Lapses of this kind are not frequent, and they are regarded by the
superintendent as part of the means of restoration which the
institution affords; since they aid him in destroying a fatal
self-confidence, and in inculcating the idea that a patient who lapses
must never think of giving up the struggle, but renew it the instant he
can gain the least foothold of self-control.
The system of treatment pursued here is founded on the expectation that
the patient and the institution will co-operate. If a man does not
desire to be reclaimed, and such a desire cannot be awakened within
him, the institution can do no more than keep him sober while he
remains an inmate of it. There will, perhaps, one day be in every State
an asylum for incurable drunkards, wherein they will be permanently
detained, and compelled to live temperately, and earn their subsistence
by suitable labor. But this is not such an institution. Here all is
voluntary. The co-operation of the patient is assumed; and when no
desire to be restored can be roused, the experiment is not continued
longer than a few months.
The two grand objects aimed at by the superintendent are, to raise
the tone of the bodily health, and to fortify the weakened will. The
means employed vary somewhat in each case. The superintendent designs
to make a particular study of each individual; he endeavors to win his
confidence, to adapt the treatment to his peculiar disposition, and to
give him just the aid he needs. As the number of patients increases,
this will become more difficult, if it does not become impossible. The
more general features of the system are all that can be communicated to
others, and these I will endeavor briefly to indicate.
Public-domain text, read in full here on John Shaqi.
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