The Advisability and Efficacy of Chirurgico-Gynócological Treatment in Hysteria and Insanity.—G. Angelucci and A. Pierraccini (Rivista Sperimentale di Freniatria, 1897, p. 290) have reported “the results of an international enquiry” into this question. The observation of some cases, in which removal of the uterus and appendages for hysteria had been followed by violent insanity, and the want of agreement which they found among the authorities who had written about the subject, led the authors to undertake their task. They appealed to alienists, surgeons and gynæcologists throughout Europe and America for exact accounts of their experiences, and received in reply a large number of valuable contributions, for which they desire publicly to express their thanks. They enquired of each person, to whom their circular was sent, if during the last ten years he had had any cases in which ablation of the uterus and its appendages had been practised, with a view to curing hysterical neuroses; whether in the event of this having been so, the uterus and appendages had been found healthy or diseased; if they had performed this operation in any case of insanity without manifestations of hysteria; and, lastly, they asked for a personal opinion as to the advisability and efficacy of such surgical interference in hysteria.

Berkshire.—Dr. Murdoch gives yet another reason for the rush of patients from workhouse to asylum.

A General Meeting was held at the Rooms of the Association, 11, Chandos Street, London, W., on Wednesday, 17th November, 1897, under the presidency of Dr. T. W. McDowall. Present: The President (Dr. T. W. McDowall), Drs. Hayes Newington (Treasurer), T. Outterson Wood, G. E. Shuttleworth, J. Peke Richards, R. Percy Smith, Charles Mercier, E. B. Whitcombe, H. Rayner, Fletcher Beach, James Moody, W. J. Mickle, G. H. Savage, Conolly Norman, Crochley Clapham, John A. Wallis, D. M. Cassidy, R. Brayn, S. Rutherford Macphail, P. W. MacDonald, R. Baker, Walter Smith Kay, Alfred Turner, James Chambers, H. Stillwell, T. Seymour Tuke, Herbert Smalley, T. E. K. Stansfield, G. Stanley Elliot, Richard Legge, A. W. Boycott, W. H. B. Stoddart, Ernest W. White, Maurice Craig, James Greig Santar, J. E. M. Finch, J. F. Briscoe, W. H. Kesteven, G. E. Mould, W. J. H. Haslitt, J. J. Rawes A. S. Newington, H. J. Macevoy, G. H. Johnston, and Robert Jones (General Secretary). The visitors were Drs. F. W. Binckes, Silvatico, and F. Farris Piper.

The Autumn Meeting of this Division was held at St. Andrew's Hospital, Northampton, on Wednesday, 13 October. The following members were present: Drs. McDowall (President), F. Beach, A. N. Boycott, D. G. Thomson, N. Rawes, F. H. Edwards, S. R. Philipps, D. Bower, R. Jones, J. Bayley, J. H. Bayley, G. E. Shuttleworth, J. Chambers, R. R. Alexander, and T. O. Wood; and visitors, Messrs. C. Bayley, C. Dorman, and the Rev. J. Cunningham. From 11 a.m. till 1 p.m. the hospital and grounds were inspected. From 1 till 2.30 p.m. Mr. Bayley entertained the members at luncheon.

A meeting of this Division was held at the North Riding Asylum, Clifton, York, on 20 October, 1897, Dr. T. W. McDowall (President of the Association) in the chair. Members present: Drs. McDowall, Kershaw, Hitchcock, Legge, Macleod, Cassidy, Gramshaw, Hearder, Macphail, Mackenzie, Pierce, Holmes, Baker, Hingston, Percival, David Nicolson, Ray, Johnston, and Crochley Clapham (Hon. Secretary); and a visitor, Dr. Crawford Watson, of Harrogate.