“3) Anger. As I think I mentioned in my last letter, the patient has been a person of unusually equal temper; an outbreak of real passion has never been observed with her. When annoyed or teased by some of the other women, there is a distinct corrugation of the forehead, accompanied by an exceedingly slight general movement as if of aversion, no words, movement of the chest, clenching of the hands, etc. She describes the sensation as one of repulsion. “Like Strümpell’s case she shows definitely shame, grief, surprise, fear, and substituting for anger, repulsion. “My own impression derived from observation of the patient is, that all mental emotional sensibilities are present and only a little less vivid than in the unanæsthetic state; and that emotions are approximately natural, and not at all coldly dispassionate.” In the second case, that of a Russian woman, aged thirty-five, there was complete loss of cutaneous sensibility in all its qualities: the sense of position (“muscular sense”) was almost completely abolished; the sense of taste was absent in the anterior two-thirds of the tongue. Smell, sight, and hearing were preserved. She had left the hospital before the article was written. In regard to her case, Dr. Berkley writes: “While in the most absolute state of anæsthesia (auditory and visual excepted) there was no departure from a normal psyche; the woman would sometimes be angered when she did not understand a question, at others would smile or shake her head, and would frequently laugh and talk with another Russian woman in the same ward. There was never the slightest apathy manifest after the first few days of febrile movement.” I give these cases for what they are worth. In the first, it is evidently impossible to entirely exclude the presence of sensations caused by the reflex acts, and the second, not having, apparently, been examined with special reference to the subjective side of her emotional manifestations, may be open to the same objection which Professor James makes against Strümpell’s case. To me it seems extremely unlikely that, if the theory under discussion is correct, such an amount of anæsthesia as existed in these cases would have produced no obvious effect on the emotions. The fact that voluntary acts were performed by both these patients as well as by Strümpell’s case, seems to me conclusive as to the existence of emotions of some sort in all of them.