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
"During our visits," they say, "to the different asylums, we have
endeavoured to ascertain the opinions of their medical superintendents
in reference to the subject of restraint, and we will now state, in
general terms, the result of our inquiries. Of the superintendents of
asylums not employing mechanical restraint, those of the hospitals of
Lincoln, Northampton, and Haslar, and of the county asylum at Hanwell,
appear to consider that it is not necessary or advisable to resort to it
in any case whatever, except for surgical purposes. On the other hand,
the superintendent at Lancaster[182] hesitates in giving an opinion
decidedly in favour of the non-restraint system. He thinks that,
although much may be done without mechanical restraint of any kind,
there are occasionally cases in which it may not only be necessary, but
beneficial. The superintendent of the Suffolk Asylum considers that in
certain cases, and more especially in a crowded and imperfectly
constructed asylum, like the one under his charge, mechanical restraint,
judiciously applied, might be preferable to any other species of
coercion, as being both less irritating and more effectual. The
superintendent of the Gloucester Asylum states that he has adopted the
disuse of mechanical restraint, upon the conviction which his experience
has given him during a trial of nearly three years. Of the
superintendents of asylums who employ mechanical restraint, those of the
Retreat at York, of the Warneford Asylum, and of the hospitals at
Exeter, Manchester, Liverpool, and St. Luke's, consider that, although
the cases are extremely rare in which mechanical restraint should be
applied, it is, in some instances, necessary. Similar opinions are
entertained by the superintendents of the county asylums of Bedford,
Chester, Cornwall, Dorset, Kent, Norfolk, Nottingham, Leicester,
Stafford, and the West Riding of York. At the Retreat at York mechanical
or personal restraint has been always regarded as a 'necessary evil,'
but it has not been thought right to dispense with the use of a mild and
protecting personal restraint, believing that, independent of all
consideration for the safety of the attendants, and of the patients
themselves, it may in many cases be regarded as the least irritating,
and therefore the kindest, method of control. Eight of the
superintendents employing bodily restraint have stated their opinion to
be that it is in some cases beneficial as well as necessary, and
valuable as a precaution and a remedial agent; and three of them have
stated that they consider it less irritating than holding with the
hands; and one of them prefers it to seclusion.
Public-domain text, read in full here on John Shaqi.
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