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
We shall see more clearly, as we proceed, what was the condition of the
insane in England at the latter part of the eighteenth century.
A time then came--in the year 1792--fraught with an event as important
as it was unexpected, the beginning, on a small scale, of the reform
which ultimately took place in the condition of British asylums; a
reform slowly brought about by means which might have seemed very
inadequate for the purpose. But the poet warns us to
"Think naught a trifle, though it small appear;
Small sands the mountain, moments make the year,
And trifles life."
And does not Joseph de Maistre well say, "Aucune grande chose n'eut de
grands commencements"--nothing great ever began great?
I should premise that there was at York an asylum founded some fifteen
years before, on a charitable foundation, with it cannot be doubted, the
best intentions on the part of its promoters, but, unfortunately, its
management had been no better than the worst asylums of that day. It
happened that, in 1791, the friends of a patient who was confined there,
desiring to visit her, were refused admission, and suspicion was aroused
as to the treatment to which she was subjected, with (as the event
proved) only too much reason, and not, as sometimes happens at the
present time, without just occasion, and, indeed, on the most frivolous
and vexatious pretences. The knowledge that such is the case ought to
make us very careful how we sit in judgment on our predecessors in
regard to any charge brought against them. There is, however, undeniable
evidence, proof which cannot be evaded, and ultimately admitted by all,
that the asylum at York of which I speak was a frightful abode for
lunatics. The time had not come for its public exposure, but instead of
this it was proposed by a citizen of York--William Tuke--that an
institution should be erected where there should be no concealment, and
where the patients should be treated with all the kindness which their
condition allowed. His mind, full of common sense, suggestive, and not
seeing why the right thing should not be done--in fact, his creed being
that it must be done--he set resolutely to work to effect his purpose.
It became with him a question of humanity and right, and he resolved
that if he could be the means of effecting it, there should be an asylum
openly conducted and on humane principles. He talked over the project
with his friends, and having at last formed a definite plan, he brought
it forward before an assembly of the communion of which he was a
member--the Society of Friends. I should have stated that the patient in
the York Asylum to whom I have referred belonged to the same body. As
was natural, difficulties were at first suggested; but, having an iron
will, as well as a kind heart, he overcame them before long, and
eventually succeeded in his object. His feeling that something should
be done had been strengthened by a visit he had paid to St. Luke's
Public-domain text, read in full here on John Shaqi.
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