was an alcoholic;
mother neurotic, one sister insane, one uncle suicide. Mother enjoyed
good health during her pregnancy with the patient, but birth was an
extremely difficult one.

Patient learned to talk and walk at the age of five, when he was
severely scalded which necessitated his confinement to bed for a long
time. Entered school at the age of seven and attended for about eight
years, reaching the 6th grade. He experienced no difficulty in
learning but played truant on frequent occasions. His industrial
career constitutes an uninterrupted chain of failures. He was
frequently discharged for various offenses and quarrels with his
associates. He commenced to indulge in alcoholics at a very early age
and has been an excessive drinker all his life. Married in his
twentieth year and managed to live with his