Dr. J. Crichton Browne has given me so striking an account of intense fear in an insane woman, aged thirty-five, that the description though painful ought not to be omitted. When a paroxysm seizes her, she screams out, “This is hell!” “There is a black woman!” “I can’t get out!”—and other such exclamations. When thus screaming, her movements are those of alternate tension and tremor. For one instant she clenches her hands, holds her arms out before her in a stiff semi-flexed position; then suddenly bends her body forwards, sways rapidly to and fro, draws her fingers through her hair, clutches at her neck, and tries to tear off her clothes. The sterno-cleido-mastoid muscles (which serve to bend the head on the chest) stand out prominently, as if swollen, and the skin in front of them is much wrinkled. Her hair, which is cut short at the back of her head, and is smooth when she is calm, now stands on end; that in front being dishevelled by the movements of her hands. The countenance expresses great mental agony. The skin is flushed over the face and neck, down to the clavicles, and the veins of the forehead and neck stand out like thick cords. The lower lip drops, and is somewhat everted. The mouth is kept half open, with the lower jaw projecting. The cheeks are hollow and deeply furrowed in curved lines running from the wings of the nostrils to the corners of the mouth. The nostrils themselves are raised and extended. The eyes are widely opened, and beneath them the skin appears swollen; the pupils are large. The forehead is wrinkled transversely in many folds, and at the inner extremities of the eyebrows it is strongly furrowed in diverging lines, produced by the powerful and persistent contraction of the corrugators. Terror. Fig. 20 Mr. Bell has also described[1219] an agony of terror and of despair, which he witnessed in a murderer, whilst carried to the place of execution in Turin. “On each side of the car the officiating priests were seated; and in the centre sat the criminal himself. It was impossible to witness the condition of this unhappy wretch without terror; and yet, as if impelled by some strange infatuation, it was equally impossible not to gaze upon an object so wild, so full of horror. He seemed about thirty-five years of age; of large and muscular form; his countenance marked by strong and savage features; half naked, pale as death, agonized with terror, every limb strained in anguish, his hands clenched convulsively, the sweat breaking out on his bent and contracted brow, he kissed incessantly the figure of our Saviour, painted on the flag which was suspended before him; but with an agony of wildness and despair, of which nothing ever exhibited on the stage can give the slightest conception.”