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LITTLE more than a generation ago, at one of the largest London Hospitals, its most distinguished physician is said to have observed to one of his clerks fresh from undergraduate Cambridge: "The sooner, my dear fellow, you forget your physiology, the better it will be for your medicine." Such advice would hardly be ventured to-day. Nor, I think, would a medical student be now told by any of ourselves: "The sooner you forget your psychology, the better it will be for your psychiatry," not perhaps because psychology has proved now more useful in furnishing an applied science than physiology proved then, but because at present, with rare exceptions, the medical student is afforded no opportunity of learning psychology, but has to pick up a smattering of it as best he can when he comes to approach the problems of psychological medicine. If for this reason alone, it may be not altogether a disadvantage for the Chair of the Section of Psychiatry of the Royal Society of Medicine to be held from time to time by a psychologist whose excursions into psycho-pathology are few and narrow-in my own case limited to the years of the recent war. I need hardly say how honoured such a one feels with this invitation and what a responsibility it places on him when he endeavours to present certain views and aspects, derived largely from a study of pure psychology, which he hopes may prove interesting and suggestive to those working in the applied field of medical psychology. In this address I propose to review our conceptions of consciousness. CLASSIFICATION OF THE MODES OF CONSCIOUSNESS. Let us first consider its main forms or modes. These have for two generations past been classified as cognitive, conative and affective; the cognitive consciousness dealing with the experiences of sensing, perceiving, imaging, recollecting, imagining, and other kinds of knowing and thinking; the conative consciousness with the experiences of acting or striving or willing towards a more or less definite end; and the affective 1 Being the Presidential Address to the Section of Psychiatry, Royal Society of Medicine, delivered on 11th November, 1924. Med Psych 1 Catalogue for Biol. Lib. |