_October 15, 1901._--Séance of absolute immobility in the upright position, with the head straight, for five seconds; to be repeated in front of a mirror for five minutes, with intervals for rest of fifteen seconds. Movements of rotation of the head to left and right, with progressively lengthening pauses in each of the extreme positions. Respiratory exercises with elevation and depression of the arms eight times a minute, decreasing steadily to four a minute. These exercises are to occupy a quarter of an hour morning and evening. Explain to the patient the action of the sternomastoids and how they combine to fix the head. Make the patient lie on his back and move his head antero-posteriorly. _October 19._--O. has still his tics, but he can already remain motionless on command, and is conscious of satisfaction in so doing. Just as his exercises come to an end there is always a momentary recrudescence of the tics, but a very appreciable calm follows. _October 21._--Immobility is maintained well for half a minute. The patient is to resume his cycling and fencing, physical exercises which he has abandoned for more than a year. _October 25._--O. considers himself greatly improved. He has gained insight into the way of combating his tics, and his self-confidence is on the up grade. For several days he has devoted his attention to his tic of blinking, with the result that he can open his eyes longer and more easily. _October 28._--He evinces a preference for certain of the exercises: if they please him, he performs them accurately; if they do not, they are neglected. _November 20._--The head tics are still rather violent at times. A period of intellectual and bodily fatigue has supervened, but he tries his fencing again, and to his profound satisfaction he has managed to keep free of tics during the bouts. He is recommended to avoid all possible causes of cerebral and physical exhaustion. _December 3._--He continues to make satisfactory progress. His habit of supporting his chin on his cane is abandoned, though an attempt to dispense with the latter entirely, when he is out in the street, has ended disastrously. He is content to hold it in his hand and strike his leg with it from time to time. _December 13._--Whenever O. is tempted to tic again, he stands in front of a mirror and commences to sing, and while the song lasts his tics remain in abeyance. His trick of sitting crossways on a chair and rubbing his chin against the back is also discarded, with the result that the callosities have vanished. As far as his walking is concerned, he has adopted the plan of endeavouring to get from one point to another without allowing his tics to assert themselves, and his efforts have been crowned with success.