Since Professor James’s work was published, two cases have been reported by Berkley,[57] which, although not, perhaps, conclusive, are of interest in this connection. In the first, the patient, a woman of English birth, age not stated, had complete loss of sense of pain, heat and cold, pressure and equilibrium, of smell, taste, and sight. The sense of touch, although not completely abolished, was very greatly impaired. She recognised a hat, for instance, only after feeling of it for a long time and then seemed doubtful about it. Her sense of the position of the extremities was also very imperfect, although not entirely abolished; and there was some deafness, although not enough to render her incapable of conversation. With regard to her mental state, Dr. Berkley says: “The psychical condition has undergone but slight change, she is possibly a little apathetic, with some slight tendency towards a melancholic tone, but when aroused and induced to converse for some time, this in great measure passes away. The memory is quite good.” Dr. Berkley was kind enough to give me the following additional information about this patient, who, at the time of writing, was still under observation: “Since the coming on of the dullness in hearing there has been a considerable degree of apathy manifest. She is no longer conscious of the smaller noises that occur around her, but is very readily aroused by the voice, and then takes a lively interest in what is said to her: for instance a few days ago the resident physician remarked to her that he was going to obtain a pair of crutches for her use; she laughed heartily at the idea, and said she would fall and break her leg at the first step.” In response to further inquiries, he writes as follows: “1) Visceral sensations. The clearest evidence of visceral sensation I have noted in my article,” [warning of the necessity of evacuating the bowels and bladder by a pricking pain in the lower part of the abdomen,] “no others were sufficiently definite to be described. For two years there has been no feeling of hunger or thirst, and as the diet has only been a few mouthfuls of milk at a time for nearly that period, there has been no feeling of repletion. “2) When the patient laughs at a joke, there is a slight flushing of the face, besides the ordinary contraction of the facial muscles; she is aware that she is laughing, but besides acknowledging that she perceives no difference between the act now, and some years ago, she is unable to describe the sensation further.