A Diagnostic Analysis of the Casebooks of Ticehurst House Asylum, 1845â€“1890

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Summary

Detailed review of the clinical features of a complete cohort of patients admitted to the Ticehurst House asylum between 1845 and 1890.

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List of Tables
Synopsis	p. 1
Introduction	p. 3
Method	p. 11
Ticehurst House	p. 11
The Casebooks	p. 13
Assessment procedure	p. 14
Delusions	p. 15
Hallucinations	p. 15
Movement/posture disorder	p. 15
Masturbation	p. 15
Specific psychotherapy	p. 16
Unusual disorders	p. 16
Treatment approaches	p. 16
Violence/restraint	p. 16
Alcohol	p. 16
Suicide	p. 17
Results	p. 18
Movement and posture	p. 21
Masturbation	p. 21
Violence	p. 22
Discussion	p. 24
Reliability and validity of the data	p. 26
Strengths and weaknesses of the source material	p. 28
Implications of diagnoses	p. 29
'Manic-depressive' and 'schizophrenic' groups	p. 30
'Organic' group	p. 31
'Indefinite' group	p. 31
Contemporary diagnostic terms used at Ticehurst	p. 31
Use of 'hysteria', 'hysterical mania' and related terms	p. 34
Symptoms - delusions and hallucinations	p. 37
Movement disorders	p. 39
Masturbation	p. 40
Violence and restraint	p. 42
Suicide, 'attempted' suicide and suicidal risk	p. 44
Specific psychopathologies, alcohol and 'unusual' diagnoses	p. 46
Physical treatments	p. 55
Conclusion	p. 61
Appendix: Some representative cases, 1860-1869	p. 64
References	p. 68
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