to form correct critical judgment
concerning unpleasant occurrences about them and a strong tendency to
suggestibility. On the physical side these patients were subject to
headaches, migraine, restlessness and anxiety, often associated with
disturbances of heart-action, hypochondriacal complaints, and a tendency
to become easily tired upon physical or psychic exertion. They also
showed, as a rule, intolerance for alcohol, and were wont to react to
alcoholism in a strongly pathologic manner.

Siefert divides his fifty-four cases of degenerative prison psychoses
into the following groups:--

First:--Hysterical degenerative state. These consist of undoubted cases
of grave hysteria, with convulsions, physical stigmata, endogenous
states of ill-temper, confusional states, Ganser twilight syndromes,
etc.

Second:--Simple degenerative states. These differ from the preceding
group in that hysterical stigmata are wanting. These patients are
subject to severe maniacal outbreaks, motor excitements, mutism, attacks
of anxious, delirious states, with confusion, etc.

Third:--Fantastic degenerative forms. This group concerns markedly
degenerated individuals with a pathologically exaggerated imaginative
faculty, a strong auto-suggestibility, a tendency to deceit and lying,
to inherent fluctuations of mood and hysterical stigmata. On this basis
there develop conditions of pseudologia-phantastica, systematized
delusional formations of all sorts, delirious psychoses, etc.

Fourth:--Paranoid degenerative forms. This group he again subdivides
into the querulent and hallucinatory paranoid forms. The former may
resemble the typical "Querulantenwahn", a psychosis artificially built
up out of extraneous circumstances, and one which rarely develops in
freedom, but is of very frequent occurrence in prison. The hallucinatory
paranoid form consists of fallacious sense perceptions and delusions of
a persecutory nature, often substantiated by a strongly hypochondriacal
element; in short, a picture which simulates very closely the real
paranoid state.

Fifth:--Prison psychotic states with simulated symptoms.

Sixth:--Dementia-like processes. The individuals belonging to this group
are habitual criminals in whom the criminal tendencies become evident at
a very early period in life, and who, without giving distinct evidence
in their past history of a mental disturbance, develop after prolonged
confinement a progressive change of character which