AN EXPLANATION OF MENTAL SYMPTOMS FOUND IN ACUTE SENSORY DEPRIVATION: RESEARCHES 1958-1963.
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Biomedical subjects
Publications and source records attributed to E ZISKIND.
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In a detailed investigation of 174 patients who wore patches over both eyes after ocular operations, some 35 per cent were observed to have one or more symptoms of mental aberrations. In a smaller group who had repair of retinal detachment and therefore had to wear eye patches for a much longer time, the incidence of mental symptoms was 100 per cent. A common symptom called "noncompliance" was found which has hitherto been regarded simply as lack of cooperation by the patient. The incidence of postoperative complications was considerably higher in patients who had symptoms of mental disturbance than in those who did not. In these circumstances it would appear worth while to prepare the patient mentally for operation, to give him assurances beforehand, and to take measures to reduce his "isolation" while he has to wear patches.
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A new kind of psychiatric facility to deal with patients returning to their community from a state hospital or with patients newly ill and treatable locally, combines a number of features in the interests of economy and enhanced effectiveness. Its economy arises from: (1) The exclusion of bed-patient and security-ward care for patients not in need of them; (2) a shortened hospital stay resulting from rapid treatment procedures (electroconvulsion, brief psychotherapy and drug therapy); (3) a flexible shifting to outpatient or day care as soon as practicable. Enhanced effectiveness of therapy arises from earlier discharge from state hospitals, earlier treatment of patients from the community, as well as comprehensive utilization of multiple therapeutic modalities.
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