Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
Birthplace and age, unusual incidents attending birth, retardation
in talking or walking, infantile convulsions, night terrors, fits of
temper, etc.—Severe illness or infectious diseases in infancy or
childhood—Sequella? Frights, shocks or injuries?
2. _Education, Intellectual and Moral Development_:
Educational opportunities, time spent in school, interest in studies,
progress, marks, behavior, truancy, etc.?
As an adult, regarded as bright, intelligent or dullminded? Well
informed or ignorant? Reading, memory, judgment?
Moral responsibility, reliability, religious interests? Church
affiliations?
Criminal traits, tramp life, police record?
3. _Sexual Life_:
Precocious interests in childhood, masturbation, abnormal practices,
assaults or seduction?
Love affairs and disappointments? Age at marriage or reasons for
single life. Moderate or excessive sexual desires, irregularities or
prostitution.
Miscarriages, number of children, date of birth of youngest? If barren,
what explanation; what effect on patient?
Frigidity, loss of power, refusal of partner, infidelity, measures to
prevent conception. Treatment of partner, abuse, separation, divorce.
Perversions, abnormal methods of gratification with same or opposite
sex.
In women, unusual symptoms at menstrual periods; age at menopause,
nervous symptoms accompanying climacterium?
4. _Diseases and Injuries_:
Any previous nervous affection or symptoms, such as headaches, nervous
prostration, chorea, epilepsy, hysterical attacks, etc.?
Mention severe infections diseases and sequella, if any. Inquire
concerning tuberculosis, rheumatism, heart disease, nephritis, etc.
Venereal disease, _syphilis and gonorrhea_, full account, if possible,
of how acquired, age, treatment and after affects.
Severe injuries, particularly head traumata, should be described as
regards their immediate and subsequent effects.
5. _Occupation_:
Kinds of work undertaken, ambition, efficiency, wages, etc. Length of
time in different positions, reasons for change, etc.
6. _Alcoholism and Other Toxic Influences_:
Intemperate, moderate or total abstainer? If intemperate, age at which
drinking began, apparent cause of same, kind of beverage consumed and
approximate amounts. Periodic or steady drinker? Usual reaction to
alcohol?
Inquire about attacks of neuritis, delirium, hallucinatory episodes,
suspicions, ideas of jealousy.
_Other toxic influences_: Drug habits, occupational poisons, lead,
arsenic, phosphorus, mercury, etc. Illuminating gas poisoning, nicotine
intoxication.
7. _Mental Make-up or Type of Personality_:
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