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nell, whicli will sliortly ap|>(.ar in the New York .\1kUIC.\L JOL-Ki\.\L. Dr. Thomas 11. Souihwokiu oi>cned the discu.s- .sion by saying that thi.s problem has in recent years received much attention, not only from educators, but from all interested in the welfare and morality of the community. .'\s the result of this agitation it had been found wise to segregate large numbers of unforlunaU's liitiierto attending our ])nblic schools ;uid who had been detrimental to their fellow schol- ars ; also to segregate a still larger number who were detrimental to the community at large. .\ further problem had arisen of providing a more humane en- vironment : one where, with their limited capacities, lliey tnight be dcveIoi)etl along lines which would contriljutc to their helpfulness and happiness. To tliis prol)lem the City of New York has devoted it- self, and they were gathered today to learn what was being done. Hon. IliiNRY C. Wright (First Deputy Commis- sioner Generic Cialis Super Active Reviews of Charities) expressed his pleasure in hav- ing the association meet at the New York City Chil- dren's Hospital and Schools, ['"our years ago, that institution was primarily a custodial institution, but ■t was now unic|ue in the United States, and perhaps in the world, in that it received defective minded (liildrcn from a public of six million people, studied them , groui)ed them, and sent them on accord- ing to this grouping, to state institutions, who devote themselves to the care of those sent, the first institution acting like a sieve. A certain num- ber are retained, while others are sent to the state institutions at Letchwortli Village, Rome, Syracuse, ( rgig Colony, etc. That, in a certain sense, made tile Randall's Island institution a trying out place or laboratory in (|uitc a dii'fcrcnt sense from other in- Generic Cialis Super Active Reviews stitutions for tlie leeble minded. iMrst, it is determined whether the defective mind was due to traumatism, pressure on the brain, dislo- cation of the vertebra causing jjrcssure on the nerves, defective internal secretions, autointoxica- tion of any kind, Generic Cialis Super Active Reviews then studied from the mental stanGeneric Cialis Super Active Reviews for the feeble- minded in this country was undertaken by Samuel Howe, of Boston, whose work was with the low grade feebleminded, the idiots, and his interest was largely humanitarian. Up to tliat time the feeble- minded had been cared Generic Cialis Super Active Reviews for mainly in local poor- houses, where they were neglected, frequently abused, and, in consequence, deteriorated. It was H-owe's aim to show that even idiots could be kept from becoming degraded, and he proved his point. The present countrywide interest in the subject of feeblemindedness was not so much humanitarian as social, economic, practical. Since Doctor Howe's time it has been learned Generic Cialis Super Active Reviews that there are dilTerenl grades of feeblemindedness; that, socially, the lower grades the idiots, are not of particular importance, but the higher grade feebleminded produce many difticult social problems. The connnunity has Generic Cialis Super Active Reviews found that for its own self protection it must understand and care for this group, and, as it cannot be assimi- lated by the community, it must be dealt with in a more .special way. The plan outlined by Commis- sioner Wright is now being generally adopted throughout the country. In the ungraded classes of the public schools ccr- l;iin of the higher grades could be taught simple tratles, so that, umler supervision, they could do fairly well in the community, and need never come to institiuions. Those children who had i^sscd through the ungraded classes and could not take care of themselves, even under careful supervision, PROCEEDINGS OF SOCIETIES. [New York Medical Journal. should be sent to institutions where their training