Cramond W A
Department of Psychiatry, Flinders University of South Australia, Bedford Park.
Aust N Z J Psychiatry. 1987 Sep;21(3):320-6. doi: 10.3109/00048678709160928.
For nearly 20 years, from the mid-1930s until the mid-1950s, early cases of schizophrenia were treated, and surprisingly successfully treated, by deep insulin coma therapy. This paper is an attempt to explore what, if any, lessons there are to be gained for us 30 years later from a treatment regime that turned out to have nothing to do with insulin per se. Such lessons as there may be from our recent historical past may help us to foster our critical acumen and commonsense as we try in our daily practice to understand how we can best help our patients in safety.
从20世纪30年代中期到50年代中期的近20年里，早期精神分裂症病例通过深度胰岛素昏迷疗法进行治疗，而且令人惊讶的是治疗取得了成功。本文试图探讨，30年后，从一种结果证明与胰岛素本身并无关系的治疗方案中，我们能汲取哪些经验教训（如果有的话）。当我们在日常实践中努力理解如何能在保障安全的前提下最好地帮助患者时，从我们近代的历史中可能获得的此类经验教训，或许有助于培养我们的批判性洞察力和常识。
