Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
It may be suggested that these are functions which properly belong to
the medical profession exclusively. A little reflection will, however,
be sufficient to show that this is not the case. Efforts have been
made for years to prevent the spread of venereal disease. Attempts
were made to accomplish this by legislative enactment. That these
methods of control have been ineffectual is now well known to everyone.
Continental governments have for a long while been trying to regulate
prostitution by police supervision and frequent medical inspections.
The percentage of venereal disease has, however, not been appreciably
reduced by this plan and it has been repeatedly condemned by vice
commissions as a result of official investigations. It may be stated
now, I think, without fear of contradiction that this is a matter
which must be regulated by educating the public and which can be
handled in no other way. It is a well known fact that no law can
be enforced unless it meets with public approval. The will of the
majority rules. When the effects of venereal disease are generally
recognized there will no longer be a necessity for much legislation on
the subject. This is a question of far-reaching importance. When it is
recalled that twelve per cent of the cases admitted to our hospitals
for mental diseases are suffering from general paresis or cerebral
syphilis, the necessity of a more general understanding of these
conditions is readily apparent. The percentage is much higher in the
densely populated metropolitan districts.
Legislative restrictions in the past were never very successful
in limiting the use of alcoholic beverages. It is true that the
Eighteenth Amendment to the Constitution of the United States and the
Volstead Act have had a very material effect on the number of cases of
alcoholism admitted to our institutions. The influences which resulted
in alcoholism, however, will find an outlet in some other direction
unless they are modified in some way. This again is largely a matter of
education. There never was a time in the history of the country when a
knowledge of the effect of drugs of various kinds on the nervous system
was as important as it is today.
Public-domain text, read in full here on John Shaqi.
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