peared. Patient has an adequate
amount of insight into his stuporous state, but does not realize that
his entire make-up is more or less pathological in character.

The patient had finally sufficiently recovered to be able to be
returned to the Penitentiary, and as he was very desirous of the
change, he was, accordingly, discharged from further treatment,
March 25th, 1912, to be returned to the United States Penitentiary,
Leavenworth, Kansas. At this date, November, 1915, I am informed that
the patient gets along very well at the Penitentiary, working in the
hospital of that institution.

We are dealing here with an individual who, to start with, comes from a
badly tainted family. He leads an honest, more or less industrious life,
until one day, in a fit of passion, he shoots and kills a man with whom
he has some financial differences. Being uncorrupted and of a
non-criminal make-up, the enormity of his crime suddenly dawns upon him
with its full force. He is unable to withstand the emotional shock which
the realization of his deed provokes, breaks down under the stress, and
develops a mental disorder. He is removed to a hospital and under the
salutary influence of new environment gradually recovers his normal
mental health. Simultaneously with this he begins to nourish the hope
that he may escape punishment for his deed. The amnesia for the period
during which the crime was committed lends support to his optimistic
views concerning the outcome of the case, and his mind becomes, in
consequence, wholly taken up with the idea of being acquitted of the
murder charge. He remembers nothing of the deed, and therefore must have
been absolutely unaware of what he was doing at the time. His hopes are
shattered when he is found guilty and sentenced to life imprisonment.
His nervous system is unable to withstand this blow and it yields a
second time, only in a more pronounced manner.

One need not enter into a lengthy discussion in order to show that we
have here a mental disorder, the origin of which can be definitely
traced to psychic causes, the emotional shock accompanying the crime and
conviction. Cause and effect are clearly in evidence here. We have
before us a well-defined psychogenetic psychosis. In addition to this
the course of this man's mental disturbance was influenced to such an
extent by his immediate environment that one could practically shape the
symptomatology thereof at will. Once, after a