SLEEP THERAPY AND PSYCHIATRIC PRACTICE

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP82-00039R000200100030-6
• Release Decision: RIPPUB
• Original Classification: R
• Document Page Count: 11
• Document Creation Date: December 22, 2016
• Document Release Date: May 8, 2012
• Sequence Number: 30
• Publication Date: August 6, 1952
• Content Type: REPORT

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Therapy and Psvchiatrt Prae i
by N. I. Ponarev
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STAT
 ,a
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SLP `%~~~ ANA Pxu ~C Pl~~!>,;'G
n tica'L medical work on the theoretical basis
We rt?,i~t U~l~1~d ~; ? ~x s.c
. rl1a..~off" 1.1'. Pav:tov. In this S respect, his
of the hysa.o~.c~~ ,:~ca1. tea
e ~rocesa of in}'ribitian in thk: cerntra1 nerVOUS
'tcach~,r~s abo~,~ u? ~h I.
"There i.reason
t~ :~ .1', Pavlov wrote:
s~Ys tell/ have great si~r~i.. 7.CdnC
to .tve, that as ion ras 'the i.nk>il iwto-",~' p'OCeS3 is active the
'red and can aa.n 'r,i~tux'n to cUrrlp~,~~te n~,r',fl~1.~?
ly a.ra~u
cortex is not deep
.,_,, ,.i'.I.~a1n crrerrlG~ weaknes;$ and its pa'tha].QL,10al
,.
pracs :LS still x evEa :,rsi. ble tt r,P~ Pavlov, Ca11ec'tod oa~.'1SS, M1
ea
191.9, p. L)411 ) ?
Pro;tes$or N, I~ PondareV,
Lenin
-a ? laasis of this, the:ris at the present time, in many
t;n talc
clinics :~ot,eC.f, ~;Jvice therapy in the ~'orrr1
r clinics ?Ca and haSW)1.`nta~.~ ~a, a wide use of a pJ
produced by iv?in medication to the patient
oi extended ~1,oep, ,.
,, is ,, ~ -~r,e 1,,:iclc of attentiOr1 to a~ter factors 'which
~awc;ver, there 1S a ~amp7.c
stiveness a1' the therapy: re1ati0r1shi.p5 to the
the effee
~il~.rantee tr>.~,
itiOn prevention oi' pat durin therapeutic rrleaS~
pa,t~.ent, car e, r>,l~tx ,
urea, e-tc o
~' f ex~eri.rfc'ntal studies, I.P. Pr1v10v applied
,:C'ter r ~, , s per a.e~ a 1
rhiatric clinics The treatment was carried
sleep therapy 1n the psy
out in sper,ial wards ever a period of 10.12 clays, under the absez?vaM
a, T.P. Pavlov was very pleased with
tian of A.G. Iva.nava,MSmal,en~kav
the results obtained. The first attempts with sleep therapy obtained. ~' were
?
' of V.P. Osipov in ~.93~M1936, In organiZina
carried out in the clinic the S~ chiatric clinic of the S.N. Kirav i:~~i.7.i.ary
the sleep therapy in y ~h,. p ~'
the experience of the Pavlov clinic and
~uedicmedical ~,cade~', we studied
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in tY~(~ c~Q, c stab1ieheC1 , speeia1 cta,crl~ u1iy isolated
~ ,f ~~.~ or ~,1
frori~ other wards, for this 'oad,. ~efc?xie Za1.a,c;~.>~~a.ita.ntS in tha.S
, ,,; , * ef~u.1. clinical and 1abo~~atcax'~? exa7n~na~
~,ven a c, ~. ~
secta,can they were
~ ~ ~ was a deter?~raa.na'ti.on of their reaction to
ti,ran, and in aGdc.l7.tlon there
e jnd,.vidU,ai, doaa;c. c~st~biirahed. A very im?
scal)ora.f'a.c dr~.lgs, and the
i.n the preparation of patio^,nt a ,f'or sleep the r ~.pf is a
oortant point'
, ~ ~Lhera ~ct1ti.c interview with the ind:'wid?~~a~.,
ca?, 'ul pl~c..>rrr>?~,nG~~y psycho ~ ~
c ? vidur~ action under therapy' and especially dur-
concern~.n.na.~ ' ~,n ~y
~~~ s
(;l of awakel~iS roin sieF;p. ir is e~as~rrGti,a:L to d~looVethe pera
'.C ~
in~th
. y etalaliahecl a
' ~ ' s
the habits by whjch each patient has pti c'Vtausd.
a ''irua one ts~?e of p~~,tient s~.~;e~as better
G;olarlitionedefl~;x :L p. ,
anathr.r under a hea~ryone; one t.nss, short-lived appearance of
t, 1~,fo:~~e can'tusion had been quiet, gay, cheer-
service after treatrl~n
' on became mean, excessivelY irritable, rtuhborn,
fu~.; after contuse.
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^cvcnr e;'u1, i~ r'O1f 19L berg m to exper~iefce period ' 2'3 a year,
~~ ~
of dui.ineass strong i rit&~ility, h d che;i, wor efin ; c ' appetite,
bcandcnc,y ude Sh0Wint, strori? a.rrc.i.na ~a,Qra tO alcohol, with
{
' 1Q , oi.a.' ? ~ . , 4
;ola,tary drinkin :, This eondiUQf would 1a 'l~ from 6 to 10 days,
~ after ' thr~ patient ent felt better' and, returned to work. W treated
twice in a ps ychiatric clinic while in this CUrldi.tlQf.
t)sec uc flt examinations; no deviation from the norrna1 could, be
~
Su
~d in the internal ox'gans; no symptoms of injury to the cent,rai
01)$ ~rvc.
~
nervous systerll, ; erne pha1ora:rl, showy a clearly dei irtr~d re ~ilar internal
cof e :)ha:l.ic hYdrocele with swci1ir of the thix'd vc;ntricie. From the
viewpoint of the payche, observed in clinic, there is noted tensene s,
nialiciau$ness, comp1ainin~, absenCe of a ca?i.tic~x:~ attitude to own cofl
'tion hen(~efCy to :Cfective) ouhursts, suspiciousness, sarcastic,
,
da.
of pe;r
rJnegative 11i1tnegative att lnah.~.~~ ~,~it~~~, dC ~ to medical ,;~La.r .'f, dernonsbrationS, ridicule ~ yir1;
no errors of perception were noted, intellect
. Sleep and appetite of patient bad, increased tendency towards
intact ,,
sweatiriL, sharliy defined, hypE renia of Late.
Ilia; nosis : tra imatic encephai.opathy with attacks of disphoria.
After carrying out the sleep therapy the patholot;icai
symptoms mptoms disappeared and the patient only showed psychic sluj ishnes5
Lor a month. After nine months, the sluggishness was gone and working
ability no dis1~horic attacks were present. ccording
fully restored ,
to the words of the wife, 'bhe character of the patient became the: same
as it was before the contUS ion.
Ili ghly encouraging therapeutic results were obtained with in-
dividuals suLfering with chronic tetra*ethyl_le;ad poisoning. Good
results were obtained with causalgia, with acute alcoholic psychosis
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and with pa'tien't fa~ rau.x' 'erin ?s'om r~ani.e~depxess?i.ve i ichosis
';> her( tAras noted a ma kect impr'ovemerlt of health in patients
uufferin; from psycha5thr~nia. There were twelve i atients in this
group. most o?' them achieved a stat1; recovex;y and rturned to work.
The:'e way a s1rrai1er group oa' paticnts whose iaatholo :ieal symptoms
declined to so:r e extent, which allowed theme to return to their prev ious
work.
Pabierit C. born in 19u9, brew and matured norr~ially, no neuro-
pSycilic disease In fa,1tli:ly T1ii patient has an wTx:Lous?ima i~lative
c1'iaractcr, but is always ?rdci,ou.s and, d ay. In 191.O he saw in his
sleep that he was dying, awoke in terror, and froln that time the
rear o:f su,ddcn death did riot leave him, tic was afraid. to viai.k: alone,
c:ros: the street, or an Owen area, lip, in bed; he soon acgliir?,d the
idea that he was t: oin insane r In 19L.2 he cau ;1~it typhus, experiencing
the disease severely, but after recovery his persistent fear of sudden
death and insanity disappeared and he felt well.
In l9Li.3 he experienced, contusions at the front 1d became dear
in the left ear. In tiie spring of 190, after a severe anxiety, all
his compulsive ideas became acute ane~7; he became afraid to stay horrre
alone, and scaoies appeared over his whole body.
the left by one finger, first tone weak; one can hear a slight sjsI:,olic
sound over the apex, tiie second tone is accentuated over the aorta;
pulse 're beats per minute, regular, arterial pressure 130/88 With
regard to the nervous system the following was found: red derrno;raphism,
We present the fu:LLowin? 1iisto,ry of illness as another e xunple ~
Examination data: the boundary of the heart is broadened to
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 ' y ~ll,~l.l+ ol~ ~ , ,hrn- rS, w1iG41 at1dO~-ifCr1 dr4.1eX ~ on t.h1p1f"Jychr6c side,
t,t ~ .a ~
ear oi' -,Qin; insane, ;1~xritalaa~l.,:i.t~r, ar?>w~Ea,QUSM
~~h~~?' ~ is ~ ~~~r of death, .~ _ ~.
imainative character.
No pathO1o g~aa di:3c105ed by the LboratorT ecami.r~.ti.ans or
~~`
blood and urine.
?DiaLnosis; ~.~syc]zastlle;niE~
received a curt)1nc d therapy over the COLl1'So Of
days ; ~)at7.Eri' t ~ ~Q
s C;p and in,ul in, no signs of weakness were obs rued, 'V'ia
d:la(; iar M It , ? 1/ V~~
'f;ed heal thy, f oa:' and remarked that he was rr: r1orn
about
ti'le course C)i ti la~~t six months there ha> been no cbmpl4 in?t about
'
a cleciin.e in cbndi.tion of health.
There is a l are group ~~ r'oup o,f individual, su:Cf erinh from schizbw
? ?1 of them whether just fallen sick or chronic cases, do
phxE;nr.a, r~1, L,
~
not show r not.LiCC gable ira~.ar,overrent in condition ~ai.tb ;sleep therapy4
~,
tlrcre was no iniproverrtent in cases of paranoid delusions.
irnilarly, ~ ' "'
with hysterical mutisrl and convulsive attacks
patients suffering
no irnprovezr+cnt with sleep treatr(lent, actively resisted
also ShbwCd n ~
therapy, and showed highly disturbed awakenira. In this conflEc?tion it
r ntial to corr>bir.1e sleep therapy with other thera.PE~utic 'measures.
is ESaE
Since patients w paranoid delusion; and those just taken ?Li
.~~ntwith ~~
~rr.t,h schizophrenia sometimes give temporary r,OOCi results with sleep
therapy, it is essential to find such supplementary therapeutic m.eas-
urns which could maintain the positive results of the treatrment which
are obtained.
1 e therapy also includes the envir^onanent o: the patient.
PrEVenti
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l a p. Pavlov wrote : H One can expect a verb ?i
iL'ieant increase in
the nuar~bc;z' of rceOvc~rr:L s, if', wL th such patient, phy~aio1o icai caUii
due to inhilDition is ooitibined, in addition, with d,e1ibcDrate environ"
mentE>,l. ca;irrt.
Thcy
;houid not be kept in continuously and hihiy
irr:i.t LtFcl environnient, arson, other more or iedisturbed pati~Mnts. tt
(from; A.G. Ivrnov-Smoiermkiy, Observations on the Pathophysiolo y
of Hir~,hcr Nervous Activity, "1,"ed;izlt, i9L;9, p. 233.
h'or' this reason, thr~ psychiatric ciinio oi? IMP. Pavlov, writes
A.C. 1vanov-Smolenskiy, "rcmind~ d one nmich more of a wail-or anized
sanitoriwn than a psychiatric institution", In addition, aLl the
internal, organization and rules of thy; clinic werE, c1esined to,u.aran-
tee raximurra quiet for the patients Consequently, the organization of
care and quiet in wards, with the exclusion of all irritation, arid
excitement, will promote the effectiveness of treatment of the sick.
I. , .I'dot for one rriifute did 1.1?. Pavlov fox' ;et that he was deal-
i.rig with a living being, often a cl.eeply su,fferirr ; human. Fii.,s approach
to patients was always full of unusual gentleness, sensitivity and
warmth.1t (from. A.C. xvanov-Smolenskiy, The scientific session of the
AN S SS R and AI 4N USSR, dedicated to the problem of the phsyiological
teachings of Academician 1.I'. Pavlov, AN SSSR, 19>0, p. 77). i'avlov
was an exarl,oie to us of how each rrleclical worker shoaid act towards
patients.
It is known, that the correct establishment of diagnosis, cxc-.
cu.tion of an operation or prescription of medicine is only half of the
heaiin of a patient; the second hall' depends on how the indicated
treatment will, be carried out, how the patient will be cared for, what
circumstances will be created for him. Therefore, the effectiveness
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o,l trti1- ,? depend to a reat exteiat on x~ur'ses, ~alacarstc~ry'
~h
workE3r, juaa,~. ' or /nod icai 1:rsonfel ? In carin ; 'ar i t~, n'r,s tl~e personnel
~
a which, un QrtUnatc1y, sti~.l QGCur in oavoid ~~ auzna
'rrn~st avoid t1C event,
practice.
In view 01' the teachings o? l.P. Pavlov it also essential to
nutrition off' the patient, Pavlov considered that the
GC)na1,dGr ~ '.he
psychic stimulation of acl food was tine most poweriiil and practical
k,
r.ncafltjVe to a.petite. I.F. Pavlov wrote; tiThe cuixaing room rlxust be
G 1'
such at it reminds ono in no wr work, so that all thy, cares of, the
such Lh
;. are left on its doorsteplt (from, I.P. Pavlov, Selected rorks, pub-
1iS1?1Cd by' ! SSR, l9Li.9, p. 208). These conditions for arousir1 appe-
? - are not always observed, by us. The loss of appetite in patients
tite a l
' s not alwayr analyzeel from the point of view of Pavlovian physiology.
~. ~
depression of gastric reflexes and complete loss of appetite in pa'-
t C.y;~ ~ the medical wa rker^ to raise the standards of their care
.t.cnk,s oba.a~G
as mach as possible, protecting them from all traumatic events.
Further creative development of the ideas of I.'P. Pavlov and
their application to medical practice will allow us to protect the
health of the Soviet public still better.
wl0-
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