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Biomedical subjects

A E BENNETT

Publications and source records attributed to A E BENNETT.

At least 37 records · Page 2Linked to original sources

Alcohol addiction; problems in treatment.

Of about five million problem drinkers in the United States, at least 750,000 are chronic alcoholics, a sixth of whom are in California. Seven phases of drinking patterns are described, from nondependent or "social" drinking, to the last two phases, when blackouts become more frequent and severe, "benders" fade into each other and serious organic diseases appear. General principles of treatment, after medical diagnosis and psychosocial evaluation, include hospitalization for acute episodes and physical disabilities, use of Antabuse (disulfiram) in suitable cases, psychotherapy, and the use of social aids such as Alcoholics Anonymous. The problem requires all resources available in the community, since chronic alcoholics are never cured and need support for long periods. A cooperative patient can finally readjust himself and get along without alcohol. Physicians must recognize the seriousness of alcohol addiction and help patients to accept treatment.

Alcoholics Anonymous↗

Prevention of suicide.

Suicide is the ninth major cause of death in the nation. California, according to the latest comprehensive figures (1949), ranks about 50 per cent above the national average. Yet the importance of suicide as a cause of death is gravely underestimated. At hospitals and other agencies only emergency treatment is given before discharge of persons who attempt suicide, although it is known that many will repeat the attempt. Rarely is psychiatric evaluation carried out or definitive treatment prescribed. Suicidal symptoms are often ignored in other cases. Physicians have a responsibility, as in any disorder, to recognize signs and symptoms of impending suicide and to use all means of prevention. Prevention could be forwarded by the education of physicians and laymen in detecting early signs of depression, in recognizing accident proneness, and in insisting upon legal control of use of barbiturates, a common means of suicide. Lay associations should encourage individuals with suicidal impulses to go to psychiatric clinics for help. Police should learn how to deal with suicidal attempts, and hospitals should include psychiatric examination and advice as to treatment of all such persons. Suicidal attempts should be registered and reported to public health officers in the same way as are other dangerous diseases. More research should be done on case records of these patients, in order to better understand motivations and means of prevention.

California↗

Transorbital lobotomy; its use in relapsing psychotic states.

Twenty-five private patients were treated by transorbital lobotomy. The period of observation after operation was from six months to three years. In 14 cases of affective disorders in which there was not adequate response to shock therapy, nine patients made social recovery and maintained good health and four were improved. Some follow-up shock therapy was necessary for about one-fifth of the patients. Of eight schizophrenic patients four made excellent social recoveries, two improved and two were not improved. In three cases of obsessive compulsive states, results were not satisfactory. In light of the factors of less disturbance to the total personality, absence of postoperative complications, shortened hospitalization, pecuniary savings and better clinical results, the authors prefer transorbital lobotomy to prefrontal lobotomy in private psychiatric practice and believe that in cases of frequent relapse early use of the procedure should be considered to prevent development of a chronic state.

Convulsive Therapy↗