Physician and patient : $b or, a practical view of the mutual duties, relations and interests of the medical profession and the communityHooker, Worthington
Science
Physician and patient : $b or, a practical view of the mutual duties, relations and interests of the medical profession and the community
Hooker, Worthington
Medical ethics; Physician and patient; Physicians; Quacks and quackery
3. In sending a patient to a Retreat, you place him under a better
moral and mental management than he can have among his friends.
There is a peculiar tact requisite for the proper management of the
insane, which some seem to possess naturally, and which is much
improved by actual practice. In the selection of attendants in our
Retreats special regard is of course had to the possession of this
qualification. The attendants are therefore skilful in managing the
insane mind. They are free from those errors which are so common in
the community in relation to the treatment of insanity, and which
often do so much harm to the insane while they continue under the
care of their friends at their homes. Some of these errors it will be
profitable to notice briefly in this connection.
It is very common for the friends of the insane to attempt to
_reason_ them out of their delusions. If the derangement be of a
religious type, the clergyman, or some excellent friend, endeavors
by argument to convince the patient of his error. This is in vain,
and worse than in vain. _It uniformly does harm._ It does nothing but
strengthen the patient’s confidence in his notions, and make him more
earnest and obstinate in their defence.
It is quite common still, though not so much so as it once was, to
practice deception upon the insane. This ruinous error I comment upon
in the chapter on _Veracity in our Intercourse with the Sick_, to
which I refer the reader.
Another error which is frequently committed, is to pursue a timid
course at one time and a violent one at another, instead of one which
is both mild and firm throughout. This error has been the cause of
the practice of much unnecessary cruelty in the domestic treatment of
the insane.
These and other errors are for the most part avoided by the
attendants in our Hospitals. They have no needless collisions
with the patients in regard to their notions and delusions. They
practice no deception upon them, but win their confidence by an open
and candid intercourse. Their conduct towards them is marked with
mildness, and they make use of no more restraint than is absolutely
necessary, and that with calm firmness, instead of impetuous and
noisy violence.
Public-domain text, read in full here on John Shaqi.
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