ve interest in all the processes
of the life of the body, and when attention is once attracted to that
which usually proceeds unconsciously, symptoms of discomfort are apt
to arise. Thus so simple an act as swallowing may become difficult, or
for the time being impossible. To breathe properly and without a sense
of suffocation may seem to require the sustained attention of the
patient; or again, the voice may be suddenly lost.

More commonly, perhaps, neuropathy exhibits itself in an undue
tendency to show signs of fatigue upon exertion of any sort, mental or
physical. Sustained interest in any pursuit or task becomes
impossible. Nameless fears and unaccountable sensations of dread
establish themselves suddenly and without warning, and may be
accompanied on the physical side by palpitation, flushing, headache,
or acute digestive disturbances.

All these manifestations are best controlled by selecting a suitable
environment, and as a rule the character of the environment is
determined by the temperament and disposition of those who live in
close contact with the patient. Like the tiny children with whom we
have dealt so far, the behaviour of neuropathic persons is subject
wholly to the direction of stronger and more dominant natures. With
faulty management at the hands of those around them, no matter how
loving and patient these may be, the conduct of the neurotic tends to
become abnormal.

In children beyond earliest infancy we recognise a gradual approach to
the conditions of adult life. Fractiousness and naughtiness,
ungovernable fits of temper, inconsolable weeping and inexplicable
fears should disappear with early childhood even if management has not
been perfect. If they persist to older childhood we shall find in an
increasing percentage of cases evidence of definite neuropathic
tendencies which urgently call for investigation and for a precise
appreciation of the nature of the abnormality. It may be that the only
effective treatment is that which we recognise as essential in the
grosser mental disturbances--removal from the surroundings in which
the abnormal conduct has had free play, and separation from the
relatives whose anxiety and alarm cannot be hidden.

In young nervous children fear is the most prominent psychical
symptom. The children are afraid of everything strange with which they
come in contact. They are afraid of animals, of a strange face, or an
unfamiliar room. Older children usually manage t