June 14, 1941

A Review of the Psychoneuroses at Stockbridge

Author Affiliations

By Gaylord P. Coon, M.S., M.D., Chief Medical Officer, Boston Psychopathic Hospital, Boston, and Alice F. Raymond, A.B., Statistician, Department of Child Hygiene, Harvard School of Public Health, Boston. Cloth. Pp. 299. Stockbridge, Massachusetts: Austen Riggs Foundation, Inc., 1940.

JAMA. 1941;116(24):2732. doi:10.1001/jama.1941.02820240092038

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This book is an analysis of cases treated at Stockbridge between 1910 and 1934. In the twenty-five year period the effect of changing therapy is apparent. The clinical records have been amplified by correspondence and follow-up visits. The individual case reports are few, but 1,060 cases out of 5,300 were reviewed. In general, the patients were psychoneurotic, for Dr. Rigg's practice was confined to this type of patient for many years. When the Riggs Associates was formed in 1937, it carried on the work of the Austen Riggs Foundation, which had been established in 1917 for the service of patients who were unable to pay the usual fees of private psychiatrists. Miss Raymond and Dr. Coon describe the limitations of the psychoneurotic and of the classification of "psychoneurosis" early in the book. They discuss the difficulties of differential diagnosis and the methodology of treatment at Stockbridge. There the feeling has

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