It so happened that just before the beginning of Columbus' Century there was a special development of care for the insane and the opening of a series of hospitals that represent an epoch in the history of care for these poor people. The most important part of this development of the fifteenth century occurred in Spain. Asylums were founded at Valencia, Saragossa, Seville, Valladolid and Toledo. This movement has sometimes been attributed to Moorish or Mohammedan influence, but even Lecky, in his "History of European Morals," has rejected these assertions which are absolutely without proof. Spain continued to be the country in which lunatics were best cared for in Europe down to the beginning of the nineteenth century. Pinel, the great French psychiatrist who struck the manacles from the insane of France, declared Spain to be the country in which lunatics were treated with most wisdom and most humanity. In his book on "Mental Alienation" he gives some details of the treatment which show a very modern recognition of the need to be gentle and careful of the insane rather than harsh and forceful. In England a rather important development of care for the insane occurred during this century in connection with Bedlam Hospital, London. This, originally founded as a home for the suffering poor, as its name Bethlehem (house of bread) implies, whether they had any specific ailment or not, came after a time to be a hospital, and then as a further development confined its care to the insane. Tyndale is the first to use the word Bedlam as meaning a madhouse or a madman, so that the conversion had evidently taken place in his time. One very interesting custom developed which serves to show the mode of treatment practised. A "bedlam" came to {204} signify one who had been discharged from this hospital with the license to beg. After recovery from their acute conditions the insane were allowed to go out on condition, if there was no one to care for them, that they wore a tin plate on their arms as a badge to indicate that they had been for a time in the asylum. This tin plate aroused the sympathy of those they met and they were helped in various ways by the people of the time. Besides, it served as a warning that, since such people had been for a time in the asylum, they were not to be irritated nor treated quite as other folk, but on the contrary to be cared for. They were known as bedlamers, bedlamites or bedlam beggars. They were treated so well that tramps and other beggars of various descriptions obtained possession of badges and abused the confidence of the public.