JAMA 100 Years Ago Section Editor: Jennifer
Reiling, Assistant Editor.
One of the disadvantages with which American alienists have had to contend
in the past has been the inability to study and treat the acute insane and
milder grades of psychoneuroses under such advantageous conditions as the
surgeon and physician enjoy in caring for medical and surgical cases in city
hospitals. The acute insane are sent to large state asylums as soon as legal
commitment is possible, and the psychoneuroses have never been properly provided
for in city clinics. They are not admitted to general medical and surgical
hospitals. Strangely enough, they are not often regarded by the admitting
authorities as sufficiently ill to require hospital treatment. American cities
have as yet provided no special hospital for the proper care of neurologic
cases other than a few infirmaries in connection with almshouses. The usefulness,
even of such provisions, has obviously been sacrificed by the nature of the
associations and surroundings of such hospitals.
PSYCHOPATHIC HOSPITALS AND CLINICS.. JAMA. 2004;292(13):1625. doi:10.1001/jama.292.13.1625