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Show 5JI yqj -- WK gfULritari 5fc4WB Mental Care: After Despair, A Turning Point Something ntw srxj remark(Editor's Not ft heooenlng In American medicine. After yea's of tteiemete end despair, we art making in tt8 fight eoamst breakthrough a significant Washington editor Hines reports mental illness. on the phenomenon in a series of articles ) thoe who need treatment most. "It took nie rears to discover that psychoannlM able was an illness pretending to be a rare, Dr. Frederick Peris, a student of Sigmund Fiend, recently remarked only halt in jest. The psychoanalyst is probably the most familiar mental health worker in the public mind. His stereotype is that of r the classic The man with the beard, diploma on the wall, couch in the darkened room. Actually, psychoanalysts are a small and vanishing minority among mental health practieioners. Today they are being asked by ther colleagues in the mental health field to torget Freud on a part-tim- e and come basis, at least out in the real world w here the big problems exist. In many cases, analysts are responding. Dr. Stanley F. Yolles, director of the National Institute of Mental Health, a government agency, puts It this way: "The psychoanalyst can have his couch and his community too." Ttie time has passed when only the very rich or the very mad get medical attention, with the former being pampered and the latter locked up; when poor Aunt Nellie up in the garret was a pathetic millstone around the necks of too many families. By WILLIAM HINES In the coming year four million Amerimore than live in Chicago or Los cans will receive treatment for Angeles mental disorders. Uncounted other millions who need treatment will not recei e Of those undergoing some form of care, one million equal to the population of Houston or Baltimore will enter institutions. mental Several hundred thousands of these will stay for months or years or a lifetime. thousand Americans will Twenty-fiv- e he found dead under circumstances more or less obviously indicating suicide. Thousands more will die by their own hands, only to be classified erroneously as victims of accidents. today. a quiet revolution in mental health has been under way. Sparked by exciting discoveries in pharmacology, physiology and biochemistry, it was advanced by new attitudes on the part of doctors, government and public toward ir?ntal illness, its treatment and its control. A few statistics tell the story graphically: The population of the United States has grown 37 per cent in the last 20 years, but the number of patients in mental hospitals has declined 11 per cent Since the mid-19o0- s the accent is on delivery of mental health care both preventive and reto the widest possible specmedial trum of the population. Under present one plans there will be, by the mental health center for community every 200,000 Americans. This means more than 1,000 centers in all, each offering both inpatient and outpatient treatment, plus partial hospitalization ami round-thclock emergency care. Already, the mental health network is taking shape in suca widely disparate places as the Negro slums of North Philadelphia, the white backwaters of Appalachia and the Indian reservations of northeast Arizona. As might be expected, the program has federal backing, which first materialized with passage of the Community Mental Health Centers Act of Now One of most dramatic aspects of revolution in mental care was development of psychotropic drugs. They have replaced grim restraining techniques shown here. (mind-changin- g) and today Is down 24 per cent from the high reached in 1955. In 1946 one American out of every 309 was in a mental institution. At the peak, 1955, possibly due to heightened tensions of life, the ratio had grown to one in 297. Last year, after 12 years of uninterrupted decline following onset of the mental health revolution, the proportion stood at one in 467. All indicators point to a continued down-trenin the mental hospital population in years to come. But this does not mean that there will be less need for mental health care; it is obvious that the total need will be growing, probably at a rate considerably faster than the natural population increase. This is due to several factors: e y d 1. There will be a predictable increase related directly to population growth. 2. There may be an increase traceable to heightened tensions a further intensification of the rat race as crowding, noise and other unpleasant variables close in on susceptible people. 3. There will be more persons seeking care, thanks to higher personal income (they can afford it) or liberalized medical benefits (the group policy will pay) or broader public services (its free). 4. There will be many old, chronic cases of mental illness that have existed unrecognized for years brought to light at last as new, federally sponsored mental health centers open up and purposefully seek out the undiscovered mentally UL mid-1970- The challenge of the future has caused psychiatry (a branch of the medical profession) and allied disciplines such as psychology and social work to take a new look at themselves and their responsibilities to the community. The job ahead is so big that old, "tried-an- d - true methods will work no longer if Indeed they ever worked very well. A good example is a form of mental therapy called Freudian psychoanalysis. This is in a definite decline today, and may be headed for obsolescence simply because it is wasteful of scarce medical talent. "Analysis cannot reach enough people, costs too much for the great majority, ties up doctor and patient for years at a time, and often does not work well with OUR MAN IN WASHINGTON Deseret News Washington Correspondent - For First Class ANNAPOLIS, MD. Midshipman Mitchell D. Moore, of Salt Lake City, tomorrow will mark the beginning of his last six months at the United N-v- al M-o- States Academy. will gradu- re ate in June as the only Utahn in the class of 1969, the sole lepresentative of a landlocked state at a college dedicated to blue-wat- er careers. Thirteen other Utah boys are enrolled at Annapolis, a figure that Academy officials say is well below the number that the state should be sending to become future Naval officers. Oddly, six of the Utah boys here are graduates of Skyline High School in Salt Lake City, and five others come from Logan, a concentration of three quarters of the states Academy mei ..ora just two high schools. Midshipman Moore agrees that Utah should be sending more boys here. There is no tuition, and midshipmen are paid while they study. The Academy is a school, with considerable glamour, and its scholastic ranking is high, yet Moore cautioned in our conversations against anyone coming here as a lark. Plebe (freshman) year, he warned, well-know- n is a tough Introduction to college. "It opens your eyes, he said, really does. "Its not re: ,y the hazing by the upperclassmen, though thats tough enough, but the plebes find out If they really belong in the Navy, Moore said, while we walked through the cavernous corridors of Bancroft Hall, the Academy dormitory. "The people who Just came here for a free education shake out pretty fast under academy discipline. Discipline is the cornerstone of the Academys program, around which are built both traditions, like the Army-Nav- y rivalry, and the latest in technical education, covering nuclear submarine reactors and space sciences. There are no hippies or protesters at Annapolis. The uniform and the military haircut regulations are quite strict and, Moore said, "Were pretty much all hawks here on Vietnam. We dont see much point in protests like those at Columbia. Entrance to the Academy, of course, Is gained only through appointments, usually by members of Congress. Moore was appointed by Rep. Sherman P. Lloyd, Rep. Lloyd and Utahs other tliree members of Congress all have a quota of appointments, usually totaling four men in the Academy at any one time for each member. In addition, BOOKS IN THE NEWS In 1949 Stanley WilLETS READ liam Hayter was the best known graphic artist deeply involved in the avant-garde movement. In addition, lie was the leader and of a publicist workshop clique of creative artist printmakers who were shaking up the ancient gravure methods to make them nioie useful to their Surrealist and proto -- ideas. was lir.st Wayi of Gravuie Ixxik was the and that time, at publish'd seized upon by young artists and students with the inclination to make prints. "New It is curious to reread the book now, handsomely reissued by Oxford Universiwdth ty Press, considerably revised and additional material, for Hayter can no , and longer be considered the book hangs between its historical call for the new ways and the faintly musty look that the approach of 1949 has to the eye of 1968. However, in one essential there is no change. Hayter is still an immensely respected figure, and a close reading of this book adds to that resjieot. The chapters on technique can only be called brilliant. The single exception, iwrhaps, Is the one on drypoint and mezzotint, wiiich lacks the resourcefulness avant-garde- 1968 OUR MAN JONES Some Warm Thoughts On Old '68 Bv HARRY JONES V11, we all made it through the year if we hang on jiu.t a few more hours. it may base been more Dont laugh than you possibly realize. What about the heavy fallout in Utah from tire Nevada underground nuclear tests? The go eminent said we were safe, but you know how the government does tilings sometimes. And what if the wind . . . that 111 Tooele wind . . . had been blowing toward our beautiful City of Salt when the government had the nerve to release the gas Anyway, happy New ... ... The past rear saw a lot of heart transplants, and they caused somewhat of a controversy. But Ronald Carpenter up Davis way has the answer. Hes a Bible student, lie was quoting from Ezekiel, Chapter 36, Verse 26: A new heart also will I give you and a new spirit will I put within you. And I will take away the stony heart out of your flesh and I will give you a heart of flesh . . 1963. No such program could have gotten off the ground without federal aid, obviously. But not even Uncle Sams almost boundless treasury could have financed a workable system of mental health care for all had there not been some remarkable developments a decade earlier in the field of pharmacology. Today a vast array of psychotropic drugs (literally drugs that turn the mind) are available for treatment of mental illness ranging in severity from 3100 East, Salt Lake City; Charles P. Alto simple anxiety. They ford, 72, 2363 Camino Way, Salt Lake schizophrenia to are what the antibiotics 307 B. N. 4th James psychiatry Brunner, East, City; Salt Lake City; Steven H. Bills, 3785 E. have been to somatic medicine. Without 3655 S., Salt Lake City; Alan L. Grube, them, the quiet revolution could not have 3841 Birch Dr., Salt Lake City; and happened. James E. Hoffman, 2220 E. 4800 South, A Nr NEXT family r Mirada Druaa. No. 329, Salt Lake City. One of the big sales of the year in our valley, according to Elmo (Jack) Call, one of my favorite brokers, involved some sardines. A Lake Salt food broker benight a carload canned of sardines for $1,000. He turned right around and sold it to another S.L. broker for $1,200. B Then broker sold them to broker C for $1,500. The next day, broker D bought them for $2,000. A couple of days later, broker D called broker C. "Those sardines you sold me were ail spoiled," he said. He was bitter! What in the world did you open them for? asked broker C. They were for selling, not eating! And thats the truth! one more Christmas tory There that should be told before the old year Church services are held for the Brilimps out. YOUR HEALTH Norton Parker, executive vice presigade at the Academy chapel, with dent of the Bank of Salt Lake, thought up Church of Jesus Christ of Latter-da- y the bit, although he probably wouldnt .Saints services available In nearby Anwant any credit . . . bankers like debits. napolis City for LDS midshipmen. Anyway, the bank threw a luncheon More than any one other thing, the for their big accounts. But instead of Virtualof the seat tradition. is Academy passing out the usual expensive Christly all senior Naval officers come from mas gifts, they spent the money to bring With the Academys curriculum heavi-- 1 the ranks of Its graduates, and they 12 Indians of the Goshute tribe to our of the share the ties of remembrance weighted toward science and mathevalley for a trip. The Indian kids were matics, an applicant should have a good Severn River at nightfall, of bitter cold By GEORGE C. THOSTESON, MD. between the ages of six and 10. The tribe with wind in a northwest basic grounding in those subjects. Physiwinter, nights at least ow Dear Dr. Thosteson: Why do some is only about 120 strong blowing down across the inlet, of football cally, the hardest part of the requirements is for 0 vision, without glasses. victories and losses, of the dim rever- women have miscarriages? Are there the reservation. Their land is between Nevada and The pay, which must cover uniforms, ence about John Paul Jones crypt in the certain things which cause it? Are there about 100 miles south cf Wendover. Utah to measures can tha be taken preof any Week and at June books, and personal needs, is $176.60 per Academy Chapel, ' like no place! This is Mrs. vent G. a P. miscarriage? month, a portion of which is held In the graduation, with beautiful color girls repchild got fed, taken to a show Each Answer: Youd like a short, neat list of midshipmans name until graduation as resenting the Brigade during and then given $5 to spend at the Mall. the causes of miscarriages, but I cant parades. a savings account, on which interest Is And they had a ball. Of the 12 kids, to be have a long list All the other Naval heroes give it to you. It has paid. only two had been off the reservation. Nimitz, Often a miscarriage is natures way Other Utahns at Annapolis include: D. shared these experiences None had ever been to Salt Lake befor Lance Clabaugh, 70, 3055 Valley St, Salt Halsey, Mahan, Alan Shepard, down to of preventing the birth of a deformed . . . two had been to Wendover! the fetus is malformed and naLake City; Richard K. Jackson, 70, 941 Ensign Ronald M. Bancroft, class of child They have a television set on the resture rejects it. E. 2825 North, Ogden; John Withrow, 71, 1965, the 20th Rhodes Scholar from Anbut get this picture. They ervation 80 Ogden Canyon, Ogden; Jerald L. napolis, who is now at Oxford University The ovum itself may have been defechave electricity! dont Erickson, 188 W. 4 South, Logan; Charles in England. tive. Faulty nutrition on the part of the But what I wanted to say was that E. Banellis, 444 Canyon Road, Logan; Of these tilings are our Naval officers mother can be responsible. Disorders last year when the bank gave the cusDavid P. Alleman, 1515 Highland Dr., made today, of discipline, mathematics, which can cause miscarriage run the tomers expensive gifts, they got one or Logan; James A. Dokos, 1736 Lahar Dr., science, and the common bounds of tragamut of diabetes, high blood pressure, two "thank-yonotes. Salt Lake City; Peter J. Mellin, 3641 S. dition, begun here at Annapolis. This year they got letters from just syphilis, many types of infections, fibroid tumors in some instances, disease of about every one of the customers praisother pelvic organs. ing the program. There may be incompatibility of the Thats a wann note to end ths year Rh factor In the blood, a disorder of the on: placenta, glandular imbalance, and End others. MERRY - GO - ROUND It really takes something quite wrong Most of us have a lot to be thankful to cause a miscarriage. A healthy for this year. We are not in Vietnam . . . woman, with a healthy fetus, can within a ghetto . . . and not on a campus stand some rather considerable shocks a New Years turkey! Rear Adm. Edwin Rosenberg, who without any damage, and the notions that By DREW PEARSON aiiiiiiiiiiiiiiimimmmmniiiimiimiimiiniiiiiiiiiiiiiiiiiiiiiiiiiiiiH handled the repatriation of the Pueblo sudden fright or eating the wrong thing and JACK ANDERSON or other such simple things will cause a crew, believes that Captain Bucher is miscarriage are without any real foundaWASHINGTON Preliminary Naval also a hero. tion. investigation of the USS Pueblos crew A court of inquiry, headed by Vice Miscarriages usually occur between shows that Cmdr. Lloyd M. Bucher final12th and 28th week of pregnancy. the inAdm. Harold Bowen, will review the ly signed his "confession" after he beThis is one of several reasons why it is came convinced It was the only way to vestigators findings and make a deciwise for a woman to begin getting medisave his men from torture and passible sion. It will affect tire discipline and mocal care just as soon as she knows or of rale the entire Navy. suspects that she Is pregnant Instead of death. waiting until it is almost time for the The crew had been threatened with NEW YEARS DRINKING baby to be born. Some of the conditions Korean execution. For sport, North which lead to miscarriage can be preThose who drink the New Year in and vented if treated soon would fire machine enough gun blasts guards bringing then drive should take a look at an Interdiabetes under control, subduing infecwithin inches of the American prisoners. esting document submitted to Congress tions, etc. Many admirals still cling to the tradiSome of the other causes obviously of Transportation Alan tion that prisoners should accept death by Secretary w ill not yield to treatment. If the fetus is called the 1968 Report on AlcoIts Boyd. and torture rather than give any Inforbadly deformed, nothing can be done hol and Highway Safety. It shows that but in that case, the miscarabout it mation to their captors. Any relaxation alcohol causes some 25,000 deaths and at riage is a blessing rather than the oppoof this principle, they argue, will encourleast 800,000 crashes in the U.S. every site. age POWs to sell out their comrades in year. Dear Dr. Thosteson: My husband order to save their own skins. The odds are more than 8 to 1 that a sneezes, sometimes 20 to 25 times. Does But other admirals are more tolerant. this have anything to do with your heart? fatally injured driver between 9 p.m. and What could The case of Brig. Gen. Andrew Evans, Mrs. H. be the cause? been drinking heavily . . . an Air Force pilot shot down over North midnight has his heart. Answer: not to related Its In widely separated communities, drivHe could be allergic to something or Korea, has Influence! the Pentagon, lie was lined up before a firing squad tliree ers involved in crashes after drinking are other that touches off the sneezer Disorseveral times more likely than others to ders in the nose (or even bright light) times, then reprieved each time, just before tlie triggers were pulled, and given "About this time of year, Russia hae been treated, or to be subsequently can cause some people to sneeze. another "24 hours" to reconsider." Dear Dr. Thosteson: Would you distreated, for alcoholism . . . Forty per is keeping a sharp eye on satelThough ready to die rather than sign rent of the innocent dead drivers were cuss the dietary values of butter and lite nat:ons in case they're a confession, unrelenting torture finaIy killed margarine as regards calories and proby drinking drhers. F. C. broke his will to resist. tein? making any New Year's Unfortunately an appreciable percentrevolutions!" Answer: They are essentialy the same The Air Force finally concluded Unit of those whose licenses hare been age in botli respects. There is very little proEvans had held out beyond the call of F'om pt.otw taken by Lionel V. McNeely tor ttw revoked for alcohol-relateDeseret NetM' popular oaiiy Baby Birthday teetura. tein in either. The food alue is primariduty, lie was accepted back on active suspended or offense continue to drive. duty as a hero. ly in the fat or oil content. What Causes Miscarriages? ... 20-2- white-uniform- ... u Wit's that marks, say, the chapter on burin engraving, where one can sense the sparkle in the master's eye and literally see the bl ight copper spin from the steel point. One catches a note of special pleading for this oldest area of gravure, and It Is perhaps here that todays young Turks might listen again to the vintage revolutionary, because burin engraving, somewhat in disfavor among contemporary printmakers, could well become the ultis mate weapon in the hands of optical who have time tar the intaglio work-sliopop-jK'r- Abstract-Expressionist 31, Pueblo'Confessions' The Art Of Gravure By HAROLD LUNDSTROM Deseret News Music Editor members of tne Armed Forces, sons of servicemen and sons of Medal of Honor holders are eligible for varying degrees of priority for entrance to Annapolis. Any applicant with good high school grades who can meet prescribed physical requirements, and who Is between 17 and 22 years old, may apply. Usually members of Congress ask applicants to take competitive examinations and appoint the top man, with other qualifiers listed as alternates. Throughout, Hayter, in his intense and articulate way, insists that you enter ttie laboratory and share his hand and mind as he sums up 40 years of intellectually controlled experiment. Oiip begins to understand his effectiveness as a crusader, and the tremendous attack on traditional methodology mounted by the stream of artists who have shared his workshop. The discussion of technique leads into a history of gravure, which in turn leads to three interesting chaplers on design theory for plate work, made a trifle comic by explanatory diagrams wherein squiggly Hayter figures cop? their way through push-pul- l space, the type of textbook diagram that Roy Lichtensteins Cezannes Composition lampoon of should have finished off. There is a brief preface by Herlxwt Read. The Illustrations are numetous and generally of high quality. Strangely, an etching by Anthony Gross is printed twice under two different titles. pin e Annapolis Holds Key Of Novy Tradition By GORDON ELIOT WHITE I'pifi A7 NEWS, Tuesdjy, December "lirad-shrinke- It. In all, one out of 50 Americans now living will be touched directly by mental illness in the next 12 months, to say nothing about those who. as friends and relatives, will be touched indirectlv One might regard these four milion unfortunates as battle casualties of the rat race the dead, hospitalized and walking wounded in mans everlasting struggle with his own overpowering environment. It sounds bad, and it is. But it could be worse, and indeed was worse until the tide of battle against mental illness began to turn about 13 years ago. Behind the cold statistics are grounds for optimism that America is slowly winning the campaign against the biggest crippler and ninth biggest killer in the country DESERET nyaUgW ... - BIG TALK - Ulll!ll!lllllllllllllllllllllllll!lllllll!lllt!!tl |