formal examination of the patient under circumstances that are likely to increase any excitement that he may be laboring under. And the transfer to an institution bearing the dreaded name of asylum, or even sanitarium (for that term has taken quite as ominous a meaning in recent years) is sure to aggravate the patient's irritated state, and to exaggerate symptoms which might otherwise be relieved by prompt, soothing care, and by the consciousness that his ailment is being treated rather than that he himself is being placed in durance. An examination of the methods for the care of the insane in the Middle Ages brings out clearly the fact, that the modern generation may learn from those old Catholic humanitarians, whose hearts and whose charity served so well to make up for any deficiencies of intellect or of science the moderns would presume them to have labored under. There are said to be three great desiderata for the intelligent care for the insane: First: The open door system, permitting patients who are not violent, and who can be trusted even though they have many queer notions, to come and go at will. Second: The after care treatment of those who have been insane, to the end that they may not be compelled to go back to strenuous lives of toil; and above all, that they {372} may not be forced into the too harrassing conditions of which their mental breakdown originally was born. Third: A colony system by which patients of lowered intelligence may be cared for in the country, far away from the stress of city life, and where, without the cares of existence pressing upon them, they may be surrounded by gentle, patient, kindly friends who will make every allowance for their peculiarities and strive to help them in their up-hill struggles. These desiderata are so absolutely modern that they have only been formulated definitely with the beginning of the twentieth century. Notwithstanding this apparent newness, I think that it will not be difficult to show that the old-time methods of caring for the insane partook, to a greater degree than would be suspected at the present time, of these desirable qualities that modern science has come to recognize as so indispensable for the rational care of the mentally unbalanced. In saying this I do not wish to claim for the Middle Ages accomplishments beyond their deserts. My idea is rather to write an interpretation; to make clear from what we know of the details of the care of the insane in the fourteenth and fifteenth centuries, that unconsciously those generations, in their large-hearted charity, anticipated what is best in our present system.