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November 21, 1891


JAMA. 1891;XVII(21):821-822. doi:10.1001/jama.1891.02410990039007

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As matters stand at present, there are two crying evils, if not more, in the provision for the care and treatment of the insane in nearly all parts of this country. One is the deficiency of knowledge on the part of general practitioners, the other, deficiency of accommodations in the special hospitals provided for this class of invalids. It scarcely need be said that, in most of the medical schools of this country, opportunities for the study of insanity are either non-existent, or of the most meagre sort. Where any attempt is made at systematic instruction on this subject, it is usually by didactic lectures, without any clinical illustration, and it is safe to say that a large majority of graduates of our medical colleges have as good as no acquaintance with insanity, and only the most vague and indefinite ideas in regard to its treatment. As a rule, they

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