accompanied by an utter indifference and insensibility to sexual relations. Premature cessation of ovulation is a frequent determining cause. In cases where the ovaries are absent the change from girl to woman, which normally takes place at puberty, does not occur. The girl grows but does not develop, a masculine appearance supervenes, the voice becomes manly and harsh, sexual passion is absent, the health remains good. The most violent instances of hysteria are in young women of the most robust and masculine constitution” (John Mason Good, M.D., “Study of Medicine,” 1822). Other determining causes are given, as painful impressions, long fasting, strong emotions, imitation, luxury, ill-directed education and unhappy surroundings, celibacy, where not of choice but enforced by circumstances, unfortunate marriages, long-continued trouble, fright, worry, overwork, disappointment and such like nervous perturbations, all which causes predispose to hysteria. “It attacks childless women more frequently than mothers and particularly young widows,” and, says Dr J. Mason Good, “more especially still those who are constitutionally inclined to that morbid salacity which has often been called nymphomania…the surest remedy is a happy marriage” (“Study of Medicine,” 1822, iii. 531). Hysteria is, in common with other nervous disorders, essentially a hereditary malady, and Briquet (“Traité de l'hysterie,”
