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
remainder having worn gloves, altogether on two hundred and fifty-three
occasions.... At the same visit nine men were found wearing special
strong canvas dresses, besides others who were clothed in an exceptional
manner."
The objections which for a long time have been felt to frequent resort
to seclusion find expression in this Report. The Commissioners, without
questioning the utility of seclusion in certain cases, stated their
conviction that "in a remedial point of view its value has been much
exaggerated, and that in many instances it is employed unnecessarily and
to an injurious extent, and for periods which are quite unjustifiable."
Patients regard it as a punishment; and attendants are apt to make it
take the place of constant supervision. Its frequent use indicates
defective asylum organization or management. The Report states that it
is no longer employed at the Durham, Stafford, Brentwood, and Brookwood
Asylums; and only rarely at the Wakefield, Oxford, Northumberland,
Carmarthen, Chester, Dorset, Glamorgan, Leicester, Lincoln, and Norfolk
County Asylums, and those for the boroughs of Ipswich and Leicester, and
for the City of London.
Legislation has exercised a great and, as some think, questionable
influence upon the relative proportion of the insane in workhouses and
asylums. The feeling that originally induced the Commissioners in Lunacy
to urge the transference of lunatics from workhouses to county asylums
was, no doubt, a laudable one, and in a large number of instances most
advantageous. The condition of the insane in workhouses, however,
became vastly improved, and it was impossible to deny that for many
harmless chronic cases they were, to say the least, sufficiently
comfortable in the workhouse. Then came the legislation of 1874,[203] by
which four shillings a week were allowed for every pauper lunatic in any
asylum or licensed house, being reimbursed to the unions and parishes
from which the patient was sent. Hence the strong inducement, in some
counties at least, for it certainly does not hold good in all, to
transfer lunatics detained in workhouses to the asylums, even when no
occasion whatever arises out of the mental condition of the patient to
justify such transference. The Commissioners themselves have recognized
the difficulty and disadvantage of the operation of this legislation,
and say in their twenty-ninth Report, 1875, that while this Act "may be
beneficial in promoting the removal to asylums of a certain number of
patients requiring such treatment, and who might possibly otherwise be
deprived of it ... it remains to be seen whether the alteration in the
incidents of the maintenance charged, will not also have the effect of
causing unnecessarily the transfer to asylums of chronic cases, such as
might be properly cared for in workhouses, thus rendering necessary, on
the part of counties and boroughs, a still larger outlay than heretofore
in providing additional asylum accommodation. The returns for the 1st of
Public-domain text, read in full here on John Shaqi.
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