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- Chapter 1 Idiots in America
- Chapter 2 Edward Seguin and the Irony of Physiological Education
- Chapter 3 The Burden of the Feebleminded
- Chapter 4 Living and Working in the Institution, 1890–1920
- Chapter 5 The Menace of the Feebleminded: At Century’s End: Human Weal or Human Woe?
- Chapter 6 Sterilization, Parole, and Routinization
- Chapter 7 The Remaking of Intellectual Disability: Of War, Angels, Parents, and Politicians
- Chapter 8 Intellectual Disability and the Dilemma of Doubt