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
"_Rent is saved_ by placing patients in small houses, making them use
the same rooms both as day and sleeping accommodation; they are also
crowded into small airing-courts, inadequate to afford proper exercise
and a proper separation of the sexes. The inmates during the winter
months pass the greater part of each twenty-four hours in their bed,
_whereby candle-light is saved_. In L---- Asylum, the patients are not
allowed candle-light at any season.
"We cannot doubt that in many instances practices obviously wrong, and
detrimental to the patients, have been adopted in licensed houses,
because an increased profit would thereby be obtained by the
proprietor."
In short, both as regards licensed houses and unlicensed houses, the
Report winds up by giving a dismal picture; for, as to the former, "they
are crowded in an extreme degree, profit is the principal object of the
proprietors, and the securities against abuse are very inadequate;" and
as to the latter, they "have been opened as trading concerns, for the
reception of certain classes of patients who are detained in them
without any safeguard whatever against ill-treatment and abuse." Strange
to say, the persons properly authorized to inspect, did not avail
themselves of the powers of inspection granted them by law; and the
officials chose to interpret the law "in conformity with their
respective views." Such was the unfortunate condition into which Scotch
lunacy had drifted, at so comparatively recent a date as 1857, and out
of which those who drew up the Report--Alexander E. Monteith, James
Coxe, Samuel Gaskell, and William George Campbell--proposed to deliver
it by the following remedial measures:--The erection of district or
county asylums for pauper lunatics, including accommodation for the
insane belonging to the labouring classes, who are not strictly
paupers. Likewise, more suitable accommodation for criminal lunatics.
Means for insuring greater caution and discrimination as regards the
licensing of houses for the reception of the insane; for imposing some
check upon the licensing of new houses; and for conferring powers to
close those already opened for paupers so soon as public asylums shall
be erected, or at any other time, if not properly conducted. Regulations
by which all pauper lunatics not in asylums shall be brought under
proper visitation and care, and periodical reports be made as to their
condition by medical men, so as to afford a safeguard against abuse and
ill-treatment, and secure the ready and careful transmission of all
proper cases to asylums. An accurate definition of the powers and duties
of sheriffs in reference to the insane, so as to secure a more uniform
practice and united action amongst them. Rules for the guidance of the
Board of Supervision, parochial boards, inspectors of poor, and district
medical officers in all matters relating to the management of the
insane. More complete regulations in reference to medical certificates;
Public-domain text, read in full here on John Shaqi.
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