He was advised to incline his head on his right shoulder as he wrote, and to force his right sternomastoid to contract, in carrying out which instructions he managed to form several hooks and rods correctly without any torticollic movement, and was both elated at the success of the experiment and dejected by the thought of his infirmity. Accordingly all writing was prohibited, all signature making reduced to a minimum, and he was recommended a simple pencil exercise, to be performed with slowness and deliberation while the head was kept in the position just mentioned. Identical rules were to be observed when eating, etc, and a tepid bath was prescribed night and morning. _October 21._--Some improvement has taken place. The patient is less uneasy and less discouraged. Dissociation of the movements of writing into their component parts and isolated execution of each are accomplished admirably at the first trial, less well the second, and at the third, rotation recommences. Fatigue rapidly increases, and P. sinks again into impatience, enervation, and despair. Occasionally his anguish is so extreme he is covered with perspiration even after the most elementary pencil drill, and is forced to mop his brows. _November 21._--Improvement is maintained. He can now write various letters and short words at his ease, though he still feels uncomfortable in anything requiring a more sustained effort. Otherwise, he is conscious of greater control over his head. _December 15._--The amelioration has not persisted. While he was paying a visit to the barber's, and having his hair cut, rotation to the right began again, and when lifting his hat in the street to salute a friend, he repeated the movement. At table, too, he noticed it as he was in the act of bringing his glass to his mouth. P. is consequently upset, and often plunged into tears. _December 24._--The patient's condition is more than ever deplorable. On the slightest provocation--indeed, on no provocation at all--furious torsion movements force the head backwards and to the right, while the right shoulder rises. Complete rest in bed was ordered, yet after two or three days of this repose the torticollis manifested itself even in the recumbent position. As a result, he was quite unnerved and talked of suicide. Another physician called in consultation agreed with what had been done, confirmed the integrity of all the reflexes, including the plantars, and recommended a course of electricity. _January 20, 1902._--There has been no further change. P. stays abed all morning, inventing endless arrangements of pillows and dictionaries to prop his head. When he goes out for a walk, he turns up the collar of his coat and leans his head on the point of it.