Similarly a shameful position, such as that of the prostitute or the chronic criminal, is "relieved" by alcohol and drugs, so that the majority of these types of unfortunates are either drunkards or "dopes." Too often have reformers reversed the relationship, believing that alcohol caused prostitution and crime. Of course that relationship exists, but more often, in my experience, the alcohol is used to keep up the "ego" feeling, without which few can bear life. Curiously enough, one of the sex perversions, masturbation, has in a few cases a similar genesis. I have known patients who, when under the influence of depression, or humiliated in some way or other, found a compensating pleasure in the act. Here we come to a cardinal truth in the understanding of ourselves and our fellows and one we shall pursue in detail later,--that face to face with mental pain, men seek relief or pleasure or both by alcohol, drugs, sensual pleasures of all kinds, and that the secret explanation of all such habits is that they offer compensation for some pain and are turned to at such times. What one man seeks in work, another man seeks in religion, another finds in self-flagellation, and still others seek in alcohol, morphine, sexual excesses, etc. With the increasing excitement and tension of our times there is a constant search for relief, and here is the origin of much of the smoking. Most men find in the deliberate puff, in the slow inhalation and in the prolonged exhalation with the formation of the white cloud of smoke, a shifting of consciousness from the major businesses of their mind, from a constant tension to a minor business not requiring concentration and thereby breaking up in a pleasurable, rhythmic fashion the sense of effort. When one is alone the fatigue and even the pain of one's thinking is relieved by shifting the attention to the smoking. Keeping one's attention at a high and constant pitch is apt to produce a restless fatigue and this is often offset to the smoker by his habit. Excessive smoking may cause "nervousness" but as a matter of fact it is more often a means by which the excessively nervous try to relieve themselves. Of course it is not good therapeutics under such conditions, but I believe that in moderation smoking does no harm and is an innocent pleasure.