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ON

MENTAL DISEASES

DESIGNED ESPECIALLY FOR

MEDICAL STUDENTS AND GENERAL
PRACTITIONERS.

BY

HENRY PUTNAM STEARNS, A.M., M.D.,

PHYSICIAN SUPERINTENDENT OF THE HARTFORD RETREAT, LECTURER ON MENTAL DISEASES
IN YALE UNIVERSITY, MEMBER OF THE AMERICAN MEDICO-PSYCHOLOGICAL ASSOCI-
ATION, MEMBER OF THE NEW ENGLAND PSYCHOLOGICAL SOCIETY, HONORARY
MEMBER OF THE BRITISH PSYCHOLOGICAL ASSOCIATION, HONORARY
MEMBER OF THE BOSTON MEDICO-PSYCHOLOGICAL SOCIETY, MEM-
BER OF THE AMERICAN MEDICAL ASSOCIATION, ETC., ETC.

WITH ILLUSTRATIONS.

PHILADELPHIA:

P. BLAKISTON, SON & CO.,

ΙΟ Ι 2 WALNUT STREET.

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COPYRIGHT, 1892, BY P. BLAKISTON, SON & Co.

PRESS OF WM. F. FELL & Co.
1220-24 SANSOM ST.

PHILADELPHIA,

1893

TO THE PHYSICIANS

WHO,

AS STUDENTS IN MENTAL DISEASES,

HAVE BEEN

UNDER MY INSTRUCTION IN YALE UNIVERSITY,

THESE LECTURES

ARE

RESPECTFULLY DEDICATED.

59325

PREFACE.

The following lectures have been prepared as a basis for instruction in Mental Diseases to the medical students of Yale University. They are now published, in the hope that they may be of service not only to students in other Medical colleges and schools, but also to general prac

titioners.

The principal works consulted in their preparation are those of Ball, Dagonet, Voisin, Griesinger, Obersteiner, Lewis, Maudsley, Spitzka, and the excellent manual of Tuke and Bucknill. I gladly embrace the present opportunity to express my many obligations to the authors of these works.

I am indebted to my friend, Dr. Henry M. Hurd, for valuable suggestions, and to Dr. W. L. Worcester for assistance in proof-reading.

I have used illustrations for the first few pages of the introductory lecture, three of which are from Blackburn's "Manual of Autopsies," and twelve from Obersteiner's work on "Central Nervous Organs."

An Appendix, comprising the most important parts of the laws of the several States and Territories, relating to the duties and responsibilities of physicians concerning the insane at the present time, will be found convenient for reference.

Hartford Retreat, Hartford, Conn.,
December 13, 1892.

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