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
Three years later, the condition of county and borough asylums was, with
few exceptions, satisfactory, and declared by the Commissioners to be
very creditable to the governing bodies and superintendents.
Improvements had taken place in many of these institutions, and there
was found to be a more general recognition of the humanizing and
beneficial influence of cheerful and well-furnished wards, on even the
most degraded patients. "Those at one time considered to be fit only to
be congregated together in the most dreary rooms of the asylum, with
tables and benches fastened to the floor, and with nothing to interest
or amuse them, are now in many asylums placed in wards as well furnished
as those occupied by the more orderly patients, with birds, aquariums,
plants, and flowers in them, and pictures on the walls; communicating
also with such wards are now very generally to be found well-planted and
well-kept airing-courts. The less strict classification of the patients
is also advantageously followed in many asylums, and in them what are
termed "refractory wards" are properly abolished. Where arrangements for
this purpose have been judiciously made and carried out with energy, the
best results have followed, in the way of an improved condition and more
orderly demeanour of those disposed to be turbulent, whilst the comfort
of patients of a more tranquil character has not been prejudicially
affected. The use of mechanical restraint in county and borough asylums,
unless for surgical reasons, such as to prevent patients removing
dressings or applications to wounds or injuries, or during the forcible
administration of food, is, with few exceptions, abolished. In
thirty-eight of the fifty-four asylums visited during the past year,
there was no record whatever of its employment. In the cases of
twenty-two patients, distributed over ten asylums, it had been resorted
to for the above-mentioned reasons, and in six asylums it had been used
to counteract violent suicidal or destructive propensities; the number
of patients restrained for these latter reasons (exclusive of Colney
Hatch and Wandsworth) having been one in the Macclesfield, nine in the
Glamorgan, six in the Prestwich, and one in the Norwich Borough Asylum.
In the Wandsworth Asylum it will be seen from the Report that, during a
period of about sixteen months, thirty-three men and twelve women were
recorded as having had their hands restrained by gloves for destructive
propensities; and four males and one female had worn restraint dresses
at night, two on account of their suicidal tendencies, and one for
violence. At the visit to Colney Hatch, a very dangerous male epileptic
was found restrained by wrist-straps and a belt, and from the register
it appeared that he had been thus constantly restrained during the day
for a period of nine months. Ten other male patients were also recorded
as having been restrained; one having had his hands fastened, and the
Public-domain text, read in full here on John Shaqi.
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