The engraving can be grossly divided into a seated group in the foreground and a standing group in the background all surrounding a central figure. They are huddled in the bleak courthouse of an asylum. The core group is flanked to the right by a warden and the left by a mysterious figure. In the upper right quadrant, the faces of different delusions appear which conjure thoughts of schizophrenia and delirium. Proceeding in a clockwise fashion, the next character’s skin rash and bizarre appearance raise suspicion for neurosyphilis which can present with disturbances in personality, affect, sensorium, and intellect. Next, we see sufferers of presumed post-partum psychosis, adjustment disorder, and depression. The distraught woman holds tight to a log swaddled in cloth as though she were cradling her child. On the left side, angry scowls and provocative urges depict the behaviors commonly seen in mania, intoxication, withdrawal, or personality disorders.