CIHM Microfiche Series (l\/lonographs) ICI\1H Collection de microfiches (monographies) Canadian Inttituta (or Historical Micrcraproduction* / Inititut Canadian da mlcroraproductions tiiatoriquas ©1996 Technical and Bibliographic Notes / Notes technique et bibliographiques The Institute has attempted to obtain the liest original copy available for filming. Features of this copy which may be bibliographically unique, which may alter any of the images in the reproduction, or which may significantly change the usual method of filming are checked below. D D n D D D D D D D Coloured covers / Couvenure de couleur Covers damaged / Couverture endommagde Covers restored and/or laminated / Couverture restaur^ et/ou pelllcuMe Cover title missing / Le Utre de couveiluie manque Coloured maps / Cartes geographiques en couleur Coloured ink (i.e. other than blue or black) / Encre de couleur (i.e. autre que bleue ou noire) Coloured plates and/or lllustratkms / Planches et/ou lllustrattons en couleur Bound with other material / Relie avec d'auties documents Only editkxi available / Seule edltk)n disponible Tight binding may cause shadows or distortion along Interior margin / La reliure serree peut causer de I'ombre ou de la dlstorskin le long de la marge interieure. Blank leaves added during restoiatkins may appear within the text. Whenever possible, these have been omitled from timing / II se peut que certaines pages blanches ajouttes kirs d'une restauration appaialssent dans le texle, mais, kxsque cela etait possible, ces pages n'ont pas ete Hmees. L'Institut a microfilm^ le meilleur examplaire qu'il lui a 616 possible de se procurer. Les details de cet exam- plaire qui sont peut-6tre uniques du point de vue bibli- ographique, qui peuvent modifier une image reproduite, ou qui peuvent exiger une modifications dans la meth- ods nonnale de filmage sont indiqu^s ci-dessous. I I Cotoured pages / Pages de couleur I I Pages damaged / Pages endommag^es I I Pages restored and/or laminated / ' — ' Pages restaurfes et/ou peilkaii^es rp' Pages discoloured, stained or foxed / "^ Pages Mcokxies, tachettes ou piquees I I Pages detached / Pages ddtachees rTf Showthrough / Transparence I I Quality of print varies / ' — ' Quality inigale de rimpresskm I I Includes supplementary material / ' — ' Comprend du materiel suppMmentaire I I Pages wholly or partially obscured by errata ' — ' slips, tissues, etc., have been refllmed to ensure the best possible image / Les pages totalement ou partiellement obscurcies par un feuillet d'errata, une pelure, etc.. ont 6t6 filmees a nouveau de fa(on a obtenir la mellleure Image possible. I I Opposing pages with varying colouration or ' — ' discolourations are filmed twk;e to ensure the best passible image / Les pages s'opposant ayant des colorations variables ou des decol- orations sont filmtes deux fois afin d'obtenir la meilleur image possible. D Addttkxial comments / Convnentaires euppMmentalres: This item it nimad at th« reduction ratio ctiKktd below/ Ce doctimfnt tst ftlmi lu tattx dt rWuetiOfl indiqtit et.d«nou«. 10X 14X tax 2X »x XX u — J n 12X 20X 28X Th« copy lllinad har* ha* b««n raproduead thanka to Iha ganaroaity of: D.B. WtWon Library Unlnriity of WMttm Ontario Tha Imagaa appaaring hara ara Iha baat quality ponlbia considaring tha eondltton and laglbillty of tha original copy and In kaaping with tha filming contract apaeifieatlona. Original eeplaa In printad papar covof* ara fllmad baglnning with tha front cover and anding on tha laat paga with a printad or illuatratad impraa- alon, or tha back covar whan approprlata. All othar original copiaa ara fllmad baglnning on tha firat paga with a printad or Illuatratad impraa- alon, and anding on tha laat paga with a printad or Illuatratad improaaion. Tha laat raeordad frama on aaeh microficha ahall contain tha aymbol ••^ (moaning "CON- TINUED"), or tha aymbol ▼ (moaning "END"), whiehovar appiiaa. Mapa. platac, chart*, ate., may ba fllmad at djffarant raduction ratloa. Tlioaa too larga to ba antlraly ineludad in ona axpoaura ara fllmad baglnning in tha uppar laft hand comar. laft to right and top to bottom, aa many framaa aa raquirad. Tha following diagram* Uluatrata tin mathod: 1 2 3 1 2 4 5 L'mtmplair* tUmt fut rapredult grlei i !■ gtntrosM d*: D.B. WtMon Library Unlnnity of Wm*m Ontario Lm imagai luivantM ont ttt raprodultM avce I* plu* grind loln. eompta Mnu da la condition at da la nottat* da I'axainplalra film*, at an eonfomiM avae laa cenditlona du contrat da fllmaga. Laa axamplairaa orlglnaux dont la couvartura an paplar aat Imprlmto aont fllmto an commandant par la promlar plat at an tarminant soit par la darnitra paga qui eompotta una amprainta d'Impraaalon eu d'llluatratlon, aolt par la sacond plat, aalon la eaa. Toua laa autraa axamplaira* orlglnaux aont fllmta an eomman^ant par la pramMra paga qui comporta una amprainta d'Impraaalon ou d'llluatratlon at an tarminant par la darhWra paga qui comporta una talla amprainta. Un daa aymbolaa aulvant* apparattra aur la darnMra Imaga da chaqua microficha. lalon la cat: la aymbola —»■ lignlfia "A SUIVRE", la aymbola V aignKIa "FIN ". Laa eartaa. planchaa. tablaaux. ate. pauvant ttra fllmte i daa taux da rMuetion diffirantt. Loraqua la documant aat trap grand pour ttra raproduit an un aaul elicM. 11 aat film* * partir da I'angla auptriaur gaucha. da gaucha i droita. at da haut an baa. an pranant la nombra d'imagaa nteaaaaira. Laa diagrammaa auivants llluatrant la mMhoda. 2 3 5 6 MOlOCOrY HSOLUTION TBT CHAtT (ANSI bid ISO TEST CHART No. 3) 1.0 I.I II 1.8 IB Ji^ 1^ ^ /IPPLIED IIVHGtf Ini (716) M2- QJOO-PHon. (716) 2BS-»e9 -fai li SKUVOIISNESS IX CHil-DHEX-lTS CAUSES AND I'HEVEN't'ION • I'llAllLKS K. XkU, M.T). INDIANAl'OLia Thoi-e is probably not iiiiother term in tin' rnrini of svnnitoinnloloc.v oscl a:^ lr.,|m'..tlv l,> the sick as that of nervousness in attempting to describe their feelings, especially wlien sulTcring from diseases of the nervous system, whether of so-called functional or organic basis. It is also pretty sate to say that there is not another term in medical literature applied to as many diffcrcnl conditions. This being the ease, it naturallv follows that anv attempt to describe or interpret it as a tangible specific subject meets «ith the relative difflcnltv cnconntered in one's inability to limit its application to a specific condition or group of conditions. Again and again an attempt has been ra.ide to "licit from patients enumcrat'ng nervousness i.s a complaining symptom, definitely and specific- ally what condition or nieuiii.g it was desired to convey, with the almost invariable result of being informed that there was present an indescribable feeling of disinnir.irt and negative fceling-tonc. frcouentlv apart In.m and in additiim to any manifest' phvsicnl or mental instability. Xot only is it difficult to define just what is meant by • Read bpforp tlio Indlnn fiirtiniiapon» SPMion. ll'l-- Modicnl .VBwnolniloii, ^'-'l '"flWfi-H*! nervousness, but it is also just as diflicul the line between what may be termed pi nr normal conditions of nervousness at logic or abnormal states. On tlie other is comparatively easy to recognize whc pleased to call a nervous temperament vous constitutional make-up. It is anot lion entirely to describe all of the elem go to make up that temperament or mo has been said "that when an individui endure the ordinary difficulties and cone life, or the natural physiologic functioi various organs of the body without ma untoward distress and disturbance, it is f there must be some natural infirmity bility of the nervous system. The essential difference between the adult and the neurotic child is one o modified by the influence of numerous ai expcricuoes, as well as of a more matur and phytical devclopmen*. The child b under the control of judgment, reason, and the emotions, will react more prom definitely in relation to the disturbing These reactions are almost wholly out objective manifestations, whereas in the many of them are inward or subjective ances. As a consequence, the neurotic characterized physicaJy by evidence of normal nervou., balance, signs of irregi vcus action in the various movements of musculature, particularly of the e.vtremil and speech, Meitally, there is impair the power of attention, not necessarily an; iust as difficult to draw ' be termed phygiologic orvousness and patho- On tfie other hand, it •ecognize what wo are cmperament or a ner- p. It is another ques- 1 of tlie elements that rament or make-up. It an individual cannot Ities and conditions of logic functions of the jf without manifesting irbance, it is plain that al infirmity or i.-^ita- 1. between the ncurotir "Id is one of degree E numerous and varied 1 more mature mental The child being less ment, reason, volition jt more promptly and TO disturbing factors. it wholly outward or hereas in the adult bo or subjective disturb- the neurotic child is evidence of want of gns of irregular ner- lovements of the body f the extremities, face ;re is impairment of lecessarily any lack of intelligence, but more partirulariy a defective, inefficient power of control. Obsessions are often a marked feature in neurotic children, their weaker minds being more apt to become the vic- tims of predominating or overpowering ideas. Moral obliquities, such as lying, thieving, etc.. are also common in such children, more the re- sult of an exuberant, romantic, riotous imagina- tion than of any direct conscious or preformed reasoning or judgment. In attempting to determine and analyze the (ronditions or factors which are instrumental in laying the foimdation of a temperament or con- stitutional make-up of this nature, it will be found that for all practical purposes they may be included under three distinct groups, namely : 1. Hereditary influences. 2. Nutritional and hygienic conditions. 3. Educational and disciplinary influences. We c:nnot with any degree of definiteness ex- plain how it happens, yet at the same time it can scarcely be doubted that every individual inherits in his . r her substrata, not only parental, but also ancestral qualities and characteristics of physical and mental make-up, which are ready to spring into activitv of function at different periods of life, 'so thai the qualities of one ancestor may come into existence at one period, and those of another ancestor become evident at another period of the individual's life. The single sperm cell, integrating the qualities of generp^ions of male and female ancestors, unites wit', the germ cell, which in like manner has incorporated the qualities of male and female progenitors, and tlii« combinatJDii givej ri»c to u ijpw or duct, wliich, minute ai it i«, contain form all of tiic potentialities and a( |ila.v» during the evolutionary proce, the characters and qualities of the a both sides, anil in addition, evinces ni as a result of that combination, prope arc uulilto tlie constituents which ci such original combination. This pi hereditary transmission ij fvlly recogr who have studieil th- subimt throi whole realm of creation, not only in t but also in the vegetable kingdom. T pie, furthermore, is being d«ily put t usefulness in the production and devei a better and more highly organized proi various phases or forms c' orgjnic li man. The human organism is subject t organic laws, passes through the same I es its corresponding part ,u the ult of the creation. It may differ to somt the decree or form of ciiangc and in tli quired for their evolution, but the essei nmental principle is ;he same. In considering the question of the factor or faciors transmitted, it is cus speak of certain predispositions, ten< properties in the make-up of the i either physical or psychical, or a coir o both, as the hereditary element. Ihi sarily vary in intensity and number, said to be more marked in the transmiss maternal than of the pati^rna'. Aaractei in males than females, and more in t ■ma^ »e to a new or^AnJc prod- it 18, contains in latent ilities and actually din- ionary procofs many nf ties of the anepstorft of on, evinces new feature* nation, properties which nts which entered intn on. Tins principle in i t\'.\)y recognized by nil Bubiect thi-ouj?ho«t" the not only in the animal, kingdom. This princi- ij dpily pnt to practic..;' ton and development of jrganizcd product in the c' orgmic life not hu- im is subject to the samf g'l the same phases, and irt II. the ultimate goal tlitrur to some extent in nge and in the time re- , but the essential fund- lame. stion of the hereditary ;ted, it is customary to o;5itlon9, tendencies or up of the individual, al, or a con oinaticn of ■lement. Ihese neces- and number, an are the transmission ol' the rnal characters, greater id more in those born nfttT the .i-..iiifcrtation nf ilctiniti' diw)rders tluni hi^fory thei. appearance. It is still a matter of controversy whothur or io what extent Ho-cnlled acquired characters ore transmitted, yet it seems reawmable to assume that even if ni. transmissible they at !enst excr- I isi' a modifying iiiHuence either directly or indirectly on the constitutional make-up of the individual, 'i'his fact seems to be fully estiib- lished when one conoid, rs the injurious « ITccts on tile otTspring of such eruditions as oh '^holii'm. svph'lis, tuberculosis .".nd so-called funttionni types of nervous and mental disturbances. Von Ziehen states "that after heredity, chronic alco- holism is the most important factor in the trans mission of neuropathic and )»Bychopathic states." It is said that in at least 35 per cent, of individ- uals afllicted with epilepsy a histor)- of alcoholism t iin be obtained in one <>r both parents. In 1,000 cases of mental defectiveness examined by Four- iiiev, there was a history of alcoholism in the father in 471, in the mother in eighty-four, and in both parents in sixty-live. It is also n ratlier common observation that children of alcoholics manifest lessened vitality, a low nervous tone, weakened vital organs, I'-ls competent to resist ftpd endure disease or faiigue, less power of rtL'upcration ; are almost eertpin to manifest r.iore or 'ess incompt^tency or non-resistance, and, as a consequence, readilv fall victiiis to the strains, temptation and unsanitary conditions of life. As regards syphilis, no less an puthority than Ziehen has found positive indications of syphilis in 10 per cent., and probable syphilis in I 1> per wnl. „f „,.,,„,| ,|^,„,,| ■" o,„, ,t ,„„v |„ ,„j,, ^ ^ .lyl.o.m,yehil,lr..„„,,i„„;'i? 1'™ "'«'-'•-'»«<■,•,„„„„ higher 'mirtionnl „..„„„, ,li,,urba„ro tl '"■i-'d.tyi. i„,Ik.aMb.vtl.ofa.tt "■"•• "f "l-il-l'-i™ a hi.tory of ™i,, 'tyi.tr.™,,l,|.„Mlm ,„««,-,„ ore fhircl on.l both in one-tenth Improper food, ,ome becoming o her. „verfe,l, „,he™ „„,uitablv\ oacmUwene, never siverUe -to. i'M caw,, i„„„i,y j„ „„„. -tenth. '" IwMniing half-gfarved, unnuitably fed, improper Sive rise to a good ,tand- l«l development, and «ucl. ■able to rc.-.t long or en- 1" which sap the vigor or the test comes. Canlley t:.o shadow of n douli't feeding and rearing in- ■ages of esistence depend of the children, and in Pli/sique of the nation. in asserting that the he nation varies directly infancy and early child'- improper food means 'Wth, imperfect physical want of concentration, nd other evidences of rebral development. If not octually more prone to contract dise.w, thev '' "ndoubtedly more prone In snffer seve- ' ' ..-n sickness does ovcrloke them. Just «■ it said that a sound body makes for a sound ' «> It IS true that a feehlc body i, often the ,.«. «-.or of „ fo,|,|„ „,i,„| ,„-„„„„|,|„ „^^;,,^^^ mental make-up. Proper and sumcicnt rc.t and sleep for ll„. .voung child is only sccorul „, import.nee to that o good and proper f,«d. Hegularity in the hour, "f sleeping, feeding and awake infuses a sens,, of order *li,ch remains with th.ni throughout life "an of fresh nir and sunshine, exposure In i-xtr e. of heat or cold, insanitary dwellings and '"r adiiigs often lay the foundotion for Ihc future instability and susceptibility of th" ncr vous .,,1 mental make-up of an individual. Jlad mt, for example, may cause great deal of barm to n child, evr 'hough tho eyesigut b.. ^'ood. Often theel,, eems stupid and slor nervous, cross and irr Ic, when i„ reality the condition is due to the strain of tired eyes and the continued straining of the eyes must lie a stroin on the nervous system. These induce a more or less morbid restlessness, both mentnllv nnd physically, whi.li eventually results in ail enfecblement ol will and mental power which renders ineffectual the means employed to correct evils resulting therefrom. The presence of physiial defects or diseased conditions are very often responsible for abnor- mal nervous manifestations. Defective and bad teeth interfere with the proper mastication of the food, and this in turn leads to digestive disturb- aiices and malnutrition, or to tlie , septic products from an unclean o injurious products of (lie impaired d ess. Obstructions in tlie nasal cav in or catarrlial conditions of tlie na cavity, or enlarged tonsils interfere w CSS of rcspimfio,,, lead to deafness,™ iiig and all tlic conditions that may pernicious habit. Defective hearins ent, often makes the child seem dul' iniittcntive and irritable, and niani nervous and mental deficiencies or ab lisual defects likcwi.se produce a i turbanccs, greatly interfering with liinctioning of the nervous and meiil, iloTOvcr great and strong may be lary tendencies or predisposition^, for nil are whal are transmitted, these important or powerful in the evolution opment of the organism that comes inl as are appropriate and judicious nurt tion and training, wliidi can also m. modity and neutralize many defects "esses dependent on a bad licreditv 1 tnil.v said (hat the lime of aost vi'tal i m a human being's life is from birth .ip of two to three years. The mos 'haracteristic of the new-born child is paredness for life. The brain center- pitiable state of undevclopment. Its sn, lessness at birth, its long period of d, on outside aid is rich in biologic and «.gniflean,.c. It presuppose, a spcci, «*'-!!!( II, or to the absorption of nn unclean oral cavity or le impaireil digestive proc- '"•' nsMl Mvity, adenoids ins of tlie nasophaiynfieal ils interfere with the pioc- deafness, moutli-breath- ons tlint may follow that rtive hearing, when pres- lild seem dull, backward, 'c, and manifest various ciencrcs or abnormalities. prodnee a riilc of dis- fering with the normal ins and mental activities, ron,!; may be the heredi- ipositions, for such after "tted, these are not as tlio evolution and devel- .hat conies into existence udicious nurture, educa- 1 can also more or less lany defects and wcak- tl heredity. It has been f most vital importance is from birth until the rs. The most strikiii}; liorn child is its unpre- brain centers are in a iment. Its special liclp^ ■ period of dependence biologic and sociologic OSes a specially high development of the protective and fostering care of the parent. Injudicious education and training alone may not only aggravate or intensify an inherent mis- chief, but may also give rise to an individual sus- ceptibility or predisposition to nervous or mental derangements. Parents not only transmit the laints and vices of Nature, but too often foster their growth and ilevelopmcnt by bad example, by foolish training when the mind is very, if not the ninet susceptible, and a direction given to actions and conduct decisive for life. Parental harshness and neglect, repression of the child's natural feelings, stifling its natural desire tor love and affection, thus tending to drive it to a morbid self-brooding, or compelling it to seek solace in a world of weird, vague and unhealthy fancies. Foolish indulgence, from which it never learns the lesson of self-control or of respect for or recognition of the rights of others is, on the other hand, just as injurious as the former con- ditions. Parental affection may be well founded, but too often the parental responsibility seems to begin and end with silly indulgence of the child. Often artificially fed, then pampered and spoiled, it grows without discipline to its desires, without a knowledge of the relations to tho.se about it, and thus handicapped, it becomes domineering, resenting any interference which may oppose its desires, and overbearing on the one hand, or indolent, dissipating and intemperate in the habits of life on the other hand. There is a vast ditTcrence between tlic individual who lias been 10 schcK)]ed to meet some of the hardi .■ulties of life, and the individual weakened by protection, whose ner have been heightened by education the one apparently recovering fron 11 a few months, the other often many years. The natural pride of some pa accomplishments of their ehildre,, them toward educational and othei far beyond their capabilities, and collapse follows, from which the never recover, and, while not dep value of higher education for thos. every way lit, it is safe to say th< gained at the expense of an overwo, and mental organization is cortainl vestment in life's securities. There that such morbid tendencies could b, or rendered harmless by directing fh along healthier channels by the infiu, education and sound training Cli that a defective education that omi and the cultivation of self-control t ting the child for the nide shocks of a predisposing cause of neurasthenia Cramming to meet the various « and tests tend to make m..re machi, children, to impair their ability tn produce instability and irritability of and mental activities. The evil inflm overtaxation and strain is often seen dency of many children to act queei appear from home or to run aivay f, 10 B of the hardships and diffi- ic individual wlio has been )n, whose nervous reactions by education and training; covering from a breakdown' e other often requiring a« of some parents in the heir children often urges nal and other attainments ibilities, and, as a result, n whlcil they practically hile not depreciating the tion for those who arc in fe to say that n diploma of an overworked physical in is certainly a poor in- 'ities. There is no doubt ncies could be neutralized f directing their activities ' by the influence of good :raining. Church writes lion that omits discipline self-control, thus illy flt- ide shocks of life, mkv he neurasthenia." he various examinations m"re machines of some ir ability to reason, to rritability of the nervous 'he evil influence of this is often seen in the ten- to act queerly, to dis- ' "■"" "My from school toward the dose of various school terms, such manifestations more frequently occurring in children having a neurotic family history. Morbid sexual desires, instincts and habits are often generated by pernicious methods utilized by girl nurses in their efforts to quiet the rest- lessness and discomfort of ome children, and such habits eventually lead to grave mental and moral delinquencies. The psychological influence of those about them is often responsible for the nervous rest- lessness and waywardness characteristic of many children. Tiierc is still another question of a sociologic and economic nature which bears a more or less direct relationship to and influence on not only the development, but also the resist- once and vitality of the organism. It has been fully demonstrated in other forms of animal life that the size of the offspring can be directly influenced by the cheractcr of the diet and state of nutrition of the mother, and if this be true of other forms of animal life it must also be true of human life. Furthermore, it cannot be other- wise than that where during the pregnant state or even while nursing her offspring the mother is subjected to unwholesome nutrition, unhealthy environment, overwork physically, worry or exces- sive strain mentally, has her system saturated Avith poisons introduced from without or arising from diseased processes within the body, must lower the vitality and vigor of the offspring. Another feature is found in the social condi- tion which objects to and interferes with the state of motherhood. Selfish motives, extra hX 12 I'sptnses, icstriitioii of liberty, aJd responsibilities incid-nt to the can "f children, desire to wait until I'onditions are reached, means uti vent motherhood, one and all euust Miirrv and strain that is so nerve dread-inspiring that ninny previ< mentally, phvsieally and 'mor.-.lly, stable and hysterical, neitlier fit for motherhood. When such arc compel the presnant slate to run its eour.si accept the situation ))hilo.sophicalli the duties and functions of moth factorily. Under such conditions instinct cannot he expected to overc deficiencies of education and prepar Iicrformnnce of that function. Slati cannot recover the energy spent auRiiish, nor is it probable that the of the offspring is not influenced 1 dittons. From all of these considerations sions may be offered as dealing wi culties to be overcome. First, we that the unborn child is entitled to c( It has the right to life. It has the tection from hcrcditarv- taints of def lias the right to health and those c life conducive to health. It has i Xature's food, which is mother's mi in its normal, healthy condition. It 1 to natural protection, proper care education and training. These righ mitted, they demand the reeognitioi 12 f liberty, added duties and tit to the care and rearing I wait until more suitable d. means utilized to pre- and all euusp more or loss t is so nerve- wast in{^ and ninny previously healthy and mor.illy, become un- leitlior fit for wifehood nor eh arc compelled to permit run its course, they rarolv )hilosophically or perform ions of motherhood satis- 1 conditions the . utornnl icted to overcome inherent m and preparation for tlie nction. Slaternal instinct iicrgy spent in fear and able that the development t influcnrod by such con- msidcratious some conclu- fis doalinjj Avith the diffi- . First, we must admit 1 entitled to certain rights. . It has the rif^ht to pro- taints of degeneracy. It I and those conditions of th. It has the right to i mothers milk, with this ondition. It has the right proper care and proper These rights being ad- lie recognition of certain I.! ilutiepi mill ohligHtintis, iitiiDiigsi which may he mentioned n clean and normal life on the part of both parents, both before and after conception; constant su})crvisi- duce lasting etfecta in the lowering of the viti. y and resistance of the young child. To sum up, it may be said that the solution of this prfblem can never be reached by the sociolo- gist alone, or by the economist, or by the educa- tionalist, or by the disciplinarian, or even by the physician. We can only hope to attain the desired goal by the closest cooperation of all. The soci- ologist must seek constantly to improve the social and moral conditions of life ; the economist to determine ways and means to alleviate the intense struggle for existence; the educationalist to better understand and direct the intellectual .^v. 16 capabilities; the (IJKc-ipliiiaridii tn Ingtitt m>lf- revercnce, self-knowledge nnd wlf-control, and iho physician to sii|>or\iBc rikI direct all mieli measures is will 1m; most conducive to the devel- fipmeiit ot' n lu'nlliiy biidy and mind. An analysis of the Rituation flisclosea the fact that an iinniensc amount of money and a great 4lca of enerjry is I)ciiig spent in caring for the nervously unfit individuals throughout the i-ou itry wlio are lendored incapable of caring for then Pelves iideqiMtcly, and while this is human- itarian and abwplutely necessary from every standpoifit, yet if the same amount of money and the .'=am<' amount of energy were spent in determiniii moans and nieaisurcs to jtrevent the prodnttior .»f these beings and to give them appropriate rearing, education and training after their creation, a great deal more good would un- doubtedly be accomplished. ISefore radical meas- ures can be carried out, liowever, the people must be educated to recognize its usefulness and neces- sity, and the responsibility of this educational propaganda devolves almost -vholly on us as physicians.