Insanity: Its Causes and PreventionStearns, Henry Putnam
Science
Insanity: Its Causes and Prevention
Stearns, Henry Putnam
Psychiatry -- Early works to 1900
1st. The general condition of asylums for the insane has greatly improved
everywhere within the last forty years: buildings, grounds, and the
general external appearances have become more attractive; halls and rooms
have been better furnished, lighted, heated, and ventilated, and
consequently more cheerful and inviting in appearance to patients and
friends. There is much less of mechanical restraint used than was formerly
considered necessary, and a larger amount of personal freedom; while the
introduction of labor among the inmates more generally has served to
render life in asylums more like that at home, especially for the chronic
insane. In consequence, or partly in consequence, the public have come,
more fully than ever before, to appreciate the good results which arise,
both directly and indirectly, from asylum treatment, and have lost, in a
large measure, the distrust formerly existing in relation to these
institutions, and are now more ready to place their friends and relatives
in them for care.
2d. The view has become more general, that those who are so unfortunate as
to become insane, have claims upon the public, more obligatory than any
other class in the community can have, and, consequently, very large
numbers who were formerly detained in almshouses and in county poorhouses,
have been removed and placed under the more favorable conditions of
hospitals better adapted to their humane care.
3d. Formerly it was considered necessary to place only the more acute and
violent forms of disease in asylums for treatment, while the chronic
insane, especially those in a demented and quiet condition, were retained
at home; but more recently persons are inclined to recognize the
importance of placing these classes, also, in asylums, where they may be
under the care of persons who have been educated for the purpose, and
consequently understand better how to manage and care for them; and also
for the purpose of leaving the productive members of the family free to
engage in ordinary industry.
4th. It has also come to pass that many who were formerly considered only
as _eccentric_ or _singular_ in their general conduct and relations with
others, are now recognized as partially insane, and consequently society
is less tolerant of their presence, and more urgent that they be removed
to places of greater safety, and where their general influence may be less
harmful.
Public-domain text, read in full here on John Shaqi.
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