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March 19, 1904


JAMA. 1904;XLII(12):770-771. doi:10.1001/jama.1904.02490570024003

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An important treatise by Dr. Paul Sèrieux on the care of the insane in France, Germany, Switzerland and Italy, is being issued by the Municipal Press of Paris. We are accustomed to the difficulties in the medical administration of American hospitals for the insane, and are prone to think that they order these matters better in France; but it is interesting to find that precisely the same difficulties as our own confront the physicians in charge of foreign hospitals.

Dr. Marandon de Montyel, the head of a large asylum, is quoted as saying that if he and all of his colleagues were frank they would confess that it was impossible for them to know their own patients. Another physisician, Dr. Brousse, asks how a medical superintendent can know his patients, when they number from six hundred to fifteen hundred. After showing that in order to examine an average number of

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