After such a lengthy and comprehensive definition, we would naturally expect an exhaustive classification, and in this we are not disappointed, as the following shows: INSANITY. GROUP FIRST. PURE INSANITIES. SUB-GROUP A. Simple Insanity, not essentially the manifestation of a constitutional neurotic condition. FIRST CLASS. Not associated with demonstrable active organic changes of the brain. I. DIVISION. Attacking the individual irrespective of the physiological II. DIVISION. Attacking the individual in essential connection with the developmental or involutional periods. (A single order.) Genus 10: with senile involution.. Senile Dementia. Genus 11: with the period of puberty. Insanity of Pubescence (Hebephrenia.) SECOND CLASS. Associated with demonstrable active organic changes of the brain. ( (Orders coincide with genera.) Genus 12: which are diffuse in distribution, primarily vaso-motor in origin, chronic in course, and destructive in their results. Paretic Dementia. Genus 13: having the specific luetic character ... ... .Syphilitic Dementia. Genus 14: of the kind ordinarily encountered by the neurologist, such as encephalomalacia, hæmorrhage, neoplasms, meningitis, parasites, etc.. Dementia from Coarse Brain Disease. Genus 15 which are primarily congestive in character and furibund in development.. Delirium Grave (Acute Delirium, Manie Grave.) SUB-GROUP B. Constitutional Insanity, essentially the expression of a continuous neu rotic condition. THIRD CLASS. Dependent on the great neuroses (orders and genera coincide). Alcoholic Insanity. (Analogous forms, such as those due to abuse of opium, the bromides, and chloral, need not be enumerated here, owing to their rarity.) II. DIVISION. The natural neuroses. FOURTH CLASS. .Hysterical Insanity. Independent of the great neuroses (representing a single order). Genus 19: In periodical exacerbations Genus 20: Idiocy and Imbecility. Order: arrested development Genus 21: Cretinism Genus 22: manifesting itself in primary dissociation of the mental elements, or in a failure of the logical inhibitory power, or of both. Paranoia (Monomania). GROUP SECOND. COMPLICATING INSANITIES. These may be divided into the following main orders, which, as a general thing, are at the same time genera: Thaumatic, Choreic, Postfebrile, Rheumatic, Gouty, Phthisical, Sympathetic, Pellagrous. This classification, although it seems intricate and perplexing, on closer inspection, we will find that it is quite applicable to clinical work and that it is less confusing than most systems of classification and more comprehensive. His able defense of the term "monomania" has established its usage by American alienists, and just why he should prefer to substitute the word "paranoia" in the second edition is not clearly explained. His work is already accepted as authority in most courts and noone who expects to give expert testimony, in cases involving the question of mental soundness, can afford to be without it. No one has done more to advance the cause of psychiatry in America than Spitzka, and it is with pleasure that we note that the profession show their appreciation by demanding a second edition of his valuable work. B. LESSONS IN GYNECOLOGY. BY WILLIAM GOODELL, A. M., M. D., Professor of Clinical Gynecology in the University of Pennsylvania, etc. Third Edition, thoroughly revised and greatly enlarged. With 112 illustrations. Philadelphia, Pa.: D. G. Brinton, 115 South Seventh street. 1887. This book has grown rapidly, but not so rapidly as the reputation of its writer. Like all the writings of its author, it is distinguished by its intensely practical tone. He describes what he has seen and tried, and wastes little space in but purely theoretical disquisition. If we were asked to point out the most valuable chapter in the work we would unhesitatingly turn to the pages treating of the perineum and the injuries which it receives during labor. The advice, which Goodell has wisely reiterated to generation after generation of students, to remove the forceps as soon as the perineum begins to bulge, deserves to be inscribed on the walls of the lecture-room. The lessons on the relations which faulty privies bear to diseases of women, and on conjugal onanism, are without parallel in the English language, as specimens of the truthful, vigorous, and withall delicate way in which some disgusting facts may be handled. The remarks on "preventive checks" to reproduction are so eloquent that we cannot forbear to quote from them: "I dare any political economist to show me one innocuous expedient whereby conception can be avoided. . . Even natural sterility is a curse. Show me a house without children, and, ten to one, you show me an abode dreary in its loneliness, disturbed by jealousy or by estrangement, distasteful from wayward caprice or from unlovable eccentricity. Depend upon it, gentlemen, there are no thornless by-paths by which man can skulk from his moral and physical obligations; no safe stratagems by which he can balk God's first blessing and first command." A HANDBOOK OF GENERAL AND OPERATIVE GYNECOLOGY. By HEGAR and KALTENBACH. In two volumes. Vol. II. Operations on the tubes, uterus, broad ligaments, round ligaments and vagina. Operations in urinary fistulæ. Prolapse operations. Operations on the vulva and perineum. With 248 wood engravings. Edited by Egbert H. Grandin, M. D. Being Volume Seven of Wood's Cyclopedia of Obstetrics and Gynecology. This work treats of the operations mentioned in the title page with truly German thoroughness. In reading it one is surprised to notice that many operative procedures are discussed which are from time to time brought forward in the journals as novelties by misguided enthusiasts. The pages treating of tuberculosis of the tubes demand special attention. Hegar, it is said, has performed salpingotomy in six of these cases, with wonderful results, considering the inherently unfavorable prognosis of the disease. The book is fully up to the high standard of its predecessors. A MANUAL OF THE PHYSICAL DIAGNOSIS OF THORACIC DISEASES. By E. DARWIN HUDSON, Jr., A. M., M. D., late Professor of General Medicine and Diseases of the Chest in the New York Polyclinic; Physician to Bellevue Hospital, etc. One volume. Octavo. 162 pages. Nearly 100 illustrations. Muslin. Price $1.50. New York: William Wood & Company. A melancholy interest attaches to this volume from the fact that its talented author has passed beyond the reach of all praise or blame, having suddenly sickened and died just after the manuscript had been placed in the printer's hands. The work is the outcome of the author's needs as a teacher in the New York Polyclinic. While the opinions of the best authorities have been carefully collated, yet the writer has also made free use of his own large experience and observation. The essential facts have been so succinctly presented, and have been so well illustrated, that the reader's attention cannot fail to be fixed. DIFFERENTIAL DIAGNOSIS: A MANUAL OF THE COMPARATIVE SEMEIOLOGY OF THE MORE IMPORTANT DISEASES. By F. DE HAVILAND HALL, M. D., Assistant Physician to the Westminster Hospital, London. Third American Edition, thoroughly revised and greatly enlarged. Edited by Frank Woodbury, M.D., Professor of Therapeutics, etc., in the Medico-Chirurgical College, etc. Philadelphia: D. G. Brinton, 115 South Seventh street. 1887. This is a very full and yet concise treatise on medical diagnosis. Recent advances in our science are lucidly discussed. The bacillus of tuberculosis, cerebral localization, multiple neuritis, and tetany, may be especially mentioned as subjects which have received much attention from the journals in late years, and which our author has treated very satisfactorily. DISEASES OF THE FEMALE MAMMARY GLANDS, by Tн. BILLROTH, M. D., of Vienna, and NEW GROWTHS OF THE UTERUS, by A. GUSSEROw, M. D., of Berlin. Illustrated. These two works constitute Vol. IX. of the "Cyclopedia of Obstetrics and Gynecology" (12 vols., price $16.50), issued monthly during 1887. New York: William Wood & Company. Billroth's name is a sufficient guarantee of the excellence of his work. It is needless to remark that his views as to malignant tumors of the breast favor early and complete extirpation. His enthusiastic advocacy of antisepticism is also well known. Gusserow presents us with an almost bewildering array of facts in regard to uterine growths. He, also, speaks with no uncertain sound in advising early operation for cancer; but inclines rather to the high amputation when the disease is limited to the cervix, than to total extirpation. An excellent feature of the work is the chapter on uterine cancer in its connection with pregnancy. We can cordially commend these works to our readers. as soon as the perineum begins to bulge, deserves to be inscribed on the walls of the lecture-room. The lessons on the relations which faulty privies bear to diseases of women, and on conjugal onanism, are without parallel in the English language, as specimens of the truthful, vigorous, and withall delicate way in which some disgusting facts may be handled. The remarks on "preventive checks" to reproduction are so eloquent that we cannot forbear to quote from them: "I dare any political economist to show me one innocuous expedient whereby conception can be avoided. . . . Even natural sterility is a curse. Show me a house without children, and, ten to one, you show me an abode dreary in its loneliness, disturbed by jealousy or by estrangement, distasteful from wayward caprice or from unlovable eccentricity. Depend upon it, gentlemen, there are no thornless by-paths by which man can skulk from his moral and physical obligations; no safe stratagems by which he can balk God's first blessing and first. command." A HANDBOOK OF GENERAL AND OPERATIVE GYNECOLOGY. By HEGAR and KALTENBACH. In two volumes. Vol. II. Operations on the tubes, uterus, broad ligaments, round ligaments and vagina. Operations in urinary fistulæ. Prolapse operations. Operations on the vulva and perineum. With 248 wood engravings. Edited by Egbert H. Grandin, M. D. Being Volume Seven of Wood's Cyclopedia of Obstetrics and Gynecology. This work treats of the operations mentioned in the title page with truly German thoroughness. In reading it one is surprised to notice that many operative procedures are discussed which are from time to time brought forward in the journals as novelties by misguided enthusiasts. The pages treating of tuberculosis of the tubes demand special attention. Hegar, it is said, has performed salpingotomy in six of these cases, with wonderful results, considering the inherently unfavorable prognosis of the disease. The book is fully up to the high standard of its predecessors. A MANUAL OF THE PHYSICAL DIAGNOSIS OF THORACIC DISEASES. By E. DARWIN HUDSON, Jr., A. M., M. D., late Professor of General Medicine and Diseases of the Chest in the New York Polyclinic; Physician to Bellevue Hospital, etc. One volume. Octavo. 162 pages. Nearly 100 illustrations. Muslin. Price $1.50. New York: William Wood & Company. A melancholy interest attaches to this volume from the fact |