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
"'_Recent Changes in the Modes of Administering Scotch Asylums._--The
most important changes that have taken place of late have been
manifested chiefly in three directions:--
"'(1) In the greater amount of liberty accorded to the patients; (2) in
the increased attention that is devoted to their industrial occupation;
and (3) in the more liberal arrangements that are made for their
comfort.
"'Each of these changes has been a distinct improvement, and has
conferred important benefits on the insane; but the effect of each has
been made much more complete from the support it has obtained by being
associated with the others. For instance, the removal of restrictions
upon liberty could not have been carried so far had steps not been taken
to engage the energies of the patients in such occupations as tend both
to check the morbid current of their thoughts and to prevent them from
fretting at the control to which they must always be more or less
subjected, while it is no less true that the comforts with which they
are now surrounded render them both more able and more willing to engage
in healthful occupations....
"'_The Abolition of Airing-Courts._--Circumstances such as these,
perhaps, prevent any immediate prospect of the universal abolition of
walled airing-courts; but the advantages which result from their disuse
are now widely recognized. Most of the public asylums in Scotland are
already without them, while in several, where they still exist, they are
seldom used. One of the advantages which airing-courts with walls were
thought to possess was their supplying a place where patients suffering
from maniacal excitement might work off their morbid energy in safety.
It can scarcely be denied, however, that the association in confined
areas of patients in this state, either with one another or with other
patients in calmer mental states, is attended with various
disadvantages. The presence of one such patient may be the cause of a
great amount of excitement, and a source of irritation and annoyance to
those confined in an airing-court along with them. After the disuse of
the airing-courts, it was found that such patients could be treated
satisfactorily in the wider space of the general grounds. It was found
by placing them more immediately in companionship with the attendants,
and by keeping them from collision with other patients, that they could
be made to vent much of their excitement with less disorder, and could
often be saved a considerable amount of it altogether.
Public-domain text, read in full here on John Shaqi.
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