Chapter 12

_THE INSANE CRIMINAL_

GENERAL FORMS OF CRIMINAL LUNACY

Epileptic born criminals and the morally insane may be classed as lunatics under certain aspects, but only by the scientific observer and professional psychologist. Outside these two forms, there is an important series of offenders, who are not criminals from birth, but become such at a given moment of their lives, in consequence of an alteration of the brain, which completely upsets their moral nature and makes them unable to discriminate between right and wrong. They are really insane; that is, entirely without responsibility for their actions.

Nearly every class of mental derangement contributes a special form of crime.

_The Idiot_ is prompted by paroxysms of rage to commit murderous attacks on his fellow-creatures. His exaggerated sexual propensities incite him to rape, and his childish delight at the sight of flames, to arson.

_The Imbecile_, or weak-minded individual, yields to his first impulse, or, dominated by the influence of others, becomes an accomplice in the hope of some trivial reward.

The victims of _Melancholia_ are driven to suicide by suppressed grief, precordial agitation, or hallucinations. Sometimes the suicidal attempt is indirect and takes the form of the murder of some important personage or their own kin, in the hope that their own condemnation may follow, or it is to save those dear to them from the miseries of life.

Persons afflicted with _General Paralysis_ frequently steal, in the belief that everything they see belongs to them, or because they are incapable of understanding the meaning of property. If accused of theft, they deny their guilt or assert that the stolen articles have been hidden on their persons by others. They are inclined to forgery and fraudulent bankruptcy, and when their misdeeds are brought home to them they show no shame. Unnatural sexual offences and crimes against the authorities are also common. While they are seldom guilty of murder, they frequently commit arson, through carelessness, or with the idea of destroying their homes because they think them too small, or wish to get rid of the vermin in them, such as rats.

The sufferer from _Dementia_ forgets his promises, however serious they may be. Cerebral irritability often leads him to commit violent acts, homicide, etc.

In some cases, mental alienation is manifested in a mania for litigation, which urges the sufferer to offend statesmen, state lawyers, and judges.

A common symptom of _Pellagra_ is the tendency to unpremeditated murder or suicide, without the slightest cause. The sight of water suggests drowning, in the form of murder or suicide.

Young persons at the approach of puberty and women subject to amenorrhea often exhibit a tendency to arson and crimes of an erotic nature. Similar tendencies are sometimes displayed during pregnancy, and an inclination to theft is not uncommon.

Maniacs are prone to satyriasis and bacchanalian excesses. They commit rape and indecent acts in public and often appropriate strange objects, hair or wearing apparel, with the idea of obtaining means to satisfy their vices, either because they are unconscious of doing wrong or because, like true megalomaniacs, they believe the stolen goods to be their own property. Sometimes a feverish activity prompts them to steal; "I felt a kind of uneasiness, a demon in my fingers," said one, "which forced me to move them and carry off something."

Monomaniacs, especially if subject to hallucinations, frequently manifest a tendency to homicide, either to escape imaginary persecutions or in obedience to equally imaginary injunctions. The same motives prompt them to commit special kinds of theft and arson. Na... (see Fig. 16) murdered his friend without any reason, after suffering from delusions for one year.

The characteristics of insane criminals are so marked that it is not difficult to distinguish them from habitual delinquents. They seldom show any fear of the penalty incurred nor do they try to escape. They take little trouble to hide their misdeeds, or to get rid of any clue. If poisoners, they leave poison about in their victim's room; if forgers, they take no trouble to make their signatures appear genuine; if thieves, they exhibit stolen goods in public, or appropriate them in the presence of witnesses. They frequently manifest unbounded rage and assault those present, entirely forgetting the stolen objects. Once their crime is accomplished, not only do they give themselves no trouble to hide it, but are prone to confess it immediately, and are eager to talk about it, saying with satisfaction that they feel relieved at what they have done, that they have obeyed the order of superior beings and consider their actions praiseworthy. They deny that they are insane, or if they admit it in some cases, it is only because they are persuaded to do so by their lawyers or fellow-prisoners. And even then, they are ready at the first opportunity to contradict the idea, eulogising and exaggerating their criminal acts.

A full confession in court is not uncommon, and in the case of impulsive monomaniacs, epileptics, and insane inebriates, the descriptions are full of characteristic expressions, showing what was the offender's state of mind when dominated by criminal frenzy.

Rom..., an impulsive monomaniac, who stabbed an acquaintance, felt "the blood rushing to his head, which seemed to be in flames."

Tixier narrates that, on seeing the old man he afterward murdered pass him on a country road, "something went to his head." Frequently such criminals are quick to give themselves up to justice.

_Antecedents._ Unlike the ordinary offender, insane criminals are often perfectly law-abiding up to the moment of the crime.

_Motive._ Perhaps the greatest difference between born criminals and insane criminals lies in the motive for the act, which in the case of the latter is not only entirely disproportionate to it, but nearly always absurd and depends far less on personal susceptibility.

Here are a few typical cases: A father fancies he hears a voice bidding him kill his favourite child. He goes home, has the little victim dressed in its best clothes and cuts off its head with perfect calmness. A lady, ignorant of horticulture, plants some flowers on her husband's grave. A day or two later, noticing that they are drooping, she imagines that the gardener has watered them with boiling water, and after reproaching him bitterly, wounds him with a pair of scissors.

These unfortunate beings frequently show perfect mental clearness before the crime and even in the act of striking the fatal blow; yet their action is purely instinctive and not prompted by passion or any other cause. Although such individuals appear to reason, can it be said that they are in full possession of their mental faculties? If they are, how shall we explain the wholesale destruction of those they hold most dear? A husband kills the wife to whom he is sincerely attached; a father, the son he loves most; or a mother, the infant at her breast.

Such an extraordinary phenomenon can only be explained by a sudden suspension of the intellectual and moral faculties and of the powers of the will.

SPECIAL FORMS OF CRIMINAL INSANITY

ALCOHOLISM

In addition to these casual forms of lunacy, in which the individual is led to commit crime by a momentary alteration of his moral nature, we find other forms which might be called specific, because the criminal act forms the culminating point of the malady. The sufferers from these forms are less easily distinguished from ordinary criminals and normal persons than are the lunatics of whom we have just spoken. These mental diseases, which should be studied separately, are alcoholism, hysteria, and epilepsy.

It is well known that temporary drunkenness may transform an honest, peacable individual into a rowdy, a murderer, or a thief.

Gall narrates the case of a certain Petri, who manifested homicidal tendencies when excited by alcohol. Locatelli mentions a workman of thirty, who, when under the influence of drink, would smash everything around him and stab the companions who sought to restrain his drunken fury. Ladelci and Carmignani cite the case of a miner, who was repeatedly arrested for drunken brawls, and when reproved replied: "I cannot help it. As soon as I drink, I must start fighting."

Very characteristic is the case of a certain Papor... who was imprisoned for some time at Turin. His father was a drunkard and ill treated his wife. The son became a soldier, then an excise officer, fireman, and finally nurse in an infirmary, and was known as a respectable, temperate man. In 1876, he was transferred to the Island of Lipari, where malvoisie only costs 25 centimes a litre, and there he acquired a taste for wine, without, however, drinking to excess. But a year later, a change in the hospital regulations gave him longer hours of leisure, and he began to drink deeply. In 1881, while intoxicated, he accosted a sportsman and pretending to be a police officer, ordered him to give up his gun. At that moment he was arrested by a genuine constable and taken to the barracks, where he was sentenced, without any one's observing his drunken condition. After his release, he committed other offences of the same type, which were followed by confession and repentance.

_Chronic Alcoholism._ The phenomena developed by chronic inebriety are, however, still more important from the point of view of the criminologist than the immediate effects of alcohol on certain constitutions.

_Physical and Functional Characteristics of Chronic Inebriety._ The habitual drunkard rarely exhibits traces of congenital degeneracy, but frequently that of an acquired character, especially paresis, facial hemiparesis, slight exophthalmia (see Fig. 6), inequality of the pupils, insensibility to touch and pain, which is often unilateral, especially in the tongue, thermoanalgesia, hyperæsthesia, experienced at various points not corresponding to the nervous territories and modified spontaneously or by esthesiogenic agents (Grasset), alphalgesia (sensation of pain at contact with painless bodies), a deficiency of urea in the urine, out of proportion to the general state of nourishment, and a proneness of the symptoms to return after trauma, poisoning, agitation, or serious illness.

The gravest phenomena, however, are atrophy or degeneration in the liver, heart, stomach, seminal canaliculi, and central nervous system, which give rise to serious functional disturbances; most of all, in the digestion--as manifested by the characteristic gastric catarrh, matutinal vomit and cramp--and in the reproductive system, with resulting impotence.

_Psychic Disturbances--Hallucinations._ The most frequent and precocious symptoms are delusions and hallucinations, generally of a gloomy or even of a terrible nature, and extremely varied and fleeting, which, like dreams, in nearly every instance arise from recent and strong impressions. The most characteristic hallucinations are those which persuade the patient that he experiences the contact of disgusting vermin, corpses, or other horrible objects. He is gnawed by imaginary worms, burnt by matches, or persecuted by spies and the police.

=FIG. 16 ITALIAN CRIMINAL A Case of Alcoholism (see page 82)=

The strange pathological conditions resulting from chronic alcoholism give rise to other fearful hallucinations. Cutaneous anæsthesia and alcoholic anaphrodisia make the sufferers fancy they have lost the generative organs, nose, legs, etc.; dyspepsia, exhaustion, and paresis, that they have been poisoned or are being persecuted. The reaction following excessively prolonged stimuli causes furious lypemania and gloomy fancies. Sometimes chronic inebriates believe that they are accused of imaginary crimes and loaded with chains amid heaps of corpses. They implore mercy and try to kill themselves in order to escape from their shame; or they remain motionless, bewildered, and terrified. Not infrequently, because of the profound faith, which, unlike many other lunatics, they have in their hallucinations, they pass from melancholy broodings to a fit of mad energy, often of a homicidal or suicidal nature. They imagine they are struggling with thieves or wild beasts and hurl themselves from the window or rush naked through the streets, killing the first person that crosses their path. In some, this delirium of energy breaks out suddenly like an epileptic attack, which it resembles in its brevity and intensity. With hair standing on end, they rush about like savage beasts, grinding their teeth, biting, rending their clothes, or tearing up the sod, or hurling themselves from some height. These symptoms are preceded by vertigo, periodical cephalalgia, and flushing of the face, and are manifested more frequently by those who are already predisposed through trauma to the head, or through typhus or heredity, or after great agitation and prolonged fasting, and often bear no relation to the quantity of alcohol imbibed, which may be small, or to the general physical state; but depend on cerebral irritation caused by chronic alcoholism. The attacks may disappear in a few hours without leaving the slightest recollection in the mind of the patient (Krafft-Ebing, p. 182). They are, in short, a species of disguised epilepsy, and thus they may well be styled, since true alcoholic epilepsy is noted in many inebriates, specially in absinthe-drinkers.

_Apathy._ Another characteristic almost invariably found in inebriates who have committed a crime, is a strange apathy and indifference, a total lack of concern regarding their state--a trait common also to ordinary criminals, but in a less marked degree. They make themselves at home in prison without showing the faintest interest in their trial or in the offence which has caused their arrest, and only when brought before the judge do they rouse themselves for a moment from their lethargy.

A well-educated man, after a varied career as doctor, chemist, and clerk, during which time he had been constantly dismissed from his posts for drunkenness, met a policeman in the street and killed him, in the belief that the officer wanted to arrest him. When taken to prison, the first thing he did was to write to his mother begging her to send him some pomade. When interrogated, he informed the examining magistrate that the interrogatory was useless, since he had already chosen a fresh trade, that of photographer. It was only after several months of total abstinence in prison, that he began to come to his senses and to realise the gravity of his situation. (Tardieu, _De la Folie_, 1870.)

_Contrast between Apathy and Impulsiveness._ This apathy alternates with strange impulses, which, although strongly at variance with the patient's former habits, he is unable to control, even when he is aware that they are criminal.

_Crimes peculiar to Inebriates._ Since modification of the reproductive organs is a common cause of hallucinations, inebriate criminals frequently suffer from a species of erotic delirium, during which they murder those whom they believe guilty of offences against themselves--generally their wives or mistresses. This is partly owing to the sexual nature of their hallucinations and partly to the wretchedness of their homes, which are in such striking contrast to the rosy dreams inspired by alcohol and which tend to increase the melancholy natural to drunkards. They imagine they are being deceived and their impotence derided, the most innocent gestures being interpreted as deadly insults.

In the prison at Turin, my father had under observation two of these unfortunate beings, one a man of sixty and the other quite young. Both had murdered their wives with the most revolting cruelty, because they believed them to be unfaithful, although in reality both the women led blameless lives.

_Course of the Disease._ The continued abuse of alcohol ends at last in complete dementia or general pseudo-paralysis. The body is at first obese, but rapidly loses flesh, the skin becomes greasy and damp, owing to hypersecretion of the sebaceous and sudoriparous glands, and soils the garments. Memory becomes enfeebled, speech uncertain and defective (dysarthria), the association of ideas sluggish, sensibility blunted, perception confused, judgment erroneous, and every species of regular and continued application impossible. The earlier hallucinations reappear, but in a less vivid form and only at long intervals; then paralysis more or less rapidly becomes general and ends in death.

EPILEPSY

We have spoken of this disease in another chapter and have shown that the born criminal is in reality an epileptic, in whom the malady, instead of manifesting itself suddenly in strange muscular contortions or terrible spasms, develops slowly in continual brain irritation, which causes the individual thus affected to reproduce the ferocious egotism natural to primitive savages, irresistibly bent on harming others.

But besides these epileptics, who are morally insane from their birth and pass their lives in prisons and lunatic asylums, without any one being able to mark the exact boundary between their perversity and their irresponsibility; besides these individuals, whom society has a right, nay a moral obligation, to remove from its midst because they are ever a source of danger there are those who are afflicted with other forms of epilepsy;--forms in which irritation is manifested in seizures exactly similar to the typical convulsive fit, which they resemble also with regard to variation in intensity and duration. Generally speaking, they are likewise accompanied by complete loss of memory and consciousness, but in some cases there may be partial or complete consciousness, and yet the sufferer is not responsible for his actions. This variety of epilepsy, termed by Samt psychic epilepsy (epilepsy with psychic seizures), manifests itself at long intervals, sometimes only once, but more frequently twice or thrice in the course of a lifetime, and during the attack the personality of the individual undergoes a complete change.

The attack is described by Samt as follows: During the seizure, the individual behaves like a somnambulist. Sometimes he is dazed, mute, and immovable; at others, he talks incessantly; at still others, he goes on with his ordinary occupations, travelling, reading, and writing: but in every case his personality suffers a complete metamorphosis, his habits, actions, and even handwriting assume a different character. Sometimes he is seized by a mania for walking and tramps for miles; at others, he undertakes interminable railway journeys. Tissié (_Les aliénés voyageurs_, 1887) cites cases of epileptics who travelled from Paris to Bombay, who covered 71 kilometres on foot, and who wandered unconscious for 31 months.

Sometimes epilepsy is manifested only by the tendency to undertake purposeless journeys, as in the case of Ferretti and a certain M... who visited the Mahdi in Africa and from thence travelled aimlessly to Australia.

This ambulatory form of epilepsy is very common amongst lads of fourteen or fifteen. Scarcely a week passes without the police receiving information from parents that their son has disappeared from home with only a few pence in his pocket. The wanderer is discovered later, frequently in some small provincial town, which he has reached after tramping aimlessly for days, sleeping in barns, and living on charity. When questioned, the boy usually displays total ignorance regarding all that has happened to him during the interval.

Dr. Maccabruni in his _Notes on Hidden Forms of Epilepsy_, 1886, narrates the case of an epileptic, who during childhood received an injury to his skull. Later, he started out on a series of wanderings to Venice, Padua, Rome, Milan, Monaco, and Mentone. His journeys, especially those to distant parts, were undertaken in a state of unconsciousness and generally a short time before the commencement of a fit.

These attacks may last any length of time, from a few minutes to several months. In one of the cases observed by my father, the attack lasted a fortnight. The patient, a young officer with whom we were personally acquainted, was one of the quietest persons possible, but suddenly he was seized with a mania for writing innumerable letters, especially on stamped paper, in exaggeratedly large writing very different from his usual style. These letters, which were full of absurdities, were posted by the writer from the different towns he passed through on his aimless journeyings, which lasted a whole fortnight. During one of these seizures, he was arrested as a deserter and was unable to give any explanation of his conduct.

In this particular patient, the disease assumed the mild form of absurd letters and still more absurd journeys, but other individuals in the same state may commit criminal acts like homicide, equally without reason or gain to themselves. Once the fit is passed, these unfortunate individuals have generally no recollection of their past actions, and since in their normal state they are quiet, law-abiding persons, it is extremely difficult to trace back the deed to the right source, or to discover the disease, because they show no other symptoms of epilepsy, apart from the particular criminal act.

Samt describes a still more complicated form of this psychic seizure, in which the personality is altered without there being any loss of consciousness. In a case of this kind, a servant, after forty years of faithful service, murdered his old mistress during the night, having previously cut all the bell-wires to prevent communication with the other servants. He escaped with some valuables, but returned in a few days and gave himself up to the police, to whom he gave a detailed account of his crime without showing either horror or remorse. He was tried and condemned, and a few months later was again seized with epileptic fits during one of which he died. Samt, who saw him in this state, came to the conclusion that the murder had been committed during a similar seizure and he was able to prove that attacks of this kind are not necessarily accompanied by loss of consciousness.

As in the above case, these psychic attacks are sometimes accompanied by an insatiable thirst for blood, destruction and violence of all kinds, as well as by an extraordinary development of muscular strength with apparent lucidity of mind. They may last from a few minutes to half an hour, after which the patient falls into a sound sleep and forgets everything that has happened, or else retains only a vague recollection.

Such was the case of the epileptic Misdea, which first suggested to my father the idea of a link between crime and epilepsy. As this case has become famous in the annals of crime in Italy, it will perhaps be of interest to the reader. Misdea, the son of degenerate parents, manifested a series of typical epileptic anomalies--asymmetry, vaso-motor disturbances, impulsiveness, ferocity, etc. At the age of twenty, while serving in the army, for some trivial motive he suddenly attacked and killed his superior officer and eight or ten soldiers who tried to overpower him. Finally he was bound and placed in a cell, where he fell into a sound slumber and on awaking had entirely forgotten what he had done. He was condemned to death, but my father, who examined him medically, was able to prove conclusively that the crime had been committed during an attack of epilepsy.

The physical and psychic characters of this class of epileptic are those common to all non-criminal epileptics, and indeed we are justified in considering them insane rather than criminal, because, with the exception of the attack, which assumes this terrible form, they do not manifest criminal tendencies.

HYSTERIA

Hysteria is a disease allied to epilepsy, of which it appears to be a milder form, and is much more common among women than men in the ratio of twenty to one. The disease may frequently be traced to hereditary influences, similar to those found in epilepsy, transmitted by epileptic, neurotic, or inebriate parents, frequently also, to some traumatic or toxic influence, such as typhus, meningitis, a blow, a fall, or fright.

_Physical Characteristics._ These are fewer than in epileptics. The most common peculiarities are small, obliquely-placed eyes of timid glance, pale, elongated face, crowded or loosened teeth, nervous movements of the face and hands, facial asymmetry, and black hair.

_Functional Characteristics._ These are of great importance. Hysterical subjects manifest special sensibility to the contact of certain metals such as magnetised iron, copper, and gold. Characteristic symptoms are the insensibility of the larynx or the sensation of a foreign body in it (_globus hystericus_), neuralgic pains, which disappear with extreme suddenness, reappearing often on the side opposite that where they were first felt, the prevalence of sensory and motor anomalies on one side (hemianæsthesia), the confusion of different colours (dyschromatopsia); greater sensibility in certain parts of the body, such as the ovary and the breasts, which when subjected to pressure give rise to neuropathic phenomena (hysterogenous points); a sense of pleasure in the presence of pain, the abolition of pharyngeal reflex action, the absence of the sensation of warmth in certain parts of the body and a tendency to the so-called attacks of "hysterics." These characteristics, which are closely allied, if not precisely similar to those of epilepsy, are preceded by a number of premonitory symptoms--hallucinations, sudden change of character, contractions, laryngeal spasms, strabismus, frequent spitting, inordinate laughter or yawning, cardiac palpitations, loss of strength, trembling, anæsthesia and (just before the attack,) pains in some fixed spot, generally in the head, ovary, or nape of the neck.

_Psychology._ The psychological manifestations of hysterical subjects are of still greater interest and importance.

They show, on the whole, a fair amount of intelligence, although little power of concentration. In disposition they are profoundly egotistical and so preoccupied with their own persons that they will do anything to arouse attention and obtain notoriety. They are exceedingly impressionable, therefore easily roused to anger and cruelty, and are prone to take sudden and unreasonable likes and dislikes. They are fickle and easily swayed. They take special delight in slandering others, and when unable to excite public notice by unfounded accusations, to which they resort as a means of revenge, they embitter the lives of those around them by continual quarrels and dissensions.

_Susceptibility to Suggestion._ Of still greater importance for the criminologist is the facility with which hysterical women are dominated by hypnotic suggestion. Their wills become entirely subordinated to that of the hypnotiser, by whose influence they can be induced to believe that they have changed their sex so that they forthwith adopt habits of the opposite sex, or to entertain _idées fixes_--strange, impulsive, or even criminal ideas. They are, in fact, obedient automatons when under hypnotic influence, but they cannot be prevailed upon to perform acts contrary to their nature, to commit crimes or reveal secrets entrusted to them, if they are naturally upright.

_Variability._ Mobility of mood is a still more salient characteristic of hysteria. The subject passes with extraordinary rapidity from laughter to tears "like children," says Richet, "who laugh immoderately before their tears are dry."

"For one hour," says Sydenham, "they will be irascible and discontented; the next, they are cheerful and follow their friends about with all the signs of the old attachment."

Their sensibility is affected by the most trifling causes. A word will grieve them like some real misfortune. Their impulses are not lacking in intellectual control, but are followed by action with excessive rapidity. Although of such changeable disposition, they are subject to fixed ideas, to which they cling with a kind of cataleptic intensity. A woman will be dumb or motionless for months, on the pretext that speech or motion would injure her. But this is the only form of constancy they exhibit, otherwise they are indolent by nature. Sometimes they will show activity for a few days only to relapse again into idleness.

_Erotomania._ This is almost a pathognomonical symptom and is shown in hallucinations and nightmares of an erotic character, preceded by epigastric aura. This erotomania is so impulsive that hysterical women frequently engage in a _liaison_, from a desire of adventure or of experiencing sudden emotions. The criminality of the hysterical is always connected with the sexual functions.

Of twenty-one women found guilty of slander, nine made false accusations of rape, four accused their husbands of sexual violence, and one of sodomy. Such accusations, when made by minors, are generally full of disgusting details, which would be repugnant to any adult.

_Mendacity._ Another peculiarity of hysterical women is the irresistible tendency to lie, which leads them to utter senseless falsehoods just for the pleasure of deceiving and making believe. They sham suicide and sickness or write anonymous letters full of inventions. Many, from motives of spite or vanity, accuse servants of dishonesty, in order to revel in their disgrace and imprisonment. The favourite calumny, however, is always an accusation of indecent behaviour, sometimes made against their fathers and brothers, but generally against a priest or medical man. The accusations, in most cases, are so strange and fantastic as to be quite unworthy of belief, but sometimes, unfortunately, they obtain credence. The commonest method adopted for spreading these calumnies is by means of anonymous letters. In one case, a young girl of twenty-five belonging to a distinguished family, pestered a respectable priest with love-letters and shortly afterwards accused him of seduction. Another girl of eighteen informed the Attorney for the State that she had frequently been the victim of immoral priests and accused one of her female cousins of complicity. According to her story, while praying at church, a certain Abbot R... took her into the sacristy and entreated her to elope with him to Spain. She refused indignantly, and hoping to soften her, he twice stabbed himself in her presence, whereat she fainted, and on recovering consciousness, found the priest at her feet, begging forgiveness. She further accused the same cousin of having taken her to a convent, where she was seduced by a priest, the nuns acting as accomplices. A subsequent medical examination proved that no seduction had taken place and that she was suffering from hysteria.

In another case, a girl of sixteen, the daughter of an Italian general, complained to her father that a certain lieutenant, her neighbour at table, had used indecent language to her. Shortly afterwards, a shower of anonymous letters troubled the peace of the household--declarations of love addressed to the girl's mother and threats to the daughter. It was discovered that the girl herself was the writer of all these letters.

Anonymous letter-writing is so common among hysterical persons, that it may be considered a pathognomonical characteristic. The handwriting is of a peculiar character, or rather it shows a peculiar tendency to vary from excessive size to extreme smallness, a characteristic we have noticed in epileptics.

_Delirium._ Hysterical, like epileptic, subjects often suffer from melancholia or monomaniacal delirium. Indeed, according to Morel, this symptom is more frequent when the other morbid phenomena are absent.

Psychic hysteria, like epilepsy, may exist unaccompanied by the characteristic hysterical attack, and then, as is the case with epilepsy, it is most dangerous to society.

In conclusion, although up to the present, medical men have been disposed to consider hysteria as a disease distinct from epilepsy, careful study of this malady inclined my father to class it as a variation of epilepsy, prevalent among women, who in this disease, as in many others, manifest an attenuated form.