In the former part of this essay, I have dwelt at some length on the various causes that may induce a patient suffering under mental derangement to refuse food; and I imagine it is not difficult to gather, from what I have already said as to the treatment of such a case, that my opinion is strongly in favor of “Forced Alimentation.” As a general rule I consider that less harm can accrue from even too early mechanical interference, than must happen if the patient be left unaided till the vital powers have become enfeebled, and symptoms of dangerous exhaustion have set in. At the same time, I trust I have made it clear that I look upon the forcible administration of food to be the last resource, and only to be used when all persuasion has failed, and everything that experienced tact can suggest has been tried in vain.