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
The Commissioners, as might be expected, report the state of the insane
to have altered little since the Report of the Royal Commission. In the
pauper licensed houses, if not in others, the overcrowding was great,
though diminishing. "The patients, when within doors, are generally
found sitting in cheerless rooms, ranged on benches, listless and
without occupation; and when out of doors, they are usually lounging
sluggishly about the airing-courts, or are crouching in corners." Among
favourable indications noted by the Commissioners it is pleasant to read
the following:--"Mechanical restraint has been entirely banished from
the licensed houses, and patients who are recorded in the Report of the
Royal Commissioners as almost always under restraint, are now habitually
free from their bonds. The improvement in the condition of these cases
under the more humane treatment now in use has been most remarkable, and
is especially exemplified in the case of A. S----, a patient in M----
Asylum."
Subsequent Acts were passed, called for by the experience of the
Commissioners in regard to the working of the Act of 1857, some
imperfections in which were naturally discovered in the course of years.
The Lord Advocate and Sir George Grey brought in a Bill in 1862 to make
further provision respecting lunacy in Scotland, which received the
royal assent July 29 (25 and 26 Vict., c. 54).
By this Act, consisting of twenty-five sections, the Board was empowered
to license lunatic wards of workhouses; to sanction the reception of
pauper lunatics in workhouses; to grant special licences for reception
in houses of not more than four lunatics; to grant licences to
charitable institutions for imbecile children without fee; to sanction
detention of pauper lunatics in asylums beyond the limits of their
district; to take such steps as the Board may consider requisite towards
providing accommodation for the district, etc., etc. Not to cite other
sections, certain provisions of the recited Acts as were inconsistent
with the Act were repealed, and the General Board of Commissioners was,
of course, continued.
In their Report of this year (1862) the Commissioners observe, relative
to the supposed increase of insanity, "Judging from the evidence which
the tables afford, the increase is almost entirely due to the
accumulation of the numbers of the insane, and certainly not, to any
marked degree, to a greater disposition in modern times to mental
disease; for while in the years 1858, 1859, 1860, and 1861, the
_admissions_ into asylums scarcely varied in number, the patients
resident in such establishments showed every year a large and steady
increase. Thus, on January 1, 1858, their number amounted to 3765; on
January 1, 1859, to 4114; on January 1, 1860, to 4350; and on January 1,
1861, to 4462."
Public-domain text, read in full here on John Shaqi.
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