“We very much doubt whether this table will ever show much diminution on these numbers, for as time goes on the work of special certification will become more difficult and intricate.” So writes in the January number of the Journal of Mental Science the reviewer of the last Report of the Commissioners in Lunacy for England and Wales regarding the Table (Appendix B) which gives the number of readmissions on fresh reception orders rendered necessary by the previous order having expired under the Lunacy Act, 1890, sec. 38.