The Place of Physical Treatments in Psychiatry

Cook, L. C.

doi:10.1192/bjp.104.437.933

Cited by 6 publications

(3 citation statements)

References 13 publications

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“…All but 2% of patients, he said, were doomed to spend the rest of their lives in the institution (Cook, 1958). Responsible for 18 wards in the main block and three convalescent villas, Cook found wards full of women with chronic schizophrenia, which he subdivided into three types: the 'burnt-out', harmless older cases; an apathetic, emotionally-blunted type; and the excitable, noisy and destructive.…”

Section: Clinical Onslaught Beginsmentioning

confidence: 99%

“…Responsible for 18 wards in the main block and three convalescent villas, Cook found wards full of women with chronic schizophrenia, which he subdivided into three types: the 'burnt-out', harmless older cases; an apathetic, emotionally-blunted type; and the excitable, noisy and destructive. All but 2% of patients, he said, were doomed to spend the rest of their lives in the institution (Cook, 1958). According to the medical superintendent at Denbigh in 1937, of 1359 patients, 1308 were incurable; only 10 men and 11 women were likely to recover fully (Michael, 2003).…”

Section: Clinical Onslaught Beginsmentioning

confidence: 99%

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Resilience of institutional culture: mental nursing in a decade of radical change

McCrae

2014

Hist Psychiatry

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Mental nursing has continued to be neglected in the history of psychiatry. This paper considers the impact of a decade of radical developments on the role and outlook of nurses in British mental hospitals during the 1930s. The Mental Treatment Act 1930 introduced voluntary admission for early, supposedly treatable cases, although there was paucity of effective treatment. In the mid-1930s shock therapies, administered with great enthusiasm by asylum doctors, promised to cure insanity by physical means. Although these were important milestones in the progress of psychiatry, for the majority of nurses and patients life continued much as before. Despite advances in training, working conditions and therapeutic activity, the institutional culture of nursing was remarkably resilient to the forces of change.

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Section: Clinical Onslaught Beginsmentioning

confidence: 99%

Section: Clinical Onslaught Beginsmentioning

confidence: 99%

Resilience of institutional culture: mental nursing in a decade of radical change

McCrae

2014

Hist Psychiatry

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“…They had lost the sharp edge of their depression but were anergic, almost inaccessible to stimulation and preoccupied with delusions of unworthiness, hopelessness and physical illness which gravely incapacitated them. Some spontaneously remitted, but there were always others to take their place" (12). This corner of mental hospital life has mostly disappeared following the introduction of ECT.…”

Section: Sl21mentioning

confidence: 99%

Evaluation of Drugs in the Treatment of Depression

Shepherd

1959

Canadian Psychiatric Association Journal

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Quantitative methods playa major part in the evaluation of new therapeutic substances. Much of the pioneer work in this field dates from 1931 when the Medical Research Council of Great Britain set up its Therapeutic Trials Committee which soon established the medical statistician as a member of the team alongside the clinician and pharmacologist (1). In the clinical assessment of a new drug it is now generally agreed that after the basic pharmacological data have been acquired from preliminary animal experiments and from pilot trials on human subjects the information should be applied to the measurement of specified reactions against different doses of the drug. It is also necessary to establish the relationship of these reactions to the outcome of the disorder, a step which entails some knowledge of the course of the condition either without treatment or with some other form

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A District Psychiatric Service the Bolton Pattern

Leyberg¹

1959

The Lancet

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The Place of Physical Treatments in Psychiatry

Cited by 6 publications

References 13 publications

Resilience of institutional culture: mental nursing in a decade of radical change

Resilience of institutional culture: mental nursing in a decade of radical change

Evaluation of Drugs in the Treatment of Depression

A District Psychiatric Service the Bolton Pattern

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