The cases hereafter detailed from the journals of the Western Infirmary, Glasgow, are those of two patients submitted personally to the observation of the members of the Scottish Branch of the Medico-Psychological Association, on May 5th, 1876; and the discussion thence arising will be found reported in this Number of the “Journal of Mental Science.” I have added some particulars of a third case, referred to by Dr. Clouston during the discussion, from loose memoranda made at the time; but I have not endeavoured to give this last case in anything like a complete form, as materials are wanting, or, at least, could not be easily obtained under the circumstances. It is very difficult, of course, to convey in words the impression given to the mind of the observer, in the first two cases, as to the absolute integrity, to all appearance, of the strictly mental functions; but in the case of S. D., I can most truly state that after more than two months' watching of him in hospital, not a single particular was observed tending to indicate the slightest deviation from a normal condition, whether of the intellect, or of the emotions. S. D. is, moreover, a man very much above the average of hospital patients, and responds readily and naturally to all the tests which can be applied, in conversation and otherwise, to elicit the qualities of a well-educated, intelligent, and well-balanced mind. T. H. is a man of inferior social position, and of a much less cultivated, as well as, I think, lower organisation than S. D.; nevertheless he is not deficient in shrewdness, and in a certain humorous faculty which, in his case, is perfectly under control, and serves to display to some advantage what might be called a rude and coarse, but certainly not an insane mind. Both patients have seemed to me entirely free from the kind of exaltation or extravagance so characteristic of the delusions of general paralysis, and equally removed from the other extreme of melancholia or morbid depression. They are both keenly alive to their own bodily complaints, and able to take an intelligent and rational view of everything bearing upon them. With these preliminary remarks, I shall leave the notes taken in hospital of these two cases to speak for themselves.
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