Political appointments in the United States federal government until 1883. In 1820 Congress limited federal administrators to four-year terms, which led to constant turnover; by the 1860s and the Civil War, patronage had led to widespread inefficiency and political corruption. Although it used to be confined to cabinet positions, department heads, and foreign ambassadorships, by the 1860s patronage had spread to low-level government positions. This meant that when the incumbent political party lost a presidential election, the federal government underwent wholesale turnover. On July 2, 1881, Charles J. Guiteau, a disaffected and mentally unstable political office seeker, assassinated President James Garfield. This highlighted how much the
Charles J. Guiteau storage by the museum. Parts of Guiteau's brain remain on display in a jar at the Mütter Museum in Philadelphia. Dr. Allan McLane Hamilton said in 1881 that he believed that Guiteau was sane when he assassinated Garfield. An autopsy of Guiteau's brain revealed that his dura mater was abnormally thick, suggesting he may have had neurosyphillis, a disease which causes mental instability; he could have contracted the disease from a prostitute. George Paulson, formerly the chair of neurology at Ohio State University, disputed the neurosyphillis diagnosis, arguing that Guiteau suffered from both schizophrenia and "grandiose narcissism". In 2014, the