THE PSYCHIATRIC CLINIC OF THE WARSAW MEDICAL ACADEMY, PRUSZKOW

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Collection: 
Document Number (FOIA) /ESDN (CREST): 
CIA-RDP82-00046R000400150007-4
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RIPPUB
Original Classification: 
C
Document Page Count: 
18
Document Creation Date: 
December 22, 2016
Document Release Date: 
July 2, 2009
Sequence Number: 
7
Case Number: 
Publication Date: 
December 10, 1954
Content Type: 
REPORT
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r Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 V, CENTRAL INTELLIGENCE AGENCY INFORMATION REPORT COUNTRY Poland SUBJECT The Psychiatric Clinic of the Warsaw Medical Academy, Pruszkow DATE OP INFO. PLACE ACQUIRED This material contains information affecting the Na- tional Defense .Of the United States Within the mean- ing of the Espionage Lawn, Title 1$, U.S.Q. Secs. 793 and 794, the transmission or revelation of which in any manner to an unauthorized person L prohibited by law. REPORT DATE DISTR. NO. OP PAGES REQUIREMENT NO. REFERENCES TMI SOURCE EVALUATIONS IN THIS REPORT ARE DIFINITWI. THE APPRAISAL OF CONTENT IS TENTATIVE, (FOR XIV SIR NIVIASE) 10 December 1951+ 19 25 YEAR RE-REVIEW 03FIDENTIAL STATE ARMY X NAVY X AIR x f01 AEC _1_ I Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 CONFIDENTIAL REPORT COUNTRY Poland The Psychiatric Clinic,of the Warsaw Medical Academy, Pruszkow DATE OF INFORM PLACE ACQUIRED THIS IS UNEVALUATED INFORMATION 25X1 DATE DISTR. 24 &pt 1564: NO. OF PAGES 18 REFERENCES: 1. The Psychiatric Clinic of the Warsaw Medical Academy (Klinika Psyohiatryozna Akademii Medyoenej) was located in Pruszkow (N 52-10, E.20-50), 17 km. southwest of Warsaw, within the State Hospital for Nervous and Mental Disorders (Panetwowy Szpital dla Nerwowoi Peyohioznie Choryoh), The prewar Psychiatric Clinic of the Faculty of Medicine of Warsaw University was located in Warsaw at St. John's Hja1?*"'hioh'"was? completely destroyed in 1944. 2. The, Psychiatric Clinic occupied two red brick buildings: a. A large "H"-shaped building, partly one story and partly two stori+ e,`which was called Pavilion IV (Pawilon IV) and housed the men's seotinn (oddzial meeki), the office of the professor in charge (the director), and most of the clinic's laboratories and oonsultatiot rooms. /Tor : a detailed description of facili- ties, see Enclosures 1 and 2?2 The second building was smaller, had two stories, and was called Pavilion VI. This building housed the women's section (o??ldzial kobiecy), or detailed description of the facilities, see Enclosures 3 and 42 3. The Psychiatric Clinic was directly subordinate to the Medical Academy in Warsaw in matters concerning the training of students and scientific research, With respect to administrative matters the clinic was dependent upon the State Hospital for Nervous and Mental Disorders which was responsible for housing, hospital and medical equipment, bedding, clothing, drugs, and food for patients. In addition to this, the Psychiatric Clinic received small amounts of money for such ex- penses as stationary,, transportation, and the repair of medical Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 CONFIDENTIAL - 2 equipment fro1 tie` Medical Academy through the State Clinical Hospital of the Medical Academy in Warsaw, Professor Doctor Jozef HANDELSMAN was director of the clinic. Person- nel at the clinic could be divided into the following groups: a. Professional:.. Ten doctors of medicine who were psychiatrists (eight Of-'these were women); two social psychiatric assistants; one laboratory tedhnician; 15 male nurses and ward attendants, and 18 female nurses and ward attendants. b. Adininistra.tive : ' With the exception of one secretary there was no administrative personnel. All such duties, which were not handled by nurses and attendants, were taken care of by the administrative personnel of the State Hospital. o. Patients:" On an average there were 70 to 74 female patients and 92 to 98 male patients. The medical students came to the clinic only once a week, on Saturdays for two hOu?e , for lectures and practical training. Except for records of their'training and examinations, the, clinic had no responsibilities in connection with the students. Personnel matters and salaries of the educati,,nai staff (doctors of medicine) were handled either by the State Clinical Hospital of the Medical Academy in Warsaw or by the State Ho--pital for Nervous and Meiital''Disorders in Pruszkow. The case'histories of those patients released from the clinic were kept in the file., of the State-.Hospital for Mental and Nervous Dis- orders. The equipment of the Psychiatric Clinic was not adequate even in comparison with low post-war standards in Poland, Ward equipment such as furniture, bedding, bed linen, and clothing was all worn. and was rarely replaced. There was hardly more than a change of bed linen, personal linen, and clothing. This amount was inadequate' since the patients were very hard on such items. The surgical equip- ment., dressings, and drugs were supplied by the State Hospital and. small quantities were kept on hand in each section of the Psychiatric Clinic. Only on'rare occasions were special drugs, needed for re- search; supplied by the Medical Academy. The medical, educational, and research equipment, as well as the library, which was owned and ,administered by the Psychiatric Clinic, consisted almost entirely of equipment inherited in 1947 from the former Faculty of Medicine of Warsaw University. There were two ophtha?.mosco?e;, one electro- encephalograph, three microscopes, one slide ~roJ.ctor, one still camera and one movie camera with projector and duplicator, two centrifugal separators, and one special apparatus for testing con- ditioned reflexes which was received in 1953, 6. The wards and rooms for patients were rather simply equipped with only beds, benches, and, in the smaller rooms, bed tables. The doors within the wards had no handles and those leading to the out- side were always locked. Doctors and attendants opened these doors with special keys. During 1947 and 1948 there were always from one to five beds empty in both the men's and women's sections, but 41 after 1949 the wards were filled to capacity and it was usually necessary for more than 20 patients to sleep on mattresses on the floor. The women's section in Pavilion VI had only 64 beds from 1949 to 1954 but usually about 70 patients were kept there. The men's section in Pavilion IV had 96 beds in 1947.' In 1949 the number of rooms in use was reduced to accommodate 83 beds and remained CONFIDENTIAL Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 .,..Q,QNFIDENTIAL 25X1 0800 to 1300 ................ Daily visits, examinations, and treatment by doctors. In their spare time the doctors worked on their own in private examination rooms. (At 11)00 there was a break and all doctors gathee'ed in one of the rooms for tea; ) 1200 .......................Lunch for patients 1600 to 1900 ...............Afternoon treatment, injections and issuing of drugs, artificial feeding, etc.,, super- vised by the doctor on duty. 1700 .......................Supper for patients 2100 ........................A11 patients were required to be in bed. (A dim light was kept on in all wards during the night.) 12. The working day for doctors lasted from 0800 to 1300 hours. In addition they took turns serving duty from 1300 to 1900 hours three or four times a month. Thus, their working week consisted of 36 hours. A check-in list had to be signed by all doctors, except the director. From 1900 to 0600 hours the doctor on duty at the State Hospital was also in oharje of the Psychiatric Clinic. In oases of emergency one of the resident doctors was called. 13. The ward attendarL`- were on duty for 24 hours and worked in three shifts: In the men's section: Six ward attendants from 0600 to 1400 hours. Three attendants from 1400 to 2200 hours. Two from 2200 to 0600 hours. In the women's section: Six . ward, attendants from 060 to 1400 hours. Four attendants from 1400 to 2200 hours. Three from 2200 to 0600 hours. The working day for nurses was from 0600 to 1400 hours and from 1600 to 1800 hours. From 1800 to 0600 only one nurse (from the State Hospital) was on duty. 14. Except Tuesdays, the director started his work every morning at 0800 hours. His daily program began with a short conference with the deputy professor after which he accepted visitors such as students and relatives of the patients, and made decisions on matters which oou.d not be settled,by his deputy. He did not visit the wards daily but examined patients in his private consultation room. He examined each patient at least two times - the first time immediately after arrival and the second time after the psychiatric test had been made by the assistant in charge of the patient. (Each assistant was usually in charge of about 20 patients.) After this examination, diagnosis and treatment was determined by the director. The usual weekly program at the Psychiatric Clinic was as follows: Monday. At about 0830 hours the director began examinations of patients from the men's section who were introduced by the assistant in charge. All other doctors were allowed to remain during these examinations. At 1100 hours he began examination of patients from the women's section. The doctors, each of whom were responsible for about 20 patients, usually began their day by vipiting the wards. Prior to going, the doctor examined the temperature readings and written reports regarding the behavior of the patient during the last 24 hours. CONFIDENTIAL Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 -5- Tue sday, The director was not at the clinic on Tuesdays. (He was a voivod-- ship psychiatric consultant and in this capacity had to inspect one of the psychiatric hospitals or the Central Consulting Station for Psychiatry on this day.) During his absence the deputy professor was in charge. The doctors were occupied with their routine work. We_ dnesday. The director was, as a rule, occupied with his work at the clinic or with examining outside patients until 1100 hours. At 1100 hours each Wednesday there was a conference at the olinio. The director presided and all doctors from the Psychiatric Clinic, from the Psyohoneurologioal Institute, from the State Hospital. for Nervous and Mental Disorders, and from the Central Consulting Station for Psychiatry attended, in addition to certain other doctors, mostly young, from other institutes and clinics. At these conferences one or two oases were usually demonstrated by the responsible psychiatrist. There was always a discussion concerning diagnosis and treatment after each demonstration. Once every six to eight weeks the reading of a foreign medical publication, usually Russian, took place instead of the usual demonstration of oases. Thursd y. The director usually examined patients from the men's section until 1100 hours from the end of October to 15 May. (From 1 May until the end of October he examined students at this time.) All the dootnnrs were engaged in their routine work. A lecture on the Pavlc., theory was given by Senior Assistant Dr. PIAKOWSKA from 1100 to 1300 hours. All doctors were required to attend. Usually on paragraph from Lectures on the Functions of the Bratt by Pavlov was discussed as in a seminar-.- If ET -_ n a on, everyone was supposed tL, study this subject during the week. However, slight attention was paid to this and consequently the same program which was conducted in 1952 _ 1953 had to be repeated during the year 1953 - 1954. Fr~. In the early morning the director was engaged in his own work. At 1000 hours he began the examination of patients from the women's section. The deputy professor usually inspected the wards at this time. Other doctors were engaged in routine duties. 3aturday. Each Saturday, from 0815 to 1000 hours, the director gave a two- hour lecture to the students in the theater auditorium at the State Hospital. Cases were usually demonstrated during the lectures. During the school year the professor, usually held approximately 60 hours of lectures but only about 70% of the students attended. After the lecture, from 1000 to 1200 hours, half of the students attended practical training. One half of the students were given this training during the fall semester, the other half during the spring. The students were divided into six groups, each of which was trained and supervised by an assistant. The training consisted of demonstration of oases and examination of patients by the students who, in this way, became acquainted with methods of examination and diagnosis. S_ ?d . Only the doctor on duty was present at the clinic from 0900 to 1300 hours. The other doctors were off duty. The director was generally present from 0900 to 1030 hours. He accepted visitors during this time, sometimes examined students, and held special consultations. CONFIDENTIAL Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 CONFIDENTIAL -6- 15. The professional level of the doctors employed at the Psychiatric Clinic was, with respect to:experience and medical ability,, quite satisfactory. The senior assistants were well-trained and capable in performing their teaching functions. The junior assistants were still being trained in their specialized'fjelds and gaining experience from conferences and discussions with the professor during case demonstrations. Most of the doctors liked their jobs,, were interested in special cases, and discussions were Spirited and lively. Of the senior assistants only two were well acquainted with the Pavlov theory but all assistants were acquainted with it to the extent of being able to discuss it with students. The assistants did not, however, spend as much time reading and studying.. Polish and foreign medical publication; as they should and their interest in'science and research was limited despite pressure exerted by the director. This.was.partly duf,,to overwork since every doctor had outside work in addition to his duties at the clinic and also to the fact that time was lost going to and from work. (Most doctors lived in Warsaw.) The work was performed satisfactorily as a rule but almost all doctors were behind on their case histories and they seldom stayed in the clinic after hours. The doctors displayed an ethical attitude but some did not show sufficient interest in the well-being of the patient as far as occupational therapy and recreation were concerned. Db:sotcrs were on friendly terms with each other but there were no close social relationships because their places of residence were too sea- " a-:rw E as a result of the housing difficulties. With the exception of re young doctor, no doctors were members of the Communist Party and the,,, discussed politics freely among themselves. 16. The two psychia,? essistants (social workers) were neither enthusiastic about their jobs u,. were they particularly interested in the well-being of the patients. Both were graduates of the State High School for Psychic Hygiene (Panstwowa Wyzsza Szkola Hygieny Psychicznej), (This school was closed in 1950.) Most of their time was spent writing case histories to be sent to the Central Consulting Station of Psychiatry after the discharge of the patient. They also spent about one and one-half hours daily observing patients who had received insulin treat- ments. They sometimes visited the families of patients to make inquiries. But the problem of organizing proper recreational activities for the patients was not handled properly, chiefly because the director was not particularly interested in this phase of the work. 17. The performance of duties bv' ward attendants and nurses was only satis- factory. this could be attributed to their poor 25X1 education; most of them had attended elementary school only, The majority of attendants were from 30 to 40 years old and had been employ- ed at the Psychiatric Clinic for about 10 years. During this time they had gained a good deal of practical experience though real train- Ing consisted of only a brief period at the Hospital for Nervous and Mental Disorders at the time of employment. They showed no understand-. ing of the patients, lacked the ability to observe and report, and their incompetence sometimes took the form of commands and severe measures. When a patient became excited or violent he was bound to the bed by strips of coarse cloth; straight Jackets were seldom used. The patients were given sedatives. There were cases of beating and maltreatment. Investigation was useless because the patients were afraid to say anything against the attendants and the management; was afraid to discharge unsatisfactory personnel because it was difficult to find replacements, especially men, who could earn more in industry. CONFIDENTIAL Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 CONFIDENTIAL - 7 - 25X1 18. There was only one fully qualified nurse; she was a graduate of the two-year State School for Nurses. The other male and female nurses were promoted from their positions as ward'attendants. They had had only the half=year'training course at the State Hospital and for this reason their qualifications were below standard. 19. On as of the whole, the' ward attendants and nurses did their jobs as well they could. About 10% of this auxiliary personnel were members the PZPR; the fact that they were members was well-known. 20. The following table gives salaries for personnel. at the Psychiatric Clinic (basic salary plus 40% supplement for psychiatric work, after tax deductions); Position Salary in zloty per month) Director............. .............. about 2,260 Deputy professor ?ao...?s?o.?o.e.?o about 1,496 Senior assistant .....?.ae.e.?.,.. about 1,lt10 Junior assistant neaioan8aeoaaeaa. about (wi tk.?-. doctor's degree) 1,160 Justlor assistant ................. about (wi shout degree) 84o Psyohia.. .c assistant ............ about (social worker) 920 Laboratory technician 800 Qualified nurse ...?.......?.e..??? about 760 Junior nurse ......?se?so?.o?aoo.oe b4~ut 702 Ward attendant ..tl.a.?e..tl..o??a.. about 618 Some of the senior ward attendants also received about 90 zlotys monthly as a supplement for performing .certain administrative duties e 21. Ward attendants often received additional voluntary contributions from the families of patients for "special attention". Accepting money was strictly forbidden but this-was impossible to check and it did actually Improve the care of the patients. In addition some of them benefited, without making payment, from meals during working hours, and from the use of bed linen, soap, washing powders, and-floor polish supplied to the clinic. Those attendants who lived at the clinic paid very little for their rooms and were subject to a fixed wholesale price for electricity because there were no individual meters. 22tl The following table shows the yearly periods of leave to which personnel of the Psychiatric Clinic were entitled: Director .......... 000000201,009004 Assistants ............?....... e? Nurses e.?. ... . e???. o? .. o o e o o a 0 e a o Ward attendants ? ? ? ? . ? . . a o a . . . . . . . Ward attendants .......?...?...?.. (after 10 years' service) CONFIDENTIAL two months six weeks four weeks 15 days one month Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 CONFIDENTIAL 8 - 23. The food for patients was prepared in the main kitchen of the State .Hospital, brought by patients to the ward kitchens, and distributed there. The'food-wa6 served on metal plates and eaten with spoons. The three meals served each day usually consisted of the following: Breakfast: Coffee with milk and bread with jam or butter. Lunch Soup, a vegetable, a main dish of macaroni or dumplings with meat only four times a week, occasionally eggs. Supper : Tea, bread with seasoned meat or sausage, or bread with jam or butter, sometimes grits with milk. Meals, especially lunch, were substantial and there were always second helpings for those who wanted them. Additional food, usually bread with sausage and butter, was served in the afternoon for those who needed it. There were special diets including a salt-free one for those who required such diets. The patients who worked at the hospital farm received an additional meal in the afternoon and 5 to 10 cigar- ettes daily. Scme patients were fed artifically once or twice a day. They receiveC about 11 liters of liquid food which contained milk, butter, oats, sugar, salt, eggs, and vitamins. About 50% of the patients received additional food from their families. This was kept in the ward kitchen and distributed by attendants when desired by the patient. 24. Patients were required to deposit their money with the hospital cashier upon entering the clinic. If money was needed for candy or cigarettes, usually bought by one of the attendants for-the patients, it was given to the nurse with the permission of the doctor in charge. Only those patients who were permitted to go out were allowed spending money and then only when authorized by the doctor. 25. All letters sent to patients and letters written by them were checked by the doctor in charge of the patients. Really absurd letters were kept in the patient's file but letters addressed to the state public prosecutor, no matter how nonsensical, with complaints about the clinic had to be forwarded. As a result t e ecutor sometimes came to the clinic to investigate but only two such occasions dur- 25X1 ing the last few years, 26. Families were permitted to visit patients each Thursday between 1300 and 1600 hours and on Sundays and holidays between 1000 and 1200 hours and 1400 and 1600 hours. Visits were supervised by ward attendants to ensure that no drugs, sharp instruments, or letters were given to the patients. Gifts of food were permitted. No children were allowed as guests, 27. Hygienic conditions at the Psychiatric Clinic were poor; the men's section was particularly bad. (Lice were found there twice during 1953.) The patients were indifferent about washing and the attendants paid slight attention to their cleanliness. There were frequent water shortages (two to four times each month) which sometimes lasted from one to three days and in addition the pressure was often low even when water was availabl.e."New patients frequently could not be bathed upon arrival and the rest rooms, despite the fact they were disinfected every day, were not sufficiently clean. There was an inadequate supply of bed and personal linen and the laundry was irregular. At one time the bed linen in the men's section was not changed for six weeks? There always seemed to be enough water for dishes which were washed in the ward kitchens CONFIDENTIAL Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 CONFIDENTIAL -9- 28. The State Hospital iri which the Psychiatric-Clinic was-located was not connected to the Pruszkow city. water system. It had an installation of its own with a well And pump. The pump, however, was old and worn out and was the chief cause ofthe poor water supply. plans were underway to construct a new installation but no money had been available. 29. There was no central heating, at the clinic; tile stoves were used. The stoves were old, did not'function well, were dirty, and a constant cause of trouble. It was, however, warm enough during winter months in the wards and the patients' rooms. The corridors, consultation rooms, and laboratories were never properly heated, prindipally because there was no personnel to attend to this. Electricity was supplied by the Pruszkow power station; there was no supply of gas, Enclosures: 1. Pavillion IV, first floor of the. Psychiatric Clinic of the Warsaw Medical Academy. A Sketch - Scale: 1:400 2. Pavillion IV second floor, of the Psychiatric Clinic of the Medical Academy. Sketch - Scale: 1: 400 3. Pavillion VI, first floor, of the Psychiatric Clinic of the Medical Academy. F--- -Sketch - Scale: 1.400 4. Pavillion VI, second floor, of the psychiatric Clinic of the Medical Academy. F----]Sketch - Scale: 1:400 CONFIDENTIAL 25X1 25X1 Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 CONFIDENTIAL -10- Enoi.u;.ure- 1 B Paviilion IV, first floor of the Psychiatric Clinic of the Warsaw Medical AI I Sketch - Scale: 1:400 30 29 23 27 26 25 24 23 22 CONFIDENTIAL Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 CONFIDENTIAL - 11 - Legend to Enclosure 1. Pavillion IV, Men's Section of the Psychiatric Clinic of the Medical Academy, ,'1.rst floor. 1. Main entrance. 2. Senior ward attendants' room, also used as a dispensary and for preparation and storage of drugs. Consultation room assigned to two assistants; equipped with desk., sofa, one armchair, and two straight chairs. Testing laboratory equipped with three microscopes, one electrical and one hand-operated centrifugal separator, and laboratory glass used for testing blood, urine, and spinal fluid. 5. Small waiting room also used as conference room. 6. Rest room. 7. Corridor. 8. Garden for p..1,-tents (surrounded by brick wall). 9. Consultation room for assistants. 10. Room equipped for f-=-sting reflexes by the Ivanov-Smolenski method. 11. Linen closet. 12, Secretary's office. Telephone located here. 13. Professor's consultation room. Equipped with desk, sofa, bookcases (containing some books from the clinic) iibrary and chairs. 14. Corridor. 15. Rest room. 16. Bathroom for patients, containing showers and one bathtub.. 17. Room assigned as private apartment to a married couple, both of whom were clinic ward attendants. In addition to the couple, their parents and two children lived in this room. 18. Bathroom for patients, containing two batktubs,>, one shower, and three wash basins. 19. Rest room. 20. Side exit with stairs leading to basement and second floor, (always kept locked). 21. Four rooms for patients, each containing four beds. 22. Small garden for patients. Used only in summer. 23. Brick wall, about 2.20 m. high, surrounding the garden. Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 CONFIDENTIAL - 12 - 25X1 Continuation of Enclosure 1. 24p Side exit which leads directly into the garden. There is a similar exit in the opposite corner. 25. Main ward for patients requiring insulin treatment. Contains 23 beds. 26. Corridor. Also used for shock treatment and for visitors. 27. Low passage under the stairs leading to basement. 28. Ward for patients who require close observation. Contains 8 beds. 29. Patients' room used during the day as recreation room by those not required to remain in bed. 30. Corridor equipped with tables and benches. Also used as dining room along with room described under No. 29. 31. Ward attendants' room. 32. Four small rooms for patients, each containing three or four beds. 33. Side exit and stairs, similar to No. 20. 34. Rest room. 35. Bathroom, simila to No. 18. 36. A garden used by patients from the adjoining wing. 37. Brick wall surrounding garden. Part of western side. is wire fence. 38. Stairs leading to second floor. 39. Main corridor. 40. Ward for patients who are permitted to walk on the hospital grounds. Contains seven or eight beds.. 41. Dining room for patients, equipped with tables and benches. 42. Small corridor. 43. Ward for patients. Contains 12 to 15 beds. 44. Corridor with wash basins. 45. Rest room. 46. Consultation room for one of the assistants, 47. Entrance to the basement. Under bathroom No. 16 is the boiler rooms Under rooms No. 2 and 3 is a kitchen which is used for heating and distributing the food brought from the main hospital kitchen. Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 CONFIDENTIAL 25X1 - 13 - Enclosure 2 Pavillion IV, second floor, of the Psychiatric, Clinic of .the Medical Academy, Sketch - Scale: 1:400 25X1 CONFIDENTIAL Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 CONFIDENTIAL - 14 - Legend to Enclosure 2 Pavillion IV, Men's Section of the Psychiatric Clinic of the Medical Academy, second floor 1. Main entrance, 2. Rest room. 3. Room assigned to the cook as a private apartment. 4. Stairs. Room assigned tb a-ward attendant as a private apartment. She lives here with her daughter and granddaughter. 6. Room assigned to - the deputy professor as a private a 7. Corridor. 25X1 8. Small lecture room and conference room which could seat about 50 people. The clinic library was also located here. Recreation rom used by patients from Wards No. 40 and 43 located on the first floor. 10. Corridor. 11. Three small rooms assigned as private apartments. A laboratory assistant with his wife and three children lived in one of these rooms. The other rooms were used by nurses and ward attendants. 12. Stairs. 13. Room assigned to a ward `attendant as a private apartment,; occupied by the attendant and her son. 14. Rest room. 15. Corridor. 16. An empty room which was to be used as second testing room for conditioned ~~,,,r.eflexes . 17. Room assigned as private apartment, 18. Rest room and bathroom. 19. Pantry. 20. Laboratory containing electroencephalograph and cameras and equipment. CONFIDENTIAL Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 CONFIDENTIAL - 15 - Enclosure 3 25X1 Pavillion VI, first floor, of the Psychiatric Clinic of the Medical Academy. Sketch S l 4 - ca e: 1: 00 25X1 13 14 CONFIDENTIAL Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 CONFIDENTIAL 16 - .Legend to Enclosure 3. Pavillion VI, Women's Section of the Psychiatric Clinic of the Medical" Academy, first floor. 1. Main entrance. 2, Reception room. 3. Ward of eight beds for patients under observation. 4. Ward of nine beds for patients under observation. 5. Garden for patients. 6. Brick wall. surrounding the garden -- about 2.20 m. in height. 7. Rest room. 8. Corridor. 9. Exit to garden. 10. Senior ward attendants' room; also used for shock treatment and for storing and preparing drugs. 11. Small room with four beds used by patients. 12. Recreation room for patients. 13. Dining room for patients. 14. Room used'as'a kitchen for heating and distributing food brought from the main kitchen 15. Pantry. 16. Spiral stairs. 17. Corridor. 18. Rest room. 19. Side entrance to pavillion and to kitchen. 20. Room with four beds for patients. 21. Wash room. 22. Bathroom 23, Stairs leading to second floor.. CONFIDENTIAL Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 CONFIDENTIAL - 17 25X1 - ~~ Enclosure 14 w Pavillion VI, second floor, of the Psychiatric Clinic of the Medical Academy. Sketch - Scale: 1:400 25X1 CONFIDENTIAL Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4 CONFIDENTIAL - 18 Legend to Enclosure 4. Pavillion 'VI;-'Women's 'Section of the Psychiatric Clinic of the Medical Academy, second floor. 1. Stairs. 2. Consultation room for one of the assistants. 3. Room with four beds used by patients. 4. Consultation room for one of the assistants. 5. Corridor. 6. Small room for patients containj.ng'three or four beds. 7. Small room assigned as private apartment. 8. Rest room. 9. Consultation room for one of the assistants 10. Three rooms for patients, each containing three or. four beds. 11. Ward with seven beds used by patients requiring insulin treatment. 12. Ward with 10 beds used by patients requiring insulin treatment. 13. Two rooms assigned as private apartments for ward attendants. 14. Corridor. 15. Rest room. 16. Spiral stairway. 17. Three rooms for patients, each containing three or four beds. CONFIDENTIAL Approved For Release 2009/07/02 : CIA-RDP82-00046R000400150007-4