Chapters in the History of the Insane in the British IslesTuke, Daniel Hack
History
Chapters in the History of the Insane in the British Isles
Tuke, Daniel Hack
Mental health laws -- Great Britain; Mental illness -- Great Britain; Mentally ill -- Care; Psychiatric hospitals -- Great Britain
It was true, Lord Ashley observed, that they could show but few
instances of restoration to reason. How, indeed, was it possible? They
could show, however, a mighty improvement in the condition of the
sufferers, the alleviation of their state, their occupations and
amusements (all, with some bright exceptions, of recent date), and that
the services of religion had infused a momentary tranquillity; but they
could show little else, and unless the Legislature should interfere and
bring these unfortunates by force within the reach of sympathy and care,
for every one restored to his senses we should see a hundred in whom the
light of reason would be extinguished for ever. The speaker went on to
say that there were two points of deep interest, to which the House
would do well to advert for a moment--the question of restraint, and the
admission and liberation of patients. "Upon restraint it was unnecessary
to dwell very long, as it was a matter of internal arrangement, and
beyond their immediate legislation; but he wished to direct the
attention of the House to the chapter in the Report which handled that
subject, that it might share the general satisfaction, and give praise
to those good and able men, Mr. Tuke, Dr. Hitch, Dr. Corsellis, Dr.
Conolly, Dr. de Vitré, Dr. Charlesworth and many more, who had brought
all their high moral and intellectual qualities to bear on this topic,
and had laboured to make rational and humane treatment to be the rule
and principle of the government of lunacy."
Lord Ashley pointed out that the law required no medical certificate
whatever for a pauper patient, except when admitted into a private
asylum. It appears that in Wales at that time there were 1177 pauper
lunatics, 36 of whom were in English county asylums, and 41 in English
licensed houses, 90 in union workhouses, and 1010 living with their
friends, many of them being in a wretched condition. Lord Ashley quoted
a letter from one of the Commissioners, written in Wales, in which it
was stated, "We have met with one case which we think most atrocious. A.
B. was sent to the Hereford Asylum from near Brecon on November 28,
1843. She died on January 30th. She was in such a shocking state that
the proprietor wished not to admit her; she had been kept chained in the
house of a married daughter. From being long chained in a crouching
posture, her knees were forced up to her chin, and she sat wholly upon
her heels and her hips, and considerable excoriation had taken place
where her knees pressed upon her stomach. She could move about, and was
generally maniacal. When she died it required very considerable
dissection to get her pressed into her coffin! This might be taken as a
sample of Welsh lunatics."
Public-domain text, read in full here on John Shaqi.
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