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 would appear that the mitigation of restraint, as evidenced by these
minutes (which commence with 1819), "was ever the principle," to use Mr.
Hill's own words, "pressed upon the attention of the Boards of the
Lincoln Asylum by its able and humane physician, Dr. Charlesworth, at
whose suggestion many of the more cruel instruments of restraint were
long since destroyed, very many valuable improvements and facilities
gradually adopted, and machinery set in motion which has led to the
unhoped-for result of actual abolition, under a firm determination to
work out the system to its utmost applicable limits." Mr. Hill became
house surgeon in 1835; and it will be seen, by the table already given,
that the amount of restraint (which, in consequence of Dr.
Charlesworth's exertions, had already remarkably decreased) became less
and less under the united efforts of these gentlemen, until the close of
the year 1837, when restraint was entirely abolished; and while, on the
one hand, as Mr. Hill frankly acknowledges, "to his [Dr. Charlesworth's]
steady support, under many difficulties, I owe chiefly the success which
has attended my plans and labours," while Dr. Charlesworth's great
merit, both before and after Mr. Hill's appointment, must never be
overlooked, it is due to the latter gentleman to admit that he was the
first _to assert the principle_ of the entire abolition of mechanical
restraint, as is stated in the "Fourteenth Annual Report of the Lincoln
Asylum," which report is signed by Dr. Charlesworth himself.
For a time there were, certainly, some drawbacks to the success of the
Lincoln experiment, from the serious physical effects (such as broken
ribs, etc.), which occasionally resulted from the struggles between
attendants and patients; and it is probable that, had not the experiment
been carried out on a much larger scale at Hanwell by Dr. Conolly, with
far greater success, a reaction would have ensued, of infinite injury
to the cause of the insane.
Public-domain text, read in full here on John Shaqi.
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