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Chlorpromazine and reserpine had been available in the United States less than two years when the institute participants met to discuss how their hospitals were coping with the demands of the new treatments. A larger proportion of patients are being treated with them than we have so far been able to treat by other means. This is something which we have all encountered in our daily work with patients, and it seems as if not only the whole service, but the whole hospital has to be reorganized. First of all we need a new kind of doctor in a psychiatric hospital—one who is not afraid of medicine; who is not alarmed by seeing an eruption which is the result of medication, but who can handle it properly; one who is not afraid if Parkinsonism occurs from either reserpine or chlorpromazine, but who will evaluate it as an index of the activity of the drug, and understand how to control it. This new kind of understanding cannot be confined to physicians. The nursing service also faces a huge new responsibility, because instead of looking after a couple of hundred patients receiving somatic therapy, it is now caring for thousands.
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