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
Dr. Conolly went to Hanwell in 1839; and in the first of an admirable
series of reports written by him, we read, "The article of treatment in
which the resident physician has thought it expedient to depart the most
widely from the previous practice of the asylum, has been that which
relates to the personal coercion, or forcible restraint, of the
refractory patients.... By a list of restraints appended to this report,
it will be seen that the daily number in restraint was in July so
reduced, that there were sometimes only four, and never more than
fourteen, at one time [out of eight hundred]; but, since the middle of
August, there has not been one patient in restraint on the female side
of the house; and since September 21st, not one on either side.... For
patients who take off or destroy their clothes, strong dresses are
provided, secured round the waist by a leathern belt, fastened by a
small lock.... No form of waistcoat, no hand-straps, no leg-locks, nor
any contrivance confining the trunk or limbs or any of the muscles, is
now in use. The coercion-chairs (forty in number) have been altogether
removed from the walls.... Several patients formerly consigned to them,
silent and stupid, and sinking into fatuity, may now be seen cheerfully
moving about the walls or airing-courts; and there can be no question
that they have been happily set free from a thraldom, of which one
constant and lamentable consequence was the acquisition of uncleanly
habits."
In a later report (October, 1844) Dr. Conolly observes, "After five
years' experience, I have no hesitation in recording my opinion that,
with a well-constituted governing body, animated by philanthropy,
directed by intelligence, and acting by means of proper officers
(entrusted with a due degree of authority over attendants properly
selected, and capable of exercising an efficient superintendence over
the patients), there is no asylum in the world in which all mechanical
restraints may not be abolished, not only with perfect safety, but with
incalculable advantage."
Public-domain text, read in full here on John Shaqi.
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