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ance to the predisposing causes. Substantially every individ- causes, hence the great underlying cause of all these forms so-called exciting causes, or what I've characterized as the New York, was recently quoted as saying: ual during the most active stage of his life, the stage at defective to begin with, and his nervous unsoundness tent the result of any habit of the individual concerned Expression of Defectiveness. Excess in the Use of Alcoholic Drink is a Symptom It is time publicly to recognize the fact well under- and nervous organization, whether inherited or acquired, suc- My experience and observations lead me to attach less which insanity is most frequent, is almost daily exposed to with a sweet smile : "Thank you, sir ; thank you !" stood by alienists that excess in the use of alcoholic importance to so-called exciting causes and greater import- 116 of insanity, to my mind, is heredity. drink, drunkenness, alcoholism, is to a very small ex- London Dr. Carlos F. MacDonald, a noted alienist of of a Defective Nature, Not a Cause of it. in the use of alcoholic beverages. The drunkard is a may take many different forms. In an interview in cumb to mental disease under the influence of these exciting life. Only those who are endowed with unstable mental four causes wine, women, worry and work and yet it is a fact that sanity is the rule and insanity is the exception of