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
show the difficulty of arriving at a conclusion as to the mental
responsibility of persons charged with crime, I may mention the case of
a schoolmaster who, not many years ago, used his cane on a boy in a very
savage manner, pursued him under the table, and destroyed the sight of
one eye. This man was sentenced to five years' penal servitude. He was,
of course, under the notice of the surgeon of the prison to which he was
sent, and was regarded by him as sane. The schoolmasters and
pupil-teachers, however, took the case up, and agitated for further
examination into the state of the man's mind. Dr. Orange was employed to
examine him, and, thoroughly familiar with criminal lunatics, succeeded
in discovering unmistakable proofs of insanity. In fact, he was so
poorly the morning of the day he committed this assault, so
uncomfortable in his head, and so irritable in mind, that he sent word
to the school to say that he was too ill to attend to his duties. It was
a school examination, however, and the authorities insisted upon his
going. They therefore were mainly to blame for the circumstance which
followed. This man was saved from punishment by Dr. Orange's
representations, and subsequent observation confirmed the opinion he
formed at the time, that he was not only irritable and suspicious, but
was labouring under a delusion. He was a dangerous lunatic, in short,
when he committed the offence.
In going through the wards I conversed with the superintendent on the
main points of interest in connection with the management of the
institution, and on some of the characteristics presented by those who
are admitted.
I remarked on the low mortality which I knew obtained there. "Ah," said
the doctor, laughing, "that goes against us, rather than for us. We are
blamed for keeping the patients too well!" Since the opening of the
asylum, the yearly average of death has been at the rate of 2.97 per
cent. of the number resident. As to diet it is no doubt difficult to
understand why this class should fare better, as they seem to do, than
ordinary patients in the county asylums. In one particular, indeed, a
change in the direction of economy has been made, and a very reasonable
change it is. It is connected with an important question which arises,
How far can the system of rewards for work be beneficially carried out?
Public-domain text, read in full here on John Shaqi.
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