I am essentially neither pessimist nor optimist in the presentation of these cases, nor do I seek to present the man or woman's case with prejudice. In life a realistic attitude is the best, for if we were to remove much of the sentimental self-deception at present so prevalent, huge reforms would occur almost overnight. Sentimentality decorates and disguises all kinds of horridness and makes us feel kindly toward evil. Strip it away, and we would immediately break down the evil. There is always this danger in presenting "cases" to a lay public, that symptoms are suggested to a great many people. How deeply suggestible the mass of people can be is only appreciated when one sees the result of public health lectures and books. Many persons tend to develop all the symptoms they hear of, from pains and aches to mental failure. Even in the medical schools this is so, and every medical teacher is consulted each year by students who feel sure they have the diseases he has described. So in presenting the following cases symptoms will be largely omitted. What will be presented is history and to a certain extent treatment. That part of treatment which is strictly medical can only be indicated. It may be said that in obtaining the intimate history of a woman a difficulty is met with in the natural reluctance to telling what often seems to the patient painful and unnecessary details. To some people it seems inconceivable that fears, pains and aches, sleeplessness, etc., can arise out of difficulties like the monotony of housework, temperament, or troubles with the husband. Furthermore, though some women understand well enough the source of their conflicts, they are ashamed to tell and rest mainly on the surface of their symptoms. To obtain the truth it is necessary to see the patient over and over again, to get somewhat closer to her. This is especially easy to do after the physician has to a certain extent relieved the patient. In other words, except in the cases where the woman is quite prepared to tell of her intimate difficulties, it is best to go slowly from the medical to the social-psychological point of view. Case I. The overworked, under-rested type of housewife. Mrs. A.J., thirty years old, is a woman of American birth and ancestry. Her parents were poor, her father being a mechanic in a factory town of Massachusetts. She had several brothers and sisters, all of whom reached maturity and most of whom married. Before marriage she was a salesgirl in a department store, worked fairly hard for rather small pay, but was strong, jolly, liked dancing and amusements, liked men and had her girl friends.