Archives for Manuscripts
Drug Therapy in Psychiatry. Part 8
Posted By Kelly On Thursday, December 31st 2009 under: Manuscripts Tags: Drugs, Psychiatric Illnesses, Psychiatric treatment
Observations obtained from carefully studied individual cases and from mass experiments would indicate that the tranquilizing drugs act by suppressing the patient's symptomatology. They suppress certain clinical manifestations in the patient in the same way as an anti-epileptic drug suppresses epileptic discharges. From a clinical point of view this is a real accomplishment. However, we have at present no indication that any of these compounds will touch upon the substructure ... Read More
Drug Therapy in Psychiatry. Part 7
Posted By Kelly On Wednesday, December 30th 2009 under: Manuscripts Tags: Drugs, Psychiatric Illnesses, Psychiatric treatment
This brings up one of the most important issues on which no general agreement has been reached. A certain number of patients receiving the drugs function adequately, lose their symptoms, feel comfortable, and for all practical purposes are able to live a normal life. This may often be within the framework of some limitations, but nevertheless conspicuous mental symptomatology is absent. It has not been established as yet how many ... Read More
Drug Therapy in Psychiatry. Part 6
Posted By Kelly On Tuesday, December 29th 2009 under: Manuscripts Tags: Drugs, Psychiatric Illnesses, Psychiatric treatment
We feel the following trends in the use of the tranquilizing drugs should be checked. First, patients should not receive a tranquilizing drug without proper physical and mental examination. We know that some of the drugs can lead to physical complications and therefore the physical status of the patient at the beginning of medication is of importance. Complications are known to develop with chlorpromazine and reserpine. We have less knowledge ... Read More
Drug Therapy in Psychiatry. Part 5
Posted By Kelly On Monday, December 28th 2009 under: Manuscripts Tags: Drugs, Psychiatric Illnesses, Psychiatric treatment
We would also like to emphasize that it is much more difficult to establish the maintenance dose of the patient than the primary therapeutic dose. We all use maintenance dosages and for the patient who has been on the drug for a few weeks or a few months the dosage is usually reduced to a level at which we believe he will be able to function properly. To determine the ... Read More
Drug Therapy in Psychiatry. Part 4
Posted By Kelly On Sunday, December 27th 2009 under: Manuscripts Tags: Drugs, Psychiatric Illnesses, Psychiatric treatment
The drugs, of course, are used not only in psychotic patients but in many neurotic patients. The tranquilizing drugs are prescribed in large quantities outside of mental hospitals and practically every physician today prescribes these drugs to patients when he assumes that some emotional symptomatology is present. Observations made in this country do not confirm some of the statements made in the European literature that many severely neurotic patients recover ... Read More
Drug Therapy in Psychiatry. Part 3
Posted By Kelly On Saturday, December 26th 2009 under: Manuscripts Tags: Drugs, Psychiatric Illnesses, Psychiatric treatment
At present we are using drugs in large numbers of patients. This does not necessarily mean that these patients should not have a physical and mental examination and that details of their psychiatric illness are not appraised. Mass use of the drugs should not assume that the patient is physically well, suffering from some form of emotional disorder, and then prescribing one or the other of the tranquilizing drugs to ... Read More
Drug Therapy in Psychiatry. Part 2
Posted By Kelly On Friday, December 25th 2009 under: Manuscripts Tags: Drugs, Psychiatric Illnesses, Psychiatric treatment
Most of the reliable information on the action of these compounds relates to psychotic patients. A considerable literature also exists on then-use in neurotic patients. However, the interpretation of data with these patients is far less reliable than with psychotic patients. The oral use of chlorpromazine and reserpine in neurotic patients shows that both are effective. We do not know in what type of patient which drug would be preferable ... Read More
Drug Therapy in Psychiatry. Part 1
Posted By Kelly On Thursday, December 24th 2009 under: Manuscripts Tags: Drugs, Psychiatric Illnesses, Psychiatric treatment
October 17, 1956
We should like to discuss several aspects of the problem from a clinical point of view, namely, what kind of drugs should be selected for treatment, indications for the use of tranquilizing drugs, the question of dosages, and how long treatment should be continued. It also would be important to assay our present knowledge regarding the therapeutic efficacy of the drugs now available and what we are able ... Read More
The Psychology of Depression. Part 10. Summary
Posted By Kelly On Wednesday, December 9th 2009 under: Manuscripts Tags: Depression, Psychiatric Illnesses, Treatment
Depression is an affect which appears either in response to the loss of a love object or in anticipation of some act which would result in the loss of a love object. The characteristic psychic and physical components of the depression syndrome can be understood as devices to compel protective acts on the part of those who love the patient. When depression follows an externally imposed significant loss, it may ... Read More
The Psychology of Depression. Part 9. Management
Posted By Kelly On Tuesday, December 8th 2009 under: Manuscripts Tags: Depression, Psychiatric Illnesses, Treatment
There are several forms of psychotherapy. In depression the simplest form of psychotherapy consists of the therapist's offering himself to the patient as a substitute for the lost love object. In a few cases of depression which are not too severe and which are about to remit, this procedure alone may suffice. However, most cases of pathologic depression do not wait for a love object to appear; when they are ... Read More