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October 1, 1904


JAMA. 1904;XLIII(14):982-983. doi:10.1001/jama.1904.02500140056003

One of the disadvantages with which American alienists have had to contend in the past has been the inability to study and treat the acute insane and milder grades of psychoneuroses under such advantageous conditions as the surgeon and physician enjoy in caring for medical and surgical cases in city hospitals. The acute insane are sent to large state asylums as soon as legal commitment is possible, and the psychoneuroses have never been properly provided for in city clinics. They are not admitted to general medical and surgical hospitals. Strangely enough, they are not often regarded by the admitting authorities as sufficiently ill to require hospital treatment. American cities have as yet provided no special hospital for the proper care of neurologic cases other than a few infirmaries in connection with almshouses. The usefulness, even of such provisions, has obviously been sacrificed by the nature of the associations and surroundings