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February 4, 1905

Insane Wards in General Hospitals.

JAMA. 1905;XLIV(5):404-405. doi:10.1001/jama.1905.02500320068015

Pittsburg, Pa., Jan. 27, 1905.

To the Editor:  —In his interesting description of the new City Hospital of Nuremburg,1 Dr. Barker mentions that 31 of its 946 beds are allotted to insane patients. One could wish that he had furnished some information as to just how this division of the hospital is equipped and how it is managed, for, in my opinion, the attempt to treat disease which exhibits "insanity" as a symptom or group of symptoms in a general hospital marks a distinct step in advance. It is an effort to follow out in practice the theory that "insanity" is a manifestation of sickness, as is headache or edema or convulsions or vomiting or paralysis, dependent, like any of these symptoms, on underlying bodily alterations. To treat "insanity" in a general hospital is an object lesson, to the profession and laity alike, of immense value. In no other