The case may be cited of a woman suffering from congenital deficiency of the hand with a very short rudiment of the wrist which is only slightly mobile. By means of contrivances which we need not describe, and with no prosthetic apparatus, she threads her needle and sews as quickly and as well as anybody. This is not an argument, for: (1) it is a congenital lesion and the educability of a child is well known; (2) the woman is extremely intelligent, and unhappily this favourable factor cannot always be counted upon. It would be wrong to conclude from this that a case of amputation at the wrist should be put to sewing. It must never be forgotten that intelligence and will are factors of the first importance, so that however little intellectual capacity the disabled man may have, he is bound to profit by his passage through the school of re-education in learning to read and write if he is illiterate--this is more frequent than is usually believed--or to improve his knowledge if he has already had some instruction. It is, in fact, by brain work that many learn to replace their physical defect. Let us take, for example, a disabled bricklayer. If he is intelligent and is given a helping hand in the shape of the necessary instruction, he may become a builder on his own account in a small way when he knows how to make plans, work out estimates and keep accounts. This is not a Utopian fancy. In the small towns and villages there are many owners of businesses such as masons, decorators, joiners, etc., workmen who cannot spell, but who are intelligent, have business minds and a gift for overseeing, who have given up the trowel and will build you a house as well as, or often better than, many "architects." It is with similar aims to these in view that a bricklayer should be re-educated when it is judged that his intellectual capacity is sufficiently great. Where there is no intelligence education can do little. There are in civil life innumerable "casual labourers" with limbs intact who have never been able to learn a regular trade and who earn a miserable livelihood by doing what "turns up." Their situation becomes serious when they lose some of their physical capacity. They can, however, be rescued, particularly by encouraging them to become agricultural labourers. It is indeed especially agricultural labourers who should be urged to return to the land, and those mechanics who will be unable to work in a factory for the future should also be encouraged to take up this work. One reason for this is that the workman's arm--especially if it has not been too much elaborated--is useful for the execution of a considerable variety of work on the land. It is unnecessary to speak of cases of amputation below the knee, since their usefulness on the land may be taken for granted.