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doi: 10.1176/appi.ajp.104.8.570pmid: N/A
FREDERICK C. THORNE M. D. 1 1 University of Vermont A comparative study has been made in a group of institutionalized epileptic mental defectives of the anticonvulsant action of dilantin, tridione, and several barbiturate derivatives. The results indicate that dilantin has the most marked anticonvulsant action in most cases, but that maximum action is only achieved with toxic doses in severe cases. Tridione has definite anticonvulsant action against grand mal seizures and is particularly effective in combination with dilantin. Tridione has been successfully used intravenously to terminate status epilepticus and is tolerated in high concentration. Barbiturate derivatives are occasionally effective alone in individual cases but are most effectively used with dilantin.
PEYTON, W. T.; NORAN, H. H.; MILLER, E. W.
doi: 10.1176/appi.ajp.104.8.513pmid: N/A
A New Form of Psychosurgery W. T. PEYTON M. D. 1 , H. H. NORAN M. D. 2 , , and E. W. MILLER M. D. 3 1 Division of Neurosurgery, University of Minnesota. 2 Division of Neurology and Neuropathology, University of Minnesota. 3 Anoka State Hospital, Anoka, Minnesota. A new type of psychosurgical technique, namely, prefrontal lobectomy, is described. The advantages of this procedure over prefrontal lobotomy are presented. The results of prefrontal lobectomy are reported in 14 patients with 85.7% showing moderate to marked improvement. This series of cases consisted predominantly of chronic schizophrenia, 11 of the cases being classified as dementia præcox. Moderate to marked improvement followed lobectomy in 82.6% of the latter group of patients. In general, the results for this new psychosurgical procedure compare well with the published reports for prefrontal lobotomy.
doi: 10.1176/appi.ajp.104.8.548pmid: N/A
JOHN G. DEWAN M. D. 1 1 The department of psychiatry, University of Toronto and the Toronto Psychiatric Hospital. 1. The clinical findings in the examination of over 30,000 men gave a very definitely higher incidence of emotional instability in the men diagnosed mentally retarded than in those diagnosed non-retarded. 2. Down-grading for instability decreased as 'M' scores advanced. 3. The rate of decrease in down-grading diminished appreciably in the range of average and superior intelligence. 4. The evidence suggests that the rate of incidence of psychoneurosis and other patterns of emotional instability declines as the degree of intelligence advances, although this becomes much less evident in the upper ranges of intelligence. 5. Possible explanations and interpretations have been discussed.
doi: 10.1176/appi.ajp.104.8.555pmid: N/A
PAUL HAUN M. D. 1 , and Z. M. LEBENSOHN M. D. 1 1 Neuropsychiatry Division, Veterans Administration, Washington, D. C. The one dominant note motivating our entire thinking on hospital design has been, "How does this or that feature improve the patient-doctor relationship?" We have not thought in terms of handling large numbers on a production line basis. This is best left to the automotive geniuses in Detroit. We have wanted to make our hospitals places where veterans can be treated not only with scientific skill but with human warmth and understanding attention. We have wanted our hospitals to instill a feeling of security and confidence in the patient and thus act as a silent, but ever active, force in therapy. We want our Hospital of the Future to be a "doctor's hospital" or, better still, a "patient's hospital"—not an "administrator's hospital." Psychiatry has made enormous strides in the last 50 years. It now occupies a respected position among the medical disciplines. Psychiatry is no longer relegated to the back wards of forbidding "asylums"—but makes its contribution felt on every ward of the modern hospital. Psychiatry has made great progress; we want its architecture to keep pace.
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