PubMed Health⌕ Search

Biomedical subjects

H A WILMER

Publications and source records attributed to H A WILMER.

At least 19 recordsLinked to original sources

Transference to a medical center. A cultural dimension in healing.

The phenomenon of transference to a medical center is similar to the transference given to an individual physician, the feelings being invested in The Center rather than in a person. The reputation and the image of The Center can give therapeutic sustenance. There are common features to each healing organization from primitive times to the journeys to the Oracles at the shrine of Zeus at Dodona and Apollo at Delphi, to Mecca and St. Bartholomew's Hospital, to Lourdes and Gheel, and to the present-day medical center. A phenomenon which we have identified as Transference to a Center has previously been known to physicians, theologians, historians, sociologists and anthropologists, by different names. In a social sense, transference to a medical center is akin to an Edifice complex.

Hospitals↗

Treatment of mental illness; the use and misuse of sedation and the seclusion room.

Nine hundred and thirty-nine patients admitted to the locked receiving ward in the psychiatric service of the U. S. Naval Hospital, Oakland, over a ten-month period, many of them psychotic and in an acute initial episode, were treated with an intensive group therapy program, which more appropriately should be called a therapeutic community. During this time, the ward medical officer did not put any patients in a seclusion room. Patients who did not require a locked ward were quickly transferred to the open receiving ward which was established five months after this program began. It was possible to greatly diminish the quantity of sleeping medicine prescribed and practically to eliminate the use of barbiturates given parenterally. Restraints were never used. To be dealt with in this atmosphere of candor and relative freedom seemed to evoke a responsive attitude in the patients and many of them benefited from it.

Barbiturates↗