Thus senile mentality shows temperamental changes. There is introspection, with natural fears and unnatural phobias, hope for strength and vitality or even for beauty, and often overweaning biophilism. Action is slow; fatigue, quick. The mind may be often trivial on all other matters but yet sound in the center of interest. Personal attainments and achievements are often magnified, and complaints are exaggerated as calls for sympathy. Moral deterioration may be first. Lapses are condoned that were once condemned. The old man may slowly come to take interest in what is low and vulgar. This moral decadence is entirely apart from the pathological condition in which the _cœundi potentia_ is lost while the desire remains, and the recrudescence of desire may occur in the senile climacteric but is a forerunner of senile dementia. The æsthetic sense causes the old often to neglect cleanliness in person and clothes, to be untidy in their room, expectorate, scratch in public, make disagreeable sounds, and disregard proprieties generally. Women show these traits, but in less degree, and depression is less pronounced. There is no sudden realizing of aging and fear of death is more often overcome by religion. Sometimes the intellectual faculties deteriorate more rapidly, but moral and æsthetic impulses change less. Sometimes old women take greater care of their appearance and seem to be vain and to fight old age. Men occasionally at a great age take a new interest in their appearance, dyeing their hair and becoming dandified, which may show recrudescence of sex. After the climacteric depression may pass to apathy. Death is less fearful as the mind weakens; there is less concern for the future and life is more in the present. Even early recollections grow dim, although such cases may be roused momentarily. There may be marked preference for association with children. There may also be childish acts and garrulity. The family history given the physician by an elderly patient is often unreliable. Insignificant symptoms are magnified; so are former attainments. Old patients often claim they possessed wonderful constitutions, perhaps that they were never ill, despite indubitable marks of disease.