. A treatise on mental diseases. ly manage to retain sufficientof their schooling to read monosyllabically, and to scratch with penor pencil characters that they designate as writing. Arithmeticalproblems of the simplest character are ordinarily too hard for them ;a few are able to tell you howmany apples, for instance, arein a row, but even here theresults are often falsified, 1and 1 often making 3. Inspeech they are cpiite fre-quently shrewd, and are quickin the observation and theapplication of trivialities. They are vain, quarrel-some, easily irritated, incapa-ble of joining in the familyl
. A treatise on mental diseases. ly manage to retain sufficientof their schooling to read monosyllabically, and to scratch with penor pencil characters that they designate as writing. Arithmeticalproblems of the simplest character are ordinarily too hard for them ;a few are able to tell you howmany apples, for instance, arein a row, but even here theresults are often falsified, 1and 1 often making 3. Inspeech they are cpiite fre-quently shrewd, and are quickin the observation and theapplication of trivialities. They are vain, quarrel-some, easily irritated, incapa-ble of joining in the familylife, and are a constant sourceof annoyance to the house-hold from their propensitiesto lying, thieving, vagabond-age, and their general shame-lessness and uncontrollablecharacter. They cannot bemade to do any regular work,but are perpetually changingfrom one occupation to an-other (hyperkinesia); they will watch others at work and join them for a few minutes,only to throw down their tools and flit to some new source Fig. 47.—A High-grade Negro Imbecile GirlSubject to Attacks ok Great baa a fair vocabulary. There is a well-marked epicauthus, giving her a Mongolianappearance. 524 A TREATISE ON MENTAL DISEASES The sexual instincts have a higher development in this grade,tending toward heterosexuality, and, especially in the case of womenimbeciles, are an unceasing source of annoyance and disgrace to theirparents, requiring constant watching to keep them from the machi-nations of evilly disposed persons. Despite the apparent facility of language, thought is reallyslow. Patients of this class do not comprehend quickly, and thereis a frequent tendency to the repetition of any question addressedto them (echolalia). In certain instances this inclination to repeatis so great that every sentence has to be reiterated and ponderedover before any reply can be given. This defective memory sep-arates them from close contact with their mental superiors, as it i
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