Lawrence Hospital only one case in 992 was credited to
this special class. In the institution in Philadelphia, of which
Dr. Chapin is the superintendent, 10,379 patients have been
treated, only three of whom were diagnosed cases of manie
circulaire. Of the 900 cases of insanity in the State Hospital at
Danville, Pa., less than four per cent were put in this special
class. There are in the Central (Va.) State Hospital (which is
exclusively for the colored insane) 775 patients, three of whom
are genuine cases of circular insanity, but they are included in
'periodic insanity.' This same custom evidently prevails in many
of the other hospitals for the insane."
Drewry reports three cases of circular insanity, one of which was
as follows:--
"William F., a negro, thirty-six years old, of fair education,
steady, sober habits, was seized with gloomy depression a few
weeks prior to his admission to this hospital, in September,
1886. This condition came on after a period of fever. He was a
stranger in the vicinity and scarcely any information could be
obtained regarding his antecedents. When admitted he was in a
state of melancholic hypochondriasis; he was the very picture of
abject misery. Many imaginary ills troubled his peace of mind.
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