n an hour, both during
the day and night, attacks of sudden and absolute unconsciousness, from
which she recovers with general convulsive movements of the face and
body. She had one of these during my visit, and it had all the
appearance of an epileptic paroxysm. The left arm and both legs are
paralyzed, and devoid of sensation. She takes hardly any food, and is
terribly emaciated. She is naturally a clever woman, highly educated,
but, of late, her memory and intellectual powers are said to be
failing.'

"It was determined that an attempt should be made to cure this case, and
she was removed to the Home Hospital in Fitzroy Square. She was so ill,
and shrieked and groaned so much, on the first night of her admission,
that next day I was told that no one in the house had been able to
sleep, and I was informed that it would be impossible for her to remain.
Between 3 P.M. and 11.30 P.M. she had had nine violent convulsive
paroxysms of an epileptiform character, lasting, on an average, five
minutes. At 11.30 she became absolutely unconscious, and remained so
until 2.30 A.M., her attendant thinking she was dying. Next day she was
quieter, and from that time her progress was steady and uniform. On the
fourth day she passed urine spontaneously, and the catheter was never
again used. In six weeks she was out driving and walking; and within two
months she went on a sea-voyage to the Cape, looking and feeling
perfectly well. When there, her nurse, who accompanied her, had a severe
illness, through which her ex-patient nursed her most assiduously. She
has since remained, and is at this moment, in robust health, joining
with pleasure in society, walking many miles daily, and without a trace
of the illnesses which rendered her existence a burden to herself and
her friends.

"In conclusion, I may remark that it seems to me that the chief value of
this systematic treatment, which is capable of producing such remarkable
results, is that it appeals, not to one, but many influences of a
curative character. Every one knew, in a vague sort of way, that if an
hysterical patient be removed from her morbid surroundings a great step
towards cure is made. Few, however, took the trouble to carry this
knowledge into practical action; and when they did so they relied on
this alone, combined with moral suasion. Now, I am thoroughly convinced
that very few cases of hysteria can be preached into health. Judicious
moral management can do much; but I