Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
The place to which such a patient should be able to go is obviously
one which is exempt from any stigma; one in which of his own free will
he may stay for a time under care, or if this be unnecessary, as is
very frequently the case, which he may visit at frequent intervals
for advice and treatment. It should be staffed by skilled specialists
who are familiar with the diagnosis and treatment of _early_ and
_incipient_ mental disorder, not only with that of advanced insanity.
For years such institutions have existed in other countries and form an
important part of their contribution towards the alleviation of human
suffering.
The chief functions of such a psychiatric clinic would be:—
(1) Attendance on the mentally sick.
(2) The provision of opportunities for personal intercourse between
patients and the psychiatrists in training.
(3) The theoretical and practical instruction of students.
(4) Advising general practitioners and others who are faced with
difficult problems arising in their daily work.
(5) To serve as a connecting link between investigation in the large
asylums and that in the anatomical, pathological, bacteriological,
bio-chemical, psychological and other laboratories of the universities.
(6) The scientific investigation of the mental and bodily factors
concerned in mental disease.
(7) The furtherance of international exchange of scientific knowledge
concerning mental disorder, by the welcome accorded to visitors from
other countries.
(8) The dissemination of medical views on certain important social
questions and the correction of existing prejudices concerning insanity.
(9) When necessary, the after-care of the discharged patient.
We have already given some details of the activities of a few of the
clinics abroad[87] and have pointed out their valuable function in
saving a high percentage of patients from the fate of an asylum, while
at the same time relieving the community of the serious expense of
keeping these patients for life as pauper lunatics.
We may quote from an article by Dr. R. G. Rows[88] describing the
psychiatric clinics at Munich and Giessen:
“They are carried on upon the lines of ‘freely come, freely go,’ as
far as is consistent with the safety of the patient and of the public.
In neither of these clinics is any legal document necessary for the
admission or discharge of patients. But where the character and
severity of the mental disturbance require the longer detention of the
patient in the clinic or in an asylum, such detention can be exercised
only under a legal procedure which carefully safeguards the rights of
the patients.
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