Physician and patient : $b or, a practical view of the mutual duties, relations and interests of the medical profession and the communityHooker, Worthington
Science
Physician and patient : $b or, a practical view of the mutual duties, relations and interests of the medical profession and the community
Hooker, Worthington
Medical ethics; Physician and patient; Physicians; Quacks and quackery
It was during the reign of terror, and while all France labored under
a new form of insanity, that the idea was first conceived of setting
loose madmen from their bonds. The good and wise physician, Pinel,
seems to have been struck with the injustice of keeping the patients
chained in the dungeons of Bicetre, while so many hundreds of his
countrymen, more mischievously distracted than many of them, were at
large to work the bloody frolics of the revolutionary frenzy. There
were at that time upwards of 300 maniacs chained in the loathsome
cells of the horrible Bedlam of France. Pinel formed the resolution
of setting them free from their strict restraint, and he entreated
permission of the Commune to that effect. Struck with the novelty
of the enterprise, at that time a sufficient recommendation before
any assembly in France, the Commune listened to the proposal, and
deputed one of their body, the notorious Couthon, to accompany the
physician to the spot, and judge of the propriety of carrying his
undertaking into effect. They were received by a confused noise—the
yells and vociferations of some hundreds of madmen, mixed with
the sounds of their clanking chains, echoing through the damp and
dreary vaults of the prison. Couthon turned away with horror, but he
permitted Pinel to pursue his enterprise. The philanthropist resolved
speedily to liberate fifty of the number by way of experiment, and
began by unchaining twelve of the most violent. The account of his
proceeding has been recorded by his nephew, Sclyion Pinel, in a
lively narrative, which was read before the Academy of Sciences. The
first man set at liberty was an English captain. He had been forty
years in chains, and his history was forgotten by himself and all
the world. His keepers approached him with dread; he had killed one
of their comrades by a blow with his manacles. Pinel entered his
cell unattended, and accosted him in a kind and confiding manner,
and told him that it was designed to give him the liberty of walking
abroad, on condition that he would put on a waistcoat that might
confine his arms. The madman appeared to disbelieve; but he obeyed.
His chains were removed, and the door of the cell was left open.
Many times he raised himself and fell back; his limbs gave way; they
had been ironed forty years. At length he was able to stand and to
stalk to the door of his dark cell, and to gaze, with exclamations
of wonder and delight, at the beautiful sky. He spent the day in
the enjoyment of his newly-acquired privilege; he was no more in
bonds; and during the two years of his farther detention at Bicetre,
assisted in managing the house. The next man liberated was a soldier,
a private in the French guards, who had been ten years in chains,
and was an object of general fear. His case had been one of acute
mania, occasioned by intemperance—a disorder which often subsides in
a short time under abstinence from intoxicating drinks unless kept
up, as in this case, by improper treatment.
Public-domain text, read in full here on John Shaqi.
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