In writing this paper it occurred to me that instead of using the small amount of evidence in my possession to emphasize facts already adduced, an expression of opinion by the alienists and gynecologists of this country and an analysis of their views might aid in reaching a true consensus of medical opinion upon the subject. Accordingly I addressed a number of letters to the superintendents of insane asylums in the United States, and to the members of two of the most prominent gynecological societies, in which I requested replies to the following questions:
Do you regard malformations and traumatisms of the female genital apparatus as causes of insanity?
If so, in what per cent. of this class of cases, in whom physical examinations of the genitals have been made with the view of ascertaining the facts, can insanity be ascribed to these causes?
Please state character of malformations and
NOBLE GH. TRAUMATISMS AND MALFORMATIONS OF THE FEMALE GENITAL APPARATUS, AND THEIR RELATION TO INSANITY. JAMA. 1900;XXXV(9):531–534. doi:10.1001/jama.1900.24620350001001
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