In a case which came under our knowledge, a patient imagined that the
text, "If thine eye offend thee pluck it out," was literally intended,
and, after various attempts to comply with the command, he succeeded in
destroying the sight of one orbit. Such instances are rare, but the
medical man should at all times be prepared to meet them, instead of
folding his arms and looking helplessly on whilst the mischief is being
done, through a craven fear of the non-restraint cry. The strait-waistcoat
is certainly liable to great abuse, but less than the padded room, which
may be converted into a cruel means of coercion in the hands of unwatched
attendants.
There yet remains a vast amount of restraint, which is almost as
irritating, if not so strongly reprobated, as the implements which bind
the limbs of the suicidal or violent. Restraint is only comparative. The
strait-waistcoat is the narrowest zone of confinement, and the padded room
but a little wider. Next to these comes the locked gallery for a class,
then the encircling high wall for the entire lunatic community; and
lastly, that aërial barrier the parole, for those who can be trusted to go
beyond the asylum. The efforts of philanthropists will not, we are
convinced, cease, until all the methods of confinement, down to the
parole, are removed; or at least so disguised as to hinder their present
irritating action upon the inmates. As long as the chief idea in
connection with these establishments is that they are receptacles for the
_detention_ of the insane, so long perhaps the means taken to prevent
flight will obtain; but when they are simply regarded as hospitals for the
cure of mental disease, we shall witness the abandonment of many
arrangements which are as barbarous and ineffectual as the cruelties
practised in the last century. The asylums where the restraint is greatest
are precisely those from which the largest number of patients contrive to
escape; whereas, when restrictions of all kinds are abolished, as at the
insane pauper colony of Gheel, in Belgium, but few persons ever attempt to
get away.
In former days the public were admitted to perambulate Bedlam on the
payment of twopence. A writer in the _World_ gives a narrative of a visit
to it in Easter-week, 1753, when he found there a hundred holiday-makers,
who "were suffered unattended to run rioting up and down the wards, making
sport of the miserable inhabitants." Richardson, the novelist, had, a few
years earlier, depicted the scene in the assumed character of a young lady
from the country, describing to her friends the sights of London.
Public-domain text, read in full here on John Shaqi.
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