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 celebrated John Howard did not confine his attention to prisons, but
frequently took occasion to visit asylums in the course of his
philanthropic travels; and in his "Accounts of the Principal Lazarettos
in Europe, together with Further Observations on some Foreign Prisons
and Hospitals, and Additional Remarks on the Present State of those in
Great Britain and Ireland" (1789), he contrasts St. Luke's Hospital with
a hospital for lunatics at Constantinople, to the advantage of the
latter in some respects, although he states that there is very little
regard paid to cleanliness or the patients, while the former was neat
and clean. Of the Constantinople asylums, he says, "They are admirable
structures.... The rooms are all on the ground floor, arched, and very
lofty, having opposite windows, and opening under a corridor into a
spacious area." In the midst of the neglect of _human_ beings he was
astonished to find so much attention paid to _cats_, an asylum having
been provided for them near the Mosque of St. Sophia. Of St. Luke's he
says, "The cells were very clean and not offensive. The boxes on which
the beds of straw lie are on a declivity and have false bottoms. The
cells open into galleries, fifteen feet wide, and on each gallery was a
vault, which was not offensive.... Here are large airing grounds for
men and women; there is also a new but very inconvenient bath. Here are,
very properly, two sitting-rooms in each gallery, one for the quiet, the
other for the turbulent; but I could wish that the noisy and turbulent
were in a separate part of the house by day and by night.... Several
women were calm and quiet, and at needlework with the matron. A chapel
would be proper here for the advantage of recovering patients, as I have
seen in such houses abroad."
It would seem, then, that although Howard observes, "I greatly prefer
the asylum at Constantinople," he must refer to the less important
matter of the structure of the building. As also when mentioning St.
Patrick's or Swift's Hospital at Dublin, he says he should prefer the
Dol-huis at Amsterdam and the hospital at Constantinople, "where the
rooms open into open corridors and gardens, which is far better than
their opening into passages as here in England."[113]
In his previous work, 1784, Howard observes, speaking of English
prisons, "I must add here that in some few gaols are confined idiots and
lunatics. These serve for sport to idle visitors at assizes and other
times of general resort. Many of the Bridewells are crowded and
offensive, because the rooms which were designed for prisoners are
occupied by the insane (by the Irish Act, 3 Geo. III., such persons are
required to be kept separate). Where they are not kept separate, they
disturb and terrify other prisoners. No care is taken of them, although
it is probable that by medicines, and proper regimen, some of them
might be restored to their senses and to usefulness in life."[114]
Public-domain text, read in full here on John Shaqi.
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