alcohol from his earliest youth. After each debauch there were periods of total loss of 
memory for current events lasting for days, sometimes for weeks. In his fortieth year, 
while on a journey, he began drinking heavily, and soon all idea of his personality 
vanished. In this irresponsible state he wandered as a tramp over two thousand miles, 
and landed four times in jails and asylums. In the stage of restitution to normal men- 
tality he was greatly annoyed by voices that poured into his ears the most revolting 
language : that he was a paederast; that "his private parts were to be cut off"; that he 
was to be "hung up by the testicles until dead." or, if this did not finish him, that he 
"was to be burned alive." There were also persecutory ideas of being poisoned. The 
characteristic tremor of the small muscles of the tongue and fingers, slightly exagger- 
ated reflexes, nocturnal and diurnal muscular cramps, and local anaesthesias of the skin 
were present. The man after a four months' sojourn in the asylum eventually lost his 
hallucinations and delusions, and was discharged from supervision in a but slightly