Me. N., aged thirty-two years, sought admission into my clinic of his own accord. He came of a good family, but inherited a marked taint of psychical abnormalities from his father. One of his brothers had a very bad memory.

Mr. N. himself had always been weakly, anaemic, and nervous, and suffered from headache and hyperaemic conditions of the head, which increased according to the nature of his supper, and which even led to bleeding from the ears (the ears were still red, and showed many degenerate capillaries).

Dr. Naef describes the ease as follows:

"Mr. N. used to remain awake until late in the night when a boy of seven, as a result of changing his school. During the morning following a night when he had lain awake until two o'clock he came home, contrary to his custom, without any books, commenced to cry, and stated that the police wanted to arrest him. He said that he had stolen a large sum of money, and that he would only bring disgrace to his family. In connection with this he refused to take any food for two days, and avoided seeing every one. After a few days the storm passed off, his condition improved rapidly, and rest and change of air completely restored the patient to health. The patient can remember this episode fairly well, hut he denies all knowledge of the self-accusation.

"Later on the patient served in the army, and felt well during this time, apart from a moody depression which made itself felt occasionally. At the age of twenty-seven he wounded himself severely with a gun-shot, through carelessness, in America. The wound, a penetrating thorax wound, and its complications caused him to lie up for months. Since this occurrence our patient acquired a great horror of firearms. After his return to Europe he was much affected when, on visiting a medical friend, the latter was summoned to some one who had shot himself in the neighborhood. During the same evening the patient was seized with an attack of giddiness while he was sitting in a cafe, although he had not partaken of any alcohol. He was so unsteady that he had to be assisted home. When in bed at home he got a second severer attack of giddiness; in this he had the feeling that something was giving way, and complained of palpitation and difficult breathing. The attack ended with vomiting, consciousness never having been lost. The giddiness lasted for the whole of the next day, and then he got better.

1 Reproduced from the Zeitschrift fur Hypnotismus; communicated by my former assistant, Dr. Mas Naef, and reprinted here with his permission.

" The patient was then admitted into a home for nervous patients, and was discharged from this place as considerably improved.

" However, all sorts of complaints soon reappeared, and our patient frequently suffered during the period which followed from headache, marked photophobia, from a feeling of general languor after meals, and from hyperaemia of the head, with simultaneously associated cold extremities.

" All this did not prevent Mr. N. during the following few years from fulfilling the duties which were imposed on him in the various positions which he held. Neither he nor those with whom he came into contact noticed any abnormality of his mental capabilities during this time. In his own account, which he wrote in response to our wish, he gave a detailed description of this portion of his life; he was able to name all the places which he had visited correctly, and to state what he had to do in each. The patient still remembered clearly that he stayed in A. in the autumn of 189 - , in order to complete some studies which he had prematurely interrupted. The defect of memory commenced to appear about this time. He could still remember the beginning of the winter about as late as the month of November. But even this period seemed to him to be much less distinct and more mixed than other periods of longer ago. The time which followed was completely dark for the patient, although he was not able to state a definite day from which this dated. His memory for the period was a perfect blank. He had not the slightest idea where he spent the winter or what he had been doing, and yet, as we shall see presently, bis experiences during this time were of such an order that under normal circumstances they would he calculated to have remained firmly impressed on his memory for the whole of his life.

"The first reappearance of his memory took place about the beginning of June of the following year, according to the patient's own account and statements, and the reestablishing of the memory was effected at all events just as gradually and confusedly as the suspension. At the time which he was able again to recall he was aboard an English steamer toward the end of a long sea-journey, the destination of which was Europe. It will be more instructive if I append his own very interesting account of this period. He writes: 'The reappearance of a very hazy memory, at all events to my mind, of where I was and what I was doing leads me on board an English steamer, the name of which I am unable to give. I have a vague recollection of having been on hoard ship for a long time, which corresponds with the distance which separates the Australian town Z., from Naples. I am definitely able to state that I left the ship at the last-named port, I do not think that I associated intimately with any one on board. The feeding and the class of persons who formed my fellow-passengers were obviously not brilliant, and therefore I think that I must have been traveling second class that time. I seem to remember distinctly that I was never spoken to in German during this time. I have only a very superficial knowledge of the English language. I was certainly far from well at the time of my journey back to Europe, for I remember having been repeatedly attacked by muscular convulsions affecting the back of the head and the neck, associated with simultaneous involuntary twitch-ings of the face, and especially of the lower jaw. When these occurred, irresistibly severely, I buried myself in my cabin, undoubtedly with the object of concealing this morbid condition.