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November 28, 1891

Medical Communications of the Massachusetts Medical Society.

JAMA. 1891;XVII(22):861. doi:10.1001/jama.1891.02411000039008

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This is a notable issue of a long and valuable series. Very few pages are allowed to run to weeds in these "Communications." We desire, in the first place, briefly to draw attention to the paper entitled the Shattuck Lecture, by Dr. Edward Cowles, of Somerville. Its subject is "Neurasthenia and its Mental Symptoms." This essay is a long one, comprising, as it does, over a hundred closely printed pages, but it is none loo long, as being the best resume of the subject that has appeared in ten years. Dr. Cowles is the medical superintendent of the McLean Asylum, or branch for the insane of the Massachusetts General Hospital, and appropriately addresses himself to some of the parallel workings of pathological fatigue and certain of the forms of insanity which have their etiology in common, namely, in nervous enfeeblement. The fundamental idea of the writer is that there is

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