H. Bryan Donkin
1918 The Lancet  
342 convalescent treatment " in order to confirm the cure. In our opinion, however, a man who has been cured of hysterical symptoms in a; Neurological Centre should remain there and work in the farm, garden, or workshops, until his cure is confirmed. In favourable cases he eventually returns to duty, and from all we have been able to hear the number of relapses is exceedingly small. The martial misfit, who ought never to have been accepted for the Army, is invalided, but he does not draw a full
more » ... oes not draw a full pension, as suggested by Dr. Lumsden, as he is never sent away until he is fit to earn a living in civil life, and we rarely recommend a pensiou of more than 20 to 40 per cent. Every man when he leaves us has already made arrangements for returning to work ; he requires no further treatment, and we do not know of a single man invalided from our Neurological Centre who has relapsed. The Country Host scheme is even less desirable for neurasthenia than for hysteria. It is absurd to suggest that any , layman can take the place of the physician in the treatment of these difficult cases. In addition to direct psychotherapy, a combination of discipline, work, and amusement are required during convalescence, and this can only be obtained in a special hospital.-We are, Sir, yours faithfullly,
doi:10.1016/s0140-6736(01)02827-6 fatcat:dyrph6ifsjco7h7sd5p42rjagi