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
Further, while the Dean's will did not contemplate the payments of
patients, boarders were admitted at an early period, and this policy
went to such a length that while in 1800 there were a hundred and six
free and only fifty-two paying patients, there were in 1857 eighty-eight
paying patients, and only sixty-six free. As the Commission naïvely
remark, "if the diminution of free patients and the increase of paying
patients are to continue, it may one day result that no inmates of Dean
Swift's Hospital will be maintained entirely out of his bequest, which
certainly does not appear to have been in the contemplation of the
founder."[253] A somewhat brighter picture might have been expected when
one reflects that, according to the original charter, the government of
the hospital was vested in the Primate, Lord Chancellor, Archbishop of
Dublin, Dean of St. Patrick's, Dean of Christ Church, Physician to the
State, and Surgeon-General, and seven other persons whose successors
were to be elected by a majority of the governors, each of whom was
required to be a fit person.
An asylum was erected at Limerick about 1777, and at Cork in 1788.
The Cork Asylum was built on the strength of an unrepealed section in an
old Jail Act (27 Geo. III., c. 39. s. 8), which allowed of sums of
public money to be "presented" by grand juries for the use of lunatic
asylums, without limit, and permitted magistrates to commit to them any
individuals, if idiots or insane. It did not provide, however, for the
government of the establishment when formed, or for an account of how
the money was spent. No medical certificates were required--the
magistrate's power was unlimited. Fortunately, however, the Cork Asylum
was in good hands (Dr. Hallaran), thanks to which, and not to the law,
the institution was as well conducted as in those days it could be. So
much was this the case that Mr. Rice stated before the Committee of the
House of Commons in 1817, that it was the best managed he had ever seen
or heard of, realizing, he added, all the advantages of the York
Retreat. He, however, protested against the system under which it, like
other asylums, was conducted as radically wrong; its success was a
success of circumstances, almost of accident.
This Prison Act was at this date the only law which regulated Irish
asylums, the only statute by which they could be carried on. All, in
fact, depended upon the humanity, skill, and conscientiousness of the
superintendent.[254] I believe, as a matter of fact, Cork was the only
county which made use of it.
Public-domain text, read in full here on John Shaqi.
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