The British Medical Bulletin (BMB) has an extensive archive dating back to 1943. Each quarter, the journal publishes a paper from that archive. This quarter, I thought it would be interesting to look at ‘On the place of physical treatment in Psychiatry’ that is written by Aubrey Lewis. This is an overview of some of the more hair-raising ‘shock treatments’ meted out to people with psychiatric disorders previously. He points out that any treatment should be ‘rational and their mode of action understood’. He quotes a number of studies which are in contradiction with each other, such as the use of insulin therapy in schizophrenia and frontal leucotomy in intractable disease. He makes the point that, with such variations in outcome, the treatment cannot be used. He makes the point that diagnostic criteria are more complex in psychiatry, making treatment comparisons difficult. The author, Sir Aubrey Julian Lewis, was the first professor of psychiatry at the Institute of Psychiatry, which is now part of King’s College, London. It has been said that the flowering of British psychiatry after World War ll can be attributed to three factors: a long humanitarian tradition, the NHS and Aubrey Lewis.

中文翻译：

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从档案

British Medical Bulletin (BMB) 拥有可追溯到 1943 年的大量档案。每个季度，该杂志都会从该档案中发表一篇论文。本季度，我认为看看 Aubrey Lewis 所写的“On the place of physical treatment in Psychiatry”会很有趣。这是对以前对患有精神疾病的人进行的一些更令人毛骨悚然的“休克治疗”的概述。他指出，任何治疗都应该是“合理的，并且他们的行为方式被理解”。他引用了许多相互矛盾的研究，例如在精神分裂症中使用胰岛素治疗和在顽固性疾病中使用额叶白质切开术。他指出，由于结果如此不同，无法使用这种治疗方法。他指出，精神病学的诊断标准更为复杂，使治疗比较变得困难。作者奥布里·朱利安·刘易斯爵士是精神病学研究所的第一位精神病学教授，该研究所现在是伦敦国王学院的一部分。有人说，二战后英国精神病学的蓬勃发展可归因于三个因素：悠久的人道主义传统、NHS 和 Aubrey Lewis。