proved of life-saving 
advantage have in the course of time become typical, while the 
individuals in which unfavorable variations, or defects, have occurred 
have not survived in the struggle for existence. Morphologically men 
are the more unstable element of society, and this instability expresses
itself in the two extremes of genius and idiocy. Genius in general is 
correlated with an excessive development in brain-growth, stopping 
dangerously near the line of hypertrophy and insanity; while 
microcephaly is a variation in the opposite direction, in which idiocy 
results from arrested development of the brain, usually through 
premature closing of the sutures; and both these variations occur more 
frequently in men than in women. There is also evidence that defects in 
general are more frequent in men than in women. 
A committee reported to the British Association for the Advancement 
of Science, in 1894,[45] that of some 50,000 children (26,287 boys, and 
23,713 girls) seen personally by Dr. Francis Warner (1892-94) 8,941 
were found defective in some respect. Of these, 19 per cent. (5,112) 
were boys, and 16 per cent. (3,829) were girls. 
An examination of 1,345 idiots and imbeciles in Scotland by Mitchell 
showed the following distribution of the sexes: 
Male Female Male Female Idiots 430 284 or 100 to 66.0 Imbeciles 321 
310 or 100 to 96.5 
showing that "the excess of males is much greater among idiots than 
among imbeciles; in other words, that the excess of males is most 
marked in the graver forms of the disease."[46] 
A census of the insane in Prussia in 1880 showed that 9,809 males and 
7,827 females were born idiots. Koch's statistics of insanity show that 
in idiots there is almost always a majority of males, in the insane, a 
majority of females. But the majority of male idiots is so much greater 
than the majority of female insane that when idiots and insane are 
classed together there remains a majority of males.[47] Insanity is, 
however, more frequently induced by external conditions, and less 
dependent on imperfect or arrested cerebral development. Mayr has 
shown from statistics of Bavaria that insanity is infrequent before the 
sixteenth year; and even before the twentieth year the number of insane 
is not considerable.[48] In insanity the chances of recovery of the 
female are greater than those of the male, and mortality is higher 
among insane men than among insane women. There is practical 
agreement among pathologists on this point.[49] Campbell points out in 
detail[50] that the male sex is more liable than the female to gross 
lesions of the nervous system--a fact which he attributes to the greater 
variability of the male.
An excess of all other anatomical anomalies, except cleft palate, is 
reported among males. Manley reports that of 33 cases of harelip 
treated by him only 6 were females.[51] It appears also that 
supernumerary digits are more frequent in males. Wilder[52] has 
recorded 152 cases of individuals with supernumerary digits, of whom 
86 were males, 39 females, and 27 of unknown sex. A similar relation, 
according to Bruce, exists in regard to supernumerary nipples.[53] 
Muscular abnormalities, monstrosities, deaf-mutism, clubfoot, and 
transposition of viscera are also reported as of commoner occurrence in 
men than in women.[54] Lombroso states that congenital criminals are 
more frequently male than female.[55] Cunningham noted an eighth 
(true) rib in 14 of 70 subjects examined. It occurred 7 times in males 
and 7 times in females, but the number of females examined was twice 
as large as the number of males.[56] The reports of the registrar-general 
show that for the years 1884-88, inclusive, the deaths from congenital 
defects (spina bifida, imperforate anus, cleft palate, harelip, etc.) were, 
taking the average of the five years, 49.6 per million of the persons 
living in England for the male sex, and 44.2 for the female.[57] 
It has already been noted as a general rule throughout nature that the 
male seeks the female and physicians generally believe that men are 
sexually more active than women,[58] though woman's need of 
reproduction is greater,[59] and celibacy unquestionably impresses the 
character of women more deeply than that of man. Additional evidence 
of the greater sexual activity of man is furnished by the 
overwhelmingly large proportion of the various forms of sexual 
perversion reported by psychiatrists in the male sex. 
Pathological variations do not become fixed in the species, because of 
their disadvantageous nature, but their excess in the male is, as we have 
seen in the case of variations which have become fixed, an expression 
of the more energetic somatic habit of the male. 
A very noticeable expression of the anabolism of woman is her 
tendency to put on fat. "Women, as a class, show a greater tendency to 
put on fat than men, and the tendency is particularly well marked at 
puberty, when some girls become phenomenally stout."[60] The 
distinctive    
    
		
	
	
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