Is there any special connection or affinity between insanity and phthisis? In other words, is there a greater proclivity in the insane because of their insanity to develop pulmonary consumption than in the sane? That such is the case is, I think, an opinion which at least up till recently has been rather widely if somewhat vaguely held, and believed to be well grounded. The ablest contribution on this subject has, I need hardly say, come from the pen of Dr. Crookshank (Journal of Mental Science, October, 1899), and the facts and arguments adduced by him should go far to dispel this idea. In this paper no attempt will be made to treat the question fully, which, after all that has been written by others, would be quite superfluous, but I shall endeavour, mainly by an appeal to some statistics of Irish asylums, to see if from them corroboration is to be found for Dr. Crookshank's conclusion on this particular point. My paper is therefore to be regarded as in a small way supplementary to his.
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