Tis true, it is difficult to get such help as they would like. The attendants work mostly for the pay, and it is not a very desirable position to hold. If an attendant discharges her duties faithfully, she well earns her money. There are many unpleasant things to be endured by them; but they should expect this and not allow their temper to get the better of them and their duty. For instance, 1 have seen attendants get vexed at a patient, fly at them, and give them a general floundering, such as pulling their hair, jamming the keys against their sides, knocking their heads against the wall, throwing them down and knocking their heads against the hard floor, sitting on their knees, thus holding them down, while they choked them, bending their thumbs and wrists back, until it seemed they would break them off before they let the patient go. Whenever a patient is so badly bruised as to leave the marks visible, they are kept out of sight for a time with an excuse that they are not in a condition to be seen, as they will not keep their clothing on. This is the general excuse, and it is perfectly astonishing how smooth and nice the attendants will be when the doctor comes in the hall. All radiant with smiles, they will tell how their pets (meaning the patients) are improving under their care; or what trouble they have had with such a one. If the attendant owes the patient a grudge, a report of this kind will keep the patient from enjoying the privilege which the institution affords, and which the more favored of the patients receive—such as going into the dining hall to eat, and taking an out-door walk.