By HARVEY J. WACHTEL and JOHN G. WOFFORD
"It
sounds like a college party; doesn't it?" said J. Lawrence Dohan '55 as
he approached the door to "G-3," a ward high inside Metropolitan State
Hospital at Waltham, Mass. "Well, it isn't, he continued, without
smiling. "It's a mental hospital, and the sounds you hear are coming
from patients who were considered hopeless cases a little while ago."
Then,
after unlocking the final, fifth door between the ward and the outside
world, he stepped into a scene rarely found in hospitals for the
mentally ill. The "Bunny Hop" was blaring on a little wind-up
phonograph. A Radcliffe freshman was dancing with a wizened old man
whose eyes were almost as lively as his feet. A Harvard junior was
getting ready for a game of musical chairs with seven women whose ages
were hidden behind prematurely-drawn faces.
Each woman had a
yellow daffodil in her stringy hair, and they had all just finished
gulping down cookies and purple punch. What had happened to the usual
somber atmosphere of "G-3"? The simple answer was provided by a patient
standing near the door. "The volunteers have come," she said, almost
breaking into a smile.
A Violin Solo in 'G-3'
After
several minutes inside the ward, it was not difficult for a visitor to
sense that there was something gloomy beneath the carnival spirit.
Although the ward of about 50 women--specially joined for the afternoon
by men from another ward--was generally clean, a strange
antiseptic-like odor permeated the place. And, if 25 of the women were
dancing, another 25 were sitting sullenly in the two long lines of
chairs on either wall--some watching the gaiety with scorn, others
gazing vacantly out the windows, while still others were constantly
chattering to themselves and to anyone who would listen.
Then
suddenly one of the patients picked up the record and smashed it on the
floor; the volunteers were packing up to go back to Cambridge after
three hours of hard but rewarding work, and the tensions of the
patients were again coming to the surface. Soon the corridor would
return to its usual state.
Aside from the volunteers, who now
come to the ward every weekday afternoon, these particular patients
have little to break their monotony. Infrequently they do have access
to the limited "occupational therapy" facilities, but generally they
just sit--waiting for volunteers, bedtime, and meals. Meals, according
to an occupational therapist at the hospital, are "quite a sight." "The
food is mainly bread and macaroni," she bitterly explained, adding,
"The patients are herded to the cafeteria, or rather to the mess
hall--and I mean mess."
The ward itself is by no means a
"mess." It is not even drab any more, for the volunteers have gone to
work with brushes and paint and put colorful murals on the pale green
walls. One attendant explained that the volunteers had offered to wash
off the pictures, "but the patients," she said, "wouldn't have it, and
the paintings are still here. They really brighten the place up, you
know."
When Dohan began the volunteer program in October,
1954, "G-3" desperately needed brightening up. All day, every day,
every week, every month, the patients found nothing but a long
corridor. There was nothing to do, no one to talk to. Dohan had served
as a volunteer at Boston Psychopathic Hospital a year earlier, but last
spring switched to Metropolitan State, where there were no volunteers
at all. Beginning with only two volunteers, Dohan has expanded the
program, under Phillips Brooks House, to include, at present, over 200
Harvard and Radcliffe students.
About 70 students are working
actively in two adult wards at Metropolitan State. As student leaders
of ward activities, Maeda Jurkowitz '56, Ann Gaines '57, and Alice
Bonbright '57, all from Radcliffe, are in charge of planning the dances
and organizing the volunteers into groups of six or seven which return
to the same ward once a week.
In addition to group activities
involving the patients themselves, volunteers have distributed 250
pairs of shoes collected in a PBH clothing drive. They have also
sponsored theatrical and musical entertainment led by students. As a
hospital attendant commented, "Last week, I found a student playing a
violin for about 50 patients, who were sitting quietly listening to the
music. Now that's something you wouldn't have found in a mental
hospital five or ten years ago."
Another hospital employee
agreed, saying, "We appreciate the entertainment almost more than
anything. There is absolutely no budget allotment for recreational
therapy of any kind and the total occupational therapy figure totals
only $300 annually. And that is supposed to be enough to provide about
1,700 adult patients with carnivals, dances, and all kinds of craft
work. It's just not enough, and the volunteers help immensely."
The
volunteers help not only in entertainment and in organized activities,
but also in just treating the patients like normal human beings. As one
of the volunteers said, "We don't try to cure the patients. We just
talk to them, if they want to talk, or play with them, if they want to
play."
One of the most amazing results of such talk and play
has been the sudden and dramatic response of 12 patients who had not
spoken to anybody for years. The case of Mrs. A., in "G-3," is typical.
Every day, for the past 15 years, Mrs. A. had been sitting in a
hard wooden chair at the end of the hospital corridor. With her dress
forlornly covering her hear, she had never spoken, rarely moved except
when forced. One of the doctors compared Mrs. A. to a near-sighted
woman hit by a car on a busy street: "She is now standing on the
psychotic side," he said, "and is afraid to cross to the normal side.
Everything looks out of proportion--the street wider, the cars bigger,
the danger greater. So she turns her back to the world and closes her
eyes."
Yet last month, Mrs. A. opened her eyes, uncovered her
head and talked with a volunteer. "That's the same dress you had on
last Friday, isn't it?" she said. "It's very pretty." When a volunteer
asked her why she had hidden her eyes, she replied that she "did not
like to look at all the strange things in the world."
None of
the volunteers claim that Mrs. A. has been "cured," but they can
rightly feel that something has been accomplished. As one of them put
it, "At times you feel that you have really found something of value."
'We Play Games'
The
Superintendent of Metropolitan State, William F. McLaughlin, M.D.,
describes the contributions of the volunteers in another way. "We don't
have enough doctors and nurses to reach all the patients. And even if
we did, we still don't know the real answer to curing the patients. But
if you create a normal environment and activity program--as the
volunteers do--the patients respond. It is the beginning of getting
their trust again, and often it is a spring-board to a cure."
More
and more of the patients are responding and giving their trust to the
volunteers. One of the activities of the volunteers that is appealing
to many is the hospital newspaper, "Metrolog." "C. G.," one of the
women in "G-3," recently wrote a short article in the mimeographed
paper expressing her thanks to the volunteers:
"The boys and
girls from Harvard come to see us," she wrote. "We enjoy having them
with us. We play games. Today they brought some paint for our fingers.
Ellen combed and set my hair. We also play cards. They take us out
walking and we have interesting conversations. It is very nice to see
such a fine class of boys and girls."
The project at the adult
wards, however, helps only a small fraction of the 1,700 patients; a
more comprehensive and integrated program exists at the children's
division of Metropolitan State. There, about 100 volunteers can
concentrate their efforts on 110 psychotic children. Directed by John
Liebeskind '57, Roy Shulman '56, and Karen Wilk '58, the work in the
children's unit is generally considered one of the volunteers' most
outstanding achievements.
Since treatment for psychotic children
is still in its early stages, the volunteers can use great freedom in
planning what they call "group specialty projects." Each volunteer
leads from three to seven children in such activities as flinger
painting, crafts, music appreciation, or newspaper writing.
Each
volunteer goes to the hospital only once a week, but the larger ratio
of volunteers to patients makes it possible for students to lead
activities six afternoons and three evenings every week. This
relatively close contact with the children makes the volunteers of
considerable help to the doctors and nurses, who rely heavily on the
students' written reports and frequent special discussion meetings.
Thaddeus
P. Krush, M.D., clinical director of the children's unit, describes the
volunteers' efforts as making the difference between a hospital "where
the patients live, and one where they only exist." Mrs. Ruth E. Roman,
chief psychiatric social worker, adds that "they not only solve the
staff problems, but they have initiative and warmth which cannot be
bought." She explained that the volunteers provide relief for the
nurses and social workers, who can then devote more time to specialized
medical care.
Dr. McLaughlin himself recently wrote a special
letter commending the "splendid crusade for our youngsters.' "All the
volunteers," he wrote, "have done well in situations new to them, have
tried to understand the problems and frustrations in a state
institution, and have shown patient friendliness at all times . . .
children and staff alike look forward to a continued and rewarding
relationship."
Besides ward work in both the adult and
children's units at Metropolitan State, the volunteers have two other
areas of activity. One is case work at Metropolitan State, and the
other is limited ward work at Boston Psychopathic Hospital.
Boston
Psycopathic is--along with the children's unit at Metropolitan
State--one of the nation's outstanding mental institutions. Here,
William C. Brady '57 leads a group of about ten volunteers in varied
activities, including ping-pong, discussion groups, and again,
newspaper work.
While volunteers need no preparation for ward
work either at Boston Psycopathic or Metropolitan State, case work is a
different matter. The 19 volunteers, led by Maeda Jurkowitz '56 and
Michael Dohan '58, first participated in a four-week training program
conducted by professional social workers, and then went to work helping
patients who were able to leave the hispital adjust to community life
again.
So far, volunteers have rehabilitated six out of 21
patients--one to a nursing home, three to their own homes, and two to
jobs. They expect to return at least six more to the community by June.
The
problem of placing patients back in society is difficult, but
Metropolitan State Officials figure that 70 percent of all patients
newly admitted to the hospital are out within a year.
Dr.
McLaughlin maintains that the real problem is the "large back-log of
patients who have been here6J. Lawrence Dohan '55, originator of the
program, looks out the window and another volunteer looks into a
balloon. Sometimes it helps to have someone share the view.