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Last week, with the case of the murderous petty officer as his text, the Menninger Clinic's Dr. Joseph Satten offered the American Psychiatric Association an explanation of a phenomenon that has long baffled both courts and psychiatrists. Most murderers fall into one of two neat classes: the legally sane, who have an understandable motive such as robbery, and the legally insane, such as the paranoid who kills his imagined persecutor. But now and then there appears a third type -the man who kills without apparent motive, yet appears sane before and after the crime...
...there to be no end to our tragedies!" cried Mme. Amiel. The news of Rolland's suicide was kept from Prisoner Jean Amiel, himself despondent as he served his prison term. Eager to get away from Perpignan, Amiel wrote a letter to Dr. Albert Schweitzer at his African clinic, offering his services when he was released from jail. At week's end, there was a faint ray of hope for at least one of the grief-ridden families of Perpignan: Dr. Schweitzer replied that he would be glad to welcome Jean Amiel as an assistant...
Side Effects. About there the agreement ended. Dr. Robert F. Bradley Jr. of Boston's famed Joslin Clinic, reporting on 1,000 patients intensively studied, said tolbutamide gave good control in 55% and fair control in 14%. For chlorpropamide and metahexamide, the proportions were about the same-but not the patients: some who did poorly on tolbutamide responded to one of the other drugs, and a few who failed on two responded to the third. There was no denying that side effects (skin rashes, nausea, vomiting, heartburn) were more common with chlorpropamide and metahexamide, and there were...
...biguanides, the Joslin Clinic's Dr. Leo P. Krall conceded (after trial in 244 patients) that they "are capricious unless the physician uses them with special understanding." But he insisted that DBI, given along with reduced doses of insulin, has helped some unstable diabetics to lead a more normal life than they could when they took insulin several times a day. Main trouble: there is a narrow margin of safety between the DBI dose needed to control the blood sugar level and the dose that may produce side effects, so treatment in severe cases should begin in a hospital...
Mothers who cannot get over "that tired feeling," and complain that their doctors are no help, won sympathy in an unexpected quarter last week. At an Atlantic City meeting of the American College of Obstetricians and Gynecologists, amid such topics as pelvic surgery and total body sodium, the Cleveland Clinic's Dr. Leonard Lovshin flashed a picture on the screen, explained: "We have here a tired mother. She is not sick-she is tired. She is not maladjusted-she is pooped...