It has been generally imagined that women are more subject to mental
alienation than men; this, however, is by no means proved by observation
in other countries, as will appear by the following calculation:
Men. Women.
1756 Marseilles 50 49
1786 Paris 500 509
1786-1794 Bedlam 4992 882
1807 St. Luke's 110 153
1802 Paris 1 to 2
---- Berlin 1 to 2
---- Vienna 117 94
---- Pennsylvania 2 to 1
1807-1812 Various Madhouses in France 488 700
1802-1814 Mr. Esquirol's establishment 191 144
---- ----
Total 6452 6536
In the Lunatic Asylum of Hanwell I have now under my care 265 males, and
351 females.
It has long been a current opinion that madness is a more common disease
in our country than any where else. This may possibly arise from the
greater number of our eccentric countrymen that are widely scattered over
the globe; and whenever an individual is observed whose manners and
conduct are totally at variance with the habits of any other member of the
community, he is generally considered an Englishman. Voltaire came to the
sweeping conclusion that one half of the nation was scrofulous, and the
other moiety insane.
However, it would appear that insanity is on the increase; for in the
report of the commissioners for licensing lunatic establishments we find
the following statement: "Insanity appears to have been _considerably_ on
the increase; for if we compare the sums of two distant lustra, the one
beginning with 1775, and the other ending with 1809, the proportion of
patients returned as having been received into lunatic asylums during the
latter period, is to that of the former nearly as one hundred and
twenty-nine to one hundred." Dr. Burrows has endeavoured to impugn the
correctness of this statement by proving that suicide is more frequent in
other countries; now, unless Dr. Burrows can prove that suicide is always
an act of insanity, which will by no means be admitted, his observation
can bear no weight.
It is but too true that in melancholy madness we often observe a
prevailing propensity to self-destruction. Dr. Abercrombie's views on this
subject are so luminous that I shall transcribe them.