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Published Online: September 1939

RESULTS AND OBSERVATIONS ON THE INSULIN-SHOCK TREATMENT OF SCHIZOPHRENIA

EARL D. BOND, JOSEPH HUGHES, and JAMES A. FLAHERTYAuthors Info & Affiliations

Publication: American Journal of Psychiatry

Volume 96, Number 2

https://doi.org/10.1176/ajp.96.2.317

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Abstract

1. In every hospital using insulin-shock the patients treated should be followed for five years. Another group of patients, or other groups, as near alike as possible should be followed for the same time as controls. It seems certain that relapses after favorable responses will follow in all groups.

2. In the valuable paper just published by Malamud and Render⁹ it is stated that a study of the course and prognosis in schizophrenia should include the criteria used by the author in diagnosis. We take a little exception to this statement because it might give encouragement to more varying personal standards for schizophrenia. After all, it is safer for psychiatrists to use the criteria put down in the official Statistical Manual,¹⁰ and to work toward a definition which all can use.

3. Insulin-shock therapy is not a complete answer. But the transformation of the patient's condition is so immediate and favorable in a majority of cases that it will have place in, or provide suggestions for a future therapy, and this without regard to whether good results last for an afternoon or indefinitely. It is only fair to remember that Sakel spoke of insulin-shock as the artillery in a general combined attack on the disease process.

4. Insulin in convulsive doses alters the metabolic processes of nerve.

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Information & Authors

Information

Published In

American Journal of Psychiatry

Volume 96 • Number 2 • September 1939

Pages: 317 - 326

History

Published in print: September 1939

Published online: 1 April 2006

Authors

Details

EARL D. BOND

Institute of the Pennsylvania Hospital, Philadelphia, Pa.

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JOSEPH HUGHES

Institute of the Pennsylvania Hospital, Philadelphia, Pa.

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JAMES A. FLAHERTY

Institute of the Pennsylvania Hospital, Philadelphia, Pa.

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RESULTS AND OBSERVATIONS ON THE INSULIN-SHOCK TREATMENT OF SCHIZOPHRENIA

Abstract

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