was regarded as a bright boy up to the 
age of puberty, about which time he had 
his first attack of pathological depression. 
This was followed by a period of elation 
and excitability, during which he ran 
away from home. Finally, he gave so 
much trouble as to require to be placed 
in an institution for the insane. During 
the following ten years he had periods of 
short depression succeeded by others of 
elation. When depressed, he was orderly 
and docile ; when elated, he had schemes 
of matrimony and business enterprise* 
which were never well considered nor 
adequately carried out. The facial ex- 
pression is indicative of mental incapaci- 
ty, and the ears are deformed. From a