Dr. Conolly, in his lately-published volume on "The Treatment of the
Insane without Mechanical Restraint," looks upon the banishment of the
strait-waistcoat with a just pride, for to him we owe the abolition of the
last mechanical means of coercing temporary violence; but we cannot
participate in his fear that the selfishness and ignorance of human nature
will ever be able to restore the gloomy reign which has at last been
brought to a close. We can no more go back to the days of hobbles and
handcuffs, chains and stripes, than we can go back to the days of the rack
and thumbscrew. We may have, it is true, lamentable exposures, such as
took place at Bethlehem in 1851, but the depth of the public outcry, and
the promptness with which the irregularities were remedied, is of itself
an evidence that general opinion will prove the corrective of occasional
abuses. Nor can we, from a fancied apprehension of the return to obsolete
practices, join in the fanaticism which forbids the use of the
strait-jacket as a means of coercion under all circumstances. There can be
no doubt that the treatment which requires its frequent use is a bad one;
but to deny that there are cases which call for its restraints would be to
deny the evidence of our senses. Mr. Wilkes, the late medical officer to
the Stafford County Lunatic Asylum, and now Commissioner in Lunacy, in
answer to a series of questions issued by the Commissioners on Lunacy upon
the subject, makes the following remarks:--
"With every disposition to advocate the disuse of restraint to the
utmost extent, I am compelled to admit that the result of my
experience in this asylum, up to the present time, leads me to the
conclusion that cases may occur in which its temporary employment may
be both necessary and justifiable. Besides the occasional use of some
means of confining the hands when feeding patients by means of the
stomach-pump, a more prolonged use of restraint was necessary in two
cases which occurred some years since. One of these was a man of so
determined a suicidal disposition, that on more than one occasion he
nearly effected his purpose by trying to beat his head and face
against the walls, to throw himself from tables and chairs, and thrust
spoons and other articles down his throat. When first admitted, he was
not suspected of having any suicidal tendency, and for some weeks did
not show any; as a matter of precaution he slept in a padded room, and
one night he so battered his head with a tin vessel that he was found
nearly dead from loss of blood, and his life was subsequently in much
danger from extensive sloughing of the scalp. In this case it was
absolutely necessary to confine the hands to keep any dressings on the
head, and after the wounds had healed, and the confinement of the
hands had been discontinued, he wore a thickly-padded cap for many
months.
Public-domain text, read in full here on John Shaqi.
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