Sir Arthur Newsholme and state medicine, 1885–1935

نویسنده

  • Anne Hardy
چکیده

humane treatment, that will leave readers so disheartened. Optimism and conviction give way to despair and backtracking. Private madhouses, once excoriated by the public asylum "masters", are eventually but grudgingly endorsed. Medical treatments, avowedly eschewed in favour of moral treatment, are similarly embraced in time. The authors' cautionary tale of unbridled faith in institutionalization includes a prescient warning by Henry Maudsley, who anticipated not only yesterday's enthusiasm for antipsychotic medication, but today's penchant for depression's "designer-drugs". The question surrounding drug prescription, Maudsley posed in 1871, was larger than whether medication promoted recovery: it was "whether the forcible quieting of a patient by narcotic medicines does not diminish his excitement at the expense of his mental power-whether it is not, in fact, 'to make solitude and call it peace"' (p. 241). Maudsley's caution and the experiences recounted so tellingly by the authors of Masters ofBedlam compel us to reflect anew on what we have learned about confinement and treatment, and what few alternatives are depressingly available to us.

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عنوان ژورنال:
  • Medical History

دوره 42  شماره 

صفحات  -

تاریخ انتشار 1998