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
This was not accomplished without some trouble and anxiety. It took
time to indoctrinate the officers and attendants with the principles
of the new system, in which they were deprived of their old prop. The
aid which he received from Miss Powell the matron was most valuable.
In ten years not one case was admitted to Hanwell in which mechanical
restraint was deemed necessary, although many suicidal patients were
among them. In fact, the removal of restraint tended directly and
powerfully to promote the recovery of these, by taking away the sense
of degradation occasioned by such restraint, by bringing them within
the sphere of medical remedial agents and of cheerful influences. The
only substitutes allowed were in some cases seclusion of a patient in
an ordinary sleeping apartment, and, in extreme cases, in a padded
room in which the floor was a bed; such seclusion being immediately
reported to the medical officers, and recorded, even when continued
only for a few minutes. This was found sufficient to protect the
other patients, to calm the refractory one, and act as a tonic and
remedial influence. The shower-bath was rarely resorted to except
for medical reasons; window-guards, clothing, and bedding of strong
materials to prevent tearing, were only required in a few cases. “The
great and only real substitute for restraint is invariable kindness,”
says Dr. Conolly. “This feeling must animate every person employed in
every duty to be performed.”
Dr. Conolly published the main results of his experience in his
Clinical Lectures in the _Lancet_ in 1846, and in a work on the
Construction and Government of Asylums, in 1847. His annual reports
to the Justices detailed the progress of his system, and he
afterwards summarised them and published them collectively. At the
end of ten years, finding the non-restraint system in no danger
of being abandoned at Hanwell, Dr. Conolly ceased to be resident
physician, and became visiting physician, attending at the asylum
twice a week, and spending the greater portion of the day there. His
interest in the patients, says Dr. Hitchman, seemed never to flag.
He would always look out for something to commend in a patient, the
hair better kept, clothes more neatly worn, &c., and addressing the
patients in the most gentle, affectionate tones, he made his visits
always a matter of longing. The old attendants at the hospital in
after years spoke of Dr. Conolly’s untiring watchfulness in the first
years of his experiment. He would visit the wards at all hours of the
night to see that his orders were being obeyed, walking noiselessly
along the corridors. He was kept up in his arduous duties by an
elevated religious principle. “I feel grateful to God,” he wrote,
“who has intrusted duties to me which angels might stoop to perform.”
He suffered greatly from an affection of the skin, which kept him
awake at night and ill at ease during the day; and hence was liable
Public-domain text, read in full here on John Shaqi.
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