Gheel, and are appropriated to quieter lunatics and those who are able to
pay more liberally for their treatment. In these habitations the sufferers
are placed under the care of the host and hostess; more than three persons
never being domiciled under one roof, and generally not more than one. The
lunatic shares in the usual life of the family; his occupations and
employment are theirs, his little cares and enjoyments are the same as
theirs. He goes forth to the fields to labour as in ordinary life; no
stern walls perpetually imprison him, and make him desire to overleap
them, as Rasselas desired to escape even from the Happy Valley. If it is
not thought fit for him to labour with plough or spade, he remains at
home, and takes care of the children, prunes the trees in the garden, and
attends to the potage on the fire; or if a female, busies herself in the
ordinary domestic duties of the house. The lunatics, as may be supposed,
are not left to the discretionary mercies of the host and hostess. A
strict system of supervision prevails, somewhat analogous to that of the
lunacy commissioners and the visiting justices of England. The entire
country is divided into four districts, each having a head guardian and a
physician, to whom is entrusted the medical care of every inmate belonging
to that section. There are, in addition, one consulting surgeon and one
inspecting physician for the whole community. The general government of
the colony is vested in the hands of eight persons, who dispense a code of
laws especially devised for it. The burgomaster of Gheel presides over
this managing committee, whose duties are to distribute the patients among
the different dwellings, to watch over their treatment, and to admit or
discharge them. A visiting commissioner is annually appointed, who
inspects the dwellings of the different hosts, and sees that the patients
are properly cared for. The oversight of the lunatics falls almost wholly
upon the hostess, the man rarely interfering, unless called upon to
control a disorderly patient. The people of Gheel, from having been
engaged for ages in the treatment of the insane, are said to have acquired
extraordinary tact in their management, which, Dr. Webster remarks, may be
considered to exhibit a most judicious mixture of "mildness and force."
Although instruments of restraint, such as the strait-waistcoat, and the
long leathern thong below the leg, to prevent patients from running away,
are occasionally resorted to, the sectional physician must be instantly
informed of their imposition, and their use cannot be continued without
his sanction. So little are they required, that Dr. Webster found less
restraint in this colony, unconfined by walls, than in the asylum at
Mareville, in France, containing a similar number of lunatics. Yet there
were fewer escapes than from the strictly-guarded restraint-abounding
prison, only eleven persons having fled from Gheel in the course of last
year, and nineteen from Mareville.
Public-domain text, read in full here on John Shaqi.
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