Early Alienists

Luther Bell

Luther Bell

One early alienist was Luther V. Bell (1806-1862) . He was only 30 years old, and Superintendent at McLean Asylum, when the Association of Medical Superintendents of American Institutions for the Insane first met. Bell observed many cases of insanity at McLean, and wrote about a new form of mania which had formerly been associated with typhoid fever.

Patients were unable to sleep, paranoid in the extreme–often believing their food was poisoned–and frantically violent. Most of the sufferers were strapped into beds so they wouldn’t attack anyone. Bell observed that the patient’s recovery was often as quick as the onset of the condition had been. Most people were well within 3-4 weeks.

Though this condition may seem like a pure example of pseudo-psychiatry as practiced in the early days of alienists, Bell’s Disease has never been dismissed as an erroneous observation. In1981 the term excited delirium was introduced in the Annals of Emergency Medicine to describe this state.

In my next post I’ll describe some of the ways that alienists devised to keep patients quiet when they were in a excited state.

Insanity and the New Century

Among Other Ingredients, This Patent Medicine Contained Bromides, Chloroform, and Alcohol

Among Other Ingredients, This Patent Medicine Contained Bromides, Chloroform, and Alcohol

At the time Canton Asylum opened, insanity was still rather fluid in both its diagnosis and treatment. Alienists (the early term for mental health professionals) didn’t really know what caused insanity or how to cure it, and the U.S. was by no means on the cutting edge of research. Alienists thought that anything from sudden shocks, masturbation, epilepsy, female troubles, overwork or too much study, and a myriad of other factors could bring on mental troubles.

Treatment could be pretty much anything doctors wanted to try, and there were few protections for patients. Doctors routinely gave patients compounds of arsenic and mercury, and just as routinely shocked, shackled, and force-fed them. Outside the asylums, citizens self-medicating for “nervous” problems could imbibe various cocaine, opium, or cyanide-laced tonics, sip on Hostetter’s Bitters (32% alcohol), or down Sensapersa tablets (containing cannabis).

Americans were anxious to relieve mental suffering, but didn’t know enough to do it effectively and safely. Even with the best of intentions, medical men could wreak great harm on their patients.

Read this interesting article from 1902, which gives advice on how to advertise patent medicine.

The Last New Century

Calamity Jane, 1895, courtesy Library of Congress

Calamity Jane, 1895, courtesy Library of Congress

In 1902, the year Canton Asylum opened, the U.S. was transitioning from raw frontier to settled country. Teddy Roosevelt became the first president to ride in an automobile; J.C. Penny’s opened; and air-conditioning brought relief to sweating workers.

Calamity Jane was still alive, and readers enjoyed a new Sherlock Holmes mystery, The Hound of the Baskervilles, as it was serialized in England’s The Strand magazine.

However, women still couldn’t vote; the Wright brothers had yet to make their first sustained flight; and conveniences like tea bags, zippers, and windshield wipers were years away.

Illustration From Hound of the Baskervilles

Illustration From Hound of the Baskervilles

Though the Statue of Liberty had been dedicated in 1886 and poet Emma Lazarus had begged the world to send America its “huddled masses yearning to breathe free,” America was in reality a land controlled by white people rooted in an Anglo-Saxon culture. That cultural background decided what constituted “normal” behavior. The beliefs and behaviors of other peoples or cultures were “inferior” and needed to be upgraded to the white standard. Indians, many who were in power agreed, were inferior.

Read Lazarus’ entire poem

The Sioux Valley News

"Indians Turned Into Useful Citizens" from Sioux Valley News, May 11, 1906

“Indians Turned Into Useful Citizens” from Sioux Valley News, May 11, 1906

Newspapers are great resources for a writer; they provide a glimpse into the past that can be hard to duplicate elsewhere. However,  I’ve learned to take their news with a grain of salt.

In the newspaper account referenced on my web page, the Sioux Valley News gave a vivid description of a “bad Indian’s” escape from the Canton Asylum.  Any staff not occupied turned out for the chase, and Oscar Gifford, the asylum’s superintendent, was the chief pursuer.

Here is a quote from the newspaper: “Up and down the hill he [Gifford] walked and ran, and a cyclometer which was attached to him, registered one hundred miles of travel, during the ten hours he was out scouring the hills.”

Gifford would appear to be an athlete of the highest caliber from this account, which I cannot quite believe. What I do believe, of course, is that the chase took place, covered a good deal of territory, and ended in the capture of the runaway.

The paper’s delight in this satisfactory conclusion is evident, as is its enthusiastic support for its favorite son, Oscar Gifford. While I gleaned a great deal of useful information from the Sioux Valley News, I also read through it with the understanding that the paper’s slant would always be favorable to Canton and its residents.

Lunatic Balls

Lunatic Ball

Lunatic Ball

As part of their treatment, patients in insane asylums were sometimes allowed recreational opportunities. The New York Times (1874) described an annual ball at the New-Haven, Connecticut lunatic asylum with typical 19th century  indifference to patients’ feelings:

“Twenty couples entered the hall, ranged in two lines facing each other, and stood still in profound silence, waiting the music. In this party the strangeness of the performers was most apparent. […]The music burst forth and a simultaneous movement followed; all sorts of movements, some cultivated steps, but for the most part a mere violent shuffling exercise. Directly they all seemed to have forgotten that they had partners, and settled down into dancing. There was some peculiarity about every individual, but in every one was observable a sort of ecstacy [sic].”

A description of a fire at Blackwell’s Island City Lunatic Asylum in 1879 also referenced lunatic dancing. When an alarm sounded and patients were released from their cells:

Dance at a Madhouse, 1907 by George Wesley Bellows

Dance at a Madhouse, 1907 by George Wesley Bellows

“To allay their fears, and to quiet the excitement which many of them began to exhibit owing to their being disturbed at an unusual time, the lunatics were told were told that there was to be a dance in the Amusement Hall. […]A merry air was played on the piano, and in a few minutes the lunatics were dancing and capering about in high glee.”

 

 

Come and See Crazy People

Tourist Plate

Tourist Plate

In the 1800s and early 1900s, many insane asylums  (as well as prisons and orphanages) were treated as tourist attractions. This practice had started long ago, when visitors to Bedlam in London, paid a penny to see the lunatics there. They were allowed to bring in sticks to poke the inmates with, to stir them up.

The situation was not so bad in America by the 19th century, but many people were curious about insane asylums and wanted to see inside. Some visitors were  curious gawkers–the same kind of people who enjoyed freak shows at the circus–but many others were sincerely interested in seeing how patients were treated.

The pictures are of tourist items created for the Canton Asylum for Insane Indians.

Souvenir Spoon

Souvenir Spoon

Close-up of Spoon

Close-up of Spoon

The First Lunatic Hospitals

Cornerstone of Pennsylvania Hospital

Cornerstone of Pennsylvania Hospital

In 1751, Dr. Thomas Bond and Benjamin Franklin founded Pennsylvania Hospital to “care for the sick, poor, and insane who were wandering the streets of Philadelphia.” It opened in 1753, and six of its first patients were “lunaticks” who needed psychiatric care.

Dr. Benjamin Rush, often called the “Father of American Psychiatry,” became involved with the hospital about 30 years after its founding. Though he believed strongly in purging, blood letting and “twirling,” his treatment methods were considerable more humane than most practices of the time. Rush forced the hospital to stop chaining its most serious lunatic cases in unheated cells, and minimized other restraints like cuffs. He also helped stop the townspeople from coming to the hospital to watch the insane patients as a form of entertainment.

A New Life in Canton

Three Teepees, courtesy of the Library of Congress

Three Teepees, courtesy of the Library of Congress

Canton Asylum’s first patient, a 33-year-old Sioux man named Andrew Hedges, arrived at the facility on December 31,1902. The entire asylum staff turned out to greet Hedges. They were nearly as excited as the townspeople, who believed that the insane asylum would put the bustling little city of Canton on the map. Both groups were sure that this asylum—new, beautiful, and unique—would be a Mecca for prominent alienists (the early term for mental health professionals) from around the world.

The Land of the Atsina, circa 1908, courtesy of the Library of Congress

The Land of the Atsina, circa 1908, courtesy of the Library of Congress

The facility would have been impressive enough anywhere, but it was especially imposing in such a sparsely populated area. Two stories tall and surrounded by lushly planted trees and bushes, it had all the modern conveniences—electric lights, coal-stoked boilers, and a sewage system. However, no architect or landscaper could dress up the fact that its inmates were hundreds—if not a thousand—miles away from home. The distance was too great to allow relatives and friends to visit.

Crazy People in Custody

Phrenology Chart

Phrenology Chart

Places to confine insane people had existed in the United States for many years, but superintendents of insane asylums usually acted independently of each other.

A casual meeting between two superintendents in Philadelphia led to the creation of an Association of Medical Superintendents of American Institutions for the Insane in 1844.

The group immediately began sharing information on such topics as:

 

“The Treatment of Incurables”

“The Relation Between Phrenology and Insanity”

“The Utility of Night Attendants and the Propriety of Not Locking Doors of Patients’ Rooms During the Night”

Phrenology was an early attempt to explain brain function. Practitioners  attempted to read a person’s character from the shape of the skull, particularly from its bumps, peaks, and valleys. This pseudo-science was developed by Franz Joseph Gall (1758-1828) and was popular into the latter part of the 19th century.

It Cures What Ails You

Blood, Liver and Stomach Renovator

Patent medicines reached out to a populace with little faith in, or access to, medical doctors. Manufacturers  generally leaned on heavy doses of alcohol and great advertising to move their products, which often promised to cure just about anything a patient could have. Promoters of these cure-alls favored personal testimonials that gave weight to their medicine’s powers. Many of the medicines also relied on an association with Native Americans.

Despite the cultural bias of the times, there did seem to be widespread respect for the centuries of medical wisdom that Native Americans had accumulated. Makers of patent medicine tried to establish a link to their potion and secret Indian recipes to give credibility to their concoctions.

 

Here are some popular patent medicines that linked themselves to Native Americans:

Patent Medicine Label

1. Indian Restorative Bitters.

2. Chief Wahoo Electric Tonic

3. Alacaster’s Indian Vegetable Jaundice Bitters

4. Goff’s Indian Vegetable Cough Syrup

5. Clements Indian Tonic

6. Dr. Morse’s Indian Root Pills