it is better to speak of such mental defects as congenital^ (Qprigenital 

 defect is not heritable, a fact of very considerable importance in (diagnosis, 

 especially as regards segregation with the view of prevention of transmission 

 of feeble-mindedness./ 



Registered Insanity in London. 



The registered pauper insanity in London is 5*5 per 1,000 of the total 

 population, whereas for England and Wales it is 3*4 per 1,000; naturally 

 a widespread belief that insanity is greatly on the increase. 



there is 



ana. 



1883 1890 183 lax J8 



LL 



:s JEW i3o IK 



Fig. i 



If we look at the accompanying Fig. i it will be observed that while 

 the population of the county of London has been nearly stationary, 

 registered insanity has practically doubled. It will be observed that 

 pauperism also showed a marked rise for 10 years, while it has fallen for 

 the last three years, but although there has been this fall in pauperism 

 during the last three years there has been a steady rise in registered insanity. 

 It might be thought, therefore, there was no correlation between pauperism 

 and insanity. This is not so. No doubt the fall in the curve of pauperism 

 has been due to old-age pensions. Now, old-age pensions will not affect 



