But the important point that the patient affected the usefulness, sees the articles in use, uses them himself, or even finds selling them that has done something worth while.

The value the government the articles, which the patient must duplicate if keep one them for himself, practically nil. Vocational training, the other hand, a training the patient carry out some technical operation and thus give him a means earning a livelihood. The product therefore, the patient placed in industry.

Articles produced in this process must have a market value, and there absolutely no place for the merely beautiful, but fancy products, the value which personal and largely artificial. Much the work being conducted under the name vocational training in neuropsychiatric hospitals which alono are referring nothing but the routine application procedures employed in occupational therapy. As a rule, also, they are applied all alike without consideration the needs the patient. This situation more or less clearly recognized the workers themselves, and they have introduced the term pre-vocational training in order explain the fact that all that produced a beautiful exhibit, while patients are not being placed in industry.

We are convinced that the true explanation this situation that there are but few neuropsychiatric patients in hospitals who need, or are capable vocational training. These few are the convalescents or those considered have recovered the fullest extent possible from the effects the disease from which they have suffered.

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It would, therefore, seem desirable allow the hospital, under the direction its own physicians, carry out its occupational therapy the point where vocational training indicated.

The patient may then sent a training field, still under the supervision medical officers in the locality the field if there a sufficient number requiring the same kind training, an instructor and aids could sent the hospital. Treatment, Training, and Compensation There no aspect the problem rehabilitating the exservice man, except that medical personnel, that such vital importance as the close cooperation between the departments write my term paper for me that have with treatment, training, and compensation.

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Perhaps, one who not in actual contact with neuropsychiatric cases in a medical way, the logical sequence writing services for college papers events would restore the patient the highest degree efficiency therapeutic measures before beginning train him for some trade or profession in order establish his economic independence.

Under this order procedure each department would work quite independently the other and the man would shifted from one the other whenever a cross section the individual indicated the need for a change.

However, as all who are dealing directly with the ex-service man know, this cross-section method has proved a definite failure. What needed a longitudinal section the patient's life in order that may consider his past experiences, his present needs, and his future possibilities. For example, if are dealing with a mentally deficient individual whose war experiences have rendered him incapable adjusting himself his present environment and conditions, although his history prior the war shows that got along fairly well in the community, cannot neglect his present needs, which may mean the actual necessities life. These, course, can only met compensation and while future possibilities for this patient may or may not lie in training, certainly in such a case training can advantage only if selected after a careful study the mental equipment and temperamental fitness the prospective trainee. The question who best fitted, reason experience, training, and opportunity, decide upon the presence or absence the particular qualities that account for success or failure in an individual quite debatable, but, other things being equal that intellect and opportunity for observation seems that the psychiatrist who has made a study the particular case best qualified advise regarding the type work for which the individual best fitted virtue his physical and mental equipment, as well as temperament and disposition. We very frequently find the man with a mental age twelve fourteen years struggling along in some trade or profession that obviously not within his grasp. The more ambitious and persevering the man, the greater essay writer reviews the conflict between his ambition and his achievements, paraphrasing shakespeare and sooner or later find him seeking refuge in a neurosis. The same true when an individual fitted for manual work begins take accounting when the lad who craves outdoor help i need to write a research paper life finds himself shut in a factory when the man who quick and impulsive forced work that requires caution and deliberation or when the individual who works well under supervision suddenly thrown into a position that demands responsibility. All these individual questions must considered in dealing with problems vocational guidance. We not intend convey the idea that the neuropsychiatrist should take the place an expert trained in the problems vocational guidance, but that should advise with this expert or furnish him with all the data at hand per taining the prospective trainee's mental equipment and temperamental fitness for general types work.

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