Ⅰ Introduction:The Major Approaches to the Treatment of Mental Illness 1
Ⅱ The Psychologic Nature of Mental Disorder 6
THE EARLY FORMALISTIC APPROACH 6
THE DEVELOPMENT OF THE GENETIC-DYNAMIC APPROACH 8
THE PREDOMINANTLY GENETIC APPROACH 8
THE PREDOMINATLY DYNAMIC APPROACH 10
THE PSYCHOBIOLOGIC APPROACH 12
THE VITALISTIC APPROACH 13
THE APPROACH IN TERMS OF HARMONY 14
Ⅲ Somatopsychic Background and Psychosomatic Nature of Mental Disease 17
HEREDITY 18
CONSTITUTION AND BODY STATE 20
PSYCHOSOMATIC CONSIDERATIONS 24
Ⅳ The Cultural Background of Mental Disease and of Attitudes toward Its Treatment 33
THE INFLUENCE OF CULTURE ON MENTAL DISORDER 33
SOCIAL ATTITUDES TOWARD MENTAL DISOBDER 37
Ⅴ Diagnosis in Psychiatry 41
Ⅵ General Principles of Psychotherapy 45
NONVERBAL PSYCHOTHERAPY 45
TECHNIQUES OF PSYCHOTHERAPY 46
Supportive treatment 46
Ventilation 48
Abreaction 49
Shift of emphasis 51
Interpretation 51
Suggestion 53
Persuasion 54
Hypnosis 56
Reassurance 57
Ⅶ General Principles of Treatment by Shock,Stimulation,and Psychosurgery 60
INSULIN TREATMENT 60
METRAZOL TREATMENT 60
ELECTROSHOCK TREATMENT 61
ELECTRONARCOSIS AND ELECTRIC COMA 65
NONCONVULSIVE ELECTRIC STIMULATION TREATMENTS 70
PSYCHOSURGERY 75
GENERAL PRINCIPLES OF THE EFFECTS OF PHYSICAL METHODS OF TREATMENT 77
Ⅷ The Electrical Properties of Currents Used for Treatment 83
TYPES OF CURRENTS USED 83
THE PASSAGE OF ELECTRIC CURRENTS THROUGH THE INTACT BODY 90
Ⅸ Neurophysiologic Aspects of Physical Treatments for Mental Disease 95
ELECTRIC TREATMENT 95
Nonconvulsive treatment (Vasovagal akinetic stimulation) Myoclonic treatment (Sub-grand mal convulsive stimulation) 100
Convulsive treatment (Grand-mal-producing stimulation) 101
INSULIN TREATMENT 122
ETHER DRIP INFUSION TREATMENT 134
FRONTAL LOBOTOMY AND RELATED PSYCHOSURGICAL PROCEDURES 135
Ⅹ Complications and Fatalities due to Physical Treatment Methods Prevention.Emergency Treatment and Lifesaving Measures 152
ELECTROSHOCK AND ELECTRIC STIMULATION TREATMENT 152
INSULIN COMA TREATMENT 162
ETHER DRIP INFUSION TREATMENT 167
PSYCHOSURGERY 167
Ⅺ The Question of Brain Damage from Electric Treatment and Insulin Coma Treatment 175
ELECTROSHOCK 175
INSULIN 184
Ⅻ Mode of Action and Results of Psychotherapy and of Physical Treatment of Mental Disorders 193
THE DYNAMICS AND EFFECTS OF PSYCHOTHERAPY 193
Types of defenses 194
Depression 199
Results of psychotherapy 200
PSYCHOPHYSIOLOGIC EFFECTS OF PHYSICAL TREATMENT 206
Psychophysiologic effects of electric treatment 206
Convulsive treatment 206
Nonconvulsive electric treatment 227
Myoclonic treatment 236
Comblined convulsive-nonconvulsive treatment 236
Psychophysiologic effects of insulin coma treatment 240
Psychophysiologic effects of insulin subcoma treatment 257
Psychophysiologic effects of ether drip infusion treatment 259
Psychophysiologic effects of frontal lobotomy,topectomy,subcortical undercutting,and thalamotomy 260
Psychophysiologic effects of surgery of the temporal lobe 268
ⅩⅢ Indications for Physical Treatment,Based on Psychiatric and psychosomatic Clinical Findings 281
PSYCHOLOGIC VS.PHYSICAL METHODS 281
CHOICE OF PHYSICAL METHOD 282
ⅩⅣ Practical Treatment Techniques 287
PSYCHOTHERAPY 287
Hypnosis 287
Psychoanalytic technique 290
Psychotherapy aided by abreactive or narcotizing drugs 292
Intravenous barbiturates (sodium arnytal,pentothal sodium,) 292
Ether inhalation 297
Pervitin 298
Carbon dioxide 299
Psychotherapy by personal interview 299
Psychotherapy by conference,with specific reference to the psychotherapy of married couples 304
Group psyehotherapy 306
Occupational,diversional and reoreational thereapy 309
Supplemental medication 310
ELECTRIC TREATMENT 314
Nonconvulsive (akinetic) treatment 319
Combined myoclonic-nonconvulsive treatment 328
Convulsive treatment 329
Combined convulsive-nonconvulsive treatments 339
INSULIN COMA TREATMENT 370
INSULIN SUBCOMA TREATMENT 373
COMBINED INSULIN COMA-CONVULSIVE ELECTROSHOCK THERAPY 374
ETHER DRIP INFUSION TREATMENT 374
FRONTAL LOBOTOMY AND UNDERCUTTING 375
SURGEBY OF THE TEMPORAL LOBE 381
THALAMOTOMY 383
ⅩⅤ Integration of Physical Treatment with Dynamic Psychotherapy 390
PREPARING THE PATIENT 390
THE THERAPIST'S ROLE 391
TIMING OF PHYSICAL TREATMENTS-WHEN TO TREAT AND WHEN TO HOLD OFF 393
MEANING OF PHYSICAL TREATMENTS TO PATIENTS 394
DYNAMICS OF THE IMMEDIATE POST-TREATMENT PHASE 400
CHANGES IN DEFENSES INDUCED BY PHYSICAL TREATMENT AND MODIFIED BY PSYCHOTHERAPY 402
Convulsive electric treatment 403
Nonconvulsive electric treatment 405
Insulin coma treatment 406
Lobotomy 407
PSYCHOTHERAPY FOLLOWING PHYSICAL TREATMENT 407
Easing of self-driving attitudes in depressions 407
Psychotherapy aimed at improving interpersonal relationships and helping intrapsychic maturation 410
Psychotherapy after psychosurgery,with particular reference to psychotherapy of the family group 412
ⅩⅥ The Role of the Nurse During Treatment 417
PSYCHOLOGIC FACTORS 417
SPECIFIC DUTIES 418
Electric forms of physical treatment 419
Insulin subcoma 424
Insulin coma treatment 424
Carbon dioxide therapy 426
Intravenous ether drip infusion treatment 427
Ether abreaction treatment by inhalation 428
ⅩⅦ Treatment of Alcoholism 430
ALCOHOL ADDICTION 430
Psychotherapeutic aspects 430
Somatic treatment 435
ACUTE ALCOHOLISM 440
CHRONIC ALCOHOLISM 441
ⅩⅧ Treatment of Other States of Intoxication of External Origirl 444
HYPNOTIC AND SEDATIVE DRUGS 444
ALKALOIDS 451
ANALGESIC AND CHEMOTHERAPEUTIC DRUGS 456
METABOLIC STIMULANT 458
EXPECTORANTS 458
ANTISEPTICS,GERMICIDES,INSECTICIDES,VERMICIDES,FUNGICIDES,AND DERIVATIVES WITH OTHER USAGE 458
HORMONES 459
NONTHERAPEUTIC ORGANIC CHEMICALS 460
INORGANIC CHEMICALS 464
WAR GASES 466
ⅩⅨ Treatment of Mental Disturbances in Organic Derebrospinal Disease 470
ANTISYPHILITIC TREATMENT 470
ARTERIOSCLEROSIS 471
TREATMENT OF MENTAL AND EMOTIONAL DISTURBANCES 471
The teatment of psychogenic overlay reactions 472
Stimulation and activation of performance 474
Treatment aimed at preventing psychosomatic reverberations 476
ⅩⅩ Interpretation of Results of Treatment,Flexibility of Treatment,and the Need for Adequate Treatment Records 478
ⅩⅪ Frontiers for New Research and Development 483
NEED FOR STATISTICAL STUDIES 483
THE NEURAL MECHANISMS OF MENTAL DISEASE 484
AUTONOMIC BALANCE AND MENTAL DISEASE 486
FRONTIERS IN PSYCHOTHERAPY 488
INDEX 491