The fact that the majority of mentally diseased patients are found in institutions is often not sufficiently apparent in scientific discussions of psychotherapy. A great contrast exists between the minute differentiations of psychotherapeutic theories and methods applied or applicable only to relatively few persons and the scarcity of psychotherapeutic attempts for the large proportion of institutionalized patients. The latter, after all, form thebulk of psychiatric patients in need of medical aid. It may be said, therefore, that any advance in the psychotherapy of mental disease which is practicable on a large scale in institutional work deserves careful attention on the part of the psychiatrist. Such an advance is the active work therapy which Dr. Hermann Simon has introduced at the psychiatric state hospital at Gütersloh, Westphalia.
Simon first reported on his methods and their results in a number of lectures,1 but he has recently published a full account under
WERTHAM F. PROGRESS IN PSYCHIATRYII. THE ACTIVE WORK THERAPY OF DR. SIMON. Arch NeurPsych. 1930;24(1):150-160. doi:10.1001/archneurpsyc.1930.02220130153015