The case here related by Dr. Ritchie was admitted as a private patient into Bethnal House Asylum, London, on the 8th of September, 1843, suffering from chronic mania, in good general health; mind generally disordered, but quiet. She was, however, subject to paroxysms of excitement, the cause of which she alleged to be two other persons, who used some means, of which she was not cognisant, to excite her. She had various other delusions, such as that her actions and feelings were controlled by others; “that her husband” (he had been dead for some years) “is alive, and she occasionally converses with him;” “she hears a voice abusing her,” &c. From this date it appears that she had delusions of a similar nature, but of increasing intensity. Her bodily health was good, and unaffected by severe illness.