sudden movement of the peculiarly formed head, which our preconceived
notions led us to expect, were none of them observable. One individual
indeed there was whom we mentally concluded to be certainly mad. Yet,
singular to say, this gentleman was the only sane individual in the room,
besides ourselves and the medical superintendent; and on further
acquaintance, having told our ill-placed suspicions, he frankly confessed
that he had in his own mind paid ourselves a similar compliment. The eager
glance of curiosity natural to inquisitive strangers was the nearest
approach in this lunatic party to the outward appearance of lunacy. So
much for the "unmistakeable" countenance of the insane! It is not to be
supposed that the more violent can be allowed this social freedom even in
private establishments, or that madness is different in a metropolitan
licensed house from what it is in a public asylum; but we unhesitatingly
assert that in the vast majority of cases the large amount of freedom and
the absence of any prison-like characteristics have an undoubted effect,
not only in calming the mind of the patient, but in expediting his
recovery. Hence the per-centage of cures in a high-class private asylum
are immeasurably beyond those of any public establishment. The
pleasure-ground, out-of-door games, carriage and riding parties,
billiards, whist and evening parties, all contribute their aid in
restoring the unhinged mind. We have seen four or five patients leave the
doors of one of these licensed metropolitan houses (the establishment of
Dr. Forbes Winslow, "Sussex House," Hammersmith), and remain out for hours
without any attendant, their word of _honour_ being the only tie existing
between them and the asylum.[18]
The condition of a few of the provincial licensed houses is still
glaringly bad, and shows that old ideas, with respect to insanity, are not
entirely obsolete. The Report of the Commissioners of Lunacy for 1856,
relates circumstances which lead us back to the old days of Bedlam. Thus
at Hanbury House the Commissioners found "one young lady fastened by
webbing wristbands to a leathern belt; she was also tied down to her chair
by a rope." Again, they found on their last visit to the Sandford Asylum,
in December, 1855, "a patient just dead, his body exhibiting sores and
extensive sloughs, arising necessarily, we think, from want of
water-pillows or other proper precautions. The room has a stone or plaster
floor, and is without a fire." It is, however, encouraging to find that,
as far as personal restraint goes, the very worst of our private asylums
are far superior to some of the best of the public asylums of France. Dr.
Webster, our great authority on this point, gives in Dr. Winslow's
Psychological Journal, the results gleaned in his visits to these
establishments in the August and September of 1850:--
Public-domain text, read in full here on John Shaqi.
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