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
Among the foregoing excerpts from the elaborate Report of the
Commissioners, much, it will be seen, bears on the important question of
the "cottage treatment" of the insane. In this direction, at least in
the way of attempting to form a sort of lunatic colony (though on a very
minute scale) after the manner of Gheel, Scotland has acted more
definitely than England. Opinion is divided on the subject, and the
measure of success can hardly be said to have been yet determined.
Whatever this may be, the counter disadvantages must not be overlooked.
Kennoway, in Fifeshire, where the experiment has been tried on a small
scale, has had its supporters and detractors. Dr. John Smith, well known
for his long practical experience of lunacy, and Dr. J. B. Tuke, at that
time the superintendent of the admirably managed Fife and Kinross
Asylum, visited Kennoway some years ago, and the report[249] of the
latter was certainly anything but favourable; in fact, that the saving
effected was by means detrimental to the lunatic. Notwithstanding, he
arrived at the conclusion that the system might be employed with
advantage in certain cases, if accompanied by stringent supervision. Dr.
Arthur Mitchell, in his evidence before the Parliamentary Committee of
1877, so valuable on all the points to which he spoke, replied to the
question why the patients boarded out had decreased in number, if the
board approved of the system, that he, although warmly approving of it,
was the person who had largely caused this decrease, the reason being
that it was found there were a great number of persons totally
unsuitable for private dwellings, and others were ill cared for. Hence
it was necessary to weed them out. This observation does not specially
apply to villages like Kennoway, but to the boarded-out cases, wherever
placed.[250]
Much more of interest might be taken from this Report, but the foregoing
will suffice to bring before the reader the salient points in the
management of the insane in Scotland at the present day, by which he can
judge for himself of the contrast between the present and the past. My
main object is with the latter, but it can only be understood by a
sketch, however brief, of the former, in each of the three divisions of
the United Kingdom.
FOOTNOTES:
[227] These particulars are given in the Report of the Royal Lunacy
Commission for Scotland, 1857, on the authority of Sir Thomas Craig.
[228] "A General View of the Present State of Lunatics and Lunatic
Asylums in Great Britain and Ireland," by Sir Andrew Halliday, M.D., p.
28.
[229] _Op. cit._, p. 27.
[230] "An Act to Regulate Madhouses in Scotland."
Public-domain text, read in full here on John Shaqi.
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