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