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 the revelations made by the Committee of the House of Commons in
regard to Bethlem Hospital, we shall only briefly speak. We have already
sketched the history of this institution. For the most part it is to the
_second_ Bethlem--that in Moorfields--the minutes of evidence refer.
During the seven years prior to the investigation, the number of
patients averaged 238; the annual expenditure, £12,000. Mr. Haslam, the
resident apothecary, ruled supreme. He was responsible for the dreadful
condition in which the notorious Norris was discovered. "There is," says
Sydney Smith, "much evasive testimony, to shift from himself the burden
of this atrocious case; but his efforts tend rather to confirm than to
shake the conviction which the evidence produces.... The conduct of
Haslam with respect to several other patients was of a corresponding
description; and in the case of a gentleman whose death was evidently
accelerated by the severities he underwent, and of several other
persons, there is abundant proof of cruelty.... It is in proof that a
patient actually died, through mere neglect, from the bursting of the
intestines, overloaded for want of aperient medicine, and it is
expressly stated by Haslam himself that a person whom he asserts to have
been '_generally insane and mostly drunk_,' whose condition, in short,
was such 'that his hand was not obedient to his will,' was nevertheless
retained in the office of Surgeon, and continued to attend the patients
for a period of _ten years_--a statement so atrocious that, from any
other quarter, we should have rejected it as utterly incredible."[145]
The governors easily convinced themselves that no foundation whatever
existed for the charge of cruelty and bad management; that every degree
of permissible indulgence had been observed; that the hospital was
equal, if not superior, to any other asylum in England; that the mode of
confining the unhappy Norris appeared "to have been, upon the whole,
rather a merciful and humane, than a rigorous and severe imposition;" in
short, that "the general management of Bethlem, as affecting the health,
the cleanliness, and the comfort of the patients, was of a nature
_creditable to the governors and others concerned in its
administration_." What a picture of the standard of excellence held by
the managers of asylums at that period, not in Bethlem alone, but
generally!
To the question, "Has there not been a rule in the hospital, for a
certain number of years, that, in certain months of the year,
particular classes of the patients should be physicked, bled, bathed,
and vomited, at given periods?" the reply from Bethlem was in the
affirmative. Twice in the year the patients, with few exceptions, were
bled. "After they have been bled," said the physician, in evidence,
"they take vomits once a week for a certain number of weeks; after that,
we purge the patients. That has been the practice, invariably, for
years--long before my time."
Public-domain text, read in full here on John Shaqi.
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