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
This recapitulation of the salient features of the practice of the
Retreat renders it easy to understand the position taken by the managers
of the institution in regard to mechanical restraints. When kindness
failed to subdue maniacal excitement, when medical remedies exerted no
calming influence, mild forms of restraint were reluctantly adopted,
rather than maintain a conflict between patient and attendant. It
appears from the Retreat archives that not more than five per cent.,
reckoning the night as well as the day, were restrained by strap or
waistcoat.[136] It is notorious that, at the same period, it was the
custom in some asylums, probably many, to chain to the bedstocks, at
night, every patient in the house. Ferrus, to whom I have referred, did
not find camisoles in use at St. Luke's in 1826, but "strong chains were
employed to hold the excited patients. These chains, fixed at different
heights to the sides of stoves (_chauffoirs_), have iron rings at the
end, by means of which the arms or the legs of the patient are rendered
completely immovable.... Far from fearing that a painful impression will
be produced on the patients by chains, they think, on the contrary, that
this apparatus exerts a beneficial influence upon them; that it
intimidates, humbles them, and removes all desire to attempt to get rid
of their fastenings." Ferrus says that at the Retreat he found a belt
was employed, softly padded, to which the arms were attached. "We do not
employ it in France," he says, "although it might in hot weather be
preferable to the camisole.... The Retreat offers all the resources of
art and the comforts of life (_douceurs de la vie_) compatible with the
condition of insane persons."
Public-domain text, read in full here on John Shaqi.
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