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
paupers and needing public help in the way proposed. Adding these
figures together, we get in round numbers 28,000, for whom it is
desirable for the State more or less to provide, in the way of training
schools and custodial establishments. Those who are now in workhouses
and in lunatic asylums would be removed from them, and so far would
relieve the latter from their present crowded condition. This object
would be still further gained if harmless lunatics, as proposed by the
Charity Organization Committee, should be legislated for in the same way
as idiots and imbeciles, and removed from asylums to separate
institutions, as has been done at Caterham and Leavesden. The number of
this class needing public administration is calculated at 7615.
Confining still our attention to England and Wales, where, as we have
seen, voluntary effort has only succeeded in providing training schools
for about three per cent. of the idiot and imbecile class, we desire to
draw attention to the action taken by the Charity Organization Society
of London, arising out of a consciousness of the inadequacy of this
provision. In the summer of 1877 a sub-committee of this Society entered
very fully into the consideration of this subject in all its bearings,
and continued week by week, for some months, to discuss the various
questions which presented themselves. Sir Charles Trevelyan, who
originated the inquiry, observed that "he had rarely, if ever, known a
subject so completely threshed out."
The most important conclusions arrived at were--that a small proportion
of idiots and imbeciles can be so far improved as to support themselves,
that a larger proportion may be trained to do some useful work, and that
the remainder can be rendered happier and not so burdensome to others.
On inquiry, it was found that about two per cent. of the cases admitted
at Earlswood were cured so as to be able to support themselves. At one
period in the history of this institution, when certain very
unfavourable classes were rejected, as many as ten per cent. were so
trained and improved. That this should be the maximum proportion will
surprise those who have been misled by the _ad captandum_ statements
sometimes put forward to the public, no doubt with laudable and
benevolent motives. This amount of success, disheartening as it seems at
first, is not to be despised; but the strength of an appeal, whether to
the charitable public or to the State, to provide for the training of
idiots, lies in elevating them to the highest level of which their
organization admits, curing them of offensive habits, affording them
some positive happiness, and shielding them from unkind and irritating
treatment.
It is the judgment of the above-mentioned Committee that idiots ought to
be treated distinctively from other classes, whether the blind, or
lunatics in asylums and workhouses, or children in schools, and that
they should not be boarded out.
Public-domain text, read in full here on John Shaqi.
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