THERAPY AT THE PSYCHIATRIC CLINIC OF THE WARSAW MEDICAL ACADEMY AND THE STATE HOSPITAL FOR MENTAL AND NERVOUS DISORDERS IN PRUSZKOW

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP82-00046R000400220006-7
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 5
• Document Creation Date: December 22, 2016
• Document Release Date: July 20, 2009
• Sequence Number: 6
• Publication Date: December 9, 1954
• Content Type: REPORT

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CENTRAL INTELLIGENCE AGENCY
INFORMATION REPORT
SUBJECT Therapy at the Psychiatric Clinic
of the llarsatr 1edical Academy and
tho State Hospital for Mental and
Nervous Disorders in Pruszkow
This material contains information affecting the Na-
tional Defense of the United States within the mean-
ing of the Espionage Laws. Title 18, U.S.C. Secs. 793
and 794, the transmission or revelation of which in
any manner to an unauthorized person is prohibited
by law.
DATE DISTR.
NO. OF PAGES
9 December l954
REQUIREMENT
REFERENCES
THE SOURCE EVALUATIONS IN THIS REPORT ARE DEFINITIVE.
THE APPRAISAL OF CONTENT IS TENTATIVE.
(FOR KEY SEE REVERSE)
ARMY review completed.
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REPORT
COUNTRY Poland DATE DISTR. 22 pat 1954
SUB3ECT Therapy at the Psychiatric Clinic of the NO. OF PAGES 4
Warsaw Medical Academy and the State.Hospital
for Mental and Nervous Pruszkow
DATE OF INFORMATION REFERENCES:
PLACE ACQUIRED
THIS IS UNEVALUATED INFORMATION
Psychotherapy
1. Pavlov's theory (the only psychological theory permitted in Communist
Poland) allows little room for psychotherapy as we know it. Pa cho-
analytic (genetic) a roaches are strictly forbidden. Two 25X1
oasis demonstrate the repressive, suggestive, 25X1
maSidai- type o erapy being practised.
a. An approximately~40-year-old male with complete hysterical paraly-
sis of legs and jerking of the arms was treated as follows:
(1) He was told he was going to get a special treatment lasting
10 days, at the end of which time he would be well.
(2) He was given chloral hydrate per rectum the first day and had
a deep sleep.
(3) He was told that this drug was a special medicine for his
condition.
(4) The next day he was given water per rectum but was told he
was getting the medicine'.
(5) He was given (slightly painful) injections of vitamin C (sub-
cutaneously) daily and was told this was also a special
medicine.
(6) In 10 days his symptoms had disappeared and he was classified
as "oured".
b. A man with anxiety attacks and feelings of"pain around the heart
with "fears of heart trouble" was treated with slightly painful
injections of vitamin B (subcutaneously) in the chest wall over
the heart area.
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Techniques of Sematio Therapy
~~~P~IA~~II~lnl IAA~~e
(In most of the following, the methodologies employed are very similar
to those employed in the US.)
2. Insulin therapies were the following:
a. "Little" insulin treatment:
(1) Indications:
(a) alcoholic intoxication,
(b) early D.T.'s,
(o) morphine addiction (outs out'immediate cravings only;
does not prevent relapses),
(d) put on weight.
(2) Method: 20-30 units of insulin injected subcutaneously.
b.
Sub-coma therapy:
(1)
Indications:
(a)
(b)
(a)
anxiety state,
obsessive compulsives,
"rheumatic encephalitis".
(2)
Method: 20-100 units (maximum), varying from patient to.
patient; given in small doses, built up,daily to maximum
desired.
c. Insulin coma therapy
(1)
Indications:
(a)
paranoid schizophrenia, delusions of persecution, a11so
(b) hebsphrenios,
(a) catatonics.
(2) Method: (Patient without breakfast). Insulin given at 7000
A.M., patient kept without glucose till 11 AeM, at which time
therapy was terminated with glucose, followed by breakfast.
`Patients were fed more food than average.) Schedule of
treatments: every day but Sunday. Insulin dosages: 5 wits
the first day,lO units the second, 15 the third, eta? At
about 75-100, daily doses were increased by 10,units per day
(e. 110, 120, 130, eta.). No set rule, but by "fee l".'
Maxi: 00 units, with average 120 units (never more t
300 uni s). The soma: Patient is generally somnolent tor'
about 1* hours before entering full coma which is evidedoed by
positive Babinskis and atonia. Patient is permitted to re
main in coma for no more than one-half hour. The dept `of
coma was not permitted to proceed to loss of corneal r flexes.
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3. Electric convulsive therapy was used as follows:
a. Indications: Not so popular; restricted in use to depressive
states. It was not used for management of assaultive or
excitement states, but it was used with involutional melancholia.
b. Method: Usually 10 - 12 shock treatments were given on alternate
days combined with insulin: Monday insulin coma; Tuesday electric
shock treatment; Wednesday and Thursday insulin coma; Friday
electric shock treatment, Saturday coma.
4.
Cardiozol (Metrazol) shock therapy was utilized as follows:
a.
b.
Indications: Same as electric shock treatment.
Method: Given twice a week, 5 cc. of 10% solution I.4.; maximum
given 10-12 cc. Given for 10 treatments.
5.
Malaria (induced) was also used:
a. Indications:
(1) general paresis,
(2) paranoid schizophrenia with catatonic features.
b. Method:
(1) G.P.: 7 - 8 attacks in conjunction with penicillin.
(2) Schizophrenia 24 attacks.
Narcosynthesis was Another method:
a. Indications:
(1) "minor" chorea,
(2) schizophrenia.
b. Method: Chloral hydrate per rectum; luminal; or bromides.
The patient was kept asleep 20 hours per day for 7 - 10 days.
7. Blood Transfusions were also used:
a. Indications: Post partunm psychosis (felt to be an "intoxication").
b. Method: Whole blood transfusion of 250-300 cc. repeated three
or four times at intervals of 10 - 14 days.
Miscellaneous Neurological Conditions
8. For epilepsy similar regimen were employed; popular drugs are
luminol, hidantol," mesantoin. Dilantin sodium was not used.
9. For status epilepticus chloral hydrate was administered per rectum
with strophantium (also spinal taps).
10. In cases of post traumatic encephalopathes (two to five years after"
injury) the symptoms were tension, nervousness, etc. Patient was
given shots of Mg SO4 on alternate days as follows: first shot
1 cc. Mg SO with 19 cc. glucose, second shot 2 cc. Mg S04, 18 cc.
glucose, etd., up to tenth shot: 10 cc. Mg S04, 10 cc. glucose.
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11. For hypertension 16'-cc. of 0.5% novocaine in physiological saline
was given in two interarterial injections (femoral artery near
inguinal ligament), onL-Imonth apart. This theoretically retakes arterioles. .Reference:
Russian Journal of Neuropathology and Psyc arX No. , 1951.
Logistical Data
12. in general drugs used in Poland are manufactured in Poland. Their
quality'id variable, and in general is only fair at best. Bayer
and Santos products are more sought after. The raw. ingredients
for drugs are often in short supply.
Common shortages include vitamins B and. C; glucose; insulin; P.A.S.;
aureomveira, and nitrogen mustards are only obtaitab e n Q
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