the most convenient as well as the best means of treating the insane, and
the errors to which it is liable can at all times be obviated by the
careful supervision of the medical officers.
Nothing strikes the visitor with greater admiration than the care taken of
the paralytic and imbecile patients, who form so large a per-centage of
the inmates of the county asylums. In most cases the sleeping apartments
of these poor creatures at Colney Hatch and Hanwell are padded round
breast-high, in order that they may not damage themselves against the
walls whilst seized with convulsions in bed; and a pillow has been
invented perfectly permeable to the air, on which they can lie with their
faces downward during the paroxysm of a fit, without the risk of
suffocation. In extreme cases even the floor is padded, lest the sufferer
should unconsciously throw himself upon it. The bed-ridden paralytic
reclines upon a water-bed, and is tended night and morning as sedulously
as a helpless babe. The test of the care which prevails in an asylum is to
be found in the condition of the persons who cannot help themselves. Where
trouble begins, negligence begins also, in an ill-regulated establishment.
Nowhere do the alleviations of humanity seem more required than with the
idiots and paralytics. Of all the wards at Colney Hatch, these are the
most depressing. It is impossible to contemplate a room full of creatures
moving about on their seats with a monotonous action like a company of
apes, or when paralyzed in their lower limbs, to see them dragging
themselves like seals along the floor by the aid of their arms, without
being oppressed by the sense of the dreadful condition to which man can be
reduced when the mind is ruined and the nerve-power diseased. It is only
in these wards and the refractory that on ordinary occasions the stranger
would discover that he was among the mentally afflicted. It is reported
that a lady, after she had been shown over a large asylum by the
celebrated Esquirol, inquired, "But where are the mad people?" All the
infinitely finely-shaded stages of lunacy which lie between mental health,
wild fury, and chronic dementia are, in the popular idea, merged in the
raving maniac. Yet it is rare for a casual visitor to witness scenes of
violence in a lunatic asylum. Those who are mischievous are trained to
concentrate their dislike upon the medical officers and attendants rather
than upon their fellow-patients. The matron of Hanwell Asylum, in her
report for 1856, thus speaks of one of the criminal lunatics who belongs
to this refractory class:--
Public-domain text, read in full here on John Shaqi.
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