Considering the present state of Psychological Medicine, there are certainly few of us who may not be well satisfied. No one would have believed fifty years ago that in our day so many magnificent establishments should have been created throughout Europe. The legal position of these unfortunate persons has been secured; the abolition of the strait-jacket in English asylums has been accomplished;—results long before attempted by Pinel, Esquirol, Daguin, Tuke, Langerman, and by other reformers in mental science.