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JAMA. 1951;146(7):670-671. doi:10.1001/jama.1951.03670070062022.
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Hospitals for the Insane.  —There is a tendency toward replacement of the term "insane asylum" by psychiatric clinic or hospital. The psychological reasons in favor of this modification are understandable. However, this change must be simultaneous with reforms to convert all the asylums into institutions of true hospital type. The management of hospitals for the insane needs great basic changes. Guided by these facts, Lamsens, in a presidential address opening the last session of the Society of Mental Medicine of Belgium, traced the history of the Duffel Asylum, near Antwerp. Duffel was a small asylum that could house 600 patients. It was destroyed in 1914, and reconstructed after the war. It was then reserved for chronically ill patients, who numbered only 234 in 1926. In the course of the last 25 years, new services were added—a medico-pedagogical center, a maternity ward, an antituberculosis dispensary, an establishment for children and a


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