For another case of the ambulatory type, like Ansel Bourne's, but remarkable in that it was associated with a definite physical lesion--an abscess in the ear--the cure of which was followed by the rapid return of the patient to his normal condition, see Dr. Drewry's article in the _Medico-Legal Journal_ for June 1896 [228 A]. Again, in a case reported by Dr. David Skae,[19] the secondary state seems to owe its origin to a kind of tidal exhaustion of vitality, as though the repose of sleep were not enough to sustain the weakened personality, which lapsed on alternate days into exhaustion and incoherence. The secondary personalities thus far dealt with have been the spontaneous results of some form of _misère psychologique_, of defective integration of the psychical being. But there are also cases where, the cohesion being thus released, a slight touch from without can effect dissociations which, however shallow and almost playful in their first inception, may stiffen by repetition into phases as marked and definite as those secondary states which spring up of themselves, that is to say, from self-suggestions which we cannot trace. In Professor Janet's _L'Automatisme Psychologique_ the reader will find some instructive examples of these fictitious secondary personalities [230 A and B]. Up to this point the secondary states which we have considered; however startling to old-fashioned ideas of personality, may, at any rate, be regarded as forms of mental derangement or decay--varieties on a theme already known. Now, however, we approach a group of cases to which it is difficult to make any such definition apply. They are cases where the secondary state is _not_ obviously a degeneration;--where it may even appear to be in some ways an _improvement_ on the primary; so that one is left wondering how it came about that the man either originally was what he was, or--being what he was--suddenly became something so very different. There has been a shake given to the kaleidoscope, and no one can say why either arrangement of the component pieces should have had the priority. In the classical case of Félida X. the second state is, as regards health and happiness, markedly superior to the first. (See Appendix II. C.) The old case of Mary Reynolds[20] is again remarkable in respect of the change of character involved. The deliverance from gloomy preoccupations--the childish insouciance of the secondary state--again illustrates the difference between these _allotropic_ changes or reconstructions of personality and that mere predominance of a morbid factor which marked the cases of _idée fixe_ and hysteria. Observe, also, in Mary Reynolds's case the tendency of the two states gradually to _coalesce_ apparently in a third phase likely to be preferable to either of the two already known.