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
and conducing to a salutary habit of self-restraint, an object, no
doubt, of the greatest importance to the care of insanity by _moral
means_.
It frequently occurs, that one mark of insanity is a fixed false
conception, and a total incapacity of reasoning. In _such_ cases, it is
generally advisable to avoid reasoning[24] with them, as it irritates
and rivets their false perception more strongly on the mind. On this
account, every means ought to be taken to seduce the mind from unhappy
and favourite musings; and particularly with melancholic patients; they
should freely partake of bodily exercises, walking, riding,
conversations, innocent sports, and a variety of other amusements; they
should be gratified with birds, deer, rabbits, etc. Of all the modes by
which maniacs may be induced to restrain themselves, regular employment
is perhaps the most efficacious; and those kind of employments are to be
preferred, both on a moral and physical account, which are accompanied
by considerable bodily action, most agreeable to the patient, and most
opposite to the illusions of his disease.
In short the patient should be always treated as much like a rational
being as the state of his mind will possibly allow. In order that he may
display his knowledge to the best advantage, such topics should be
introduced as will be most likely to interest him; if he is a mechanic
or an agriculturalist, he should be asked questions relating to his art,
and consulted upon any occasion in which his knowledge may be useful.
These considerations are undoubtedly very material, as they regard the
comforts of insane persons; but they are of far greater importance as
they relate to the cure of the disorder. The patient, feeling himself of
some consequence, is induced to support it by the exertion of his
reason, and by restraining those dispositions, which, if indulged, would
lessen the respectful treatment he wishes to receive, or lower his
character in the eyes of his companions and attendants.
Even when it is absolutely necessary to employ coercion, if on its
removal the patient promises to control himself, great reliance may
frequently be placed upon his word, and under this engagement, he will
be apt to hold a successful struggle with the violent propensities of
his disorder. Great advantages may also be derived, in the moral
management of maniacs, from an acquaintance with the previous
employment, habits, manners, and prejudices of the individual: this may
truly be considered as indispensably necessary to be known, as far as
can be obtained; and, as it may apply to each case, should be registered
in a book for the inspection of the Committee of the Asylum, and the
physician; the requisite information should be procured immediately on
the admission of each patient; the mode of procuring it will be spoken
of hereafter.
Public-domain text, read in full here on John Shaqi.
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