A distinguished
alienist and author of Scotland however has given us an admirable
lecture on the subject. He says: 'I have had under my care
altogether about 40 cases of typical folie circulaire.' In the
asylum at Morningside there were, says Dr. Clouston, in 800
patients 16 cases of this peculiar form of mental disease. Dr.
Spitzka, who was the first American to describe it, found in 2300
cases of pauper insane four per cent to be periodic, and its
sub-group, circular, insanity. Dr. Stearns states that less than
one-fourth of one per cent of cases in the Hartford (Conn.)
Retreat classed as mania and melancholia have proved to be folie
circulaire. Upon examination of the annual reports of the
superintendents of hospitals for the insane in this country, in
only a few are references made to this as a distinct form of
insanity. In the New York State hospitals there is a regular
uniform classification of mental diseases in which 'circular
(alternating) insanity' occupies a place. In the report of the
Buffalo Hospital for 1892, in statistical table No. 4, 'showing
forms of insanity in those admitted, etc., since 1888,' out of
1428 cases, only one was 'alternating (circular) insanity.' In
the St.
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