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Updated: June 1, 2025
The latter ought to lead him far enough to discriminate early between a mere neurasthenia, for instance, and a beginning of insanity. As soon as the discrimination is perfected and insanity is found, he has to give the case out of his care anyhow and hand it over to the specialist and to the asylum. The knowledge of psychiatric treatment is, therefore, not essential for the average practitioner.
It would be short-sighted to ignore the great manifoldness of secondary methods which he shares with the ordinary intercourse between man and man, the methods which the teacher uses in the schoolroom, which the parents use in the nursery, which the neighbor uses with his neighbor, methods which build up the mind, methods which train the mind, methods which reënforce good habits and suppress unwholesome ones, methods which stimulate sound emotions and inhibit a quarrelsome temper, methods which indeed are not less important in the psychiatric clinic and in the hospital than in our daily life, and which certainly have central importance in that borderland region which is the particular working field of the psychotherapist.
It is but a step from corpse-like behavior to suicidal attempts, psychologically speaking, yet this transition necessarily modifies the clinical picture, since one necessitates inactivity and the other activity. Secondarily, other atypical clinical features appear, as will be seen. Pearl F. Age: 24. Admitted to the Psychiatric Institute July 26, 1913. F. H. A paternal aunt was insane.
The real problem is to determine the psychiatric group into which the case should be placed. This is a difficult task, for the differential diagnosis rests on the observation and utilization of minute and unobtrusive details.
Then I started working at Riverview Hospital in Vancouver, B.C., doing diagnostic testing, and group therapy, mostly with psychotic people. At Riverview I had a three-year-long opportunity to observe the results of conventional psychiatric treatment. The first thing I noticed was the 'revolving door' phenomena.
She should have been, long ago, not in a house of ill-fame, but in a psychiatric ward, because of an excruciating nervous malady, which compels her to give herself up, frenziedly, with an unwholesome avidity, to any man whatsoever who may choose her, even the most repulsive.
He has a keen sense of the significance of psychiatric knowledge in a proper understanding of the various results of trauma, and lays special stress upon the breadth of the psychiatric field, under which he properly enough includes the various so-called psychoneuroses as well as epilepsy, tics and aphasia.
Unorna had listened attentively, as she always did when Keyork delivered himself of a serious opinion upon a psychiatric case. Her eyes gleamed with satisfaction as he finished. "If that is all that troubles you," she said, "you may set your mind at rest. After he had fallen, and while the watchman was getting the carriage, I repeated my suggestion and ordered him to wake without pain in an hour."
Hanlon explained rapidly, finishing, "So you see, with some psychiatric treatments, I'm sure that inferiority can be cleaned up and then he'll be a real asset to us or whoever hires him." A sudden gleam came into his eyes. "Say, if we make that treaty with the Guddus, he'd be just the man to take charge here, under Corps direction." "Well, run along and see to it, then.
In other words, whenever an effort was made to test what seemed to be apathy, the evidences of it disappeared. The apathy, however, was less marked than in the case of Annie L. Catherine M. Age: 24. Admitted to the Psychiatric Institute November 10, 1913. F. H. Information as to the family is confined to the two parents. The mother, who was frequently seen, seemed to be a natural, sensible woman.
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