d his
wife were not congenial. As a matter of fact, his entire life has been
a continual round of uncongenialities, of inability for a proper
concourse with men and things in the world. Throughout his life his
ego occupied the center of the stage. It is he that has to be
satisfied first. After leaving his wife he resumed his nomadic
existence and sometime later married again. But by this time he was a
full recidivist, as well as an accomplished hobo. The nomad was no
longer able to adjust himself to a communal existence. Besides, it
required effort. He was expected to provide and he could not be
expected to do anything. Fate was in his favor--his wife died. It must
not be forgotten that by this time he had made full use of the kind
oversight of the law. He had been arrested innumerable times, he had
breathed the atmosphere of the workhouse and partaken of the
penitentiary menu. The once unfinished product had been shaped and
polished by the machinery of the law and order of our modern
civilization so that all dread and fear of punishment had lost its
value with him. At last the organism which was originally begotten
from decayed stock, which had been tossed and knocked about through
its entire existence, and preyed upon by all the vices that modern
civilization affords, began to falter and shake. He developed a
psychosis. I shall not enter here into an extensive discussion as to
the diagnosis of the disorder. The total absence of any indication of
progression in this man's mental disorder, the pliability of the
various delusional ideas and hallucinatory experiences, his perfect
control over them in the matter of bringing them on and causing their
disappearance at will, speaks sufficiently against dementia praecox.

CASE IV.--A. W., colored, aged 28. Mother suffers from neuralgia and
headaches; one sister died of pulmonary tuberculosis. One brother is
now serving a sentence at Moundsville Penitentiary for assault and
battery. Another brother has been frequently arrested for various
offenses.

Birth and childhood of patient apparently uneventful. During childhood
fell from a fence following which he was unconscious for some time.
Entered school between the ages of seven and eight, and attended
regularly for about two years, when he became unruly and
ungovernable--would play truant on frequent occasions, and finally
left school before finishing t