and fault-finding.

This disorder of conduct, however, became consistently more aggravated
whenever he was in the presence of the physician. While he gradually
became quite friendly with the attendants and willingly assisted with
the ward work, he became quite abusive whenever an attempt was made to
examine him by the physician. This became especially evident in
December, 1913, when the physician who had him in charge during his
first sojourn at the hospital again assumed charge of him. At that time
the patient had been on excellent behavior for a number of months, and
in his daily conduct showed no evidence of a psychosis. He continued,
however, to air his delusional ideas whenever the physician attempted to
examine him.

Everything went well upon the return of his former physician until
December 22, 1913, when the latter attempted to examine him. The patient
became very abusive and threatening in his attitude, began to air all
sorts of bizarre persecutory ideas, and for about a month he continued
in an excited and destructive state. At the expiration of this period he
apologized to the physician for his conduct, said that he could not help
going on a rampage once in a while, as it is all due to his mean
disposition, and promised to conduct himself in an excellent manner if
he were not returned to prison. This was early in January, 1914, since
which time he has been a model patient in every respect. It is needless
to say that he has not been given, since that time, any occasion for the
development of another tantrum, and accordingly he remained free from
psychotic manifestations.

He was a model patient after this, assisted willingly with the ward
work, and on one occasion prevented the successful culmination of a
daring plot on the part of several patients to escape from the
institution.

Upon the recommendation of the hospital authorities and Dr. Sheehan, the
naval officer stationed at this hospital, the remainder of this man's
sentence was commuted, and he was accordingly discharged on June 29,
1914. For about six months prior to this his conduct was exemplary, and,
though through a considerable part of this period he enjoyed freedom of
the grounds, he never showed the slightest inclination to abuse these
privileges.

The salutary effect of the commutation of this man's sentence is quite
obvious. On the other hand, I am equally certain that had this
particular individual been returned to prison we would have h