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This introduction to the psychiatric examination takes up, chiefly on a question and answer basis, the process of determining such matters as affect, consciousness and intelligence in detail. There is some comment as to the prognostic meaning of the different facts which might be turned up. For instance, it is mentioned that in depressions, the patient in early stages is apt to express ideas and delusions concerning the present; a little later the ideas concern the future, and in the deepest depression the ideas turn toward the past. The method in the mental examination is first to collect the spontaneous utterances of the patient and then to follow with questions which are first general and then more and more specific. It would have to be an intelligent patient who could answer all the questions which the author suggests.
Shorter chapters describe the search for symptoms in the neurologic and physical