A Psychiatric Milestone eBook

This eBook from the Gutenberg Project consists of approximately 148 pages of information about A Psychiatric Milestone.

A Psychiatric Milestone eBook

This eBook from the Gutenberg Project consists of approximately 148 pages of information about A Psychiatric Milestone.

Even when it is absolutely necessary to employ coercion, if on its removal the patient promises to control himself, great reliance may frequently be placed upon his word, and under this engagement, he will be apt to hold a successful struggle with the violent propensities of his disorder.  Great advantages may also be derived, in the moral management of maniacs, from an acquaintance with the previous employment, habits, manners, and prejudices of the individual:  this may truly be considered as indispensably necessary to be known, as far as can be obtained; and, as it may apply to each case, should be registered in a book for the inspection of the Committee of the Asylum, and the physician; the requisite information should be procured immediately on the admission of each patient; the mode of procuring it will be spoken of hereafter.

Nor must we forget to call to our aid, in endeavouring to promote self-restraint, the mild but powerful influence of the precepts of our holy religion.  Where these have been strongly imbued in early life, they become little less than principles of our nature; and their restraining power is frequently felt, even under the delirious excitement of insanity.  To encourage the influence of religious principles over the mind of the insane, may be considered of great consequence, as a means of cure, provided it be done with great care and circumspection.  For this purpose, as well as for reasons still more important, it would certainly be right to promote in the patient, as far as circumstances would permit, an attention to his accustomed modes of paying homage to his Maker.

In pursuing the desirable objects above enumerated, we ought not to expect too suddenly to reap the good effects of our endeavours; nor should we too readily be disheartened by occasional disappointments.  It is necessary to call into action, as much as possible, every remaining power and principle of the mind, and to remember, that, “in the wreck of the intellect, the affections very frequently survive.”  Hence the necessity of considering the degree in which the patient may be influenced by moral and rational inducements.

The contradictory features in their characters, frequently render it exceedingly difficult to insure the proper treatment of insane persons; to pursue this with any hopes of succeeding, so that we may in any degree ameliorate their distressed condition, renders it indispensably necessary that attendants only should be chosen who are possessed of good sense, and of amiable dispositions, clothed, as much as possible, with philosophical reflexion, and above all, with that love and charity that mark the humble Christian.

Agreeably to these principles, I beg leave to suggest the following regulations to be adopted, in accomplishing the objects in view.

1st.  No patient shall hereafter be confined by chains.

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A Psychiatric Milestone from Project Gutenberg. Public domain.