ile in
others such symptoms are absolutely wanting. One of the cases herein
reported illustrates this point especially well. This patient was
admitted to our hospital on two occasions, the first time while awaiting
trial on a charge of murder, and the second time soon after conviction
and sentence to life imprisonment. His first attack showed very little,
if anything, of a hysterical nature, while his second attack had so many
features of hysteria that it could hardly be considered anything but a
psychosis of an hysterical nature.

CASE I.--E. E., Negro, aged 32 years. One sister insane, a brother is
said to be subject to convulsions. Patient's birth and childhood
normal; attended school for three or four years, where he made normal
progress. He entered upon the life of a common laborer when quite
young, and always managed to earn a substantial livelihood for himself
and family. With the exception of typhoid fever at six or seven years,
he was never ill before. He used alcoholics in moderation, and denies
venereal history. Criminal history is uncertain; according to his
statements he was arrested but once before, for fighting. It appears
that he was working as usual until August 19th, when he was arrested
on a charge of assault and robbery. The patient has a hazy
recollection of this; he cannot say how long ago it was, but thinks it
was sometime in August; he was arrested at night; cannot state at just
what time, but is certain that it was after sunset; does not know who
arrested him; says there were several of them; does not know whether
they were policemen or detectives. The police records show that he was
arrested on the night of August 19th, after a desperate fight. The
following day he suddenly became insane in his cell at the fourth
precinct station house. He became very excited; commenced to shout
that he had been shot in the abdomen by an enemy. When offered food he
threw it at the policeman through the bars of his cell door, and then
began beating his head against the walls of his cell. He was
transferred to the observation ward at the Washington Asylum Hospital.
The records of that institution show the following: On admission he
was yelling, cursing, and very much excited; completely disoriented;
repeated the same sentence over and over again in a singing fashion.
He talked to the Lord, and answered imaginary questions; had auditory
and visual hallucinati