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“Spontaneous” remissions in dementia praecox

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Summary

The following observations regarding the year during which insulin therapy was begun at Hudson River State Hospital, in contrast to those of preceding years, may be worthy of note:

  1. 1.

    There was only a slight increase in the percentage of paroles.

  2. 2.

    The percentage of relapses and returns was lower.

  3. 3.

    The average duration of community residence of those who relapsed was shorter.

  4. 4.

    Few cases recovered.

Other comparative observations were:

  1. 1.

    The paranoid group was the largest at the time of parole with the expectation of 1932.

  2. 2.

    The patients who were considered improved constituted the largest group at the time of parole during the entire six-year period.

  3. 3.

    During the preinsulin years patients with psychoses of more than 18 months duration showed the highest percentage of improvement of all degrees combined. The group with less than six months duration had the lowest percentage of improvement. The percentages for these two groups during the insulin year were about equal.

  4. 4.

    In the preinsulin years, with the exception of 1932, the paranoid group showed the highest percentage of cases improved, with the catatonic group next. During the insulin year the reverse was the case.

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Authors and Affiliations

  1. Rochester, N. Y.

    Robert C. Hunt M. D., Harold Feldman M. D. & Rollin P. Fiero M. D.

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  1. Robert C. Hunt M. D.
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  2. Harold Feldman M. D.
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  3. Rollin P. Fiero M. D.
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Hunt, R.C., Feldman, H. & Fiero, R.P. “Spontaneous” remissions in dementia praecox. Psych Quar 12, 414–425 (1938). https://doi.org/10.1007/BF01562937

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