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UNIDENTIFIED : 1938 ORIGINAL MANUSCRIPT JOURNAL, LECTURE NOTES AND CASE STUDIES OF AN INSANE ASYLUM PSYCHIATRIC NURSING STUDENT

12mo - over 6¾" - 7¾" tall. On offer is a sensational, intimate look inside the world of insane asylums and of Depression-era psychiatric care seen from the perspective of young nurse training hands-on in two institutional settings: Speers Memorial Hospital Training School in Dayton Kentucky and the Longview Hospital in Cincinnati Ohio. While the author is not identified two newspaper clippings showing the 1938 graduating class of nurses assuredly narrows the search for local historians or collectors. Our writer has compiled lecture notes and observations from patient rounds, detailing treatment and procedure in early mental institutions and asylums. She begins the seventy handwritten pages: "First Lecture at Longview" [Longview Hospital located in Cincinnati Ohio]. February 12, 1938 Psychiatry, Branch Medicine/Deals and Minds. Care of patients mental disease. Mental illness, many groups. Organic Mental Illness, syphilis, alcoholic access, central nervous system and infections. Manic Depressive, unknown cause. Involution psychosis-Menopause. Many suffer from psychosis, old age. Care of these patients in general. Absence and brutality. Forceful restraint and necessary! Intelligent handling; thought fullness and avoided. Many patients act an exciting cause and then some. Sedatives advised. Less used, better off patient is. Hydrotherapy is advised before mechanical or chemical. Other times sedatives necessary. Direct observation of sedative should not be tolerated. Specific measures used in mental patients…." "Case No. 1. A white female who hears imaginary voice. Middle age. Plot against Roosevelt. Paranoid dementia praecox. Case No. 2. A young white male. Victim. Hebephrenic Dementia Praecox. Could not be heard. Scattering thoughts and ideas. No reality. Cannot associate ideas. Case No. 3. White male, middle age about 40. Talks very low. Very sad, cannot hear what he says. Thinks he is infected. Extremely depressed, self accusing and delusions. Maniacal depressant psychosis and Involution psychosis, practices self abuse. Case No. 4 Young female sort of funny. Patient very nervous. Keeps scratching head and turning around. She thinks she's neurotic and crazy. Talks in jerks. Gets tangled up with talking. ¾ admission at hospital. Maniacal depressive. Psychosis. Case No. 6. Patient male. Very old. Thinks Dr. owes him money. Will not sit down. Thinks he is Dr. Has Syphilis of brain. Talks constantly of banks and money." "March 19th, 1938 1st Case admitted 1926. Was 21 years of age then. Onset occurred in last year of college. Worried about exam. Had delusions. Was absent minded and dreamer. Has no contact with people. 2nd case. Admitted in 1931 was 20 years old. Hebephrenic physical condition not good, onset sudden. Made good grades in school. Very smart. Does not mix well. Never went out with boys. Loved home life, mother and sister. Sits in a fetal position and hands and legs crossed. Keeps eye closed tightly. Schizophrenia cationic type. Had to be fed with tube _ times because she refused to eat……..4th case, 1934. 39 years of age. Catatonic type. Patient attempted to hang self 3 times in Co. jail. Screaming. Thought baby was dead, runs out screaming. Tried to runaway. Lack of cooperation. Mental retardation. Was in the state hospital 5 years. Patient hasn't talked since here. Mute. Negativistic attitude. Sits quietly in 1 spot, has to be fed. 5th case. Ad. 1925. Was 35 years of age on admission. Single common school education. Thinks she a sacred woman. Has hallucinations and delusions. Thinks witches came to live with her….." She goes on to talk about treating syphilis using Arsenic, Bismuth and Mercury. Also a section about questions on Psychiatry and description on Manic Depressive "Physiotherapy is very valuable. Tonic baths tend to preserve their physical health and stimulate general body activity. The continuous bath is the best means of allaying any excitement that may arise in these patients. Great interest is now being shown in the treatment of the schizophrenic patients with insulin." "VII Paranoia or Paranoid States This is a chronic progressive psychosis characterized by the formation of systematized delusions based upon a false premise. State hospitals approx. 1 % of this type. Very early in life this person has a peculiar suspicious personality. Also manifestations, sexual traits. They become proud, vain and regard themselves as superior to others. They gradually imagine people are jealous of them and owe this to some unusual gift which they think they possess. Finally they believe themselves to be Jehovah or a prophet………Very few go to mental hospitals as they are quite clever in keeping out of trouble. Often their disease is not known until they have preformed some gross antisocial crime or act…….." "…..Many physicians have lately been using artificially induced fever by means of the different high frequency currents. Of these, diathermy and ultra high frequency currents are the most frequently employed. The most popular method is known as the Kettering Hyperthermia machine. In nursing the paretic patient it is important to keep these patients from committing some antisocial act. They should be kept under strict supervision. When convulsions occur they should be protected against injury. They should be given laxatives and cathartics and an occasional enema…….." "Manic Depressive Psychosis Patients should be placed in properly equipped mental hospitals. It is essential to guard against sexual indiscretion in the early stage of disease. When excited it is best to put them in a continuous bath where they may remain for several hours. Wet sheets and dry packs are also used to allay excitement. Restraint by camisole or tying in bed should be used only in case of extreme necessity…….." The journal goes on with information on schizophrenia, paranoia, child development; both normal and abnormal and general care of all diseases. It's really a wonderful vintage medical journal that shows just how far we've come when dealing with mental diseases. The journal measures about 6 ¾" x 8 ¼" and overall is VG.. Manuscript. Book Condition: Very Good. Binding: Soft Cover

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