by the innocent lunatics, and that their recovery is retarded by the
indignation excited at their degrading companionship with the outcasts of
society. The erection of a criminal asylum upon a large scale would both
compel a better system of classification, and would necessitate some
solution of the difficult question--What shall be done with criminal
patients who have recovered? One class of cases at least, as Dr. Tyler
Smith has pointed out, leaves no room for doubt. The females who have
committed offences whilst under the influence of the delirium attendant
upon puerperal fever, and who, having recovered, are past the age of
child-bearing, should at once be released. They are no longer liable to a
recurrence of mental aberration, and to keep them incarcerated for life,
is to treat past misfortune as an inexpiable crime. Nothing can be more
cruel, unjust, and motiveless.
It is proposed to remove Bethlehem Hospital into the country, on the plea
that ground cannot be obtained in sufficient quantity for the use of the
inmates. If by this is meant that agricultural pursuits cannot be carried
on in St. George's Fields, we rejoice in the fact. A sane man, accustomed
to the busy scene of a large town, would be wretched if he was condemned
to pass the remainder of his days amid the silence of the fields, and the
lunatic remains for the most part under the same domination of former
habits. The notion that his faculties are universally disordered, all his
perceptions destroyed, all his tastes obliterated, and all his sympathies
extinct, is one of the grossest errors which can prevail. Nor do the
better class of patients (such as form the inmates of Bethlehem) require
the hard exercise which is necessary for the maintenance of health with an
agricultural pauper. They find far more recreation in strolling through
the streets in the neighbourhood of the asylum, under the care of an
attendant, than in wading through ploughed fields, or in taking a turn at
spade husbandry. To this we must add, that insanity is often a sudden
seizure, that individuals go raving mad in the streets; that, in short,
there are frightful casualties of the mind, as of the body, which require
the instant attention of the mental physician. For this reason alone every
lunatic asylum should no more be removed into the country than every
ordinary hospital. But, apart from this circumstance, we repeat that
Bethlehem, within call of friends and within the hum of the busy world,
glimpses of which can be caught by the patients from the loopholes of
their retreat, and into which they are occasionally allowed to enter, is
far better placed for purposes of cure than in any rural district, however
well supplied with the means of pursuing agricultural labour. At present
all the sights of the metropolis are from time to time enjoyed by the
inmates. "The male patients last year," says Dr. Hood, the resident
physician, "who were not fit to be discharged, were allowed to spend a day
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