love, the appreciation of kindness shown her, and gratitude to those who ministered to her needs.

In her present condition convalescence is fairly established. The balance may be said to have returned to its equilibrium only showing now minute oscillations. A few weeks longer in the hospital are desirable, provided the patient does not become too uneasy, in order that the habit of health may become fixed under supervision. She enjoys the liberty of the grounds and is anxious to follow our advice.

It remains but to note the changes in her physical condition. The digestive functions appear normal; the gastric irritability has subsided, the patient eats with relish and has required no laxative for a month. Her complexion has improved, the acne largely disappearing. The menstrual function was re-established last month after three months absence, coming at what would have been the correct time had no periods been omitted. Her blood pressure is normal, ranging from 116 to 122. During the brief transition period with hypomaniacal symptoms it was distinctly lower, ranging from 102 to 112, while during the previous stage of deep depression it ran from 115 to 130.

In weight the patient began to gain almost before the first evidence of mental clearing,-always a welcome prognostic sign. The increase in weight has been fairly steady, and during the past eight weeks the curve has risen from 134 to 158, the latter figure representing approximately her best weight during health. There has been thus an average gain of three pounds a week and the curve appears to be still on the ascent.

American Medico-Psychological Association

PROCEEDINGS OF THE SIXTY-SECOND ANNUAL MEETING. TUESDAY, JUNE 12, 1906.-FIRST SESSION.

The Association convened at 10 a. m. in the Convention Hall of the Hotel Vendome, Boston, Mass., and was called to order by the President, Dr. C. B. Burr, of Flint, Michigan.

The President introduced Dr. George T. Tuttle, Chairman of the Committee of Arrangements, who said: "It is ten years since this Association met at Boston,-not a long time to look back upon, but long enough for many changes. There has been a steady improvement in the care and treatment of the insane during this period. We in Massachusetts have witnessed the transfer of the insane from almshouses to hospitals under State care. In these hospitals have been established reception wards and infirmary wards, and improvement in the nursing service throughout the country by the establishment of training schools has been very marked. As some of you know, I have been making inquiries concerning the male nurse, and incidentally, I have learned that in at least thirty-seven hospitals of the country, training schools for nurses have been established in the last ten years.

"Aside from this work, there has been a great increase in interest in the study of psychiatry during this period, as is witnessed by the establishment of laboratories of pathological, chemical, physiological, and psychological research, since, from the difficulty of our subject, the problem of psychiatry needs to be attacked from all sides. The establishment of these laboratories has necessitated the employment of a number of men who are fitted by previous training for research work, which means an increase of hospital staffs throughout the country.

"With the increase in knowledge of mental diseases has come better instruction for the medical student. In my day, psychiatry could scarcely be studied as a subject by itself. At the present

time, the student of the Harvard Medical School not only has a good course of lectures on the subject of insanity, but has valuable clinical experience which was not possible twenty years ago. This matter of teaching students psychiatry receives a fresh impetus by the departure of the University of Michigan, which has recently established a psychopathic clinic,-the first, so far as I know, among English-speaking people.

"Besides this, there is a movement in the direction of preventive medicine by opening so-called psychopathic wards in connection with general hospitals, of which the one at Albany is the most noteworthy example.

"One should not forget to mention the work of the Pathological Institute of the New York State Hospitals, which is a source of inspiration to the assistant physicians who go to Ward's Island for three months' instruction and take back to their respective hospitals the knowledge and methods which they have there acquired.

"These, and many other things which might be mentioned, make a good record, one of which we may be proud. The most of it comes within the last ten years.

"It is well for us to meet each year to talk these matters over, to exchange opinions and gain inspiration for our work.

"The President has informed me that as Chairman of the Committee of Arrangements it is my duty to introduce the speakers of the morning. It certainly is a privilege to introduce to you these gentlemen who are to address to you words of welcome. I present to you first, one who is prominent in public affairs, a journalist, a soldier, and a statesman, who has won distinction in each capacity who was never more respected and honored by good men than he is to-day; an able and faithful executive, who believes in a government of laws and not of men. I have the honor to present to you His Excellency, Curtis Guild, Jr., Governor of the Commonwealth of Massachusetts." (Applause.)

Gov. GUILD.-The Legislature is in active session to-day, which makes it impossible for me to stay with you as I desire. You will therefore, I am sure, kindly excuse me if I am very brief in my remarks and am obliged to leave you at a very early hour.

It is a very pleasant privilege to be able to welcome you to the Commonwealth of Massachusetts, to extend to you a hearty greeting and

to wish that you may have a profitable as well as a pleasant stay within our borders. The Old Commonwealth is proud of her reputation for benevolence, prouder perhaps than of any other of her characteristics. It may be known to you that she extends her benevolence not only to the cities and towns within her borders, but to those without. No Commonwealth is so generous in the care of the various municipalities and townships of the State. She strips herself of revenue and license fees, for in this State these are given to the separate cities and towns almost entirely. She strips herself of corporation taxes, which in other commonwealths are reserved entirely for State uses, and gives these very largely to the different communities. Like the pelican in her piety, she takes care of the unfortunate and unhappy, which in other commonwealths are provided for by the separate municipalities. The entire cost of caring for the insane in this Commonwealth is borne by the State government.

It is therefore with peculiar propriety that you should be welcomed to-day by the Chief Executive of this Commonweath. We are proud of the work that has been done here, in which we think we are pioneers, especially the work being done for feeble-minded children. I trust you may have occasion to visit our colonies for these unfortunate youths, where boys who have had absolutely no ray of intelligence have been carefully trained until they are reclaiming useless ground and raising crops on which the occupants of our State institutions are fed.

However, in speaking of the pride of Massachusetts in any of her characteristics, I should refer to a pride that is more than local. Proud as we are of our own Commonwealth, as we are of our own institutions, there is a feeling of loyalty that is broader and deeper and greater. You remember the familiar old phase, Homo sum; humani nihil a me alienum puto: I am a man, and nothing that is human is foreign to me, and what Massachusetts is proudest of is that wherever there is any good to be done, whether it is helping the distressed of San Francisco, the shipwrecked sufferers of Seattle, or those made homeless by the overflowed jetties at New Orleans; whether it is preserving the primitive Appalachian forests of North Carolina, or in the White Hills of New Hampshire that the water supply shall be preserved, there is nothing American that is not at home in the Commonwealth of Massachusetts. I trust you may find your stay here not only pleasant and interesting, but profitable to yourselves and to those poor unfortunates to whose care and treatment you have devoted your lives. (Great applause.)

DR. TUTTLE.-The physicians of Boston and vicinity and the public, which has taken nearly as much interest as the physicians themselves in certain phases of the work of the American Medical Association, have had a rich feast, perhaps I might almost say a surfeit, of things medical this last week, and the end is not yet. Besides the meetings of our own Association, there are this week