e person will generally make a greater effort for a stranger
than for a familiar relative. Discipline, in the form of orders of the
physicians, and exact obedience is very often very salutary. There is
a feeling with some that all discipline is cruel. This is not so, for
the conduct of an insane person is not all insane, but frequently
needs correction. Many cases of mental alienation improve promptly
under custodial care, many need it all their lives. A great many cases
of insanity are never obliged to go away from home, and there is a
considerable number who carry on a business while still insane, rear a
family, and take care of themselves. In general, a depressed patient
should be kept at home as long as there is absolute safety in so
doing. Most other forms of mental disease progress more rapidly toward
recovery in sanitariums or hospitals equipped for such patients.
Prospects of recovery are never jeopardized by confinement in a proper
institution. Mental and physical rest, quiet, regularity of eating,
exercising, and sleeping are the essentials which underlie all
successful treatment of these cases. Dietetics, diversion by means of
games, music, etc., regular occupation of any practicable sort,
together with the association with the hopeful, tactful, and reasoning
minds of physicians and nurses trained for this purpose are of great
value. It must be remembered that in wholly civilized localities
madhouses have been replaced by hospitals, keepers have been replaced
by nurses and attendants, and the old methods of punishment and
coercion have been long since abandoned, in the light of modern
compassionate custody.

Certain forms of insanity are hopeless from the start. Few recover
after two years of mental aberration. Omitting the hopeless cases,
over forty per cent of the cases of insanity recover. About sixty per
cent recover of the cases classed as melancholia and mania. Most
recoveries occur during the first year of the disease; but depressed
patients may emerge and recover after several years' treatment.

FOOTNOTES:

[10] Caution. Dangerous. Use only on physician's order.

APPENDIX

=Patent Medicines=[11]

The term "patent medicine" is loosely used to designate all remedies
of a secret, non-secret, or proprietary character, which are widely
advertised to the public. This use of the name is erroneous, and it is
better first to understand the exact difference between the different
classes of med