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
Passing over two centuries, I must observe that in 1792 Dr. Duncan (the
physician mentioned at p. 122 of this work), then President of the Royal
College of Physicians of Edinburgh, laid before that body a plan for
establishing a lunatic asylum in the neighbourhood of Edinburgh. That
plan, after due consideration, met with the unanimous approval of the
Colleges of Physicians and Surgeons, and a subscription was at once set
on foot to carry it into execution, nearly every Fellow of both Colleges
contributing something. But enough money was not then raised to start
the project in a practical way. Fourteen years afterwards, the attention
of the legislature was directed to the provision for the insane in
Scotland, when (in 1806) an Act (46 Geo. III., c. 156) was passed for
appropriating certain balances arising from forfeited estates in that
country to two objects, not apparently allied--the use of the British
fisheries and the erecting a lunatic asylum in Edinburgh--ichthyology
and psychology. The Act provided, among other clauses, that the Barons
of Exchequer should pay out of the unexhausted balance or surplus of the
moneys paid to them in 1784, by the Act 24 Geo. III., c. 57 (relating to
forfeited estates placed under the board or trustees), the sum of £2000
to the city of Edinburgh towards erecting a lunatic hospital. A royal
charter was obtained in 1807, and subscriptions were raised not only
from Scotland, but England, and even India, Ceylon, and the West Indies.
Madras alone subscribed £1000. The idea of the originators of the
institution was a charitable and very far-reaching one. They made
provision for three classes--paupers, intermediate, and a third in which
the patient had a servant to attend him. It may be mentioned that the
establishment of the Retreat of York and its success were constantly
referred to in appealing to the public for subscriptions. The building
which is now the "East House" was opened in 1813, and the plan of that
building was greatly superior to the prison-like arrangement of some of
the asylums built twenty or thirty years afterwards. From the beginning
the teaching of mental disease to students was considered, as well as
the cure and care of the inmates. The management was a wise one. There
were three governing bodies--the "ordinary managers," for transacting
the ordinary business; the "medical board" of five, consisting of the
President and three Fellows of the Colleges of Physicians and Surgeons;
and the "extraordinary managers," consisting of official and
representative men in and about Edinburgh, who had, along with the
ordinary managers, the election of the board every year. At first there
was a lay superintendent and visiting physicians.
Public-domain text, read in full here on John Shaqi.
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