When Dr. John Maurice Grimes inspected mental institutions in the U.S. (see last two posts), he discovered that the federal asylum in Washington, DC, (St. Elizabeths) was overcrowded. Continue reading
When Dr. John Maurice Grimes published Institutional Care of Mental Patients in the United States at his own expense (see last post), he was able to speak freely about his findings.
His comments about Veterans Administration hospitals which treated mental patients were heartening: on the whole, he found VA facilities almost always situated on pleasant plots of land with room for necessary buildings and recreational activities. Continue reading
Most patients, of course, did not want to be in an asylum, and moving into one very likely added to whatever problem that had brought them there. Doctors’ management of their conditions may or may not have alleviated their distress (see last post), since much of the available medication in the 1800s and early 1900s had undesirable or unpleasant side effects.
Superintendents at insane asylums had every incentive to cure patients, since high cure rates brought both prestige and validation to their institutions. This is one reason that they urged families to get their loved ones into an asylum quickly, before the mental illness became established and more difficult to alleviate or cure. Continue reading
Modern researchers sometimes pass judgment on whether or not a person should have been committed to an insane asylum–but It isn’t always an easy call. Reading patient notes can lead one to believe that disruptiveness rather than insanity caused a commitment (see last post), or that patients were committed for conditions that we realize today have nothing to do with insanity, such as epilepsy. Continue reading
Certain patients with mental illness were more difficult to manage than others, and families often grew tired of coping with a disruptive member who perhaps drained them physically and emotionally. An asylum offered a wonderful solution to the problem, and some families were quick to leave a relative at one and never look back. Continue reading
Spectacular cases of involuntary commitment have found their way into newspapers and books and are interesting to read about, but in reality, many families were reluctant to commit their loved ones to an asylum. Authorities hoped that their magnificent buildings and varied amenities would reassure family qualms so that patients would be admitted before their cases became chronic. Continue reading
The insane asylum at Yankton, SD (see last post) was typical of its time. It had a board of men in a trustee relationship who were charged with watching over the running of the asylum. Their duties were varied and wide-ranging, and it is likely that the asylum’s superintendent was not always happy with their oversight.
Patients entering an asylum were frequently given sedatives or tonics, depending upon their physical state, as well as a strong laxative to clean them out. Warm baths were thought to be calming and were frequently prescribed for agitated patients. Continue reading
Water therapies, known collectively as hydrotherapy, were popular forms of treatment for insanity. Most people today have relaxed under the influence of a warm, soothing soak in a tub, but it is interesting to note that bathing for health or medical reasons was popular long before bathing as a sanitation practice became nearly universal. Continue reading