By Ronald R. Fieve (auth.), F. Neil Johnson PhD (eds.)
As a scientific scholar within the Nineteen Thirties, I keep in mind good very transparent line of contrast was once drawn among actual disorder and psychological disease. actual disorder resulted from pathology that could be pointed out and studied intimately and the reason may usually be deduced. remedy hence was once frequently particular and established upon a formal appreciation of underlying easy technological know-how. psychological sickness, nevertheless, couldn't, it was once believed, be established upon identifiable alterations in simple technology. It used to be actually 'all within the brain' and, happening within the absence of factors that may be pointed out, analysed and remedied, had no therapy that may whatsoever be referred to as particular. N ow it's all too effortless, in medication, for a physician to develop into so immersed in a strong point that he fails to note how his colleagues in different specialties are faring and, via laziness, to overlook advances even of basic value in fields except these within which he himself works. As a specialist general practitioner, after W orId warfare II, even supposing i noticed the significance of retaining involved with these clinical specialties which seemed to have a typical interface with my very own surgical pursuits, corresponding to common medi cine, gastro-enterology, hepatology and endocrinology, it didn't happen to me that there has been any urgent have to ask what was once new in mental Medicine.
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Social crisis. The rule is weakened by: 1. an age under 40; 2. a unipolar manic-depressive course; 3. socially harmonious conditions. This rule of thumb, with its modifications, can be applied in the following way: when a patient enters hospital for the first time with characteristic symptoms of endogenous depression or a manic state, traditional antidepressants or anti-manic drug treatment will be prescribed. The patient is discharged from hospital and referred to the outpatients clinic. The treatment prescribed continues for 3~4 months.
A controlled study ofthe antidepressant effects of lithium. Arch. Gen. , 26, 154-157. 4. Noyes, R. , Dempsey, G. , Blum, A. and Cavanaugh, G. L. (1974). Lithium treatment of depression. Campr. , 15, 187-193. 5. Johnson, G. (1974). Antidepressant effect of lithium. Campr. , 15, 43-47. 6. Baron, M. Gershon, E. , Jonas, W. Z. and Buchsbaum, M. (1975). Lithium carbonate response in depression: prediction by unipolar I bipolar illness, average evoked response, catechol-O-methyl transferase, and family history.
109,56-65. 5. Goodwin. F. K .. Murphy. D. L. and Bunney. W. E. (1969). Lithium. Lancet, ii, 212-213. 16 THE CLINICAL USES OF LITHIUM 6. Stokes, P. , Stoll, P. , Shamoian, C. H. and Patton, M. J. (1971). Efficacy of lithium as acute treatment of manic-depressive illness. Lancet, i, 1319~ 1325. 7. Peet, M. (1975). Lithium in the acute treatment of mania. In Johnson, F. N. ) Lithium Research and Therapy. Academic Press: London. pp. 25~39. 8. Hussain, M. F. and Gomersall, J. D. (1977). The use oflithiumin the treatment of schizo-affective disorders.