It is not my purpose to discuss in detail hospital organization and construction, but simply to call attention to some defects in both, which, I think, ought to be carefully pondered by those who have an interest in the care and treatment of the insane. My observations are intended to apply, for the most part, to those hospitals mainly devoted to the treatment of recent cases of insanity, and where no considerable number of incurable cases is allowed to accumulate. But with some slight modifications they apply with equal force to all hospitals and asylums for the insane.