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
"'There are other advantages which spring from this relinquishing of
some of the physical means of detention. One of these, the importance of
which will be readily appreciated, is the inducement it affords, not
only to superintendents, but to every one concerned in the management of
the patients, to acquire a full and correct knowledge of the mental
condition and character of each patient. It not only increases the
interest they have in ascertaining how far, and in what ways, each
patient is fit to be trusted, but it strengthens in a very practical
manner their motives for endeavouring to secure his contentment and
orderly behaviour. The judging of what is required for these purposes
inevitably involves a good deal of intelligent observation of each
patient, not only on admission, but during the whole time he is resident
in the asylum. It becomes of practical importance to those in charge to
note changes in his mental condition, whether in the direction of
improvement or the reverse; and thus favourable or unfavourable symptoms
are observed and considered which in other circumstances might receive
little attention. The general effect of the change of system is to raise
the position of the attendants from being mere servants who carry out
more or less efficiently the orders of the superintendent to that of
persons who have a direct interest in promoting the improvement of the
patients, and who find it an advantage to themselves to carry out, to
the best of their ability, whatever instructions they receive with that
end in view. A good attendant must always have had more or less of this
character, it is true; but even good attendants are stimulated under the
freer system to become still better.
Public-domain text, read in full here on John Shaqi.
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