Treatment FAQ

how would you describe the treatment of mental illnesses over time?

by Cooper Johnson Published 3 years ago Updated 2 years ago
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Treatments for mental disorder were quite diverse. Some were theoretically based: bloodletting, baths, head surgery, or a diet change to rid oneself of noxious humors: sexual diversion to aid the lovesick: exorcism and Holy Communion to aid the possessed.

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What are the different types of treatment for mental illness?

Treatment 1 Your treatment team 2 Medications. Although psychiatric medications don't cure mental illness, they can often significantly improve symptoms. 3 Psychotherapy. ... 4 Brain-stimulation treatments. ... 5 Hospital and residential treatment programs. ... 6 Substance misuse treatment. ... 7 Participating in your own care. ...

Which of the following is an example of a mental illness?

Examples include autism spectrum disorder, attention-deficit/hyperactivity disorder (ADHD) and learning disorders. Schizophrenia spectrum and other psychotic disorders.

What can I do if I have a mental illness?

Your treatment team may include your: Family or primary care doctor. Nurse practitioner. Physician assistant. Psychiatrist, a medical doctor who diagnoses and treats mental illnesses. Psychotherapist, such as a psychologist or a licensed counselor. Pharmacist. Social worker.

How has mental illness been treated throughout history?

The way in which people treated mental illness throughout history is linked to what they knew about it at the time. When little or nothing was known about mental illness or psychological health, experts considered any illness without an apparent physiological structure to be divine punishment.

What is lobotomy in psychiatry?

Why did asylums become popular?

Is psychotherapy safe for mental health?

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How has the treatment of mental illness changed over time?

Mental health has been transformed over the last seventy years. There have been so many changes: the closure of the old asylums; moving care into the community; the increasing the use of talking therapies. They have all had a hugely positive impact on patients and mental health care.

How are mental illnesses treated in modern times?

Psychotherapy is the therapeutic treatment of mental illness provided by a trained mental health professional. Psychotherapy explores thoughts, feelings, and behaviors, and seeks to improve an individual's well-being. Psychotherapy paired with medication is the most effective way to promote recovery.

How mental health was viewed and treated in the past?

TREATMENT IN THE PAST. For much of history, the mentally ill have been treated very poorly. It was believed that mental illness was caused by demonic possession, witchcraft, or an angry god (Szasz, 1960). For example, in medieval times, abnormal behaviors were viewed as a sign that a person was possessed by demons.

How did they used to treat mental illness?

Perhaps one of the earliest forms of treatment for mental illness, trephination, also called trepanation, involved opening a hole in the skull using an auger, bore, or even a saw. By some estimates, this treatment began 7,000 years ago.

How effective is mental health treatment?

The best treatments for serious mental illnesses today are highly effective; between 70 and 90 percent of individuals have a significant reduction of symptoms and improved quality of life with a combination of pharmacological and psychosocial treatments and supports.

How were mentally ill patients treated in the 1950s?

The use of certain treatments for mental illness changed with every medical advance. Although hydrotherapy, metrazol convulsion, and insulin shock therapy were popular in the 1930s, these methods gave way to psychotherapy in the 1940s. By the 1950s, doctors favored artificial fever therapy and electroshock therapy.

How have attitudes about mental illness changed over the years?

Results: The attitudes towards people with mental illness have not generally become more positive over the years. In 2014 almost a quarter of the population still think that "people with mental illness commit violentX acts more than others".

How was mental illness treated in the 20th century?

Psychotherapy emerges. For the most part, private asylums offered the treatments that were popular at that time. In the late 19th and early 20th centuries, most physicians held a somatic view of mental illness and assumed that a defect in the nervous system lay behind mental health problems.

How was mental illness treated in the 19th century?

In early 19th century America, care for the mentally ill was almost non-existent: the afflicted were usually relegated to prisons, almshouses, or inadequate supervision by families. Treatment, if provided, paralleled other medical treatments of the time, including bloodletting and purgatives.

How was mental illness treated in the 1960s?

In the 1960s, social revolution brought about major changes for mental health care including a reduction in hospital beds, the growth of community services, improved pharmacological and psychological interventions and the rise of patient activism.

How was mental health treated in the 1930s?

In the 1930s, mental illness treatments were in their infancy and convulsions, comas and fever (induced by electroshock, camphor, insulin and malaria injections) were common. Other treatments included removing parts of the brain (lobotomies).

How did they treat depression in the past?

Exorcisms, drowning, and burning were popular treatments of the time. Many people were locked up in so-called "lunatic asylums." While some doctors continued to seek physical causes for depression and other mental illnesses, they were in the minority.

History Of Mental Illness Timeline | Preceden

17th century . prehistoric times. ancient Greece and Rome . 16th century. 15TH CENTURY. 18th century. 19th century. 20th century.

The History of Mental Illness Treatment and Insane Asylums

“The Yellow Wallpaper” and Jane Eyre were both published in the 1800’s and contain a fictional account of a woman with mental illness. Explain what universal theme these two stories reflect about either the time period, the treatment of women, human rights issues, or the misunderstandings of mental illness in the seventeenth century.

A Brief History of Mental Illness and the U.S. Mental Health Care System

Module 2: A Brief History of Mental Illness and the U.S. Mental Health Care System. The history of mental illness in the United States is a good representation of the ways in which trends in psychiatry and cultural understanding of mental illness influence national policy and attitudes towards mental health.

How have mental health problems changed over time?

Likewise, the treatment of mental illness has varied , according to the advances in medicine , psychology , and psychiatry of the time. Throughout, history, mental illnesses have been both classified and viewed in many different ways.

Why did the authorities not confine the mentally ill to jail?

Therefore, the authorities no longer confined the mentally ill to jails. These ideas arose from the Mental Hygiene Movement. Treatments weren’t based on evidence but on the basis of trying to improve conditions for the mentally ill. The problem was that the caregivers tended to be cured patients.

Why is mental illness considered divine punishment?

When little or nothing was known about mental illness or psychological health, experts considered any illness without an apparent physiological structure to be divine punishment. For this reason, they considered mental illness a fight between good and evil.

Why do doctors put schizophrenics in comas?

Insulin coma therapy. Doctors placed schizophrenics in insulin-induced comas in an attempt to “jolt’ them out of their mental illness.

What was the illness that changed everything?

Syphilis, the illness that changed everything. When syphilis emerged, the treatment of mental illness changed radically. This happened during the eighteenth and nineteenth centuries. At this time, an epidemic of syphilis and gonorrhea was raging through Europe. Flaubert was a French author.

What did psychiatrists think of OCD?

Both of these psychiatrists thought that, in mental disorders such as OCD or psychosis, where there’s a supremacy of the emotional over the rational, it would be of interest to cut the nerve fibers of the frontal cortex with the thalamus. Their idea was to put a stop to recurrent thoughts.

Why are people with schizophrenia called witches?

However, most of these “witches” were elderly people with dementia, seizures, and schizophrenia. People with these conditions tend to suffer delusions. Delusions are usually contextual so, at this particular time, they probably would have centered around the supernatural ideas that existed in society. For this reason, society judged these “witches” on a moral and religious basis. Indeed, they considered illnesses sinful as opposed to being due to any maladaptive behavioral or physiological reason.

Who had the most progressive ideas in how they treated the people among them who had mental health concerns?

Two papyri, dated as far back as the 6th century BCE, have been called “the oldest medical books in the world.”. It was the ancient Egyptians who had the most progressive ideas (of the time) in how they treated the people among them who had mental health concerns.

Who was the first person to reject the idea of mental illness?

Somewhere between the 5th and 3rd centuries BCE, the Greek physician Hippocrates rejected the idea that mental instability was the result of supernatural wrath, and wrote that imbalances in thinking and behavior were from “natural occurrences in the body,” in particular, the brain. 5

How did the clergy help the mentally ill?

Clergy in respective churches played a key role in the treatment mentally ill people received since some medical practice was considered a logical extrapolation of priests’ duty to do what they could to tend to the ailments of their people. If a family could afford the care, they could send their loved one to a private home, owned and operated by members of the clergy who would do what they could to offer some treatment and comfort. Countries with majority (or politically established) Catholic populations would often staff their mental health facilities with members of the clergy; Russia’s Orthodox monasteries housed most of the nation’s mentally ill until the rise of asylums.

Why were mentally ill people ostracized?

Life imprisonment was not out of the question. During the Middle Ages in Europe, mentally ill people were sometimes subject to physical punishment, usually beatings as a form of reprisal for their antisocial and undesired behavior, and sometimes in an attempt to literally beat the illness out of them.

Where did the first mental health reform take place?

But it was in Paris, in 1792, where one of the most important reforms in the treatment of mental health took place. Science Museum calls Pinel “the founder of moral treatment,” which it describes as “the cornerstone of mental health care in the 1800s.” 9,10 Pinel developed a hypothesis that mentally unhealthy patients needed care and kindness in order for their conditions to improve; to that effect, he took ownership of the famous Hospice de Bicêtre, located in the southern suburbs of Paris. He ordered that the facility be cleaned, patients be unchained and put in rooms with sunlight, allowed to exercise freely within hospital grounds, and that their quality of care be improved.

What is the oldest medical book?

Two papyri, dated as far back as the 6th century BCE, have been called “the oldest medical books in the world,” for being among the first such documents to have identified the brain as the source of mental functioning (as well as covering other topics like how to treat wounds and perform basic surgery). 4.

What were the causes of mental illness in ancient times?

Ancient theories about mental illness were often the result of beliefs that supernatural causes, such as demonic possession, curses, sorcery, or a vengeful god, were behind the strange symptoms. Remedies, therefore, ran the gamut from the mystical to the brutal.

What are the different types of mental health?

In addition to isolation, the 19th and 20th century brought new forms of addressing mental health concerns, including: 1 Freudian therapeutic techniques, such as the “talking cure.” 2 Electroshock, a.k.a electroconvulsive therapy (ECT) 3 Antipsychotic drugs and other medications 4 Lobotom y and other forms of psychosurgery

What did people with mental illness do in the middle ages?

In the middle ages, mentally ill patients often became outcasts, left to their own devices in society. In some instances, people in the middle ages viewed those with mental illness as witches or proof of demonic possession. The supernatural ideas did not stop there. As the centuries went on, people with mental illnesses felt more and more discrimination. Too often, these harmful ideas became deadly.

What were the two categories of mental health issues in the 16th century?

In the 16th century, many doctors split mental health issues into two categories: demonic possession or physical illness. When a physical ailment or abnormality presented itself in a patient with mental illness, treatments often focused on fixing the physical symptoms.

What was Edgar Allen Poe's mental health?

Edgar Allen Poe was believed to have suffered from bipolar disorder, recurrent depression, and substance abuse.

When did mental health start?

The term “mental hygiene” spread in the medical field starting in the 19th century. Prior to this, there wasn’t an official term to describe emotional or behavioral struggles that have existed for ages.

Who are some famous people who have been involved in mental health?

Historians and mental health professionals have ample evidence of the history of mental illness through documented cases. These cases cover a wide array of issues, including anxiety and alcoholism. In fact, many researchers theorize that well-known historical figures such as Edgar Allan Poe, Ludwig Von Beethoven, ...

Who helped us understand mental illness?

Mental health advocates like Dorothea Dix, social media movements, and advanced medical technology all allowed us to view the physiological evidence of mental illnesses.

How many people experience mental illness in 2012?

According to the U.S. Department of Health and Human Services (2013), 19% of U.S. adults experienced mental illness in 2012. For teens (ages 13–18), the rate is similar to that of adults, and for children ages 8–15, current estimates suggest that 13% experience mental illness in a given year (National Institute of Mental Health [NIMH], n.d.-a)

Why do people seek therapy?

Some people seek therapy because the criminal justice system referred them or required them to go. For some individuals, for example, attending weekly counseling sessions might be a condition of parole. If an individual is mandated to attend therapy, she is seeking services involuntarily. Involuntary treatment refers to therapy that is not the individual’s choice. Other individuals might voluntarily seek treatment. Voluntary treatment means the person chooses to attend therapy to obtain relief from symptoms.

What did Dix discover about the mental health system?

She investigated how those who are mentally ill and poor were cared for, and she discovered an underfunded and unregulated system that perpetuated abuse of this population (Tiffany, 1891). Horrified by her findings, Dix began lobbying various state legislatures and the U.S. Congress for change (Tiffany, 1891).

What was the purpose of asylums?

By the 18th century, people who were considered odd and unusual were placed in asylums. Asylums were the first institutions created for the specific purpose of housing people with psychological disorders, but the focus was ostracizing them from society rather than treating their disorders. Often these people were kept in windowless dungeons, beaten, chained to their beds, and had little to no contact with caregivers.

How many shock treatments were given in 1943?

Electroshock treatment was also used, and the way the treatment was administered often broke patients’ backs; in 1943, doctors at Willard administered 1,443 shock treatments (Willard Psychiatric Center, 2009). (Electroshock is now called electroconvulsive treatment, and the therapy is still used, but with safeguards and under anesthesia.

Why do people seek treatment for their children?

Some people seek treatment because they are involved with the state’s child protective services—that is, their children have been removed from their care due to abuse or neglect. The parents might be referred to psychiatric or substance abuse facilities and the children would likely receive treatment for trauma. If the parents are interested in and capable of becoming better parents, the goal of treatment might be family reunification. For other children whose parents are unable to change—for example, the parent or parents who are heavily addicted to drugs and refuse to enter treatment—the goal of therapy might be to help the children adjust to foster care and/or adoption.

When did mental health parity change?

This changed with the Mental Health Parity and Addiction Equity Act of 2008, which requires group health plans and insurers to make sure there is parity of mental health services (U.S. Department of Labor, n.d.).

How many people experience mental illness in 2012?

According to the U.S. Department of Health and Human Services (2013), 19% of U.S. adults experienced mental illness in 2012. For teens (ages 13–18), the rate is similar to that of adults, and for children ages 8–15, current estimates suggest that 13% experience mental illness in a given year (National Institute of Mental Health [NIMH], n.d.-a)

Why do people seek treatment?

Some people seek treatment because they are involved with the state’s child protective services—that is, their children have been removed from their care due to abuse or neglect. The parents might be referred to psychiatric or substance abuse facilities and the children would likely receive treatment for trauma. If the parents are interested in and capable of becoming better parents, the goal of treatment might be family reunification. For other children whose parents are unable to change—for example, the parent or parents who are heavily addicted to drugs and refuse to enter treatment—the goal of therapy might be to help the children adjust to foster care and/or adoption ( [link] ).

What is the funding source for mental health?

A range of funding sources pay for mental health treatment: health insurance, government, and private pay. In the past, even when people had health insurance, the coverage would not always pay for mental health services. This changed with the Mental Health Parity and Addiction Equity Act of 2008, which requires group health plans and insurers to make sure there is parity of mental health services (U.S. Department of Labor, n.d.). This means that co-pays, total number of visits, and deductibles for mental health and substance abuse treatment need to be equal to and cannot be more restrictive or harsher than those for physical illnesses and medical/surgical problems.

What was the purpose of asylums?

By the 18th century, people who were considered odd and unusual were placed in asylums ( [link] ). Asylums were the first institutions created for the specific purpose of housing people with psychological disorders, but the focus was ostracizing them from society rather than treating their disorders. Often these people were kept in windowless dungeons, beaten, chained to their beds, and had little to no contact with caregivers.

How long can a person stay in a psychiatric hospital?

In all types of hospitals, the emphasis is on short-term stays, with the average length of stay being less than two weeks and often only several days. This is partly due to the very high cost of psychiatric hospitalization, which can be about $800 to $1000 per night (Stensland, Watson, & Grazier, 2012). Therefore, insurance coverage often limits the length of time a person can be hospitalized for treatment. Usually individuals are hospitalized only if they are an imminent threat to themselves or others.

Who advocated for the mentally ill to be unchained?

Beginning in the Middle Ages and up until the mid-20th century, the mentally ill were misunderstood and treated cruelly. In the 1700s, Philippe Pinel advocated for patients to be unchained, and he was able to affect this in a Paris hospital. In the 1800s, Dorothea Dix urged the government to provide better funded and regulated care, which led to the creation of asylums, but treatment generally remained quite poor. Federally mandated deinstitutionalization in the 1960s began the elimination of asylums, but it was often inadequate in providing the infrastructure for replacement treatment.

Who was the physician who argued for humane treatment of the mentally ill?

In the late 1700s, a French physician, Philippe Pinel , argued for more humane treatment of the mentally ill. He suggested that they be unchained and talked to, and that’s just what he did for patients at La Salpêtrière in Paris in 1795 ( [link] ). Patients benefited from this more humane treatment, and many were able to leave the hospital.

When did mental health start?

The history of treating mental illnesses dates as far back as 5000 B.C.E. with the evidence of “trephined skulls.”

What are the four essential fluids that are responsible for mental illness?

These imbalances were in the “four essential fluids”; blood, phlegm, bile, and black bile which produce “unique personalities of individuals.”.

Why did the Persians practice cleanliness?

Although ancient Persians also believed that the illnesses were caused by demons, they practiced precautionary measures such as personal hygiene and “purity of the mind and body” in order to “prevent and protect one from diseases”.

What is the stigma attached to mental illness?

Historically, those with mental illnesses had a “social stigma” attached to them. It was believed that “a mentally ill member implies a hereditary, disabling condition in the bloodline” threatening the family’s “identity as an honorable unit”. In countries, or cultures, that had strong ties to family honor, such as China and Japan ...

Why are the ill hidden?

In countries, or cultures, that had strong ties to family honor, such as China and Japan and even some parts of the United States, the ill were hidden by their families so that the community or society that they were a part of wouldn’t believe the illness was “a result of immoral behavior by the individual and/or their relatives”.

What are some treatments for schizophrenia?

Asylums. Electro-Shock Therapy. Skull Drills. Pills. Exorcisms. Isolation. Lobotomies. Many of the drastic procedures that have been put in place to relieve a person with mental illness such as schizophrenia are only successful in creating ‘vegetables’ out of patients, not curing their illness but making them ghosts of their previous selves.

Why did the Egyptians recommend that people with mental illness participate in recreational activities?

Similarly, the Egyptians recommended that those stricken with mental illness should participate in “recreational activities” in order to relieve symptoms which displayed that, as a civilization, the Egyptians were very advanced in their treatment of mental handicaps. (Foerschner)

How to help someone with mental illness?

Learn about your mental illness. Your doctor or therapist can provide you with information or may recommend classes, books or websites. Include your family, too — this can help the people who care about you understand what you're going through and learn how they can help.

What are the different classes of mental illness?

Classes of mental illness. The main classes of mental illness are: Neurodevelopmental disorders. This class covers a wide range of problems that usually begin in infancy or childhood, often before the child begins grade school.

What is the DSM-5?

The defining symptoms for each mental illness are detailed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association. This manual is used by mental health professionals to diagnose mental conditions and by insurance companies to reimburse for treatment.

What is brain stimulation?

Brain-stimulation treatments are sometimes used for depression and other mental health disorders. They're generally reserved for situations in which medications and psychotherapy haven't worked. They include electroconvulsive therapy, repetitive transcranial magnetic stimulation, deep brain stimulation and vagus nerve stimulation.

What is the difference between psychotherapy and talk therapy?

Psychotherapy, also called talk therapy, involves talking about your condition and related issues with a mental health professional. During psychotherapy, you learn about your condition and your moods, feelings, thoughts and behavior. With the insights and knowledge you gain, you can learn coping and stress management skills.

How long does it take to get psychotherapy?

Psychotherapy often can be successfully completed in a few months, but in some cases, long-term treatment may be needed. It can take place one-on-one, in a group or with family members.

What happens if you can't stop using drugs?

Problems with substance use commonly occur along with mental illness. Often it interferes with treatment and worsens mental illness. If you can't stop using drugs or alcohol on your own, you need treatment. Talk to your doctor about treatment options.

How long does a psychiatric hospital stay?

In all types of hospitals, the emphasis is on short-term stays, with the average length of stay being less than two weeks and often only a few days.

Why do people seek therapy?

Some people seek therapy because the criminal justice system referred them or required them to go. For some individuals, for example, attending weekly counseling sessions might be a condition of parole. If an individual is mandated to attend therapy, she is seeking services involuntarily. Involuntary treatment refers to therapy that is not the individual’s choice. Other individuals might voluntarily seek treatment. Voluntary treatment means the person chooses to attend therapy to obtain relief from symptoms.

What was the purpose of asylums?

By the 18th century, people who were considered odd and unusual were placed in asylums. Asylums were the first institutions created for the specific purpose of housing people with psychological disorders, but the focus was ostracizing them from society rather than treating their disorders. Often these people were kept in windowless dungeons, beaten, chained to their beds, and had little to no contact with caregivers.

Why is mental illness a result of demonic possession?

The prevailing theory of psychopathology in earlier history was the idea that mental illness was the result of demonic possession by either an evil spirit or an evil god because early beliefs incorrectly attributed all unexplainable phenomena to deities deemed either good or evil.

What does it mean to be voluntarily treated?

Other individuals might voluntarily seek treatment. Voluntary treatment means the person chooses to attend therapy to obtain relief from symptoms. Psychological treatment can occur in a variety of places. An individual might go to a community mental health center or a practitioner in private or community practice.

How many shock treatments were given in 1943?

Electroshock treatment was also used, and the way the treatment was administered often broke patients’ backs; in 1943, doctors at Willard administered 1,443 shock treatments (Willard Psychiatric Center, 2009).

How many prisoners report having psychological distress?

Additionally, in the month prior to the study, 14% of state and federal prisoners and 26% of jail inmates reported having experiences indicating serious psychological distress, such as frequent depression and anxiety.

When did the emotional well being act start?

This early time of the twentieth century denoted a major development in backing and care guidelines for emotional well-being care. 1946: President Harry Truman signs a law that expects to lessen psychological sickness in the US, the Public Emotional well-being Act.

Who was the German psychiatrist who started to draw qualifications between various issues?

1883: German specialist Emil Kraepelin contemplates psychological instability and starts to draw qualifications between various issues. His notes on the contrasts between hyper burdensome issues and schizophrenia are as yet utilized today.

Why do people set intellectually sick in offices?

Setting the intellectually sick in offices permitted individuals from the overall population to disregard the issue. They didn’t see any individual who had a psychological sickness wandering the roads, and on the off chance that they set an individual in an organization like this, they might not have returned to visit or shared accounts of any visits they made. Individuals just appeared to vanish.

What did Carl Jung and Sigmund Freud do in the mid-1900s?

The mid-1900s: Utilizing psychoanalytical speculations, Sigmund Freud and Carl Jung treat their patients for dysfunctional behavior. A large number of the speculations they utilized are as yet examined today and utilized as a reason for the investigation of brain science.

Is mental health a history?

History of Mental Health Treatment: What You Need to Know. The history of mental illness is not a distinctly new condition. Genetically, along with the chemical and physical attack which certain individuals may cause were often part of human lives, the forces underlying some illnesses. However, how affected individuals are handled by their ...

What is lobotomy in psychiatry?

Popular during the 1940s and 1950s, lobotomies were always controversial and prescribed in psychiatric cases deemed severe. It consisted of surgically cutting or removing the connections between the prefrontal cortex and frontal lobes of the brain. The procedure could be completed in five minutes. Some patients experienced improvement of symptoms, but the treatment also introduced other impairments. The procedure was largely discontinued after the first psychiatric medications were created in the 1950s.

Why did asylums become popular?

Isolation was the preferred treatment for mental illness beginning in medieval times, which may explain why mental asylums became widespread by the 17th century. These institutions were “places where people with mental disorders could be placed, allegedly for treatment, but also often to remove them from the view of their families and communities,” according to Everyday Health. Overcrowding and poor sanitation were serious issues in asylums, which led to movements to improve care quality and awareness. At the time, medical practitioners often treated mental illness with physical methods. This approach led to the use of brutal tactics like ice water baths and restraint.

Is psychotherapy safe for mental health?

As we learn more about the causes and pathology of various mental disorders, the mental health community has developed effective, safe treatments in place of these dangerous, outdated practices. Today, those experiencing mental disorders can benefit from psychotherapy, along with biomedical treatment and increased access to care. As this study of the history of mental illness care shows, treatments will continue to change along with scientific and research developments and as mental health professionals gain more insight.

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Mental Health Treatment in Ancient Times

The Oldest Medical Books in The World

The Four Humors

Caring For The Mentally Ill

from Workhouses to Asylums

The Roots of Reform

  • While bloodletting and inducing vomiting were still the preferred form of treatment (when staff actually deigned to help their wards), additional forms of “therapy” included dousing the patients in extremely hot or cold water, the idea being that the shock would force their minds back into a healthy state. The belief that mental disturbance was sti...
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