The Journal-Lancet, Vol. XXXV, No. 5, March 1, 1915: The Journal of the Minnesota State Medical Association and Official Organ of the North Dakota and South Dakota State Medical Associations — John Shaqi
The Journal-Lancet, Vol. XXXV, No. 5, March 1, 1915: The Journal of the Minnesota State Medical Association and Official Organ of the North Dakota and South Dakota State Medical AssociationsVarious
Science
The Journal-Lancet, Vol. XXXV, No. 5, March 1, 1915: The Journal of the Minnesota State Medical Association and Official Organ of the North Dakota and South Dakota State Medical Associations
Various
Medicine -- Periodicals
As soon as considerable numbers are received at an institution, the
more apparent becomes the need of means for classification, especially
as to character. It is decidedly unwise to allow the intermingling of
the young lad who has just commenced to drink, with the incorrigible or
the sodden, whose every thought may lie bestial.
The most practical means of classification is by the use of cottages;
and it is on that plan that Minnesota’s institution has been started.
If two cottages were built at Willmar we should be able to make four
groups of patients with decided advantage to our inmates. Not more than
forty inmates should be cared for in each cottage: and I am strongly in
favor of separate rooms for sleeping-quarters, instead of dormitories.
SUMMARY
The essential in the treatment of the inebriate as we meet him, is
upbuilding of body and character, which requires time, and in which
drugs play only a small part.
Compulsory abstinence is of great value if we expect to care for a
majority of the inebriates.
It would be wise for the State to undertake the custody, care and
control of all non-criminal inebriates in one institution, provided
adequate facilities for classification were available.
DISCUSSION
Dr. C. R. Ball (St. Paul): I have been very much interested this
afternoon in this symposium on the treatment of fractures, the last
word in obstetrics, and the inebriate, only it seems to me the
Program Committee put the cart before the horse, and should have put
the inebriate first, and the other things would naturally follow
afterwards.
Dr. Freeman has splendidly presented his work and results at the
Willmar institution. It is a subject to which I think medical men
pay too little attention. I have more and more come to look upon the
inebriate as a type of nervous disease and, in the great majority
of cases, a functional nervous disease. It may be classified as we
classify nervous diseases. We classify in one way functional nervous
diseases as to their cause,--acquired, hereditary and acquired, or
wholly hereditary.
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