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PART VIII: Significance of The
Retriever - Early Recovery Newspaper
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TREASURE: Phil, I have become very interested in Recovery's first self-help
publication, "The Retriever". Since we mentioned it in a previous
article, I've done some research and I'm sure our readers would like
to learn more about the beginnings of what we know today as The Recovery
Reporter.
PHIL: Yes, I really think they would find it interesting. Writing
this series has recalled to me how excited we were about our creative efforts
in gathering the news, editing, writing, mimeographing, and distributing
our little paper on the wards of the Psychiatric Institute when I was a patient
there in 1941.
TREASURE: From what I've read, Dr. Low was also pretty excited about
this self-help development, wasn't he?
PHIL: He sure was! He was so pleased that we had the initiative to
go ahead with the project and he felt it was quite an accomplishment that
we were able to involve nearly every patient, even if they only said a
few words that we could print in The Retriever. Four of us acted
as the "news gatherers"--my title was, "head news gatherer". We did our
news gathering at breakfast, lunch, dinner, when movies were shown, and
at the social gatherings when members of our families would visit us.
And, of course, we did some news gathering right on the wards talking with
individual patients about things we thought might be of interest to our
readers.
TREASURE: I'm simply fascinated with some of the articles I've read
in The Retriever, and particularly with the humor. I just can't
resist sharing this one with our readers. It was called, "Approved Etiquette
For Guests Attending the Friday Teas".
- Stand by the door with a cup of tea in one hand and a sandwich
in the other so the guests can see at a glance that there are free eats.
- In winding up the greeting a variety of facial expressions can
be used such as arched eyebrows, friendly smile, homely grin, or glint in
the eye-depending upon how charming the guest is.
- Guests bringing their own food must share with other guests. Do
not let guests take home the dishes. Suggest that we want the dishes to
welcome them with next week.
- If guests spill tea, don't make them clean the floor. Just call
Mike R. and he will be glad to do it, (we are using initials for last names
since we cannot get permission from these individuals on such short notice
to use full names).
- Always remember to make sure that nurses have enough to eat. Miss
M. and Miss J. especially are shy after about the third and fourth helpings.
From Vol. I, No. 8, 1941 of The Retriever
TREASURE: I loved the tongue-in-cheek approach of this little sample.
Of course, there were also more serious articles.
PHIL: Yes, often they dealt with one of the meetings conducted
by Dr. Low-we would sum-up the concepts he had emphasized at the meeting.
TREASURE: Before we use up all of our space again, Phil, let's share
with the members Dr. Low's thoughts about The Retriever. In some
of his writings, he mentions so many of the self-help ideas that he connected
with the publication of The Retriever.
PHIL: One of the articles he wrote about it appeared in "Lost and
Found", Vol.4, No.4 which was the official publication while Recovery
was still with the Psychiatric Institute of the University of Illinois.
It's a fairly long article so we won't be able to include all of it
in this issue, but will continue it in the September-October issue of
The Reporter".
TREASURE: I'm sure Recovery members will value Dr. Low's basic
concepts as he brought them out in these articles. To me, it's like touching
home base when we go back to our origins as an organization and hear what
our founder thought about some of the things we take for granted today.
In the next issue, I would like to continue our discussion along this line.
PHIL: Fine with me, Treasure. See you then!
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The Self-Help Spirit Enters The Wards
The vitality of a process is best demonstrated
by the fact that it continues to proceed. A development that has reached
the end of its road has spent its force, moves into the past and becomes
history. Recovery, although incessantly making history, also continues
to make news and to live in a moving present. Recent developments among
the ward patients bear eloquent testimony to this fact.
Recovery means self-directed aftercare; hence, self-help.
It was revolutionary to think of self-help in connection with former mental
patients. The dictum of "once mentally ill, always mentally ill" expressed
clearly the current sentiment: The mental patient - present or former
- could not be helped by anybody or anything, least of all by himself.
He was doomed, "once a patient, always a patient." Recovery shattered
this time honored dogma of helplessness and established the reality of
self-help. The former patient was thus vindicated. But the vindication
did not extend to the present patient who was held confined to the ward.
Two or three months ago, this writer would not have dared thinking of
ward patients in terms of self-help.
Mary West, Florence Weber, Arthur Crary, Phil Crane and a
goodly dozen others who came under their influence thought otherwise, either
in ignorance or defiance of the writer's view. As this issue goes to press
they are still on the ward, receiving treatment. But that treatment is
hospital-administered and clearly distinguished from the self-administered
variety introduced by Recovery, Inc. Mary, Florence, Phil and Arthur
knew the distinction. They attended group psychotherapy classes and weekly
evening parties and there met the discharged patients of the Fortnightly,
Companions and other clubs. While dancing and chatting with the former
patients they were exposed to the contagion of self-help, and the inoculation
"took." As a result, a new technique of self-administered care was evolved.
What the ward patients did was to start a newspaper. Whether
ward patients have ever before done anything of this kind is unknown to
the writer. Presumably, it is a novelty. Newspapers as such, however,
are nothing new in mental institutions. In Illinois, for instance, most
state hospitals have their sheets, usually monthlies. But look at any of
them and you will realize the difference between a hospital-directed and
a self-directed periodical. At the Psychiatric Institute, every line is
written by and for the ward patients. Every other newsheet that has come
to our attention has the unmistakable imprint of outside management. If
it is added that our sheet is a weekly and not a monthly as in most other
hospitals, the distinction becomes more accentuated. But all of this is
insignificant; a self-directed paper may be inferior to a hospital-directed
publication and a poorly managed weekly does by no means score over a well
edited monthly.
The point is that the ward patients, in launching their weekly,
developed a valuable aid for treatment. Indeed, we are inclined to call
it a new therapeutic technique. In order to explain the importance of
the innovation it will be necessary to say a few words about the defect
which the weekly, if successful, is destined to remedy.
In an active institution, ward life moves at a relatively
lively pace at some hours and is a deadly ghastliness at other hours.
At the Psychiatric Institute, the patients are kept busy daily for several
hours with gymnastic exercises, volleyball, occupational therapy, hydrotherapy,
group psychotherapy classes, tests, and chemotherapy and individual psychotherapy.
This seems to be a formidable program and actually keeps the patients
in continuous motion between the hours of 8:00 A.M. and 4:00 P.M.
At 4:30, dinner is served, and after that official activity
ceases. The patients are then thrown on their own resources. But
the resources are meager and the hours between 5 and 9 P.M. are
the epitome of monotony and boredom. In former years, we were aware
of the undesirability of leaving patients unoccupied for such an
extended stretch of time but were unable to cope with the situation.
We consoled ourselves with the reflection that most of the patients
were either stuporous, hallucinating and delusional or in some other
way out of contact with environment. And the current assumption was
that where contact was lacking there was no room for boredom. To
express it otherwise: Since the majority of patients lacked ambition,
interest and curiosity, they could hardly be bored.
This was more or less true in the days before the shock treatments
were introduced. After their introduction, the picture changed.
Formerly, patients improved slowly or did not improve at all. Today,
they improve quickly and in far larger numbers. As a result, we
have now many more improved or improving patients on the wards than
in the past. These patients, in their various stages of improvements,
are exposed to the effects of boredom.
Experienced psychiatrists will tell you that mental patients
who do not improve seldom yawn. They are withdrawn, hence, neither
interested nor bored. In the past five years, the yawning has become
a well know phenomenon on wards in which intensive treatment is
given. The patients improve, become interested in life, and are bored
by the lack of life on the ward. As mentioned, boredom is the particular
curse of the early evening hours.
(to be continued)
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