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Dr. Rogerson, medical director of the Cassel Hospital, here presents the twelfth annual report to the general committee regarding patients discharged during 1938. There is first a note as to the classification followed, which is that based on symptomatology. There are five groups: psychoneuroses—including psychoneurotic anxiety states, hysteria, compulsion neurosis, psychopathic personality, unclassified neuroses; alcoholism and drug addiction; depression and manic reactions; schizophrenic and paranoid reactions; organic and toxic reaction types.
The content and variation of the classification are succinctly described, and there are further notes relating to the selection of cases for treatment, occupations and entertainments, and methods of psychotherapy. Of interest in the latter is the discussion of the types of psychotherapeutic approach utilized and their relation to the complete initial psychiatric examination. Circumstances and individual case needs have determined choice between the Freudian analysis and methods stressing “constructive synthesis.” Regardless of the method employed the basic importance of the transference situation has remained constant. In the essentially individual treatment followed in all cases, this factor has proved often to be of controlling significance. Fourteen pages are given to Tables of Cases. Grouped under diagnostic headings the cases are recorded as to length of stay, main symptoms, result on discharge, etc. Two case histories are well described: one of anxiety neurosis in a man of thirty-seven, and one of manic-depressive psychosis in a woman of thirty-one.