Category Archives: Canton Asylum for Insane Indians

Canton Asylum for Insane Indians in South Dakota was also known as Hiawatha. It opened in December 1902 and closed in 1934 after charges of neglect and abuse were validated. Dr. Harry Reid Hummer and Oscar Sherman Gifford were its only two superintendents. Its only patients were Native Americans, typically called Indians. It was the only federal insane asylum created solely for an ethnic group and served only Indians.

Prairie Madness

he High Plains in Kansas, 1920, courtesy U.S. Department of the Interior, Geological Survey

The High Plains in Kansas, 1920, courtesy U.S. Department of the Interior, Geological Survey

Life on the edges of the Western frontier was difficult, and by necessity, attracted mostly rugged, committed people who believed they could carve a good life for themselves in these untested regions. Despite the [general] sense of hope and adventure they carried, pioneers could not escape from mental illness any more than their counterparts in the more settled East. A  form of mental illness peculiar to the people settling the Great Plains was “prairie madness.”

An Interesting Read for Modern Urbanites

An Interesting Read for Modern Urbanites

 

It was an apt name, since the empty vastness of the prairie was an important contributor to the condition. Men and women who left an established home and social ties to face the isolation of the Great Plains could fall into depression that led to withdrawal and hopelessness. Some sufferers responded with anger and violence or with changes in behavior and character, and some went so far into despair that they committed suicide. Aside from returning East, there was little help for anyone who began to suffer from the condition, and it would have been difficult to differentiate normal feelings of homesickness and loneliness from the more extreme symptoms in the condition’s beginning stages.

Risk factors of the prairie environment included:

— Isolation

— Lack of transportation

— Harsh weather

— Unfamiliar hazards such as grasshopper plagues, prairie fires, and drought

— Lack of medical facilities and professionals, which made any sort of physical sickness more difficult to endure

— The unceasing wind and lack of familiar vegetation like trees

Prairie madness was not a defined, clinical condition with precise symptoms, but many people wrote about it. One memoir that includes an account of prairie madness is Adela Orpen’s Memories of the Old Emigrant Days in Kansas, 1862-1865.

A Sod House Was a Far Cry From Most Settlers' Former Homes, courtesy Library of Congress

A Sod House Was a Far Cry From Most Settlers’ Former Homes, courtesy Library of Congress

 

What Could Go Wrong?

Virginia Woolf

Virginia Woolf

Simple as it was, the rest cure ended up being quite controversial, since the majority of its patients were women. Dr. Mitchell’s theory about the rest cure centered around the belief that women were weak and could be hurt by too much education or stimulation. The nervous exhaustion so prevalent during the late 1800s was a consequence, in his view, of women trying to exceed their natural limitations. In fact, part of the cure involved putting female patients into a state of childlike dependence by forcing them to stay in bed and submit to a nurse’s care for even bathing and eating. (See last post.)

Charlotte Perkins Gilman

Charlotte Perkins Gilman

Charlotte Perkins Gilman, a writer and early feminist, took Mitchell’s rest cure and was nearly destroyed by it. In her words, she, “came so near the borderline of utter mental ruin that I could see over.” After going home and refusing to follow his advice, Gilman left her marriage and continued to write.

Gilman Believed That Her Short Story Influenced Mitchell to be More Humane

Gilman Believed That Her Short Story Influenced Mitchell to be More Humane

Her short story, “The Yellow Wallpaper,” published in 1913, describes her despair while taking the cure. Virginia Woolf also took a rest cure (though not with Mitchell) and wrote disparagingly of it afterward.

These women, and others, successfully rebelled against the restrictions and paternalism of the rest cure. However, it actually reflected prevailing medical views of the time: that women were frail and needed to do whatever their [male] physicians told them to do.

The Rest Cure

Dr. Silas Weir Mitchell

Dr. Silas Weir Mitchell

The rest cure was probably the most fashionable of responses to a condition of “nerves” or neurasthenia (see last three posts). Only the wealthy could afford such a complete withdrawal from obligations or work, let alone take on the obvious expenses of accommodations and treatment involved in the cure. Women took the treatment in disproportional numbers from men, but may have been kept out of asylums with its help. Even though some patients deplored this cure, surely it was better for both reputation and psyche than a stay in a madhouse.

Dr. S. Weir Mitchell was the leading authority on treatment through the rest cure, and was highly influential in popularizing it during the late 1800s. The rest cure worked in two ways: like a stay in an asylum, the rest cure took patients out of their homes and isolated them from whatever atmosphere, people, or situation had caused the problem; the cure secondarily worked on their body and mind by keeping patients at rest in a pleasant, cheerful environment.

Patients were literally forced to rest in a bed for six to eight weeks; massage and electrical stimulation helped keep their muscles toned during the enforced inactivity. Patients were washed by nurses, who also fed them a milk-based diet; milk alone might be given for the first week, or raw eggs if a patient couldn’t tolerate milk. Feeding was nearly continuous, and patients could be force-fed if they would not voluntarily down the quantities the staff tried to give them. Sometimes patients were not allowed to read, talk, or enjoy even the most minimally physical amusements. This probably separated the patient who merely wanted a change of pace or sanctioned escape from an unpleasant household situation from patients who truly needed care.

Patient Undergoing Rest Cure

Patient Undergoing Rest Cure

Dr. Mitchell at the Infirmary for Nervous Diseases, Philadelphia, 1902, courtesy National Library of Medicine

Dr. Mitchell at the Infirmary for Nervous Diseases, Philadelphia, 1902, courtesy National Library of Medicine

Industrialization and Mental Illness

George Beard

George Beard

Americans may have enjoyed many of the new inventions and opportunities the dawning industrial age offered, but many were also thrown off balance by the increasingly fast pace of the late 1800s.

Dr. George Beard noticed that Americans were having difficulty coping with life as new forms of transportation, communication, and automation made their way into society. He tried to make sense of the physical symptoms cropping up in far too many ordinary, upper and middle-class people, and determined that they were caused by an “exhaustion of the nervous system.” He termed the syndrome neurasthenia.

Beard's Book on American Mental Illness

Beard’s Book on American Mental Illnes

Though Beard’s observations were quite astute to some degree, he also perpetuated some stereotypes. He believed that “civilization” and its higher demands led to certain nervous conditions and physical complaints: “The savage can usually see well; myopia is a measure of civilization.”

Likewise, American women, who were given the opportunity to socialize more easily than women in other countries, developed their “cerebral activity” more quickly. This, in turn, influenced their physical development, with the end result that American women were typically more beautiful and expressive than women in other countries.

 

Americans Sought Help for Nervous Diseases

Americans Sought Help for Nervous Diseases

Change in the Air

A Literary Reminder of a Fading West

A Literary Reminder of a Fading West

Though 1903 continued in the same difficult pattern and lifestyle for most Americans (see last post), the year also saw many exciting changes. The Canton Asylum for Insane Indians, with its modern lighting and plumbing, reflected the wave of innovation and invention rippling throughout the country.

From 1900 – 1903:

  • Henry Ford founded Ford Motor Company.
  • Germans invented the zeppelin airship.
  • Orville Wright made his first flight on the Wright Flyer.
  • Guglielmo Marconi completed the first two-way wireless message 
  • Crayons were invented.
  • Owen Wister wrote The Virginian.
Young Polish Boy, a Migrant Worker, Picking Berries in Maryland, courtesy National Archives

Young Polish Boy, a Migrant Worker, Picking Berries in Maryland, courtesy National Archives

 

Industrialization had come to the country, even though the majority of the population still lived in rural areas. Men, women, and children abandoned farms and sought the factory work which mechanical innovation made available.

Along with it came the ills of modern society and some new psychological problems. But, not to fear, for alienists were ready and willing to meet the challenges of the new era.

 

 

Count Ferdinand Von Zeppelin Invented His Namesake Dirigible

Count Ferdinand Von Zeppelin Invented His Namesake Dirigible

 

New Century, Old Ways

New York Street Scene, 1903

New York Street Scene, 1903

Life was difficult around the turn of the twentieth century. A simple scratch or sore throat that developed into strep could still cause death since there were no effective antibiotics, most homes had no indoor plumbing, and heating fuel was dirty and inconvenient.

Feeding Chickens in Montana, 1908

Feeding Chickens in Montana, 1908

Though most women no longer had to weave their own cloth, many were still cutting out patterns and sewing their family’s clothes.

 

Farming was labor-intensive, with a lot of human-power to supplement whatever farm animals were available for plowing, planting, and other tasks. Canning food for the winter was hot, exhausting, and seemingly endless when the crops came in and food had to be processed right away.

Farm House in Nebraska, 1903, courtesy Library of Congress

Farm House in Nebraska, 1903, courtesy Library of Congress

It is little wonder that the townspeople in Canton, South Dakota were so proud and impressed with the new Canton Asylum for Insane Indians,with its electric lights and indoor plumbing. (The asylum had range toilets; these flushed at intervals rather than after each individual use, but were still a great convenience.)

In an age when even very young children worked hard on farms or in dangerous factory and mining jobs, the public could feel gratified that an institution existed which could provide food, shelter, and medical care to people who were struggling to get through life.

 

 

Time Matters

Charles Eastman, 1897, courtesy Smithsonian Institution

Charles Eastman, 1897, courtesy Smithsonian Institution

The world was truly a different place when the Canton Asylum for Insane Indians first opened on the last day of 1902. Even something as simple as clothing was remarkably different from what we typically see and wear today. Men dressed far more formally and women were tied down (and sometimes literally weighted down) with voluminous dresses and hats. Continue reading

Paperwork

Record of Patients at St. Louis Insane Asylum, 1886

Record of Patients at St. Louis Insane Asylum, 1886

Running an insane asylum involved a great deal of administrative work, and it is no wonder that some records were not as meticulous as inspectors and latter-day researchers would have liked.

Dr. Harry Hummer, superintendent of the Canton Asylum for Insane Indians, was often accused of poor-record keeping. However, not all of his records were badly kept; the problem lay in where he chose to put his efforts. A February, 1927 journal voucher lists 30 patients along with small sums spent on their behalf. These sums ranged from a few dollars to fifteen cents, yet Dr. Hummer kept track of them for reimbursement purposes.

Conversely, he spent almost no time updating patient medical records during the asylum’s later years; he left that task to his attendants who often jotted repetitive, meaningless updates that were useless for diagnostic purposes. Perhaps Dr. Hummer put his energy only into those tasks he thought would benefit himself and contribute to the efficiency of the asylum.

Patient Record From Nineteenth Century

Patient Record From Nineteenth Century

 

Many asylums have not retained all their patient records (or have deliberately destroyed them), so Canton Asylum’s incomplete patient records does not present an unusual situation. One inadvertent benefit to Hummer’s attention to detail in certain areas is that it is at least possible to cull patient names from these types of documents.

Death Certificate From Western State Hospital

Death Certificate From Western State Hospital

 

By going through vouchers and reports, researchers can fill in gaps that might exist in the records they would prefer to have, or uncover tidbits of information that present a clearer picture of  their subject matter. For instance, a payroll list from June 1923 shows that Dr. Hummer’s father, Levi, and his son, Harry Hummer, Jr. were employed at the asylum; additionally, a separate letter to the Indian Office that same month shows that Dr. Hummer’s other son, Francis, acted as an escort for patients coming to the asylum from Taos, New Mexico. It would certainly be interesting to speculate or do further research on the dynamics of this family employment.

 

Reports, Reports

Nurse and Patients at Fergus Falls State Hospital, 1900

Nurse and Patients at Fergus Falls State Hospital, 1900

With perhaps a very rare exception, all insane asylums were inspected on a reasonably regular basis, and inspectors visited the Canton Asylum for Insane Indians a number of times. Visits were usually routine, though the asylum received a number of special inspections brought on by complaints or allegations of misconduct that reached the Indian Office. Continue reading

A Divided View

Secotan Indians' Dance in North Carolina, Watercolor by John White, 1585

Secotan Indians’ Dance in North Carolina, Watercolor by John White, 1585

White society saw Native American dancing in two ways: immoral and/or depraved, or as perfectly acceptable cultural expression (see last two posts). Native Americans often pointed out that their dances were not as immoral as white dancing, which included close physical contact as well as uninhibited movements. Continue reading