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
"'_Industrial Occupation._--One effect of the removal of physical
restrictions has been to stimulate as well as aid the superintendents of
asylums in their efforts to develop the industrial occupation of the
patients. The disadvantages of prolonged idleness, to the insane as well
as to the sane, and the advantages that result from such occupation as
gives exercise to the physical and mental energies without overstraining
them, are too obvious to require discussion. It was consequently an
important result of the disuse of walled airing-courts and of the
open-door system, that it became necessary to engage the attention of
patients who were inclined to escape, and also of the much larger number
who might wander away without any such definite purpose, so as to keep
them under control and supervision. It did not require much study of the
mental state of the patients, nor indeed much attention of any kind on
the part of their attendants, to insure their safe custody, when the
conditions of their life were either to be locked within their wards, to
be confined within the high walls of airing-courts, or to be marched in
military order at stated periods for exercise. Under such conditions,
there was no strong motive for inducing those patients to work who
showed no disposition to do so of their own accord. The morbid
excitement, the apathies, or the gloomy feelings of many patients were
allowed to remain unchecked, and not unfrequently the mental disease
was intensified rather than alleviated. The more restless patients often
spent much of their day in pacing the galleries or the airing-courts,
nursing their morbid irritability, while others lounged on the benches
or crept into corners, and so drifted downwards through the dreary
stages of physical and mental decay. It does not require much
consideration to show that it would tend to improve all such patients,
both in their bodily and mental health, if they were engaged in some
regular occupation during a reasonable portion of their time....
"'_The Industrial System cannot be adapted to all Classes of
Patients._--But there are patients, both among those of the private and
among those of the pauper class, whom it is undesirable, and whom it
would also be wrong, to engage in work. There are cases, for instance,
in which, for various reasons, such as physical weakness, it would be
directly injurious to the patients to be engaged in active or fatiguing
work; and it would be unsatisfactory if it were found that the efforts
to develop the industrial system in asylums led to such patients being
pressed to work....
Public-domain text, read in full here on John Shaqi.
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