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November 5, 1910


JAMA. 1910;55(19):1644-1645. doi:10.1001/jama.1910.04330190040012

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By the muffled room I mean an apartment constructed in such a way that any noise made by the occupants may not be heard without it, and conversely, any noise made from without may not disturb those within. It should be large enough so that by employing forced ventilation the air may be kept pure in it at all seasons of the year. Its principal purpose is to facilitate individualization in the treatment of acute insanity.

By "individualization" in this connection I wish to imply that the physician in the treatment or management of a given case may be relieved from any obligation or necessity of making concessions to other cases. One of the most perplexing features a physician has to reckon with in the institutional treatment of acute insanity is to prevent the various manifestations of excitement incident to the disease from injuriously interacting on patients whose quarters are

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