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November 27, 1897


JAMA. 1897;XXIX(22):1121-1122. doi:10.1001/jama.1897.02440480037005

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This subject has lately come into some prominence by the publication of the Smithsonian Lectures on " Environment in Civilization." The great difference of highly educated medical men in manners, habits of thought and personality, have always been the subject of comment and inquiry. At our Association meetings from year to year these facts come out prominently, and ideal writers and authors are disillusionized and appear very different from previous conceptions. On one occasion, a noted man exhibited a wild fit of coarse passion; another was childishly stupid from spirits; and another was repulsive in his personal appearance. How far these personal differences are due to environment is often asked. Two men come from college equally polished and trained; years after one is a coarse egotist, the other a feeble, shrinking, doubtful man. One man becomes coarse in language and manners, another simpering and childish. One man reads a paper before

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