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November 29, 1913


JAMA. 1913;61(22):1972-1975. doi:10.1001/jama.1913.04350230026010

Naturally we are still much occupied with preaching the gospel of psychopathic hospitals in America, since, after all, the realization of our long-cherished ideals is extremely recent (Psychopathic Ward of University of Michigan Hospital, 1906; Psychopathic Department of Boston State Hospital, 1912; Phipps Psychiatric Clinic of Johns Hopkins Hospital, Baltimore, 1913). Nor is the foundation work, which led to the establishment of these three somewhat similar but in many ways contrasted institutions, a matter of very ancient history. To be sure, Griesinger's idea, was early implanted in some American minds. My colleague, Dr. D. H. Fuller, has called my attention to Dr. Pliny Earle's utterance1 of 1867.

Carbon agglomerated is charcoal. Carbon crystallized is diamond. What charcoal is to the diamond, such I believe, is the psychopathic hospital of the present compared with the psychopathic hospital of the future.... When the defects which I have mentioned shall have been thoroughly