After Henry VIII's time Bedlam, which had been a religious institution, passed under the care of the state, and from this time on the story of abuses of all kinds is repeated at successive investigations in every other generation. Evelyn, in his "Diary of 1656," notes that he saw several poor creatures in Bedlam in chains. In the eighteenth century it became the custom for those seeking diversion and entertainment to visit Bedlam and observe the antics of the insane patients as a mode of amusement. This was done particularly by the nobility and their friends. A penny was charged for admission into the hospital, and there is a tradition that at one time an annual income of £400 accrued from this source. This would mean that one hundred thousand people had visited the hospital in the course of a year. Some of Hogarth's pictures show the hospital being visited in this way by fashionable ladies. In Rome the Popes, recognizing the superiority of the care for the insane as practised in Spain and in Navarre, opened a Pazzarella at Rome in the sixteenth century under the care of three Navarrese. This hospital for the insane "received crazed persons of whatever nation they be and care is taken to restore them to their right mind; but if the madness prove incurable they are kept during life and have food and raiment necessary to the condition they are in." Evidently they {205} looked for improvement in many cases and expected to allow the patients to leave the asylum at least for a time, though if their alienation continued they were kept. Just about the end of Columbus' Century a Venetian lady of wealth, evidently attracted by the kind of care given the insane, "was moved to such great pity of these poor creatures upon sight of them that she left them heirs to her whole estate. This enabled the management with the approbation of Pope Pius IV to open a new house." It is after the sixteenth century that decadence in the care of the insane becomes very marked. This reached its climax, as might well be expected, just about the same time that hospitals and care for the ailing reached their lowest ebb of efficiency. Burdett, in his "Hospitals and Asylums of the World," London, 1901, gives his third chapter the title, "The Period of Brutal Suppression in Treatment and Cruelty, 1750 to 1850." This decadence was largely due to the fact that institutions for the care of the insane became State asylums, with hired attendants, whose only interest after a time was the drawing of their salary and having as little trouble as possible with the care of the insane. In the previous centuries they had been under the care of the religious orders. {206} CHAPTER III ST. IGNATIUS LOYOLA AND THE JESUITS