The alphabetized index of patients is followed by observations upon these patients by an unidentified physician. The notes detail the treatment and assessments of patients suffering from a full range of disorders, including what appears to be Alzheimer’s or dementia, depression, the suicidal, schizophrenia, anxieties, phobias as well as the criminally insane. The notes include disturbing accounts of force feeding and various means of restraint. Many patients are described as masturbating constantly, while others are punished for “filthy habits.”