If I fail, it is because I fail in these very points, or else because I have overlooked or undervalued some serious organic tissue-change.

It must be said that now and then one is beaten by a patient who has an unconquerable taste for invalidism, or one to whom the change of moral atmosphere is not bracing, or by sheer laziness, as in the case of a lady who said to me, as a final argument, "Why should I walk when I can have a negro boy to push me in a chair ?" It will have been seen that I am careful in the selection of cases for this treatment.

Conducted under the best circumstances for success, it involves a good deal that is costly.

Neither does it answer as well, and for obvious reasons, in hospital wards; and this is most true in regard to persons who are demonstratively hysterical.

As a rule, the worse the case, the more emaciated, the more easy is it to manage, to control, and to cure.