Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
In the foregoing paragraphs we have pointed out the vital importance of
research in relation to mental disease. All properly conducted clinical
work is of the nature of original investigation; and in the examination
of patients suffering from mental disturbance this is particularly
the case. But a vast amount of research work must be carried out in
properly equipped hospitals and laboratories if we are to deal with the
problems of lunacy in the same efficient manner as we have learnt to
treat tuberculosis. In this connection it is important to emphasise the
lack of an adequate knowledge of normal psychology among many of the
medical officers and the absence of psycho-pathological research in so
many of our asylums.
It must not, however, be inferred that the only reform needed is an
increase and improvement of the _mental_ treatment of mental disease.
It is not merely the psychological side that is neglected. The most
depressing aspect of the present state of affairs _is the comparative
absence of all research_. Investigations into the material basis of
mental disease, while certainly more numerous than psychological
investigations, are at present few in number. Hosts of problems
concerned with the nervous system are awaiting investigation, and the
admirable results obtained by the small band of energetic workers in
our country serve to show how sadly our nation is neglecting its golden
opportunities for accomplishing much more in this respect. Important
problems in connection with the normal and morbid anatomy of the
nervous system, its pathology and its bio-chemistry, suggest themselves
to the worker at every step. The physiological and psychological
effects of different diets, of drugs like the hypnotics, _et cetera_,
how little we know of them! Are we to rest content in leaving this vast
unknown land to be charted by other nations?
Original research is thus urgently needed in all those departments
which should be included in asylum work. But it is also necessary for
the researches to be co-ordinated. Not a few individual doctors in
our asylums, usually members of the junior staffs, are endeavouring
to carry on original investigations; but in the majority of cases the
absence of any prospect of direct or indirect personal benefit from
this work damps their enthusiasm, if it does not make such work wholly
impossible. And, of course, without the willing co-operation of the
asylum authorities co-ordinated researches cannot be carried out.
We shall again quote from the report of the Medico-Psychological
Association in justification of our statement:—
Public-domain text, read in full here on John Shaqi.
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