first weeks of her craziness, they are converting her into a chronic
burthen, seeing that she will probably live on to a good old age in the
asylum, and cause them an ultimate expenditure of hundreds of pounds. To
the swifter removal after the outbreak of the disorder we must look for a
permanent remedy; but in the mean time something must be done to
disembarrass the public asylums of the dead-weight of hopeless cases, if
we seriously intend to take advantage of the curative appliances we
already possess. The commissioners seem inclined to favour the erection of
separate asylums for those who are beyond the reach of medical art. To us
it seems that the more economical plan would be to apportion certain wards
in the various workhouses for the reception of chronic cases, and to draft
off the idiots alone to special establishments. By this means our
water-logged asylums would speedily right themselves, and again become
what they should never have ceased to be--hospitals for the _cure_ of the
insane. At present we encourage an elaborate system for the manufacture of
life-long lunatics. It is well known that the cures of early cases of
insanity throughout England amount to 45 per cent., and at Bethlehem and
St. Luke's, where no others are received, the cures have amounted to 62
per cent. and 72 per cent. respectively; whereas at Colney Hatch, Hanwell,
and the Surrey County Asylum, the three great receptacles for the weepings
of the metropolitan workhouses, the average cures do not exceed 15 per
cent. If we take the lowest averages of cures, there is still a difference
of 30 per cent. of human creatures who sink down into the cheerless night
of chronic dementia and idiotcy, or who dream away the remainder of their
lives in hopeless childishness. Another ground of complaint is, that a
degree of clerk's work is imposed upon the medical superintendents of
large asylums which is quite inconsistent with a proper discharge of their
chief duty--the recovery of their patients. Irrespective of the
routine-labour of making daily and quarterly and yearly reports, which is
very considerable, they have far more to do in their strictly professional
capacity than they can possibly accomplish. The three great asylums near
the metropolis contain upwards of 3,000 patients, or the population of a
good-sized country town; and their moral and physical training is confided
to exactly six medical men, or as many as will be found in an hospital of
a hundred beds! It is needless to observe how little attention can be paid
to each individual, and that the more promising patients must be
inevitably swamped in the sea of hopeless lunatics. As long as our asylums
remain mere houses of detention, the want of medical superintendence is
not so apparent; but immediately these establishments are restored to
their proper functions, we predict that the evil will become too glaring
to last.
Public-domain text, read in full here on John Shaqi.
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