Category: Health & Medicine

Mental diseases: a public health problem

In presenting a preliminary consideration of the subject of mental diseases as a public health problem the author is actuated by no other motive than that of stimulating the undertaking, at some future time, of a comprehensive investigation and survey of an important field whi...

Chapters

1. PART I. GENERAL CONSIDERATIONS.

2. PART II. THE PSYCHOSES

In presenting a preliminary consideration of the subject of mental diseases as a public health problem the author is actuated by no other motive than that of stimulating the und...

3. CHAPTER I

The importance of mental diseases as a factor in the social and economic welfare of the community has not been given adequate consideration, notwithstanding the remarkable progr...

4. CHAPTER II

The medical treatment of mental diseases had its inception, in this country, in the wards of the Philadelphia Hospital, established in 1732 and referred to officially for over a...

5. CHAPTER III

The administration of the earlier hospitals for mental diseases was placed very wisely in the hands of local boards of directors, managers or trustees. These were made up of per...

6. CHAPTER IV

The efficiency of the hospital is very largely a reflection of its organization, administration and personnel, but the material equipment of the institution and the financial re...

7. CHAPTER V

The responsibility of the hospital for the future of the patient begins with his arrival at the institution and the ultimate outcome of the case often depends entirely upon the...

8. CHAPTER VI

As has already been shown, the modern hospital treatment of mental diseases in this country is a development which represents the progress of nearly two centuries. Satisfactory...

9. CHAPTER VII

As the result of an intimate personal knowledge of the subject, acquired during an extended hospital residence as a patient in both public and private institutions, Clifford W....

10. CHAPTER VIII

In reviewing the history of medicine there is nothing more discouraging than the references found in literature to the views entertained from time to time relative to the cause...

11. CHAPTER IX

A history of the development of our western civilization is very largely a study of the process of assimilation of the various racial elements representing a new population. Whi...

12. CHAPTER X

The question of responsibility for criminal acts, once a legal problem pure and simple, is now recognized as involving sociological, psychological and psychiatric considerations...

13. CHAPTER XI

The psychiatry of the late war is of unusual interest from various points of view. Never before have mental diseases or defects been looked upon as military problems worthy of a...

14. CHAPTER XII

The important influence exercised by the glandular structures on the human organism has long been recognized. Perhaps the earliest evidence of this is the study of alterations d...

15. CHAPTER XIII

The remarkable accomplishments of medical science during the last few decades may be looked upon as a fairly accurate index of modern progress in general. Nor have these advance...

16. CHAPTER XIV

When the American Psychiatric Association first approached the problem of formulating a definite scheme for the collection of statistical data relating to mental diseases it was...

17. c. Recurrent

18. c. Doubt

An elaborate classification was also officially adopted by the Royal College of Physicians of England[142] about the same time. This recognized seven varieties of mania, seven o...

19. CHAPTER I

Traumatic affections of the nervous system have been recognized in a general way for centuries, although the psychoses resulting directly from injuries have been given very litt...

20. d. Forms of protracted deliria, usually with numerous tabulations,

21. d. Types with hysteroid or epileptoid episodes, with or without

22. c. Terminal deterioration due to progressive alterations of the

4. Psychoses in which trauma is merely a contributing factor: a. General paralysis, with or without traumatic stigmata; b. Manic-depressive and other transitory psychoses, catat...

23. CHAPTER II

Never until very recently has any great importance been attached to the psychoses due solely to age or much interest manifested in them. These forms of insanity in the majority...

24. CHAPTER III

Sufficient weight has not been attached heretofore to the important influence of cerebral arteriosclerosis in the production of mental diseases. Unquestionably it has been a com...

25. CHAPTER IV

General paralysis of the insane, general paresis, or dementia paralytica, as it is variously known, from the standpoint of etiology, symptomatology and pathology, is unquestiona...

26. CHAPTER V

The indications are at the present time that the psychiatry of the future will not deal with a consideration of general paralysis and cerebral syphilis, as such, but will differ...

27. CHAPTER VI

Huntington's chorea is said to have been referred to first by C. O. Waters of Franklin, N. Y., in Dunglison's "Practice of Medicine" in 1842. An article on the subject by Irving...

28. CHAPTER VII

According to Tuke,[213] one of the oldest of the Egyptian papyri in the British Museum (Papyrus Sallier I) makes the following very interesting reference to alcoholism:— "Wherea...

29. CHAPTER VIII

Opium is a drug which has been in quite common use for many centuries. According to E. M. Holmes of London, it was known to Theophrastus nearly three hundred years before the Ch...

30. CHAPTER IX

The origin of pellagra is shrouded in mystery. Although first described by Casal, the name now attached to the disease was suggested by Frappoli in 1771. He referred to it as of...

31. CHAPTER X

Mental disturbances of various types associated with somatic conditions and not sufficiently characteristic or circumscribed in their symptomatology to constitute definite and s...

32. CHAPTER XI

The manic-depressive psychoses as first described by Kraepelin are of comparatively recent origin. The history of the clinical entities included in this new grouping, however, m...

33. CHAPTER XII

In 1896 Kraepelin first definitely outlined his views on dementia praecox, to which he assigned hebephrenia, although he did not at the time include katatonia in his delimitatio...

34. CHAPTER XIII

The dementia praecox of today, notwithstanding the numerous theories which have been advanced as to its etiology and pathology and the various fundamental conceptions which have...

35. CHAPTER XIV

A discussion of the part played by paranoia, or the paranoid conditions however characterized, in the psychiatry of the present day, is essentially a review of the final chapter...

36. CHAPTER XV

Ancient history contains numerous references to epilepsy. The "Morbus sacer" of the Romans was apparently a subject of great interest to Hippocrates,[325] who wrote, over two th...

37. CHAPTER XVI

The words neurosis, psychosis and psychoneurosis are of obscure origin and have had a varied significance from time to time. Murray[332] defines psychosis as a psychological ter...

38. CHAPTER XVII

The introduction of the term psychopathic personality is probably to be attributed to the description of "Die Psychische Minderwertigkeiten" by Koch in 1893. These were referred...

39. CHAPTER XVIII

The literature of mental deficiency is almost as old as that of medicine. Imbecility was studied at some length by Plato and Galen and was recognized by Felix Plater, who has be...