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
Coercion was regarded at the Retreat as an evil--that is to say, it was
"thought abstractedly to have a tendency to retard the cure, by opposing
the influence of the moral remedies employed"--but at the same time "a
necessary evil," an unhappy alternative in certain cases. Practically,
as we have seen, the amount of restraint was small; but no _rule_ of
practice was laid down that it should never be resorted to. The abstract
principle of non-restraint adopted at Lincoln and Hanwell was not
enunciated. "We greatly prefer," observes the author of the
"Description," "to lay down no absolute rule of non-restraint, but to
refer to our resident officers the exercise of a sound discretion in
each individual case." But the managers of the Retreat did undoubtedly
lay down as a fundamental principle that "_coercion will diminish or
increase as the moral treatment of the patient is more or less
judicious_;"[137] and therefore, although they did not anticipate that
personal restraint would be superseded by any other mode of treatment,
this principle is broad enough to embrace all that has since followed in
the way of non-restraint. The result, in the long run, of honestly
carrying out the doctrine to its legitimate consequences, will not very
widely differ from that reached by those who adopt "non-restraint" as an
abstract theory in the first instance.
Justice would scarcely be done to those who interested themselves in
mental diseases during the latter half of the eighteenth and the
commencement of the nineteenth century, if we did not give the titles of
some of the works bearing on insanity which issued from the press during
this period. A treatise on Madness was written in 1757 by Batty. Perfect
wrote "Methods of Cure in some Particular Cases of Insanity" in 1778,
and "Select Cases of Insanity" in 1787, and "Annals of Insanity"
fourteen years later. Perfect's treatment of insanity mainly consisted
in bleeding, setons, electricity, and the administration of emetics,
digitalis, and antimony. Dr. T. Arnold published his "Observations on
the Nature, etc., of Insanity," 1782. Harper published "A Treatise on
the Real Cause and Cure of Insanity" in 1789--a work ridiculed by Pinel.
Faulkner wrote his "Observations on the General and Improper Treatment
of Insanity" in 1790; and Pargeter his "Observations on Maniacal
Disorders" in 1792. What, if any, beneficial effect these works produced
upon the condition of the insane in the British Isles, I am unable to
say. Haslam wrote his "Observations on Madness" in 1798, and he was the
author of several other works; but, whatever their value and interest,
we know but too well the condition of the patients in the asylum of
which he was the apothecary. Crichton published his "Inquiry into the
Nature and Origin of Mental Derangement"--a work, certainly, of merit
and the result of practical observation. In 1802 appeared "De
intellectûs facultatum conditione in mentis Alienationis diversis
Public-domain text, read in full here on John Shaqi.
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