Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
This last consideration leads us to the examination of another potent
factor in the present situation, _viz._:—
_The Attitude of the Medical Profession._ When it is remembered that
mental factors play an important rôle in the causation and continuance
not only of obviously mental disorder but also of bodily troubles,
and that therefore successful diagnosis and treatment must inevitably
take these factors into account, it may seem remarkable that the
medical profession as a whole should take so little interest in, and
know so little of psychology. Even when the psychological aspect
of their problems becomes the outstanding element in diagnosis and
treatment, the vast majority of medical practitioners show little or no
inclination to satisfy their scientific curiosity and to endeavour to
understand the condition of their patients.
But this attitude becomes more comprehensible, and in a certain measure
more excusable, when we look into the courses of instruction provided
for students in our medical schools. What training in psychiatry—to say
nothing of psychology and psychopathology—have they received in the
schools? How many hours have been spent in lectures or demonstrations
upon mental diseases? And how has this modicum of time been spent? How
many hours are devoted to actual _personal investigation_ of patients
suffering from early mental disorder? All the instruction in such
matters that our students get at present in most of the medical schools
is given in a few hours during one term, when they visit an asylum
where demonstrations are given of _advanced_ cases of mental disease:
“melancholia,” “mania,” “dementia,” etc.
Lest we may be accused of wild statements, let us quote again from the
Medico-Psychological Association’s report. (The italics are ours.):—
“... the attention given to mental diseases before qualification
is much less than that given in many other countries. Owing to the
absence of clinics, the medical student _has no opportunity of
observing borderland or undeveloped cases_.” (p. 6.)
“To this absence of teaching facilities is due the lack of knowledge
of the general practitioner, who should be competent to recognise, and
possibly to deal with, some of the earliest symptoms; _to this we owe
the lack of real equipment in those who enter the lunacy service_.”
(p. 21.)
Public-domain text, read in full here on John Shaqi.
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