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Joseph Fussell was Graceanna Lewis' cousin. Offers to lend books to Lewis; describes the value of good books and the role of reading in (Quaker) life. Relates that he wrote to Dr. Pliny Earle about patients in the asylum whose diseases the physicians said were "anxiety about religion." Describes Earle's response, the shapes of the patients' skulls, and phrenology and its relationship to fatalism.