volume XXVI, issue 9, P439 1896
DOI: 10.1001/jama.1896.02430610032014
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Abstract: proval: "I do not hesitate to say that these constitutiona defects may be (and daily are) so combined as to produce almost complete irresponsibility under a rational system of judgment; even in cases where the intellect, such as it is, remains coherent, and its possessor is accounted sane. Hence