Duration of
Hosp Number Per cent Number Percent Number Percent
Residence
Under 1 Year 25 60 22 55 47 57
Less than 1 mo 3 8 5 12 8 10
1-2 mos 5 12 4 10 9 11
2-3 mos 3 8 1 22 4 5
3-4 mos 2 5 3 8 5 62
4-5 mos 3 8 3 8 6 8
5-6 mos 1 2 3 8 4 2
6-8 mos 4 10 1 22 5 22
8-12mos 4 10 2 5 6 72
1-2 yrs 1 22 4 10 5 6
2-3 yrs 6 14 4 10 10 12
Still here 7 16 9 23 16 19
DEaths 4 1 5 6.
Heart.
trouble
H.B., Psychoneurosis, neurasthenic type. Complained of pain, stiffness, gastric symptoms and enlarged prostate, weakness, spermatorrhea. dizziness, mental debility, listless, mental debility, listless mind, grief, despair. This picture seemed to fit phosphoric acid, which was given together with massage and hot sitz baths. He stated that the medicine had relieved his headaches and relieved his headaches and other pains and that he felt more relaxed and slept better. It probably acted similar to the message he received purely as a psychologic measure.
Another patient M.S., female, neurasthenic, asks the physician every once in a while for the drug ignatia by name.
An encephalitic of a psychoneurotic reaction type met the physician in the amusement hall and requested the medicine that he had given him and which had cured him of his many somatic pains.
In our deteriorating psychoses, we have not with our prescribing arrested the progress of the disintegration nor have we removed the predisposition which is fundamental in the recurrence of cyclothenic attacks found in our effective psychosis. We must reply entirely on other results have been practically nil. At Allentown State Hospital stramonium has been tried in several few cases with perhaps a slight initial effect, such as modifying the symptom of drooling, but ultimately no results were obtained.
The following statistical correlations are offered: During the year beginning July 1, 1932, and ending June 30, 1933, there were a total of thirty of thirty-nine patients diagnosed manic-depressive psychosis, both first and readmissions.
Out of this number two died, giving a mortality percentage of this group of 5 percent.
Four out of this group had a hospital residence of less than one month about 10 per cent.
Thirteen had a residence of less than two months, thirty-three per cent.
Twenty were here only four months about 532 per cent.
Twenty-nine had hospital residence of less than one year, about 75 per cent.
Three were here over one year but less than two years.
Total number recovered of that years admission, thirty-two, with percentage of 82 per cent.
Five are still at the hospital, 13 per cent.
Twenty-nine out of those who recovered has a hospital residence of 90 per cent.
(Percentages are calculated on basis of total admissions rather than recovered cases. The figures also include the time spent in the hospital in brought back from parole.
In same year, July 1, 1932, to June 30, 1932:.
Total number of psychoneurotics admitted were nineteen cases, both first and readmissions.
One died by hanging herself, 5 per cent.
Two are still in the hospital.
Two of them are more dementia praecox than psychoneurotics.
Five were here less than one month, 25 per cent.
Ten had residence less that two months, 52 per cent.
All of them, with exception of one who died and three that are still here, and hospital residence of less than one year, about 80 per cent. Recovered cases were fifteen out of the nineteen, about 80 per cent. All recovered cases had hospital residence of not more than one year., 100 per cent,.
Cases recovered were sixty-two out of the eighty three admissions. Forty-seven out of the sixty-two or 76 per cent had a hospital residence of less than one year.
Five out of eighty-three admissions with diagnosis of manic-depressive died, giving a percentage of 6 per cent.
(These figures are approximate. The percentages are figures out of total admissions rather than number of recovered cases.).
Psychoneurosis July 1, 1931, to June 30, 1932: Cases recovered were fifteen out of the nineteen admissions, about 80 per cent. Twelve out of the fifteen had a hospital residence of less than one year, 80 per cent, eight out of the fifteen (53 per cent) being home in less than three months.
There was no mortality.
Summarizing, we have outlined a few of the principles under-lying homoeopathic prescribing in mental diseases. WE have briefly described some of our most common prescriptions with their indications. A few clinical cases have been offered as illustrations. In the main we have dealt with generalities, chiefly because of the realization of the gigantic problem one would have to face in getting down to absolute values and correlations.
Our conclusions are as follows:.
(1) The homoeopathic method operates without injury to the organism. It is gentle, does not involve large does, and tends to cover the disease in its totality.
(2) homoeopathic prescribing is a valuable adjunct in treating of mental reactions.
(3) The presence of physical disease is diligently searched in order to get a complete picture of the morbid state to be constructed. Physical ailments and troubles arising in or associated with our psychotics are immediately combated by homoeopathic and other efficacious means with favorable results. This is turn improves mental status of the patient.
(4) Psychoneurotics usually respond well, due to the psychologic effect and perhaps, in isolated cases, as result of the actual correlation of drug to the individual and his reactions.
(5) Homoeopathy is beneficial in cases with acute or chronic excitatory processes if the brain, either organic or psychogenic, either as result of its ” innocuous” effect in that it removes the spectre of indiscriminate and injudicious use of sedatives and hypnotics or in some cases there is a positive effect in combating the process by stimulating the defense mechanism of the body, the production of antigens,. In such cases the drug may be similar to the drug used by other therapeutic approaches except in the matter of dosage.
(6) There may be cases of the functional psychosis that may respond perhaps because it satisfied some physical ailment, such as hyperthyroidism which accompanies the mental state as an associated factor.
(7) Chronic deteriorating conditions, either psychogenic or organic, have revealed no results.
PSYCHONEUROSIS ADMISSIONS FROM JULY 1, 1931, TO JUNE 30, 1932
Ist Admission Readmission Total
Duration of Disease
Number Percent Number Percent Number Percent
Under 1 yr 9 50 3 16 12 67
Less than 1 mo 1 5+ 1 5+
1-2 mos 3 16 1 5+ 4 22+
2-3 mos 2 102 1 5+ 3 16
3-44 mos 1 5+ 1 5+
4-55 mos 1 1 5+ 1 5+
4-5 mos 2 102 2 102
6-12 mos 1 5+ 1 52
1-2 yrs 2 102 2 102
2-3 yrs 1 5+ 1 52
Here 3 16 1 5+ 4 22+ .
