《Treatment Of Mental Disorder》PDF下载

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  • 出版年份:1953
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  • 页数:507 页
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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