Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
He urges the desirability of the establishment of special wards in
connection with general hospitals, pointing out that a mental case
coming from such a ward would not thereby be stigmatised as insane. He
quotes from ‘an American writer on psychiatry’:—“Fortunate would be
the community in which there was a fully equipped and well-organised
psychiatrical clinic under the control of a university and dedicated
to the solution of such problems. The mere existence of such an
institution would indicate that people were as much interested in
endeavouring to increase the public sanity as they are in the results
of exploration in the uttermost parts of the earth, or in the discovery
of a new star.”[91]
The Medico-Psychological Association’s report says:—
“The lunacy law does not permit of the establishment of clinics on
the lines which have been recommended, nor does it provide for the
admission of uncertified cases to the public asylums. This, for the
present at any rate, renders nugatory the suggested schemes for
affording treatment for incipient and non-confirmed cases of mental
disorder, and with that, to a large extent, fail the opportunities for
study on which stress has been laid for adding to the knowledge and
increasing the efficiency of asylum medical officers.” (p. 10.)
Such weighty opinions as these serve to emphasise a further factor in
the urgently needed reform—the necessity for a thorough overhauling of
the law of lunacy, so that, while guarding the liberty of the subject,
every obstacle should be removed that obstructs patients threatened
with the dire calamity of insanity from securing preventive treatment
at the earliest possible moment.
In the _Lancet_ of August 5th, 1916, Dr. L. A. Weatherley writes:—
“The great fact that must be continually brought forward in all these
discussions is that, according to the reports of the Commissioners
in Lunacy, the _recovery-rate of mental diseases is to-day no higher
than it was in the ‘seventies’ of last century_. The ever-increasing
difficulty in getting mental cases with small means quickly under
skilled care must, I feel sure, account to a great extent for this
lamentable fact.”
“Marking time” since the seventies of the last century—how does this
condition compare with that of most of the other branches of medical
science? Heart disease, diphtheria, tuberculosis, tetanus, sepsis of
all kinds, all these troubles and many others have shown unmistakable
signs of yielding to the incessant and many-sided assaults of medical
research. And, of insanity, all we have to report in this country is
“little or no progress for fifty years.” Verily we have buried our
talent deep in the ground.
Finally, we may quote from an article the opening sentences of which
might have been written yesterday, yet it was published in 1849! It
was the fourth report of the visiting committee of Hanwell Asylum. The
committee say:—
Public-domain text, read in full here on John Shaqi.
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