It may well be that we have in Flaubert's case a clue to the "epilepsy" of the other great men who in this matter are coupled with him. They were nearly all persons of immense intellectual force, highly charged with nervous energy; they passionately concentrated their energy on the achievement of life tasks of enormous magnitude, involving the highest tension of the organism. Under such conditions, even in the absence of all bad heredity or of actual disease, convulsive discharges may occur. We may see even in healthy and sound women that occasionally some physiological and unrelieved overcharging of the organism with nervous energy may result in what is closely like a hysterical fit, while even a violent fit of crying is a minor manifestation of the same tendency. The feminine element in genius has often been emphasised, and it may well be that under the conditions of the genius-life when working at high pressure we have somewhat similar states of nervous overcharging, and that from time to time the tension is relieved, naturally and spontaneously, by a convulsive discharge. This, at all events, seems a possible explanation. It is rather strange that in these recklessly confident lists of eminent "epileptics" we fail to find the one man of distinguished genius whom perhaps we are justified in regarding as a true epileptic. Dostoievsky appears to have been an epileptic from an early age; he remained liable to epileptic fits throughout life, and they plunged him into mental dejection and confusion. In many of his novels we find pictures of the epileptic temperament, evidently based on personal experience, showing the most exact knowledge and insight into all the phases of the disease. Moreover, Dostoievsky in his own person appears to have displayed the perversions and the tendency to mental deterioration which we should expect to find in a true epileptic. So far as our knowledge goes, he really seems to stand alone as a manifestation of supreme genius combined with epilepsy. Yet, as Dr. Loygue remarks in his medico-psychological study of the great Russian novelist, epilepsy only accounts for half of the man, and leaves unexplained his passion for work; "the dualism of epilepsy and genius is irreducible." There is one other still more recent man of true genius, though not of the highest rank, who may possibly be counted as epileptic: Vincent van Gogh, the painter.[5] A brilliant and highly original artist, he was a definitely abnormal man who cannot be said to have escaped mental deterioration. Simple and humble and suffering, recklessly sacrificing himself to help others, always in trouble, van Gogh had many points of resemblance to Dostoievsky. He has, indeed, been compared to the "Idiot" immortalised by Dostoievsky, in some aspects an imbecile, in some aspects a saint. Yet epilepsy no more explains the genius of van Gogh than it explains the genius of Dostoievsky.