sábado, 12 de noviembre de 2011

DR BENJAMIN RUSH, FATHER OF AMERICAN PSYCHIATRY

Rush was far ahead of his time in the treatment of mental illness. In fact, he is considered the "Father of American Psychiatry", publishing the first textbook on the subject in the United States, Medical Inquiries and Observations upon the Diseases of the Mind (1812).[17] He undertook to classify different forms of mental illness and to theorize as to their causes and possible cures. Rush believed (incorrectly) that many mental illnesses were caused by disruptions of the blood circulation, and treated them with devices meant to improve circulation to the brain such as a restraining chair and a centrifugal spinning board.[18] After seeing mental patients in appalling conditions in the Pennsylvania Hospital, Rush led a successful campaign in 1792 for the state to build a separate mental ward where the patients could be kept in more humane conditions.[19]
While Dr Rush was uncertain what to do for the mentally ill, he knew that chains and dungeons (the practice of the time) were not the answer. He took patients from that drudgery and placed them in a "normal" hospital setting.[citation needed] This alone resulted in a number of patients recovering sufficiently to return to society.[citation needed] For this reason his approach is officially referred to as the Moral Therapy.
Rush is sometimes considered a pioneer of occupational therapy particularly as it pertains to the institutionalized.[20] In Diseases of the Mind Rush wrote:
"It has been remarked, that the maniacs of the male sex in all hospitals, who assist in cutting wood, making fires, and digging in a garden, and the females who are employed in washing, ironing, and scrubbing floors, often recover, while persons, whose rank exempts them from performing such services, languish away their lives within the walls of the hospital".
Furthermore, Rush was one of the first people to describe Savant Syndrome. In 1789 he described the abilities of Thomas Fuller, a lightning calculator. His observation would later be described in other individuals by notable scientists like John Langdon Down.[21]
Rush pioneered the therapeutic approach to addiction.[22][23] Prior to his work, drunkenness was viewed as being sinful and a matter of choice. Rush believed that the alcoholic loses control over himself and identified the properties of alcohol, rather than the alcoholic's choice, as the causal agent. He developed the conception of alcoholism as a form of medical disease and proposed that alcoholics should be weaned from their addiction via less potent substances.[24]

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