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
Of employment the author of the "Description" thus speaks: "The female
patients in the Retreat are employed as much as possible in sewing,
knitting, or domestic affairs; and several of the convalescents assist
the attendants. Of all the modes by which the patients may be _induced
to restrain themselves, regular employment is perhaps the most generally
efficacious_; and those kinds of employment are doubtless to be
preferred, both on a moral and a physical account, which are accompanied
by considerable bodily action, that are most agreeable to the patient,
and which are most opposite to the illusions of his disease."[134]
We find it insisted upon by those who had the management of the Retreat
that moral treatment is of the greatest importance; that gentleness must
take the place of violence;[135] that it is erroneous to suppose it
necessary to commence an acquaintance with lunatics by an exhibition of
physical strength; that every effort should be made to divert the mind
of melancholiacs by bodily exercise, walks, conversation, reading, and
other recreations; that the desire of esteem is a more powerful
principle to appeal to than fear; that the best form of restraint is
self-restraint; that patients should be treated as much as possible as
rational beings, but that little or no advantage arises from reasoning
with them on their particular delusions; that it is desirable to
encourage the influence of healthy religious principle over the mind of
the insane; that those who manage them should sedulously endeavour to
gain their confidence and esteem, to arrest their attention and fix it
on objects opposed to their delusions, to call into action every
remaining power and principle of the mind, and to remember that in the
wreck of the intellect the affections not unfrequently survive.
Public-domain text, read in full here on John Shaqi.
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