 From the outset, Greenacre's reports were critical, with regard to both the hospital, which she felt was as unwholesome as the typical asylum, and Cotton, whom she found "singularly peculiar".She realized that the appearance and behavior of almost all of the psychotic patients was disturbing to her because their teeth had been removed, making it difficult for them to eat or speak.Further reports cast serious doubt on Cotton's reported results; she found the staff records to be chaotic and the data to be internally contradictory.