s from Occupational Therapy Journals THE PLACE OF OCCUPATIONAL THERAPY IN THE MANAGEMENT OF THE FUNCTIONAL PSYCHOSES. T. Douglas Noble, M.B. (Tor.), Amer. Jour. Occup. Ther. and Rehab., xii, 227, August, 1 933. Collaboration between the psychiatrist and Occupational Therapist is desirable to find some level at which psychotic patients' energies, poorly organized though they sometimes are, can be directed into real activity. The therapist, free from the unfortunate implications of authority which the patients associate with doctors and nurses, aims to understand the motives underlying the behaviour of the individual under treatment, fosters the "close to normal" atmosphere which brings such comfort to the insecure patient, and gradually by these means cultivates the therapeutic attitude. • Three case histories are described, the first illustrates the resocialization of a patient at first considered a poor therapeutic risk. Following removal from a stress-producing situation, given encouragement and permitted the utilization of an almost isolated interest, his abnormalities of behaviour disappeared. The development of this interest later proved the basis of avocational and social adjustment. In the other two cases opportunities were provided for particular types of occupation, recreation and social environment which filled, in a constructive way, these individuals' special needs and aided also, through the associations formed, the process of psychotherapy. H. H. CORRECTIVE EXERCISES FOR MALE PATIENTS. E. Raymond Jones. Amer. Jour. Occup. Ther. and Rehab., xii, 255, August, 1 933. A description is given of the ten cases comprising the men's corrective class at the Marcy State Hospital, New York. The equipment used is simple and not costly. It includes stationary bicycles, rowing machine, balance board, chest pulls, dumb bells, medicine balls, etc. A full length mirror is provided, as it is thought that the patients take a keener interest if able to see themselves. The cases include patients with Parkinsonian syndrome, disseminated sclerosis, spastic paralysis, tabes dorsalis, general paresis of insane and catatonic dementia praecox. The attempt is made in these various diseases to improve the use of the affected muscles, improve posture, and to improve the mental attitude of the patients. The results in the ten cases described were uniformly good, and it was felt that this was due in part to the increased individual attention which maintains an intimate personal interest on the part of the patient. It is pointed out that the use of apparatus working through the play instinct lessens the sense of loss and tends to have the patient utilize more fully whatever capacities remain. The patient is naturally encouraged through his progress from the simple exercises to the more complicated apparatus. Another minor point is that the patient is not in competition with others who are better than he, so that there is greater freedom and enjoyment in this group. H. H.
Canadian Journal of Occupational Therapy