Eminent doctors: Their lives and their work; Vol. 2 of 2Bettany, G. T. (George Thomas)
History
Eminent doctors: Their lives and their work; Vol. 2 of 2
Bettany, G. T. (George Thomas)
Medicine -- Great Britain -- History; Physicians -- Great Britain
The old lunatic asylums of this country were objects of dread and
repulsion. Severity was considered to be an absolute necessity in
their management. “The affrighted visitors,” says Conolly,[17]
“saw that many were furious ... and it never occurred to them that
habitual severity was the real cause of the habitual fury.” New
Bethlem in Moorfields two centuries ago was a place of chains,
manacles, and stocks. Down to 1770 the inmates were exhibited to the
public at a charge of twopence, afterwards reduced to one penny.
The medical profession had become accustomed to neglect mental
diseases, and to acquiesce in severe treatment. Cruelty became
developed in ingenious forms. In some Continental asylums patients
were terrified by the gradual ascent of water in a well in which
they were chained. Machines were imagined by which a newly arrived
lunatic could suddenly be raised to the top of a tower, and as
suddenly lowered into a deep dark cavern; “if the patient could be
made to alight among snakes and serpents, it would be better still.”
A revolving chair was invented, in which the victim could be strapped
and made to gyrate at the rate of one hundred revolutions per minute.
This was eulogised as a potent means of quieting the unmanageable,
and was supposed to induce the melancholy to take “a natural interest
in the affairs of life.” We can only make this passing allusion to
the way in which ingenuity was exhausted in devising methods of
restraint and torture.
Nothing could have been worse than the condition of the Bicêtre and
the Salpêtrière, the two large asylums of Paris, when Pinel was in
1793 appointed to the former by Cousin, Thouret, and Cabanis, then
newly appointed administrators of the Parisian hospitals. Damp,
dark cells, infested by rats, contained dirt-coated beings whose
only comfort was a little straw, chained, brutally ill-treated,
and attended by brutal criminals. For nearly ten years previously
Pinel’s attention had been directed to the treatment of the insane,
and now, in spite of difficulties which officials threw in his way,
he succeeded in loosening the chains and ameliorating the treatment
of the majority of the patients. Yet his reforms nearly cost him
his life. Rumours were spread accusing him of some evil motive in
unchaining dangerous lunatics, and a mob one day seized him, and
uttered the well-known terrible cry “_à la lanterne!_” An old soldier
of the French Guard, once a lunatic, whom he had released from
chains, cured, and employed in his own service, was appropriately the
means of his rescue. Thus was philanthropy once more justified of her
children.
Public-domain text, read in full here on John Shaqi.
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