Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
in any spirit of criticism but for the purpose of pointing out the
necessity of utilizing such facts as may be available.
There is nothing new about this suggestion. It was strenuously
advocated by Louis, the founder of one of the greatest French schools
of medicine many years ago. This was referred to by his pupil and
admirer, Oliver Wendell Holmes, in his farewell address to the Harvard
Medical School in 1882 in the following words: "The 'numerical
system,' of which Louis was the greatest advocate, if not the absolute
originator, was an attempt to substitute series of carefully recorded
facts, rigidly counted and closely compared, for those never-ending
records of vague, unverifiable conclusions with which the classics of
the healing art were overloaded. The history of practical medicine had
been like the story of Danaides. 'Experience' had been, from time
immemorial, pouring its flowing treasures into buckets full of holes."
A determined effort has been made by the American Psychiatric
Association to correlate the activities of the various state hospitals
for mental diseases and utilize the great wealth of clinical material
within the walls of these institutions for such studies as may promote
the advancement of psychiatry. With this end in view a committee was
appointed at the annual meeting at Niagara Falls in 1913 to formulate
a plan for the compilation of statistical data relating to mental
diseases. The conclusions reached by this committee are illustrated
by the following quotation from their report in 1917: "That the
statistical data annually compiled by the various institutions for
the insane throughout the country should be uniform in plan and scope
is no longer open to question. The lack of such uniformity makes it
absolutely impossible at the present time to collect comparative
statistics concerning mental diseases in different states and
countries, and extremely difficult to secure comparative data relative
to movement of patients, administration and cost of maintenance and
additions. The importance and need of some system whereby uniformity in
reports would be secured have been repeatedly emphasized by officers
and members of this Association, by statisticians of the United
States Census Bureau, by editors of psychiatric journals, and by
administrative officials in various states. We should know accurately
the forms of mental disease occurring in all parts of the country; we
should know the movement of patients in every hospital for the insane;
we should know the cost of maintenance of patients and the amounts
spent for additions and improvements in every state hospital; we should
be able to compile annually complete data concerning these and other
matters, and compute rates and draw comparisons therefrom. Such data
would serve as the basis for constructive work in raising the standard
of care of the insane, as a guide for preventive effort, and as an aid
to the progress of psychiatry."
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account