A Psychiatric Milestone: Bloomingdale Hospital Centenary, 1821-1921
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A Psychiatric Milestone: Bloomingdale Hospital Centenary, 1821-1921
Bloomingdale Asylum for the Insane; Mental illness
I observe with pleasure, that one leading feature of your new
institution, is the introduction of employment amongst the patients, an
object which I am persuaded is of the utmost importance in the moral
treatment of insanity. It is related of an institution in Spain, which
accommodated all ranks, and in which the lower class were generally
employed, that a great proportion of these recovered, whilst the number
of the Grandees was exceedingly small. It will however, require great
address to induce patients to engage in manual labour, who have not been
accustomed to it previously to their indisposition, and it must be
admitted, that where the reluctance on the part of the patient is great,
the irritation which compulsory means are likely to excite, will
probably be more injurious to the patient, than the exercise will be
beneficial. The employment of insane persons should, as far as it is
practicable, be adapted to their previous habits, inclinations and
capacities, and, though horticultural pursuits may be most desirable,
the greatest benefit will, I believe, be found to result from the
patient being engaged in that employment in which he can most easily
excel, whether it be an active or a sedentary one. If it be the latter,
of course sufficient time should be allotted to recreation in the air.
Some persons imagine, that exercises of diversion, are equally
beneficial with those that are useful. The latter appear to me to
possess a decided preference, by imparting to the mind that calm feeling
of satisfaction, which the mere arts of amusement, though not to be
neglected, can never afford. To the melancholy class, this is an
important distinction between amusing and useful employments, and labour
is to be prefered for the maniacal class as less calculated to stimulate
the already too much excited spirits.
It is proposed that the new asylum should be placed a few miles from the
city. The visitors to it, (I do not mean the medical ones) will, I
presume, be residents in New-York, and from what I have seen of the zeal
of persons under such appointments in this country, it appears
desirable, to render the performance of this duty, so important for the
welfare of asylums, as easy as it can be with propriety. One mile
perhaps would not be objectionable, and might probably afford as good
air and retirement, as a greater distance.
Public-domain text, read in full here on John Shaqi.
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