Published online by Cambridge University Press: 08 February 2018
In spite of more than twenty years experience with insulin coma therapy psychiatric opinion as to its efficacy is by no means unanimous. While some recent large scale studies (Polonio and Slater, 1954; Paster and Holtzman, 1949; Barres, Ey and Laboucarie, 1953) point to a significant rise over the spontaneous recovery rate with the use of insulin, others (Jensen, 1952) do not find more than an acceleration of recovery already in process. Inasmuch as most investigators acknowledge an increased number of relapses in treated patients this latter view has some support. However the strongest case for insulin is that, if nothing else, it greatly reduces the patient's stay in hospital (Sargant and Slater, 1948; Hughes, 1951). If one remembers, however, the extra administrative and medical staff required to run an insulin ward this point is largely negated. In fact there are some (Bourne, 1953; Notkin et al., 1939) who would claim that any improvement shown in insulin treated patients arises from the extra care and individual attention given them.
eLetters
No eLetters have been published for this article.