medical psychology

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543 MEDICAL PSYCHOLOGY. To the Edito2- of THE LAXCET. SIR,-I am desirous of calling the attention of yourself and of the profession to what I consider a great evil, believing that by so doing I shall be taking the most direct means towards obtaining a remedy. It is a well-known fact that medical psychology is a branch of the profession which is rarely made the subject of study, except by a very small proportion of medical men ; students seldom make it a part of their curricu- lum, partly because it is not required by the examining boards, principally because their work is already so varied and great; but when it is considered that the period in which they are engaged in their hospital duties is the only part of their lives in which the majority have an opportunity of acquiring any knowledge of mental disease, while almost every medical man is called upon occasionally to take a prominent and responsible I, part in these painful cases, I think it is clearly necessary that ’, every opportunity and facility should be afforded to those stu- dents who can be prevailed upon to make use of them. But is this the case ? Far from it. There are four large lunatic asy- lums in or near London, and at only two of these are students admitted to see the practice. Having seen an advertisement from one of these (the Bethlem) in THE LANCET, in which it was stated that the fee for three months’ attendance on the practice and lectures was ;f3 3s., and concluding with an inti- mation that the " medical officers would enter students and give all necessary information," I went down a short time since for the purpose of making some inquiries preparatory to enter- ing my name. I was shown into a room, and sent my card to Dr. Hood, who came in shortly afterwards, and appeared rather surprised when he heard my business, as he said I should find all the " necessary information" in the advertisement. I had scarcely time to ask him half a dozen questions before he left me abruptly and not very courteously, but not before I had obtained sufficient information to convince me that I should be wasting both time and money by attending the Bethlem Hos- pital. In answer to my question as to when the lectures spoken of in the advertisement would commence, he replied that it was very uncert(l’Í1I if any lectures would be given, as it entirely depended upon the number of students who entered. The days for attending the practice are Tuesdays, Wednesdays, and Thursdays, at twelve; and when I ventured to ask what length of time was occupied in going round, he answered, to my great astonishment, " old ! about half an hour; never longer. " And these, Sir, are the opportunities offered in London to become acquainted with a class of diseases which are becoming more and more rife in this country, and with which every one of us, it is almost certain, will often meet and have to deal, in practice. Surely this half-hour’s race round the wards on three consecutive days in each week, with the remote claance of an occasional lecture, is not seriously regarded as a means of acquiring a knowledge of psychology; it must rather be a little farce got up for the express purpose of signing the schedules of those amongst us who intend entering the army or the Hon. East India Company’s service. Before concluding, I ought to add, in justice to the staff of St. Luke’s, as well as for the information of others, that I sub- sequently paid a visit to this hospital, where I met with a gen- tlemanly reception from Dr. Stevens, and was informed that I could go round the wards with Dr. Sutherland on Mondays, at eleven; with Dr. Monro on Thursdays, at two; and with Dr. Stevens any morning, at ten; and that Dr. ,Sutherland would deliver a course of lectures on Insanity in May or June; while the fee was the same as at Bethlem-viz., X3 3s. This is more satisfactory; but why should this be the only one of our metropolitan asylums where the student may acquire some knowledge of mental diseases? The others have, indeed, "dwindled down from magnificent national institutions to mere local caravansaries." " I am, Sir, your obedient servant, St. Mary’s Hospital, May, 1858. STAMFORD FELCE. STAMFORD FELCE. St. Mary’s Hospital, May, 1858. PROPOSED MEDICAL CLUB. To the Editor of THE LANCET. SIR,-Your article in last week’s journal on the establish- ment of a Metropolitan Medical Club deserves the consideration of our profession. The subject is one I have myself thought very lately of broaching in your columns. It is better calcu- lated, I believe, than all the Medical Societies, as they are called, put together, for maintaining that unity of feeling so essential in a calling which has to encounter much lukewarm.. ness in the outer world, and the members of which are unhap pily too often divided by petty jealousies amongst themselves. Why should we not have our social lounge, with its proper adjuncts, a restaurant, smoking-room, and well-stored library of general as well as professional literature ? Indeed, I cannot see why there should be any of the latter. I am sure most would be content, on such an occasion, to sink the shop alto- gether. Country members who may happen for a few days to- be in town ; young devotees of the profession, who have more time on their hands than they can conveniently fill; elderly practitioners, who want a quiet dinner with a friend, or a leisure hour to themselves and their paper or cigar, would herein find their wants supplied. Ycung doctors would not have to dine with clerks, et id genus omne, in common eating- honses about town, nor to hesitate between spending their lonely evenings in quiet but dreary lodgiugs, or killing time at the theatre or cigar divan. Hoping the subject will receive further attention, and witll. best wishes for the success of this scheme, I am, Sir, your obedient servant, ONE WHO FLOATS ON T11E WATERS OF May, 1858. MODERN BABYLON. WAR TO THE PUMP. To the Editor of THE LANCET. SIR,-Although I entirely concur with you that a destructive war should be immediately waged against all street pumps, drawers of the poisoned hard water from the shallow land springs of the metropolis, there are some few pumps drawing soft water from the deep sand and chalk springs which ought to be protected. For your information I name the street pumps in Piccadilly (opposite St. James’s Church), Russell-square, Berkeley-square, Old-street, and Lombard-street, as drawing soft water from the deep springs. I do not at present remember any others, but probably this communication will induce further information. In addition to the many dangerous sources of pollution to the land springs pointed out by you, the serious leakage of the gas- mains, I may say nearly all over the metropolis, seems to have escaped the attention of the medical authorities. This dan- gerous and growing evil should be investigated and remedied. I am, Sir, your obedient servant, Berners-street, May, 1S5S. FRED. BRAITHWAITE. FRED. BRAITHWAITE. SCOTLAND. (FROM OUR EDINBURGH CORRESPONDENT.) THE Bill introduced into Parliament, for the better regula- tion of the Scottish Universities, like every system of reform at first, has its antagonists in a class with whom sole privileges have been too long vested, and the sweets of patronage here- ditary during the control of successive Town Councils. The: proposal in the Bill to recognise in the Senatus Academicus the same power as that now possessed by the Town Council only, is regarded as a gross usurpation of civic authority and a dan- gerous innovation upon an old custom. That a General Council, consisting of professors and graduates, should have the power- of appointing four assessors of the seven to represent the Uni- versity Court, whereas the Council can elect only three, has excited a lively demonstration on the part of the municipal body, and stimulated them to crush this neophyte of the numerous converts to the real necessity of such a measure. The Town Council, in a recent meeting, agreed with marvellous unanimity to oppose this attempted infringement on their rights of patronage, and moved a number of indignant resolu- tions in reference to the Bill. In the third resolution, the Council thinks fit to recognise the Senatus and graduates of the College as " a new and untried body of men, who are re- moved from popular control, and will not be amenable to public opinion;" and subsequently, in a speech by Mr. Brown Douglas, that gentleman stated, " in regard to the Reid Fund, which was entrusted to the professors, they all knew very well that it was mismanaged." " A great deal of allowance can be made for a body of respectable mercantile men, who imagine they are in the "right place" when regulating the government of a University. Science bending before broadcloth is com- mercially pleasant, and to limit their power in the proposed

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Page 1: MEDICAL PSYCHOLOGY

543

MEDICAL PSYCHOLOGY.To the Edito2- of THE LAXCET.

SIR,-I am desirous of calling the attention of yourself andof the profession to what I consider a great evil, believing thatby so doing I shall be taking the most direct means towards

obtaining a remedy. It is a well-known fact that medical

psychology is a branch of the profession which is rarely madethe subject of study, except by a very small proportion ofmedical men ; students seldom make it a part of their curricu-lum, partly because it is not required by the examining boards,principally because their work is already so varied and great;but when it is considered that the period in which they areengaged in their hospital duties is the only part of their livesin which the majority have an opportunity of acquiring anyknowledge of mental disease, while almost every medical manis called upon occasionally to take a prominent and responsible I,part in these painful cases, I think it is clearly necessary that ’,

every opportunity and facility should be afforded to those stu- ’

dents who can be prevailed upon to make use of them. But isthis the case ? Far from it. There are four large lunatic asy-lums in or near London, and at only two of these are studentsadmitted to see the practice. Having seen an advertisementfrom one of these (the Bethlem) in THE LANCET, in which itwas stated that the fee for three months’ attendance on the

practice and lectures was ;f3 3s., and concluding with an inti-mation that the " medical officers would enter students andgive all necessary information," I went down a short time sincefor the purpose of making some inquiries preparatory to enter-ing my name. I was shown into a room, and sent my cardto Dr. Hood, who came in shortly afterwards, and appearedrather surprised when he heard my business, as he said I shouldfind all the " necessary information" in the advertisement. Ihad scarcely time to ask him half a dozen questions before heleft me abruptly and not very courteously, but not before I hadobtained sufficient information to convince me that I should bewasting both time and money by attending the Bethlem Hos-pital. In answer to my question as to when the lectures spokenof in the advertisement would commence, he replied that itwas very uncert(l’Í1I if any lectures would be given, as it entirelydepended upon the number of students who entered. The

days for attending the practice are Tuesdays, Wednesdays, andThursdays, at twelve; and when I ventured to ask what

length of time was occupied in going round, he answered, tomy great astonishment, " old ! about half an hour; never

longer. "And these, Sir, are the opportunities offered in London to

become acquainted with a class of diseases which are becomingmore and more rife in this country, and with which every oneof us, it is almost certain, will often meet and have to deal, inpractice. Surely this half-hour’s race round the wards onthree consecutive days in each week, with the remote claanceof an occasional lecture, is not seriously regarded as a means ofacquiring a knowledge of psychology; it must rather be a littlefarce got up for the express purpose of signing the schedules ofthose amongst us who intend entering the army or the Hon.East India Company’s service.

Before concluding, I ought to add, in justice to the staff ofSt. Luke’s, as well as for the information of others, that I sub-sequently paid a visit to this hospital, where I met with a gen-tlemanly reception from Dr. Stevens, and was informed thatI could go round the wards with Dr. Sutherland on Mondays,at eleven; with Dr. Monro on Thursdays, at two; and withDr. Stevens any morning, at ten; and that Dr. ,Sutherlandwould deliver a course of lectures on Insanity in May or June;while the fee was the same as at Bethlem-viz., X3 3s. Thisis more satisfactory; but why should this be the only one ofour metropolitan asylums where the student may acquire someknowledge of mental diseases? The others have, indeed,"dwindled down from magnificent national institutions tomere local caravansaries." "

I am, Sir, your obedient servant,St. Mary’s Hospital, May, 1858. STAMFORD FELCE.STAMFORD FELCE.St. Mary’s Hospital, May, 1858.

PROPOSED MEDICAL CLUB.To the Editor of THE LANCET.

SIR,-Your article in last week’s journal on the establish-ment of a Metropolitan Medical Club deserves the considerationof our profession. The subject is one I have myself thoughtvery lately of broaching in your columns. It is better calcu-lated, I believe, than all the Medical Societies, as they arecalled, put together, for maintaining that unity of feeling so

essential in a calling which has to encounter much lukewarm..ness in the outer world, and the members of which are unhappily too often divided by petty jealousies amongst themselves.Why should we not have our social lounge, with its proper

adjuncts, a restaurant, smoking-room, and well-stored libraryof general as well as professional literature ? Indeed, I cannotsee why there should be any of the latter. I am sure most

would be content, on such an occasion, to sink the shop alto-gether. Country members who may happen for a few days to-be in town ; young devotees of the profession, who have moretime on their hands than they can conveniently fill; elderlypractitioners, who want a quiet dinner with a friend, or a

leisure hour to themselves and their paper or cigar, wouldherein find their wants supplied. Ycung doctors would nothave to dine with clerks, et id genus omne, in common eating-honses about town, nor to hesitate between spending theirlonely evenings in quiet but dreary lodgiugs, or killing time atthe theatre or cigar divan.Hoping the subject will receive further attention, and witll.

best wishes for the success of this scheme,I am, Sir, your obedient servant,

ONE WHO FLOATS ON T11E WATERS OFMay, 1858. MODERN BABYLON.

WAR TO THE PUMP.To the Editor of THE LANCET.

SIR,-Although I entirely concur with you that a destructivewar should be immediately waged against all street pumps,drawers of the poisoned hard water from the shallow landsprings of the metropolis, there are some few pumps drawingsoft water from the deep sand and chalk springs which oughtto be protected.For your information I name the street pumps in Piccadilly

(opposite St. James’s Church), Russell-square, Berkeley-square,Old-street, and Lombard-street, as drawing soft water from thedeep springs. I do not at present remember any others, butprobably this communication will induce further information.

In addition to the many dangerous sources of pollution to theland springs pointed out by you, the serious leakage of the gas-mains, I may say nearly all over the metropolis, seems to haveescaped the attention of the medical authorities. This dan-

gerous and growing evil should be investigated and remedied.I am, Sir, your obedient servant,

Berners-street, May, 1S5S. FRED. BRAITHWAITE.FRED. BRAITHWAITE.

SCOTLAND.

(FROM OUR EDINBURGH CORRESPONDENT.)

THE Bill introduced into Parliament, for the better regula-tion of the Scottish Universities, like every system of reformat first, has its antagonists in a class with whom sole privilegeshave been too long vested, and the sweets of patronage here-ditary during the control of successive Town Councils. The:proposal in the Bill to recognise in the Senatus Academicus thesame power as that now possessed by the Town Council only,is regarded as a gross usurpation of civic authority and a dan-gerous innovation upon an old custom. That a General Council,consisting of professors and graduates, should have the power-of appointing four assessors of the seven to represent the Uni-versity Court, whereas the Council can elect only three, hasexcited a lively demonstration on the part of the municipalbody, and stimulated them to crush this neophyte of thenumerous converts to the real necessity of such a measure.The Town Council, in a recent meeting, agreed with marvellousunanimity to oppose this attempted infringement on their

rights of patronage, and moved a number of indignant resolu-tions in reference to the Bill. In the third resolution, theCouncil thinks fit to recognise the Senatus and graduates ofthe College as " a new and untried body of men, who are re-moved from popular control, and will not be amenable to publicopinion;" and subsequently, in a speech by Mr. BrownDouglas, that gentleman stated, " in regard to the Reid Fund,which was entrusted to the professors, they all knew very wellthat it was mismanaged." " A great deal of allowance can bemade for a body of respectable mercantile men, who imaginethey are in the "right place" when regulating the governmentof a University. Science bending before broadcloth is com-mercially pleasant, and to limit their power in the proposed