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August 19, 1899


JAMA. 1899;XXXIII(8):488-489. doi:10.1001/jama.1899.02450600054011

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The effect of disorders of the reproductive organs in causing or perpetuating mental disorders in women has been for a long time a vexed question among practical alienists. A certain proportion, probably the majority, are dubious as to the importance of this factor; many see objections to any very general extension of gynecologic surgery in asylums except where absolutely necessary. On the other side, we have some ardent enthusiasts who see in gynecologic diseases one of the chief active factors in the mental disorders of women. An article in the July issue of the Dominion Medical Monthly is in evidence of this; it is one of several that have recently emanated from Canadian sources maintaining the necessity and importance of gynecologic work in the insane. The author, Dr. Ernest Hall, has no hesitation in stating his convictions. He writes, however, with the heat of the reformer when he speaks of

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