Cases of Senile Nerve Degeneration Resembling General Paralysis

The desire to define a disease by giving it a name and sharp boundaries is natural, especially among those who devote their attention to some particular group of diseases. The result in the case of General Paralysis, as in many others, seems to me to be of very doubtful utility. No doubt it is easy to select cases in an asylum which will form a well-defined group under the name of General Paralysis; but when one has to watch all cases which present themselves in general practice, the boundaries are not at all so easy to maintain. The following cases will serve to illustrate this:?