In America, indeed, there being no Middle Age precedents to crystallize into established customs, the treatment accorded the insane had seldom or never sunk to this level. Partly for this reason, perhaps, the work of Dr. Rush at the Philadelphia Hospital, in 1784, by means of which the insane came to be humanely treated, even to the extent of banishing the lash, has been but little noted, while the work of the European leaders, though belonging to later decades, has been made famous. And perhaps this is not as unjust as it seems, for the step which Rush took, from relatively bad to good, was a far easier one to take than the leap from atrocities to good treatment which the European reformers were obliged to compass. In Paris, for example, Pinel was obliged to ask permission of the authorities even to make the attempt at liberating the insane from their chains, and, notwithstanding his recognized position as a leader of science, he gained but grudging assent, and was regarded as being himself little better than a lunatic for making so manifestly unwise and hopeless an attempt. Once the attempt had been made, however, and carried to a successful issue, the amelioration wrought in the condition of the insane was so patent that the fame of Pinel's work at the Bicetre and the Salpetriere went abroad apace. It required, indeed, many years to complete it in Paris, and a lifetime of effort on the part of Pinel's pupil Esquirol and others to extend the reform to the provinces; but the epochal turning-point had been reached with Pinel's labors of the closing years of the eighteenth century. The significance of this wise and humane reform, in the present connection, is the fact that these studies of the insane gave emphasis to the novel idea, which by-and-by became accepted as beyond question, that "demoniacal possession" is in reality no more than the outward expression of a diseased condition of the brain. This realization made it clear, as never before, how intimately the mind and the body are linked one to the other. And so it chanced that, in striking the shackles from the insane, Pinel and his confreres struck a blow also, unwittingly, at time-honored philosophical traditions. The liberation of the insane from their dungeons was an augury of the liberation of psychology from the musty recesses of metaphysics. Hitherto psychology, in so far as it existed at all, was but the subjective study of individual minds; in future it must become objective as well, taking into account also the relations which the mind bears to the body, and in particular to the brain and nervous system.