The impulsive insane are often irritable, restless and jealous. Sometimes they have delusions, and sometimes not. Their delusions frequently seem to have no connection with their outbreaks of violence. They are often the best and at the same time the most dangerous class of patients in the asylums. They have little of the charity of the world, are most likely to be punished for their offences, and yet have the least control over their conduct. ["Impulsive and Homicidal Insanity," Boston Medical and Surgical Journal," April 19, 1843]
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