Case No. 85.—St. 168; Wt. 70. Turner in iron. Comfortable circumstances. Sentenced to thirty years in prison after one previous conviction for criminal assault. Ruddy complexion. Veins not visible. Abdomen very prominent. Gastrectasia (dilation of the stomach). Entire cardiac region protuberant. Laboured breathing. Cardiac action abundant.

Hence we perceive, in the etiology of crime, the importance of the organic factor, connected directly with the lack of harmony in the viscera and their functions, and consequently accompanied by special morbid predispositions.

As a result of this line of research, criminality and pathology are coming to be studied more and more in conjunction. For that matter, it was already observed by Lombroso that in addition to the various external malformations found in criminals, there were also certain anomalies of the internal organs, and a widespread and varied predisposition to disease. In short, his statistics reveal a prevalence of cardiac maladies and of tuberculosis in criminals, as well as a great frequency of diseases of the liver and the intestines.

Extreme or Infantile Types, Nanism and Gigantism, Extra-social Types

Whenever the disproportion between the bust and the limbs surpasses the extreme normal limits, the whole individual reveals a complex departure from type. Thus, for example, in connection with extreme brachyscelia, there exists a characteristic form of nanism (dwarfishness), called achondroplastic nanism, in which, although the bust is developed very nearly within normal limits, the limbs on the contrary are arrested in their growth so as to remain permanently nothing more than little appendages of the trunk. This calls to mind the fœtal form of the new-born child, and the resulting type, because of this morphological coincidence, is classed among the infantile types.

Achondroplastic nanism is associated with a pathological deformity due to fœtal rickets. It is not only the child after birth, but the fœtus also which, during its intrauterine life, may be subject to diseases. Rickets (always a localised disease, usually attacking some part of the skeleton) in this case fastens upon the enchondral cartilages of the long bones. As we know, the long bones are composed of a body or diaphysis and of extremities or articular heads, the epiphyses. Now, these different parts, which form in the adult a continuous whole, remain separate throughout the fœtal and the immediate post-natal period: so that the heads of the humerus and the femur, for example, in the case of the new-born child, are found to be joined to the diaphysis by cartilages (destined to ossify later on), which are the chief seat of growth of the bones in the direction of length. Well, in these cases of pre-natal rickets, the union of the bony segments takes place prematurely, and since the bones can hardly grow at all in length, they develop in thickness, and the result is that the limbs remain very short and stocky. Meanwhile the bust, the bones of which have in no way lost their power of growth, develops normally.

Now, these dwarfs, who have abundant intelligence, because they have the essential parts of stature in their favour, constituted the famous jesters of the mediæval courts, whose misfortune served to solace the leisure hours of royalty. Paolo Veronese went so far as to introduce a dwarf buffoon, of the achondroplastic type, into his famous painting, The Wedding at Cana.

Conversely, in connection with an exaggerated macroscelia, we have gigantism.

Ordinarily, a giant has a bust that is not greatly in excess of normal dimensions. The limbs, on the contrary, depart extremely from the normal limits, in an exaggerated growth in the direction of length: so much so that the bodies of giants present the appearance of small busts moving around on stilts.

Nevertheless, many different forms of gigantism occur. The pathology of this phenomenon is quite complex; but we can not concern ourselves with it here. It is a scientific problem of no immediate utility to our pedagogic problems. Dwarfs and giants, whatever their type and their pathological etiology, constitute extra-social individuals, who have been at all times excluded from any possibility of adaptation to useful labour, and employed, whether in the middle ages or in the twentieth century, to a greater or less extent as a source of amusement to normal beings, because of their grotesque appearance, either at court or in the theatres, or in moving pictures, or (in the case of giants) as figures suited to adorn princely or imperial gateways. These individuals are as completely independent of the social conditions of the environment in which they were born as if they were extraneous to humanity. In relation to the species, they are sterile.