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
Returning now to what in the history of the rise and development of the
modern treatment of the insane is of great importance, the guiding
principles of the treatment pursued at the York Retreat, and its
relation to what is understood as the non-restraint system, I would
observe that the first principle of all was an active humanity--the
highest form of it as embodied in the golden Christian rule. It has
often been said that the members of the community by whose principles he
was animated seem to think it necessary to act as well as to talk; to
carry out their principles into actual practice, as if they were really
intended to be applied to the ills of humanity. If some of his own
friends discouraged Tuke's benevolent designs, it may have arisen from
their not being convinced that a case had been made out for its
exercise. An accident, as it were, brought the fact of the
unsatisfactory condition of the asylums of his day forcibly before him.
Accustomed to do as well as to talk about doing, when he knew the
existence of an abuse, he set himself to work at once to prevent its
recurrence so far as the area of his own influence could extend.
Suspecting unkind treatment, he strove to have it replaced by kindness;
convinced that abuses and cruelty ever tend to spring up when public
surveillance is refused, he resolved to do away with all secresy in the
management of the proposed institution. Further, he "had a strong faith
in the dictates of an enlightened conscience and in the perfect wisdom
and love which direct every law of human duty."[131]
This principle not only accounts for the successful commencement of the
undertaking, but helps to explain the individual treatment of the
insane; for the patients were treated as human beings suffering under a
terrible affliction, toward whom it was a duty to extend consolation,
compassion, and kindness. This course necessarily led to the
demonstration that when so treated they were calmer and required
comparatively little restraint. The fact happily bore out the theory.
Public-domain text, read in full here on John Shaqi.
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