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
Half a century after Henry VIII.'s death, Bethlem Hospital was reported
to be so loathsome as to be unfit for any man to enter. There were then
twenty patients. I do not know, however, that any action was taken in
consequence. Thirty-four years afterwards (1632), I observe that the
buildings were enlarged, and mention is made of "one messuage, newly
builded of brick at the charge of the said hospital, containing a
cellar, a kitchen, a hall, four chambers, and a garret, being newly
added unto the old rooms." Also, "a long waste room now being contrived
and in work, to make eight rooms more for poor people to lodge where
there lacked room before."[69]
In 1624, and I dare say at many other periods, the patients were so
refractory that it was necessary to call in the flax-dressers, whose
tenter-boards may be seen in the adjoining field in the maps of London
of this period, in order to assist the keepers in their duties!
Just about the same date (1632) I notice that an inquisition mentions
various sums being expended on fetters and straw. The governor at that
time, I should add, was a medical man. This is the first mention of such
being the case. His name was Helkins or Hilkiah Crooke. He was born in
Suffolk; graduated M.B. in 1599 and M.D. in 1604. He was a Fellow of the
College of Physicians, and was author of "A Description of the Body of
Man," etc. (1616). There is in the second edition of this work a small
whole-length portrait by Droeshout.[70]
Ten years later (1642) there was a still further addition to Bethlem.
Twelve rooms were built on the ground floor, over which there were eight
for lunatics. The hospital, however, only accommodated some fifty or
sixty patients, and it is observed in "Stow's Survey of London," that
besides being too small to receive a sufficient number of distracted
persons of both sexes, it stood on an obscure and close place near to
many common sewers.
The hospital was one day visited by Evelyn. He had been dining with Lord
Hatton, and writes on returning: "I stepped into Bedlam, where I saw
several poor miserable creatures in chains; one of them was mad with
making verses." This was on the 21st of April, 1657. Pepys does not
record a single visit to it himself, but on February 21, 1668, he enters
in his diary that "the young people went to Bedlam."[71]
Smith, in his "Ancient Topography of London," says--and the authority
for most of his statements was Mr. Haslam[72]--"The men and women in old
Bethlem were huddled together in the same ward." It was only when the
second Bethlem was built that they had separate wards.
In Hollar's Map of London, engraved 1667, which gives the most distinct
representation of Bethlem Hospital at that period, there are no
additional buildings given, although we know they had been made. Nor are
those inserted which were built on the site of the church in the centre
of the quadrangle.
Public-domain text, read in full here on John Shaqi.
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