JAMA. 1914;LXII(18):1403. doi:10.1001/jama.1914.02560430033019.
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It is not often realized that irrational individuals who reach insane asylums in early adult life have probably shown during their school years indications that they were either distinctly lacking in intelligence or were of perverted minds. This constitutes one of the most important problems of modern school life. Those familiar with educational systems know that usually most of the difficulty in managing a class, particularly of boys, is caused by one or two pupils who are not amenable to ordinary discipline. Commonly these pupils are a little older than the average of the class because they have been left behind in several examinations, and their added age and superiority of strength gives them an unfortunate influence over other pupils. Often neither teachers nor principals can govern them. They have all the cunning of the insane and sometimes boast that no one can manage them and no one dare touch


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