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state as a state of disorder clearly amounting to Insanity. A.4. I consider H: M: present state as a state clearly amounting to Insanity. Q.5. By what symptoms falling under your observation, & in what manifest circumstances of conduct & behaviour is the disorder of H:M:'s mind now clearly indicated. A. 5. H:M. entertains notions and His conduct & behaviour are influenced by notions which have no foundation in reason or in nature.