. The institutional care of the insane in the United States and Canada . be about the same as the proportion of tuberculouspatients in general communities. The author believed that therewas no necessary connection between tuberculosis and the develop-ment of insanity. If tuberculosis existed in the case of a patientin an institution there was reason to think that the circumstancesof the institution were such as to favor an infection from someother patient or to lower his vitality so that tuberculosis mightdevelop. Dr. Richardson, of Ohio, presented a paper on the practicalworking of the associ
. The institutional care of the insane in the United States and Canada . be about the same as the proportion of tuberculouspatients in general communities. The author believed that therewas no necessary connection between tuberculosis and the develop-ment of insanity. If tuberculosis existed in the case of a patientin an institution there was reason to think that the circumstancesof the institution were such as to favor an infection from someother patient or to lower his vitality so that tuberculosis mightdevelop. Dr. Richardson, of Ohio, presented a paper on the practicalworking of the associate dining-rooms, which was one of the firstaccounts given of this manner of providing dining-room accom-modations for patients in the United States. A large part of the sessions of two days was taken up with adiscussion of a report upon the modification of the propositions,a fuller account of which may be found in a later chapter on the propositions. The forty-third meeting of the Association was held at New-port, June 18, 1889. Dr. W. W. Godding, of Washington, was. DR. SAMUEL WHITE. ASSOCIATION OF MEDICAL SUPERINTENDENTS 47 president. Forty-seven members were present, and 10 persons byinvitation. A paper was presented by Dr. Preston, of Virginia, on the Moral and Curative Effects of Associate Dining Rooms. Thispaper brought out the fact that associate dining-rooms werealready in use at St. John, N. B., at Norristown, Pa., at Harris-burg, Pa., and in Ohio. Dr. Stedman presented a paper on the family system of provisionfor the insane. In the discussion which followed considerable dif-ference of opinion was developed as to the utility of family care. Dr. A. R. Moulton, the secretary of the Massachusetts Board ofInsanity, presented interesting statistics which showed the greatadvantage of such care to selected patients. He stated that 113patients were boarded out in Massachusetts and that their conditionwas more comfortable than had been the case in an institution. Dr. Cowles pr
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