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
The Commission found that the evil of overcrowding with incurable cases,
complained of by the Committee of 1843, and by the Royal Commission of
1858, "has continued to the present day not merely unchecked, but in a
more aggravated form than ever." In 1856 there were 1168 curable and
2656 incurable patients in Irish asylums, while in 1877 these numbers
were, respectively, 1911 and 6272, the percentages being in the former
year, curable 30.5, incurable 69.5, while in the latter year the
corresponding percentages were 23.3 and 76.7. Taking the patients not
only in asylums, but in workhouses also, the total in 1856 (or more
correctly 1857) was as follows: curable, 1187; incurable, 4468;
percentages, 20.9 and 79.1. In 1877, curable, 1911; incurable, 9644;
percentages, 16.5 and 83.4--a frightful revelation of incurable lunacy.
The Inspectors complain that the Act 30 and 31 Vict. has caused this
increase of unsuitable cases,[277] but, as the Commission observe, it
has simply increased an existing evil, and not produced a new one.
Besides, "how otherwise are these unhappy people to be dealt with? Has
any other accommodation been provided for them? Though not suitable
cases for curative hospitals, they are, at all events, suitable cases
for care and humane treatment, and not until provision for such
treatment is made, ought the door of the asylum to be shut against
them."[278]
The condition of workhouses is proved by this Report to be most
unsuitable for the reception of the insane; yet they contained in 1879
one quarter of the pauper lunatics of the country. It was desirable to
remove a large number of these somewhere, and the only suitable place
was the district asylum. Dr. Lalor, in his evidence before this
Commission, says in regard to this increased number of admissions under
the 30 and 31 Vict., "I think it is an immense advantage, because before
that Act there was a great number of persons kept out who ought to be
sent into lunatic asylums, but there was not sufficient machinery for
doing so." Dr. Lalor then goes on to say that they have not in Ireland
the same provision as in England for taking up merely wandering lunatics
not chargeable to the rates. This witness, I should add, is strongly in
favour of larger asylums for even curable cases, and would classify the
institutions for the insane into three classes, the curable, the
improvable, and the incurable. For curable and improvable cases of
lunacy, including those requiring special care, and for the training and
education of imbeciles and idiots chiefly of the juvenile classes, he
would have the same asylum; for the incurable and unimprovable, he would
have another. He would leave it to a central body to distinguish the
cases, and would allow that such a body might find it more convenient to
class the juvenile idiots and imbeciles under the second division.
Public-domain text, read in full here on John Shaqi.
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