Conference of Officers in Charge of Government Hospitals Serving Veterans of the World War
History
Conference of Officers in Charge of Government Hospitals Serving Veterans of the World War
Medicine, Military; Military hospitals; World War, 1914-1918 -- Veterans -- Medical care -- United States
The second group is the group of what I shall call the ordinary State
hospital type of psychosis. This includes the type of individual that we
ordinarily find in State hospitals, that has always been recognized,
that is usually called “insane”, and that for the most part was
discovered by the army rather than created by war conditions, although
it must be recognized that a certain number in this group might, under
the ordinary circumstances of life, have remained stable, at least much
longer than they did. However, there is nothing unusual or extraordinary
or unfamiliar in this group to the average physician of State hospital
experience.
With regard to the treatment of this group, however, it should be said
that the great stimulus which came to psychiatry because of the war came
because the country discovered, and was astounded by the discovery, that
it had distributed throughout the length and breadth of its population a
vastly greater proportion of defective and mentally ill individuals than
it had the remotest dream of. Because of this stimulus which psychiatry
received, the matter of treatment has received very much more intensive
thought with the net result that there are today more well recognized
agencies for dealing with this class of patients than ever before. Very
briefly these agencies may be considered under the following heads, some
of which of course are not only well known and well recognized, but have
been used for many years, whereas others that are perhaps equally well
recognized have only received wide application recently.
The _first_ of these agencies, perhaps, is the application of the
general principles of medicine and surgery to the treatment of the sick
individual. In other words, the patient’s general health becomes a
problem for inquiry and appropriate consideration, irrespective of his
mental state, on the general theory that physical health is at least the
best condition precedent for undertaking a restoration to mental
equilibrium.
The _second_ of these agencies is the complement of the first, and is
best designated under the general term of psycho-therapy and consists in
the recognition of the mental disease as such irrespective of whether
there can be found any physical foundation for it or not, and on the
basis of such recognition endeavors to deal with it as a thing in
itself. In passing I may say that theoretically the best results would
come if these two agencies could work hand in hand each with sufficient
understanding of the other.
Public-domain text, read in full here on John Shaqi.
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