To explore the history of insulin coma therapy (ICT) in Australia.
Conclusions:
The negative period between the wars came to an end with the discovery of the biological therapies, including ICT, a development of great interest to Australian psychiatrists. Melbourne psychiatrist Reg Ellery documented his use of ICT in 1937, but the evidence shows that he was beaten to it by Farran-Ridge and Reynolds at Mont Park. ICT was soon used at various centres, but phased out by the late fifties. A review follows of its use in Australia and a discussion of the issues involved. Doing ICT played a part in enhancing the professional status of Australian psychiatrists and was one of the factors that led to the establishment of the AAP in 1946.
AydFJ. The impact of biological psychiatry. In: AydFJBlackwellB (eds) Discoveries in biological psychiatry. Philadelphia: Lippincott, 1970, pp.230–243.
2.
ShorterE. A history of psychiatry: from the era of the asylum to the age of Prozac. New York: John Wiley & Sons, 1997, pp.191.
3.
CramondWA. The overseas contribution to Australian psychiatry 1950-1980. Aust N Z J Psychiatry1981; 15: 199–204.
4.
MoncrieffJ. An investigation into the precedents of modern drug treatments in psychiatry. Hist Psychiatry1999; 10: 475–490.
5.
BraslowJT. Punishment or therapy. Patients, doctors, and somatic remedies in the early twentieth century. Psychiatr Clin North Am1994; 17: 493–513.
6.
CookLC. Cardiazol convulsion therapy in schizophrenia. Proc R Soc Med1938; 31: 567–577.
7.
ShorterEHealyD. Shock therapy: a history of electroconvulsive treatment in mental illness. New Brunswick, NJ: Rutgers University Press, 2007, pp.11–21.
8.
WortisJ. Sakel’s hypoglycemic insulin treatment of psychoses: history and present status. J Nerv Ment Dis1937; 85: 581–595.
9.
JonesE. Aubrey Lewis, Edward Mapother and the Maudsley. In: AngelKJonesENeveM (eds) European psychiatry on the eve of war: Aubrey Lewis, the Maudsley Hospital and the Rockefeller Foundation in the 1930s, Medical History, Supplement no. 22. London: The Wellcome Trust Centre for the History of Medicine, 2003, p. 109.
10.
ShieldsJGottesmanI. Introduction to man, mind and heredity: selected papers of Elliot Slater on psychiatry and genetics. Baltimore: Johns Hopkins University Press, 1971, p. 21.
11.
DruryKKFarran-RidgeC. Some observations on the types of blood sugar curve found in different forms of insanity. J Ment Sci1925; 71: 8.
12.
CadeJF. Clive Farran-Ridge, a man who missed fame by a whisker: a biographical annotation. Med J Aust1973; 1: 1057-1060.
13.
LarkinE. Insulin shock treatment of schizophrenia. BMJ1937; 1: 745–747.
14.
Although unspecified, he was probably referring to Pullar-Streckar H. Letter: insulin in schizophrenia. Lancet1936; 230: 1498–1499.
15.
ElleryRS. The Cow That Jumped Over the Moon – Private Papers of a Psychiatrist. FW Cheshire, Melbourne, 1956, p. 194.
16.
ElleryRS. The Cow That Jumped Over the Moon – Private Papers of a Psychiatrist. FW Cheshire, Melbourne, 1956, p. 196.
17.
ElIeryRSLearDE. Report on the results of Cardiazol convulsion therapy. Med J Aust1938; 2: 779-781.
18.
ElleryRS. Treatment by insulin shock and induced convulsions. Med J Aust1940; 2: 582–583.
19.
Farran-RidgeCReynoldsPG. The insulin treatment of schizophrenia. Med J Aust1938: 1: 100-107.
20.
KirkbyKC. History of psychiatry in Australia, pre-1960. Hist psychiatry1999; 10: 191–204.
21.
MartinI. Reginald Spencer Ellery. Med J Aust1: 681–682.
22.
UrquhartG. Obituary: Dr Basil Stafford. Aust N Z J Psychiatry1968; 2: 158.
23.
JamesFE. Insulin treatment in psychiatry. Hist Psychiatry1992; iii: 221–235.
24.
Insulin treatment for insanity. Research by former Sydney doctor. Morning Bulletin (Rockhampton, Qld. 1878–1954); 5August1938, p.7.
25.
Mental treatment. Three important forms. Encouraging results. The West Australian (Perth, WA: 1879–1954); 5July1938, p.10.
26.
Insulin and “Cardiazol” in the treatment of the psychoses. Med J Aust1941; 14: 403–412.
27.
Mental Treatment. The Sydney Morning Herald (NSW: 1842–1954), 21November1945, p.2.
28.
CramondWA. Lessons from the insulin story in psychiatry. Aust N Z J Psychiatry1987; 21: 320–326.
29.
BarnesDT. Obituary: Dion Gavan Flanagan. Aust N Z J Psychiatry1979; 13: 75.
30.
WaltonM. Deep sleep therapy and Chelmsford Private Hospital: have we learnt anything?Australas Psychiatry2013; 21: 206–212.
31.
ZeckP. Letter: lessons from the insulin story. Aust N Z J Psychiatry1988; 22: 3
32.
MLA’s inspect Callan Park Asylum. See need for inquiry. The Sydney Morning Herald, 4December1954, p.3.
33.
Doctors repeat insulin claims. The Sydney Morning Herald, 10December1954, p.5.
34.
Overdose of insulin alleged. The Argus (Melbourne, Vic: 1848–1957), 14April1950, p.6.
35.
McConaghyN. Reflections on schizophrenia. Australas Psychiatry1993; 1: 23–27.
36.
BourneH. The insulin myth. Lancet1953; 265: 964–968.
37.
AcknerBHarrisAOldhamAJ. Insulin treatment of schizophrenia; a controlled study. Lancet1957; 272: 607–611.
38.
PowellC. Book review: what a piece of work. Aust N Z J Psychiatry2000; 34: 1036.
39.
LawrenceJWhiteRO’ConnorR. Reflective accounts of psychiatry in Australasia, 1963–2000. Australas Psychiatry2013; 21: 97–105.
40.
TanE. Letter: lessons from the insulin story. Aust N Z J Psychiatry1988; 22: 6.
41.
ShorterEHealyD. Shock therapy: a history of electroconvulsive treatment in mental illness. New Brunswick, NJ: Rutgers University Press, 2007, p.13.
