As it is just twenty years since I first became connected with this asylum—a considerable slice out of what should be the most active part of my life, and the period during which my judgment ought to be maturing—it occurred to me that a résumé of the changes and new departures which have been made here during that time, together with a statement of the views I now entertain of their utility, and the opinions which experience has led me to form for my future guidance, might not inopportunely form the subject matter of a paper this afternoon.