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
Nor must we forget to call to our aid, in endeavouring to promote
self-restraint, the mild but powerful influence of the precepts of our
holy religion. Where these have been strongly imbued in early life, they
become little less than principles of our nature; and their restraining
power is frequently felt, even under the delirious excitement of
insanity. To encourage the influence of religious principles over the
mind of the insane, may be considered of great consequence, as a means
of cure, provided it be done _with great care and circumspection_. For
this purpose, as well as for reasons still more important, it would
certainly be right to promote in the patient, _as far as circumstances
would permit_, an attention to his accustomed modes of paying homage to
his Maker.
In pursuing the desirable objects above enumerated, we ought not to
expect too suddenly to reap the good effects of our endeavours; nor
should we too readily be disheartened by occasional disappointments. It
is necessary to call into action, as much as possible, every remaining
power and principle of the mind, and to remember, that, "in the wreck of
the intellect, the affections very frequently survive." Hence the
necessity of considering _the degree_ in which the patient may be
influenced by moral and rational inducements.
The contradictory features in their characters, frequently render it
exceedingly difficult to insure the proper treatment of insane persons;
to pursue this with any hopes of succeeding, so that we may in any
degree ameliorate their distressed condition, renders it indispensably
necessary that attendants only should be chosen who are possessed of
good sense, and of amiable dispositions, clothed, as much as possible,
with philosophical reflexion, and above all, with that love and charity
that mark the humble Christian.
Agreeably to these principles, I beg leave to suggest the following
regulations to be adopted, in accomplishing the objects in view.
1st. No patient shall hereafter be confined by chains.
2nd. In the most violent states of mania, the patient should be confined
in a room with the windows, etc., closed, so as nearly to exclude the
light, and kept confined if necessary, in a straight jacket, so as to
walk about the room or lie down on the bed at pleasure; or by strops,
etc., he may, particularly if there appears in the patient a strong
determination to self-destruction, be confined on the bed, and the
apparatus so fixed as to allow him to turn and otherwise change his
positions.
3rd. The power of judicious kindness to be generally exercised, may
often be blessed with good effects, and it is not till after other moral
remedies are exercised, that recourse should be had to restraint, or the
power of fear on the mind of the patient; yet it may be proper
sometimes, by way of punishment, to use the shower bath.
Public-domain text, read in full here on John Shaqi.
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