In general moral mania, it is not to be supposed that the sentiments and propensities are all and equally disordered. On the contrary, the propen- sities may not be excessively active, though occa- sionally one may crave unusual indulgence. The essential features of general moral mania is that the moral relations, whereby the conduct is gov- erned, more than by the deductions of reason, are viewed through a distorting medium. This condi- tion is usually accompanied by a perversion of some of the sentiments that inspire hope, fear, courage, self-reliance, self-respect, modesty, veracity, do- mestic affection. The patient is eager and sanguine in the pursuit of whatever strikes his fancy, ready with the most plausible reasons for the success of the wildest projects, viewing every prospect through 3 rose-colored medium, and regardless of the little proprieties and amenities of life. Love for others is replaced by aversion or indifference; the least contradiction or check is met by anger or impa- tience; he is restless, insensible to fatigue, and sleeps comparatively little. In some cases, and often at different periods in the same case, the very opposite moral condition occurs. Without cause, true or delusive, the person is completely wretched. The past affords him no pleasure, the future reveals not a single gleam of hope, and the ordinary sources of comfort and joy only serve to darken the cloud of doubt, apprehension, and despair in which he is enveloped. Mania is usually a growth, rather than a sudden development (though sometimes the latter), and