The observations recorded in this paper were made at the Toledo Hospital for Insane during a part of 1890 and 1891, the opportunity being kindly given by Dr. H. A. Tobey, Supt.
Owing to the vicissitudes of politics, Dr. Tobey was succeeded by Dr. C. E. Tupper who kindly permitted the work to go on. To these gentlemen and their assistants is due the credit of facilitating in every possible way the difficult work. Acknowledgement is due Dr. Faber, one of the assistant physicians who kept a clinical record of the cases reported. Investigation in each case has been difficult, and it has been impossible to obtain reliable histories in some of them. In some cases patients had regained their normal mental condition sufficiently to give something of a correct history, but that concerning the reproductive organs in the application for admission to the hospital has been of little value.