This chapter considers the ways in which Anthony Trollope at first defied but eventually exemplified alternate ideas of creativity for successive generations. With the appearance of each of his books, contemporaries acknowledged his almost continuous labor. Later critics agreed, using more psychological terms: If Trollope was a genius, his sort of genius bordered on automatism: habitual, lacking in forethought, and suspiciously unbeholden to inspiration. Through the first half of the twentieth century, Trollope’s writing process (as described in An Autobiography) and his prose were implicitly evaluated against two dichotomies permeating behavioral studies: The first pits introspection against habit, and the second sets remote against inhibited associations. Each dichotomy poses an invidious distinction between the first and second terms. An evaluation of Trollope’s composition and style within this framework yields differing models of creative writing.

There are an estimated 150,000 new cases of epilepsy per year in the United States, with prevalence rates of 7–8 per 1,000 persons. These data, combined with the large number of patients who have seizures from nonepileptic causes, indicate that seizure occurrence is relatively frequent and can result from diverse causes. Although many patients who have a seizure do not need emergency department (ED) care, some present to the ED critically ill and require immediate, definitive management. Advances in the understanding of seizure types and use of new antiseizure medications have enhanced the emergency physician’s ability to diagnose the cause of a patient’s seizures accurately and to treat both the underlying abnormality and the seizures in a rational and systematic fashion.