The notes of the four cases to which I invite attention are of general interest rather than of purely psychological bearing; yet I feel they may not be the less attractive to you on that account. To others outside our specialty they may perchance help to demonstrate the indissolubility of the physical and mental aspects of our work in asylums. En passant it may be remarked that it has become rather too much the fashion of late for those who should know better to speak of our special avocation as “divorced” from the pursuit of medicine proper. For though existing modern methods necessitate a separation a mensâ et thoro, which holds the sick insane aloof from the sick sane, yet apart from the exceptional difficulties which beset us, our bond with general professional work is no less binding than that true, refined, and catholic specialism which searches out in connection with a diseased eye, ear, or nervous system, the concomitant manifestations of a constitutional dyscrasia.
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