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MEDICAL RECORD. 431 terioi'ating psychosis going on to complete de- mentia, the psychoanalyst has a greatly impaired intellect with which to deal when the case comes under his care, due to impaired judgment or reason- ing power. This makes it e.xtremely difficult, if not impossible to gain the patient's cooperation. On the other hand, hysteria and allied conditions may show hallucinations and delusions, but the progressive deterioration is not present, and the psychoanalyst meets with greater cooperation and a correspondingly better result is obtained. The fact should not be lost sight of that dementia precox, as viagra in dubai pharmacy well as other abnormal mental condi- tions, is a disease and consequently has an etiology. Greater effort viagra in dubai pharmacy should be made to obtain informa- tion relative to the cause of this condition and thereby facilitate prophylaxis. At present it is believed that the factors largely responsible in the causation of dementia precox may be grouped under three heads, viz., "Demen- tia precox in the immediate or remote ancestry, alcoholism, and abnormal personality.'" Under the last division would be included "crankiness" and marital incompatibility. do generic viagra work However, in addition to the above causes, recognized authorities on mental diseases" have called our attention to the great im- portance of the present school system as an eti- ological factor in exhausting the limited potential with which this type of individual is endowed." The first three etiological factors will be seen to deal with the remote and immediate ancestry, and the fourth with the early childhood and develop- ment do generic viagra work of the individual. It is obviously impossible in this paper to give more than a superficial discussion of these eti- ological factors and the prophylactic measures in- dicated. The removal of the first factor in the causation of this condition is the most difficult, and the result will depend largely upon the thorough- ness of the campaign of education referred to later in this paper. "The right of a child to choose his parents" is a statement of greater importance than appears do generic viagra work on the surface and applies directly to the subject under discussion. The large amount of literature on eugenics that has flooded the professional and lay press during the last few years has already done great good by causing legislation along these lines, and, most im- portant of all, it has been the means of directing the attention of the public to the fact that there are more important factors than sentiment to be considered when one is choosing a life partner. The second factor, or alcoholism, is, without doubt, of great importance. Its common use as an aphrodisiac has, no doubt, been responsible for many a child being born with that "limited poten- tial," which caused the "stranding on the rock of puberty." viagra in dubai pharmacy It is difficult to obtain positive proof of its effect when used as an aphrodisiac, should conception occur, because of the inability to estimate the time of conception. It is well known that the offspring of a woman who has been addicted to alcoholics during pregnancy is very likely to be mentally defective. When it is known that acute alcoholism causes a temporary loss of do generic viagra work function of the higher conscious centers, as judgment, reasoning, moral sense, etc., and in the chronic alcoholic, causes a permanent loss of these higher intellectual functions, it is quite within the bounds viagra in dubai pharmacy of reason to believe that a man, or more especially a woman, addicted to alcoholics is quite likely to have one or more of his or her children turn out to be mentally defective. In many instances the alcoholism is but a symptom of neuresthenia, or of a dementia precox at a more advanced age, to which it in turn has contributed, and established a vicious viagra in dubai pharmacy circle which has left its impress in heredity. The removal of alcoholism as an etiological factor, like heredity, depends upon acquainting the public with its evil and far- i-eaching effect upon the human race. At least ig- norance can no longer be the plea, and the medical profession will, in a measure, have discharged its duty to humanity. The next etiological factor is the parent with an abnormal personality or pathological character, or the so-called "crank." As stated, we also have, under this heading marital incompatibility due to the inability of one or both parents to adapt them- selves to commonsense relations. Another subdivision of the pathological char- acter is the class which may be termed "derelicts" themselves in all probability suffering in some slight degree from dementia precox coming on later in life. Many of these belong to the alcoholic class, and, after reaching manhood, they are unable to keep up the struggle and are forced to drop out and be content with small clerical positions.' On every hand we viagra in dubai pharmacy see this type, and they represent the semi-failures of life. This class is, no doubt, re- sponsible for many cases of dementia precox in our institutions to-day. Marital incompatibility is a frequent cause and could be avoided if parents were informed viagra in dubai pharmacy of its importance. The above etiological factors deal entirely with the parentage of the child, and successful prophy- laxis will depend upon the extent the medical pro- fession interests itself in educating the public. When one pauses to think that the individual hav-