The State College of Physicians and Surgeons (in affiliation with Indiana University) will present the following course of lectures for 1907, Professor Hutchins and Professor Todd representing the college, their lectures designated by "B." In connection therewith the Pathologist of the institution will deliver a course in neuropathology, designated by "A." A. The surface anatomy of the brain and its relations to the external surface of the skull. B. States of mental stupor and enfeeblement. January 25th, 2 p. m. A. The internal anatomy of the brain. Professor Todd. B. Intoxication insanities, alcohol, opium, cocaine, rarer forms. February 1st, 2 p. m. Professor Todd. A. The anatomy and physiology of the spinal cord. B. Insanities following bacterial and toxalbumic poisoning; puerperal delirium, febril psychoses, periodic insanities, mania, circular insanity, adolescence. February 8th, 2 p. m. Professor Todd. A. The blood and lymph circulation of the nervous system. B. Insanities following autogenic poisoning, uraemia, diabetes, myxoedema, auto-intoxication, etc. Professor Todd. February 15th, 2 p. m.— A. The pathological conditions involving the gray matter of the cord and their clinical significance. B. Insanities due to organic lesions, paretic dementia, specific in- March 1st, 2 p. m. A. The pathological conditions involving the white matter of the cord and their clinical significance. B. Insanities due to organic lesions, continued. Professor Hutchins. March 8th, 2 p. m. A. The connections of the spinal cord and the various parts of the brain. B. Senile and organic dementia. March 15th, 2 p. m.— A. Professor Hutchins. Pathological conditions involving some of the more prominent bundles of fibers connecting different parts of the brain and their clinical significance. B. Psychical degeneracy, paranoia. March 22d, 2 p. m. A. B. Psychoses due to constitution neuroses. March 29th, 2 p. m. A. Professor Hutchins. Professor Hutchins. B. States of arrested developments, idiocy, cretinism, imbecility. Professor Hutchins. A COURSE IN MENTAL PATHOLOGY. Special clinics are provided for those who desire to take instruction in Mental Pathology. This course will be in charge of Professor E. H. Lindley of Indiana University. These clinics are designed to demonstrate those phenomena of insanity which are especially instructive to students of psychology. The course this year will include the following: 1. The form of insanity: Melancholia, mania, dementia, idiocy, imbecility, dementia parecox, impulsive and compulsive insanity; paranoia, dementia parylitica and senile dementia. 2. Psycho-pathology: a. Disturbances of perception (illusions, pseudo-hallucinations and hallucinations). b. Disturbances of mental elaboration (amnesia, paramnesia, loss of orientiation, malformation of ideas and concepts, disturbances of judgment and reasoning, disturbances of self-consciousness, retardation and flight of ideas, etc.). C. Disturbances of the emotions (anhedonia, delusions, sporadic and systematized). d. Disturbances of volition and action (impulsive and compulsive ideas, echo-praxis, negativism, stereotypism, abulia, etc.). Cases illustrative of the above will be presented to the classes. 2-Central Insane. Members of the hospital staff will alternate in arranging cases for all of the clinical lectures. The following general rules govern the course of both colleges: All students must be in their seats promptly at the hour scheduled. Questions will be furnished by the Pathological Department in the final examinations.. Due notice of autopsies will be given the classes by telephone to college. Certificates of attendance will be issued by the colleges for these lectures. Students must maintain quiet while in the grounds or buildings. These lectures are free to all practitioners and students of medicine. Others will not be admitted except upon special permission by the Superintendent or Lecturer. The report of the Pathologist will, this year, be found following the report of the Superintendent. A synopsis of his report shows that 1. Forty-two autopsies were held. 3. 2. Twenty-two lectures were given-eleven didactic and eleven clinical. Ten lectures upon neuro-pathology with pathological demonstrations. One hundred and thirty-one staff meetings at which one hundred and fifty cases were presented for examination. 4. 5. Eighty-nine cases taken before the college classes for clinical demonstration. 6. Thirty-two gross pathological specimens preserved for the museum. MEDICAL STAFF. This remains as last year. The Pathologist, Dr. Chas. F. Neu, resigned his position on October 31, 1906, having served in this capacity since October 1, 1903. He leaves the service with the best wishes of all and a hearty appreciation of his work. IMPROVEMENTS AND REPAIRS. Under this heading we only mention a few of the more important items. Dormitory The large dormitory at the Department for Men was changed into sleeping rooms for employes. New Floors-Ten of the wards at the Department for Men were supplied with entire new floors. Electric Cable-Owing to the fire the electric cables at the Department for Men had to be replaced. Electric Conduits-All cables to both of the main departments were placed in vitrified tile conduits. Commutators-All machines in the power-house were refitted with new commutators. Painting-A number of the wards at both departments were repainted. Cement Walks-A new floor was laid in our boiler house. New walks were put in leading from the Women's Department to the main walk. Also new walks around the new hospital. Plastering-An immense amount of patchwork was required in all of the departments. Grading and Sodding-Following the work of previous years this was continued. Dry Rooms-Another six cabinet all metal dry room was installed in the laundry. Steam Heating and Plumbing-Considerable repair in both of these branches was made during the fiscal year. EMPLOYES. Our thanks are once more due to the officers and employes for faithful service rendered under trying circumstances during the year, and we recognize that in a large measure the progress of the institution is due to their effort. BOARD OF TRUSTEES. In conclusion I again acknowledge myself under obligations to the Board of Trustees for many acts of kindness, but above all for their great interest and hearty co-operation in all that pertains to the welfare of the institution and the patients therein. Very respectfully, GEO. F. EDENHARTER, M. D., REPORT OF PATHOLOGIST. George F. Edenharter, M. D., Superintendent, Central Insane Hospital for the insane: Dear Sir-I beg to submit the following annual report from the Pathological Department for the year ending October 31, 1906: During the year permission was obtained for and autopsy performed upon 42 bodies. A summary of the pathological, clinical and microscopical report will be found hereto appended. Thirty-two gross specimens have been prepared and added to the collection for the museum. A list of them will also be found appended hereto. As heretofore, examinations of blood, urine, sputa, etc., submitted by the staff physicians, have been made whenever they had not the time to do so themselves, or when a special examination was required. The staff meetings, as outlined in my previous reports, have been continued along the same lines, viz.: Regular staff meetings were held three times weekly, every Monday, Wednesday and Friday morning, beginning at 10:30. At these meetings the members of the staff alternated in presenting one or more cases. The number of staff meetings were 131. A more or less systematic examination is made of the mental condition, and also of the physical condition, where this has not been done beforehand, or where some special physical condition is reported by the physician in charge, followed by a discussion of the case by all members of the staff. In all one hundred and fifty cases have been presented. The results of these examinations were taken down, and have been placed on record, and can be used as a reference in the study of the future course and termination of the case presented. In the examination of these cases the main object has been to ascertain and determine the prominent and characteristic features in each individual case, and the underlying conditions that were the probable factors in bringing about the disturbance of the mental faculties. This problem is rather a difficult one. To do it properly and scientifically many factors necessarily come into consideration which are most difficult to regulate and control, and tend to render this part of our work a source of discouragement and somewhat unsatisfactory in many respects. In the first place, one should have a full report of the status of the mental and physical condition of the patient, when he or she was considered to be in a normal condition. Without this it is impossible to arrive at a correct conclusion of the degree and extent of the disturbance that has developed, consequently whatever conclusions are arrived at can only be of relative value. In the second place there should also be a full report in regard to the patient's heredity, to enable one to judge to some extent of the characters and qualities in the |