At the time the major tranquilizers were introduced, the lobotomy was touted highly and widely used by psychiatrists.
The major tranquilizers were able to create a zombie state, identical to that seen after a lobotomy, in a person whose brain remained intact.
Table 3: Severity and Patient Variables Predicting Length of Stay for Affective Disorder F Prob > F [R.sup.4] = 0.2750 14.92 0.0001 Variable B Value Intercept 11.9051 Maximum CPSI 3 6.4997 12.73 0.0004 Maximum CPSI 4 15.4923 16.46 0.0001 Medicare 10.2869 22.66 0.0001 Blue Cross 6.0876 7.69 0.0060 Disposition to home 7.8446 9.93 0.0018 Major tranquilizers at discharge -4.9932 7.09 0.0083 Order in which variables entered into the model: Variable [R.sup.2] Medicare 0.1049 Maximum CPSI 3 0.1491 Maximum CPSI 4 0.1931 Major tranquilizers at discharge 0.2238 Disposition to home 0.2514 Blue Cross replace major 0.2532 tranquilizers at discharge Major tranquilizers at discharge 0.2750
Patients who received discharge prescriptions for major tranquilizers reduced their LOS by 5.7 days.
Such behavior is difficult to address but may respond to strict routines and major tranquilizers. TREATMENT OF SLEEP DISORDERS If the initial history and physical examination fail to disclose a serious underlying cause for insomnia or the suggestion of a primary sleep disorder, a trial of conservative therapy is reasonable.
For demented patients, low-dose major tranquilizers can be helpful if a careful evaluation for other underlying problems, including depression, is first undertaken.