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
Mr. Rice stated that when he visited the Clonmel Asylum in 1814-15, the
patients were not clothed; some were lying in the yard on the straw in a
state of nakedness. At Limerick he found the accommodation for the
patients "such as we should not appropriate for our dog-kennels." There
was one open arcade, behind which cells were constructed with stone
floors, without any mode of heating or of ventilation, and exposed
during the whole of the winter to the extremities of the weather.
Thirteen cells were provided for thirty-three lunatics and idiots. As
some were furious, the usual mode of restraint consisted of passing
their hands under their knees, fastening them with manacles, securing
their ankles by bolts, passing a chain over all, and lastly attaching
them firmly to the bed. "In this state, I can assure the Committee from
my own knowledge, they have continued for years, and the result has been
that they have so far lost the use of their limbs that they are utterly
incapable of rising." The rooms over the cells were appropriated to the
sick. Mr. Rice found twenty-four persons lying in one room, some old,
some infirm, and in the centre of the room a corpse; one or two were
dying. In the adjoining room he found a woman in a state of distraction,
the corpse of her child left upon her knees for two days; it was almost
putrid. "There was not to be found one attendant who would perform the
common duties of humanity. The most atrocious profligacy in another
branch of the establishment prevailed."
The condition of a lunatic member of a family among the poor is thus
graphically described by a member of the Committee which prepared this
valuable Report: "There is nothing so shocking as madness in the cabin
of the peasant, where the man is out labouring in the fields for his
bread, and the care of the woman of the house is scarcely sufficient for
the attendance on the children. When a strong man or woman gets the
complaint, the only way they have to manage is _by making a hole in the
floor of the cabin_, not high enough for the person to stand up in, with
a crib over it to prevent his getting up. The hole is about five feet
deep, and they give this wretched being his food there, and there he
generally dies. Of all human calamity I know of none equal to this, in
the country part of Ireland, which I am acquainted with."
In the physician's report of one asylum for 1816, he speaks of the
miserable objects who wander over the face of the country, or are
inmates of jails and hospitals. Such do not appear to have taken refuge
in any Glen-na-galt.
The first asylum for the insane in Ireland (and the only one before the
Richmond Asylum) was that founded in Dublin by Swift, whose act would
probably have been little known or forgotten, but for the familiar lines
in which he himself has immortalized it:--
"He gave the little wealth he had
To build a house for fools or mad,
To show by one satiric touch
No nation needed it so much."
Public-domain text, read in full here on John Shaqi.
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