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dc.contributor.authorEllison, R. M.en
dc.date.accessioned2018-01-31T11:43:14Z
dc.date.available2018-01-31T11:43:14Z
dc.date.issued1951en
dc.identifier.urihttp://hdl.handle.net/1842/27979
dc.description.abstracten
dc.description.abstractTHERAPEUTIC: To obtain the best results in prolonged narcosis, much depends upon the attitude of the patient towards the treatment and the environment in which he receives it. The less severe forms of mental illness benefit most from narcosis therapy, and the admission ward of a mental hospital is not the best place for the treatment of such cases. To overcome this difficulty, patients may be treated either in a "nerve unit" in the grounds of a mental hospital, or in a special ward of a general hospital. At this hospital a different arrangement has been used. A country house in pleasant surroundings about a mile from the mental hospital, has been converted into a nursing home which can accommodate twenty -five male and female patients. It is under the administration of the mental hospital and has a trained staff for nursing mentally ill patients. The stigma of a mental hospital does not exist, the patients are all voluntary and selected for their willingness and ability to co- operate in their treatment.en
dc.description.abstractProlonged narcosis is best induced with sodium amytal and paraldehyde, while toxic complications may be minimised by the routine use of glucose and insulin with a high fluid intake.en
dc.description.abstractNarcosis therapy is a valuable therapeutic procedure if used in suitable cases, disappointing results will be obtained if it is used indiscriminately without regard to diagnosis. Cases that respond best are those of short duration, occurring in patients of good previous personality and precipitated by acute environmental. factors. Reactive depressions and anxiety states where the causation is largely exogenous do well. Prolonged narcosis restores the equilibrium in those cases of depression or overactivity, that are not too acutely ill. It may be likened to a rider on a laboratory balance, which by itself, can restore equilibrium when not too great an adjustment is necessary.en
dc.description.abstractRecurrent affective disorders either of mania or depression show improvement, the length of the illness being shortened. There is no evidence to suggest that the cyclothymic processes are affected, for recurrences will occur. The more severe depressions, where retardation is marked, may need a course of E.C.T. Involution depressions do not respond well and may become confused and hallucinated. If active measures of treatment are needed, E.C.T. will give good results in many cases.en
dc.description.abstractEarly schizophrenics do not respond satisfactory to prolonged narcosis and should be treated with insulin coma as soon as possible. Chronic schizophrenics who are excited can be calmed down by narcosis therapy, but the disordered mental processes are not fundamentally altered.en
dc.description.abstractPatients, who are too agitated or overactive to benefit from psycho-therapy, can be restored by a course of prolonged narcosis to a more co- operative and receptive calm.en
dc.description.abstractADMINISTRATIVE: Prolonged narcosis is a useful procedure for quietening and calming excited patients. In an admission ward such patients can he kept quiet and under control, and apart from the benefit to the patient, the ward remains orderly. New admissions are not frightened by noisy and excited patients when they enter the ward.en
dc.publisherThe University of Edinburghen
dc.relation.ispartofAnnexe Thesis Digitisation Project 2017 Block 16en
dc.relation.isreferencedbyAlready catalogueden
dc.titleThe treatment of the depressive states by prolonged narcosisen
dc.typeThesis or Dissertationen
dc.type.qualificationlevelen
dc.type.qualificationnameMD Doctor of Medicineen


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