“Psychiatry in Action” is a lengthy circa 1943 black-and-white film opening with a slow crawl explaining how in September 1939, Great Britain’s Ministry of Health organized its medical services to combat the threat of injury and death to its citizens at the start of World War II.
0:55 - 1:02: The Emergency Medical Services (EMS) cover the entire country with a network of ambulance depots, first aid posts, and hospitals.
1:02 - 1:47: Hospitals include specialized centers for various types of injuries and conditions like burns, eye injuries, head injuries, etc., and specific centers for psychological conditions like neurosis, especially due to war stress. These neurosis centers are located near large towns prone to bombing.
1:47 - 2:08: The film focuses on one of these neurosis centers, which is a hospital with 550 beds, treating about 3,000 patients annually, with an average stay of 6 to 8 weeks. Patients include both civilians and military personnel.
2:08 - 2:52: The hospital has an active outpatient department and associated clinics. It's housed in an evacuated school, allowing for specialized units for different illnesses and treatments, including separate units for men and women, civilians, and armed forces personnel.
2:52 - 3:10: The hospital is equipped with surgical units, x-ray departments, and labs for pathology, biochemistry, and psychological research focused on war-related issues.
3:10 - 4:11: The hospital treats neurosis and mild psychosis with a good prognosis, serving both military personnel affected by active service and civilians impacted by war conditions like bombing.
4:11 - 5:02: The hospital's routine is organized to facilitate individual and specialized treatments, aiming for patients' return to useful function in either the forces or civilian life.
5:02 - 6:20: After admission, each patient is assigned a doctor who manages their treatment and progress. The first 24 hours are crucial for initial assessments.
6:20 - 7:57: Patients are introduced to hospital life through a booklet explaining expectations, routines, and facilities. This introduction includes addressing patients' concerns about their personal situation, like family issues.
7:57 - 10:36: The initial interviews aim to reassure patients about their worries, explaining that symptoms are often due to nervous mechanisms rather than physical ailments, thus helping to shift focus from bodily symptoms to emotional issues.
10:36 - 14:39: Patients undergo physical and psychological examinations, including intelligence tests (like The Matrix and Vocabulary tests) to assess their condition beyond mere physical symptoms.
14:39 - 17:47: Doctors use the initial data to assign patients to appropriate units and doctors. Further investigations might include clinical tests, psychometric testing, or social worker home visits. Case studies illustrate various patient conditions and treatments.
17:47 - 23:02: Various psychological tests are used to delve deeper into personality, intelligence, and motor skills, aiding in diagnosis and treatment planning.
23:02 - 28:03: Specific treatments are described, including continuous narcosis for severe anxiety, modified insulin treatment for chronic anxiety states, and electroconvulsive therapy for depression.
28:03 - 35:30: Narco-analysis and psychotherapy are used for patients with hysteria or memory issues, focusing on symptom relief and understanding underlying causes.
35:30 - 41:51: Group talks educate patients on how their nervous system influences symptoms, aiming to shift focus from physical to emotional causes, enhancing morale and reducing invalidism.
41:51 - 47:21: Remedial training, occupational therapy, and vocational courses help patients regain physical and mental capabilities, preparing them for either return to service or civilian life.
47:21 - 50:21: Social activities like competitive games and dances are used to boost morale and assess patient progress in social interaction.
50:21 - 52:39: Social workers link hospital treatment with home life, helping manage family issues and facilitating communication between patients and their families.
52:39 - 1:00:26: Post-treatment, patients might return to their units, be reassigned within the forces for roles matching their abilities, or be discharged to civilian life with support for finding suitable employment.
1:00:26 - 1:01:24: Follow-up is conducted to ensure continued progress post-treatment, emphasizing that while psychiatry doesn't work miracles, systematic and knowledgeable care can significantly benefit both individuals and society, especially during wartime.
This film is part of the Periscope Film LLC archive, one of the largest historic military, transportation, and aviation stock footage collections in the USA. Entirely film backed, this material is available for licensing in 24p HD, 2k and 4k. For more information visit http://www.PeriscopeFilm.com
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