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Note (x). Page 28. "Bicefcre en 1792." " De rabolitiou des chaines." Par Scij)ion Pinel. Memoires de VAcadeviie Roy ale de Medecine. 1836. Also in Traite du Regime sanitaire des Alienes. Par Scipion Pinel. Paris, 1836. Note {y). Page 34, Time would not have permitted me to give a com- plete history of tlie improvement in the treatment of the insane, even if I had proposed so to do. Such a history would have required some reference to the eiforts of the philanthropic Due de la Rochefoucauld, and a more particular mention of the aid given to Pinel by his assistant, Pussin, an unlettered but very remark- able man. Living in the midst of the insane, Pussin had a thorough insight into their habits and all their symptoms. From him Pinel acquii-ed much knowledge of details. Pie had even anticipated Pinel in venturing to release some of the madmen from their fetters. When, three years after the reform at Bicetre, Pinel was soli- cited to undei-take the like task at the other great hospital. La Salpetriere, he made it a condition of his acceptance of the charge, that there also he should have the aid of Pussin. The reform in the treatment of lunatics in England had its origin in the well-known "Eetreat,". near York. This asylum was projected by William Tuke- and other