to-suggestion will provoke another attack shortly. With nervous
children a seeming neglect is the best treatment of all trivial
disorders. Meanwhile we can redouble our efforts to remedy defects in
management, and to obtain an environment which will gradually lower
the heightened nervous irritability.

When the illness is of a more serious nature, as has been said, the
restlessness as a rule promptly disappears. In each case it must be
decided whether it is best for the child to be nursed by his mother
and his own nurse, or by a sick-nurse. In the latter event the
ordinary nurse and the mother should absent themselves from the
sick-room as much as possible. Often the firm routine of the hospital
nurse is all that is wanted to obtain rest. Less often, the child will
be quiet with his own nurse, and quite unmanageable with a stranger.

There is, however, another side to the question. The relation of
neurosis in childhood to infection of the body is complex. I have said
that with the nervous child a trivial infection may produce symptoms
disproportionately severe. Persistent and serious infection, however,
is capable of producing nervous symptoms even in children who were not
before nervous, and we must recognise that prolonged infection makes a
favourable soil for neuroses of all sorts. The frequency with which
St. Vitus's dance accompanies rheumatism in childhood forms a good
example of this tendency. The child who, from time to time, complains
of the transient joint pains which are called "growing pains," and who
is found by the doctor to be suffering from subacute rheumatism, is
commonly restless, fretful, and nervous. Appetite, memory, and the
power of sustained attention become impaired. Often there is excessive
emotional display, with, perhaps, unexplained bursts of weeping. The
child is readily frightened, and when sooner or later the restless,
jerky movements of St. Vitus's dance appear, the usual explanation is
that some shock has been experienced, that the child has seen a street
accident, has been alarmed by a big dog jumping on her, or by a man
who followed her--shocks which would have been incapable of causing
disturbance, and which would have passed almost unappreciated had not
the soil been prepared by the persistent rheumatic infection.

The management of the nervous child whose physical health remains
comparatively good is difficult enough, but these difficulties are
increased many times when the physic