Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
The progress of modern medical science has been almost bewildering. It
has been a comparatively short time since the principles of antisepsis
and asepsis were established by Lister. The plasmodium of malaria was
described in 1880. It was not until 1882 that the tubercle bacillus was
discovered by Koch. Diphtheria was rendered an almost harmless disease
by the discovery of a specific antitoxin. The uncertainties relating
to the diagnosis of typhoid fever were entirely removed when the Widal
reaction came into general use. The Roentgen ray has revolutionized
surgery. The diagnostic and therapeutic use of tuberculin has been of
inestimable value to internal medicine. Schaudinn's discovery of the
treponema pallidum in 1905 cleared up one of the greatest scientific
mysteries of modern times. The introduction of salvarsan has added
a new and important chapter to our history of therapeutics. The
Wassermann reaction represents probably the most important diagnostic
discovery of the century. The recent studies of the so-called ductless
glands have opened up new and important fields of research which
promise to be far-reaching in their results. Social service, unknown
only a few years ago, is now an indispensable adjunct of the modern
hospital organization. Training schools for nurses have become highly
specialized educational institutions.
What is to be said of the progress made in our knowledge of mental
diseases? Certainly much has been accomplished during the last
century. The earliest American contributor to this branch of medicine
was Benjamin Rush (1745-1813), professor in the Medical Department
of the University of Pennsylvania, member of the Continental
Congress, a signer of the Declaration of Independence and one time
physician-in-chief to the American armies. His "Medical Inquiries and
Observations into Diseases of the Mind," which appeared in 1812 was the
first publication of the kind in this country. It is interesting to
note that he condemned the misuse of mechanical restraint, advocated
hydrotherapy and recommended the appointment of instructors to
direct the employment and amusement of patients. Incidentally he was
the chairman of a committee appointed by the College of Physicians
of Philadelphia to memorialize Congress and the legislature of
Pennsylvania on the evils of alcoholism. Reference should also be made
to the fact that he opposed capital punishment, advocated the abolition
of slavery and objected to the study of the classics as a required
part of the college curriculum. He even favored woman suffrage. In
addition to his other activities this remarkable man was treasurer at
one time of the United States Mint, vice-president of the American
Bible Society, one of the founders of Dickinson College and associated
for many years with Franklin in the work of the American Philosophical
Society. Certainly he was many years in advance of his time. When
his work on "Diseases of the Mind" appeared, the word psychiatry was
Public-domain text, read in full here on John Shaqi.
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