In examining the male cases admitted to the Richmond Asylum during the year 1907, special attention was paid to the mixed variety of maniacal-depressive insanity as described by Kraepelin. The result, I must say, was disappointing, for out of 292 admissions only one case came under this head. It is only right to state that fifty-five of these cases were drafted to the Portrane Auxiliary Asylum, where I was unable to follow their history. Of these 292 cases 42 were suffering from acute mania and 59 from acute melancholia, and neglecting the cases sent to Portrane, none of these, with the one exception, departed from the ordinary course of these diseases.