DR. BRUSH.-I think there is nothing more practical in the treatment of many cases of insanity, especially the demented cases. I think the suggestion of Dr. Briggs, in regard to the exchange of ideas of occupation from one institution to another, is a most excellent one, and I have put that very idea into practice quite recently. Dr. Wade, of the Spring Grove Hospital, has a patient who for some months was very much disturbed and I understand he is now one of the most expert basket-makers there. For awhile this man worked by himself until one day he was asked to take under his charge a new admission who needed the benefit of occupation of some sort, and then he took other patients under his charge, until now he is the superintendent of the basket department at Spring Grove Hospital, and this is one of the most active departments in the hospital. At the Mental Hygiene exhibit at Baltimore this man showed what work he was doing and how he had taught others, and Dr. Wade has recently loaned him to me and he is coming over to the Sheppard to teach us some of the tricks of the trade that we want to learn. The idea is simply to give these patients something to do. I remember once being at an institution in Europe and walking about I noticed a man pulling up flowers, and I said, "Why, your patient is pulling up the flowers." My friend said, "I don't care as long as he is doing something; all I am interested in is to get him to do something; byand-by he will learn to discriminate between the weeds and the flowers, in the meantime he is doing something." He was simply putting an entering wedge into his case by allowing him to pull up the flowers, and by-and-by he will be doing something useful. I think that is a very important idea to keep in mind in this occupational treatment.

I had hoped to show during this meeting a box and a book-case as two contrasts in the educational-diversional occupations. I had a certain patient who was a nuisance in many ways. He would not talk, but grunted like a pig. I said to my men in charge of this man, get him to doing something and perhaps he will stop grunting. He made a crude bench out of some old boxes, and, seeing that he could make something, became interested in making something else; then he made a table, he then made a still better table; then he made a table which would be an ornament to any house and which would sell for $20 in any furniture store; he finally made a bookcase, ornamented it, put on the hardware, etc., and produced an article of furniture which is as good as any cabinet-maker can make to-day. That man stopped grunting, began reading newspapers and became interested in life since he has found that he can do something. I believe that occupation should be both diversional and educational as well.

DR. WILLIAM A. WHITE.-In the hospitals sometimes the scientific features are forgotten. I have listened to this excellent report, and nobody can question the amount of labor which the committee has expended on it, and yet they have not said anything about the scientific aspect of the diversional occupations. It is time that something should be done along those lines. Lots of our patients get well, and we do not know anything about how or why they get well; they sometimes get well when they are employed and

sometimes they do not, and in the whole literature of psychiatry I do not know of but one article of distinguished merit that has appeared lately, and that was by Bertschinger,* which gives any idea of what the process of getting well with patients is. One cannot use occupation intelligently unless he knows his patient and knows what the relation is between the occupation and the healing process. When a patient is given occupation in a hospital he may be put into an occupation that will help him and he may not. There are thousands of just such questions as Dr. B. has raised, and I merely want to rise to this particular point: that in all of these hospitals that are doing this diversional occupation there are very few who are investigating the mechanisms of recoveries, and until we know what the mechanisms of recovery are we cannot apply any therapeutic agency to bring about recovery, except by a hit-and-miss method.

THE PRESIDENT.-Gentlemen, we have about seven papers on the program for this morning. The first paper is by Dr. North.

Charles H. North, M. D., of Dannemora, N. Y., then read a paper entitled "A Proposed Change in the Criminal Law." Discussed by Drs. MacDonald, White, Moody and North in closing.

DR. MACDONALD (presiding).—The next paper on the program is by Dr. Edward E. Mayer, of Pittsburgh, Pa.

Dr. Mayer then read a paper entitled "Dementia Præcox: Some Criticisms and Observations." Discussed by Dr. White.

DR. MACDONALD.-The Secretary informs me that Dr. Coriat being unable to be present, has requested that his paper be read by title, and it is so

ordered.

DR. WAGNER (presiding).—With the permission of the Association the order will be slightly changed now in order to enable Dr. Walter E. Fernald, of Waverley, Mass., to read his paper. Dr. Fernald was obliged to go to Michigan to a meeting and has only just arrived here. Some days ago he requested permission to read his paper a little later than provided for in the program.

Dr. Fernald then read his paper entitled "The Diagnosis of Mental Defect." Discussed by Drs. Briggs and Salmon.

THE PRESIDENT.-There are three papers on the program for this morning, the authors of which are not present, so this will close the morning session. This afternoon we will go on our excursion as guests of the Mayor. This meeting is now adjourned until 8.30 this evening.

*Bertschinger: Heilungsvorgange bei Schizophrenen. Allg. Zeits. Psychiat., Bd. 68, H. 2.

EVENING SESSION.

The Association was called to order by the President.

The following papers were read:

"The Clinical and Anatomical Analysis of Cases of Insanity Arising in the Fifth Decade," by E. E. Southard, M. D., of Boston, Mass., and Earl D. Bond, M. D., of Hathorne, Mass., read by Dr Bond.

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The Distribution of the Lesions of General Paralysis," by Samuel T. Orton, M. D., of Worcester, Mass.

"Amyloid Degeneration of the Brain in Two cases of General Paresis," by S. C. Fuller, M. D., Westborough, Mass.

"The Occurrence of Miliary Plaques in Senile Brains," by William J. Tiffany, M. D., of Binghamton, N. Y.

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THE PRESIDENT.-The next paper on the program is by John H. W. Rheim, M. D., of Philadelphia, Pa., entitled 'Psychoses Following Cerebral Apoplexies." Dr. Rhein has had to leave the city and has asked that his paper be read by title. This closes the evening program.

There will be a Council meeting immediately at the close of this session.

Adjournment.

FRIDAY, JUNE 13, 1913, 10 A. M.

THE PRESIDENT.-The Association will please come to order. The first thing on the program is the report of the Committee on the Status of Medical and Scientific Work in the Hospitals of the Several States and Provinces, Adolf Meyer, M. D., of Baltimore, Md. (chairman).

DR. WAGNER.-I have a copy of a report by Dr. Meyer which has been received by me without instructions.

DR. H. M. HURD.-I saw Dr. Meyer in Baltimore, and he told me that he had succeeded in finding a copy of the report which was given at the Denver meeting and which had been lost, and this is the copy referred to by the Secretary. I move that this report be read by title, and that it be published in the Transactions.

THE PRESIDENT.-If there is no objection the report will take that course. I will now ask the Secretary to read the report of the Council.

REPORT OF THE COUNCIL JUNE 12, 1913.

The Council has received the application for active membership of R. D. Bruce Smith, M. D., Toronto, Ont. According to the constitution final action will be deferred until next year.

The Council makes the following recommendations: That the report of the Committee on Applied Eugenics be printed in pamphlet form, and that it be distributed to the members of the Association, and also among the medical and legal professions; that copies be sent to the various libraries in the country and to such other places as the Secretary in his judgment deems best.

That the incoming President be authorized to appoint a Program Committee for the next annual meeting, and also a Committee of Arrangements. That the dues for the ensuing year be fixed at the usual rates, viz.: Five dollars for active members, and two dollars for associate members. That the annual meeting of the Association for 1914 be held in Baltimore, Md., and that the date be left discretionary with the President and Secretary, to be determined later.

The Council also recommends that some particular psychosis be selected on which the Program Committee shall be requested to arrange a symposium so that at least one session of the next annual meeting may be devoted to this psychosis.

Respectfully submitted, CHARLES G. WAGNER, Secretary.

THE PRESIDENT.-The next in order is the election of members proposed yesterday. The Secretary will read the names.

The Secretary then read the following names:

For associate membership: Amos T. Baker, M. D., Riverdale, N. Y.; E. H. Cohoon, M. D., Howard, R. I.; Marcus A. Curry, M. D., Greystone Park, N. J.; Charles R. Lowe, M. D., Hospital, Ill.

For transfer from associate to active membership: Jessie M. Peterson, M. D., Norristown, Pa.

The Secretary was instructed to cast the ballot of the Association for the election of the members as proposed.

THE PRESIDENT.-The ballot has been cast and the members are duly elected and transferred as recommended by the Council.

DR. MACDONALD.-I would like, as the incoming President, to express my gratification and pleasure at the decision of the Council to meet in Baltimore next year instead of in New York. As is known to members of the Council, it was suggested that if satisfactory to others, it was desirable to meet in New York the coming year, and finding after that action had been taken that there was some feeling on the part of some of the members of the Association, I felt it incumbent upon me as the incoming President to ask the Council to change the place of meeting to Baltimore; I am glad this was done, and I want to assure the Association that the New York delegation will be there next year in full force and will do everything in their power to make the meeting a success.

DR. BRUSH.-I want to express my appreciation of Dr. MacDonald's action in this matter. I want to say that when I came here first I said that we wanted the meeting in Maryland, but I felt that the President-elect, Dr. MacDonald, ought to have first choice; now he has very graciously given way to our Baltimore members, and I want to express for my fellowmembers in Baltimore our appreciation.

DR. PRIDDY.-I move that the report of the Council be adopted.

Which motion was duly seconded and carried.

On motion of Dr. Woodson, it was voted that hereafter the report of the Council on time and place of the next meeting shall be received on Thursday morning instead of Friday.

THE PRESIDENT.-We will now proceed with the reading of papers. The first one on the program is by Dr. Alfred Gordon, of Philadelphia, Pa.

Dr. Gordon then read a paper entitled " A study of Hallucinosis." THE PRESIDENT.-We will now have a paper entitled "Association Test as an Aid in Diagnoses," by Wm. Rush Dunton, M. D., of Towson, Md. Is Dr. Dunton present?

DR. BRUSH.-Dr. Dunton is not present, but I have his paper here, and I move the paper be read by title.

Carried.

DR. ABBOT.-If I remember correctly there has been no action taken on the report of the Committee on Diversional Occupation of the Insane, by Dr. Herring. In that report there was a recommendation that the committee be discharged and a new committee appointed, or that the committee be continued. I move, therefore, that Dr. Herring's report be accepted, and that the committee be continued for the ensuing year.

Motion duly seconded and carried.

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THE PRESIDENT.-We will now have the last paper on the program, by Dr. Helene Kuhlmann, of Buffalo, N. Y., on Some Cases Illustrating the Psycho-Genetic Origin of Certain Psychoses."

Dr. Kuhlmann then read a paper as above.

THE PRESIDENT.-I will now call for the report of the Committee on Resolutions.

DR. HILL.-On behalf of the Committee on Resolutions I beg to submit the following:

Resolved, That before closing this Sixty-ninth Meeting of the American Medico-Psychological Association we tender our thanks to the Committee

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