Annual Report

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Sivu 47 - The records of this (McLean) Asylum," says he, in his report for the year 1840, "justify the declaration that all cases, certainly recent, — that is, whose origin does not, either directly or obscurely, run back more than a year, — recover under a fair trial. This is the general law ; the occasional instances to the contrary are the exception.
Sivu 44 - In recent cases of insanity, under judicious treatment, as large a proportion of recoveries will take place as from any other acute disease of equal severity." It is believed that this was the first public annunciation, in America, of the principal idea of the proposition contained in the quotation, — namely, the curability of insanity as compared with other severe acute diseases. In the fourth report, for 1836, he says, " Per cent. of recoveries of recent cases discharged, eighty-four and one-fifth;"...
Sivu 41 - ... England, published a small work entitled "An Inquiry into certain Errors relative to Insanity," one object of which was to demonstrate that mental disorders are more curable than was at that time generally supposed. He therein asserts, that, of all the cases which had been treated by him, both in general practice and in his private asylum, " including patients in a state of fatuity, idiocy, and epilepsy, the proportion of recoveries was 81 in 100 ; of recent cases, 91 in 100; of old cases, 35...
Sivu 52 - Under appropriate influences," says he, "insanity is among the most curable of grave diseases. If the persons who are attacked with this disorder are as promptly cared for as others when attacked with fever, dysentery, pneumonia, etc., 80 or 90 per cent, can be restored to health and usefulness."* But even this is the expression of a hypothesis which requires, as is shown above, an impossibility, — the placing of the patient under treatment as immediately as in the other serious diseases mentioned.
Sivu 50 - ... which contained a table purporting to give the admissions and discharges of recent and old cases, it was seen that the recoveries, discharges, and deaths, together with recent cases remaining, were much less than stated in the admissions. Further examination showed that at the end of each year those remaining in hospital which had become of more than one year's standing, were turned over to the department of old cases.* " By such a course, and rejecting deaths, paralytic and epileptic cases,...
Sivu 39 - For many years I have believed, and have often asserted that belief, that of a given number of patients discharged from a hospital for the insane, the number reported as recovered might differ at least twenty-five per cent., according to the man who might act as judge of their mental condition. The medical history of the Worcester hospital, during the seven years next preceding the 1st of October, 1875, furnishes a remarkable illustration of the uncertainty of the statistics of insanity, as originating...
Sivu 42 - Todd," says the Captain (vol. 2, p. 192,) " the eminent and kind physician in charge of the Retreat, gladly communicated his plans, and showed us over every part of this noble establishment — a model, I venture to say, from which any country might take instruction.
Sivu 62 - Maine, for the year 1844, asserted that " he would be a bold man who should venture to say that Pinel and Esquirol, whose medical treatment was confined chiefly to baths and simple bitter drinks, were less successful in their cure of mental diseases than those numerous practitioners who have exhausted upon them all the resources of the healing art." If the assertion was true thirty-two years ago, it is believed that the contents of this exposition sufficiently prove that it is, to say the least,...
Sivu 52 - ... who, by the results of unwise management during the periods of youth and adolescence, become some of the annoyances, par excellence, of the hospitals. There are other cases still, but it is unnecessary here to mention them. The last clauses of the proposition quoted from Dr. Jarvis, those which express the deduction or the sequence of the conditional premises, are deprived of force by the assertion of a " probability" and a " possibility,
Sivu 54 - Eighty-seven (87) of these persons recovered 274 times, or 187 times more than the number (87) of persons. These were duplicate or multiplicate recoveries. Subtracting them (187) from the total (697) recoveries, the remainder is 510 recoveries, and these are the recoveries of persons. Consequently, of 874 persons, 510 recovered. This is equivalent to a percentage of 58.35. This process makes a material alteration in the aspect of things, if the proposition be to ascertain the proportion of recoveries...

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