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
sane and the insane; but it is certain that the mental condition of many
patients in asylums renders them likely to be influenced in an especial
manner by such a feeling. With many, however, the desire to escape dies
away when it ceases to be suggested by forcing upon their attention the
means of preventing it.
"'It is year by year becoming more clearly recognized that many
advantages result from the working of the open-door system, and it has
now been adopted to a greater or less extent in most of the Scotch
asylums....
"'_Liberty on Parole._--The practice of permitting certain patients to
walk or work in the grounds without constant supervision, and of
permitting some to take exercise beyond the grounds on _parole_, has
been general in Scotch asylums for many years, but it is now much more
extensively adopted in them than it used to be. Like the other removals
of restrictions to which we have referred, this has found favour in the
eyes of superintendents on account of the beneficial effect which it
has on the patients, not merely in making their residence in an asylum
less irksome, but also by improving their mental condition. The fears
which were naturally entertained that this form of relaxation of control
would be followed by an increase in the number of accidents and escapes,
have not proved to be well founded.
"'In determining the desirability of any kind of restrictive discipline
and supervision, it has to be considered, among other things, whether
the irritation that it occasions may not render the danger of accidents
from violent conduct greater than it would be if such discipline were
not enforced....
"'_Benefits arising from the Removal of Restrictions._--The beneficial
effects arising from the removal of the various forms of restrictions on
liberty are no doubt due, in great measure, to the increased attention
that is given to the features of each patient's condition, for it is
only after a careful study of the disposition and tendencies of a
patient that a trustworthy opinion can be formed as to the amount of
liberty that he is fit to enjoy. But it must also be recognized that the
freedom from irksome discipline and restriction tends to remove one of
the sources of violent conduct in asylums, and consequently to diminish
the number of accidents which result from it. Many patients have, under
the freer conditions of their life, become calm and orderly in behaviour
to whom the imprisonment in wards under lock and key, the confinement
within high-walled airing-courts, and even the feeling of being under
the constant supervision of attendants, were sources of irritation and
excitement and causes of violent conduct.
Public-domain text, read in full here on John Shaqi.
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