Physicians who have had experience in doubtful cases of insanity know well how difficult it sometimes is to pronounce decidedly as to the presence or absence of mental unsoundness. On the one hand, the striking differences that are to be met with in intellectual and emotional characteristics within the sphere of mental health, and, on the other, the equally great diversity in the features of the various forms of disordered mind, occasionally render the problem one not easy of solution. Moreover, the decision in such cases often involves serious responsibility. This occurs more particularly when the question arises in relation to grave criminal charges, and where medical opinion is sought to aid in determining if vagaries of conduct and seeming delusions are to be considered evidences of real mental disorder, or are feigned for the purpose of screening the accused from the legitimate penalties of their crimes.
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