It is very possible that if medical men were asked to give an account of cases of insanity treated by them in general practice many, especially those who have given attention to the subject, would be able to show some good results. As, however, they do not have the accessories for successful treatment in every case, such as specially-trained nurses, the quietude and repose of asylum life, freedom from the worries of friends and relatives who, from want of judgment and tact, often do much harm, and from whom it is impossible in private life to isolate the patient entirely, physicians in general practice cannot be expected to be able to do so much as those engaged in asylums.