Here also, it will be observed, there
is no separation of the sexes. The lunatics live the life of the other
inhabitants, and males and females associate in the same household. If we
compare the effects of this simple treatment with that of the most
expensive of our own asylums, we are compelled to admit that the balance
is in favour of Gheel, where, notwithstanding the free admission of
chronic cases, upwards of twenty-two per cent. of cures takes place
annually, while at Hanwell and Colney Hatch the cures never exceed
fifteen per cent. No fair comparison can be instituted between the expense
per head at Gheel and in our English establishments, inasmuch as living is
much cheaper in Belgium; but we may state, that the average cost of board
and lodging for each pauper in the colony is 10_l._ per annum, or exactly
the sum charged for lodging alone in our county asylums.[17]
A plan, towards which we have been slowly advancing during the last
half-century, will speedily, we hope, be more closely followed. A trial is
already, to some extent, being made of it in the neighbourhood of existing
asylums, and might supplant, with immense advantage, the prevailing custom
of building new wings, and over-populating old wards. The present system
of enormous buildings, which destroys the individuality of the inmates,
and suppresses all their old habits and modes of life, is evidently
disapproved by the commissioners, as appears from the language they hold
in their tenth annual report:--
"We have the best reason for believing that the patients derive a
direct benefit, in many ways, from residing in cheerful, airy
apartments detached from the main building, and associated with
officials engaged in conducting industrial pursuits. A consciousness
that he is useful, and thought worthy of confidence, is necessarily
induced in the mind of every patient, by removal from the ordinary
wards where certain restrictions are enforced, into a department where
he enjoys a comparative degree of freedom; and this necessarily
promotes self-respect and self-control, and proves highly salutary in
forwarding the patient's restoration. As a means of treatment, we
consider this species of separate residence of the utmost importance,
constituting in fact a probationary system for patients who are
convalescing; giving them greater liberty of action, extended
exercise, with facilities for occupation; and thus generating
self-confidence, and becoming not only excellent tests of the sanity
of the patient, but operating powerfully to promote a satisfactory
cure. The want of such an intermediate place of residence is always
much felt; and it often happens that a patient just recovered from an
attack of insanity, and sent into the world direct from a large
asylum, is found so unprepared to meet the trials he has to undergo,
by any previous use of his mental faculties, that he soon relapses,
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