Levy and Southcombe review the cases of juvenile schizophrenia in the Eastern State Hospital since 1891 in an effort to determine the results of convulsive therapy in this disease entity. Out of a total of two hundred and ninety-one juvenile patients, one hundred and three were diagnosed schizophrenics. Of these, forty-seven had received various forms of convulsive therapy—insulin alone or insulin with either metrazol or electric shock—almost all since 1936. The results in these were compared with the outcome in the remainder of the cases (fifty-six) treated before the era of shock therapy. These studies revealed a low incidence of favorable response to the shock therapies, even lower than with the institutional care of the preshock period. Levy and Southcombe conclude that juvenile schizophrenia tends to run a malignant course and does not respond to shock treatment as well as adult schizophrenia.