Tag Archives: Dr. Harry Hummer

Canton’s Patients

Canton Asylum with Swing Sets

Canton Asylum with Swing Sets

Few patient records from the Canton Asylum for Insane Indians are intact or complete. This is not unusual–many asylums destroyed their records over the years, since early administrators did not see any potentially historical value in them. The Canton Asylum’s records are especially problematic, though, since its superintendent, Dr. Harry Hummer, was faulted several times for a failure to even keep good records. What never existed cannot very well be found, in many cases. There are a few records that remain, and when patients were transferred to St. Elizabeths after the Canton Asylum closed, staff observed them for a period of time and then summarized the patient’s history and current behavior (see last post). Here is an example of their summation of a patient:

Nesba (Tribe – Navajo)

She was admitted to the Canton Asylum . . . at the request of the Superintendent of Southern Navajo Agency, Fort Defiance, Arizona. The medical certificate at the time stated, “The patient has been in present condition for past two years. Present symptoms, feeblemindedness, dementia.” The patient is a congenital defective suffering with cerebral palsies. . . . During her stay in the Canton Asylum she was infantile in her reaction, subject to tantrums during which she cried and yelled, sang, etc. These periods seemed to coincide with her menstrual periods. At one time during her stay there she was quite destructive to clothing . . . she mimicked people and seemed to delight in teasing other patients.

On her admission here the patient was passively cooperative but unable to stand alone due to her physical handicap. She is mute except for guttural noises which she makes in her throat. No definitive mental content can be elicited. She smiles at any attention received, is quite highly pleased at any effort of others to associate with her.

Other remarks continued to assess the patient’s physical condition and mental status, but staff said it was “impossible to determine whether she is oriented or if her memory is better.” She had been admitted to Canton Asylum in 1924 when she was about 20 years old, so would have been around 30 when she came to St. Elizabeths. Her physical condition probably brought her to and kept her in an asylum.

My next post will give one more patient history.

Group of Female Patients, Eastern Hospital for the Insane, courtesy National Institutes of Health

Group of Female Patients, Eastern Hospital for the Insane, courtesy National Institutes of Health

 

Acute Insanity as Cause of Death

Acute Insanity as Cause of Death

Patient Histories

Many Physicians Believed Insanity Stemmed from Physical Causes

Many Physicians Believed Insanity Stemmed from Physical Causes

An important innovation in the treatment of the insane was to obtain a history of patients’ past life and behavior. This allowed doctors to see how much the patient was deviating from previous behavior that was “normal” for that person; it also allowed them to see if anything important might have happened to cause the patient’s decline in mental health. Illnesses, shocks, losses, and so on could be precipitating events, as could lifestyle practices such as alcohol or opiate use. All mental illness wasn’t connected to outside factors, of course, but alienists began to realize that for them to understand and help patients, they had to understand what they had been like before they became insane.

Most patient records are missing from the existing files on the Canton Asylum for Insane Indians. Medical files seemed to have been fairly up-to-date when the asylum first opened, since the asylum’s assistant superintendent, Dr. John Turner, could ascertain the date of a patient’s pregnancy by the menstrual records he kept. When Dr. Harry Hummer took over as superintendent, one report mentioned that his record-keeping was modeled after that of St. Elizabeths, where he had been a physician. However, the doctor was criticized in later reports for poor record-keeping. The reports on patients that he sent to relatives varied little from month to month, and Hummer put a stop to even this slight gesture after a number of years.

When patients were transferred to St. Elizabeths after the Canton Asylum closed, staff reviewed what was known about them and then wrote their own assessments after a short period of observation. Sometimes these short notes are the only ones available, and they at least give a glimpse as to why a patient came to the asylum.

In my next couple of posts, I will share a few of these patients notes.

Psychoanalysis Is News, courtesy National Archives

Psychoanalysis Is News, courtesy National Archives

Group of Prominent German Alienists

Group of Prominent German Alienists

Make it Pretty

Exhibition of Fancy Work, 1908, courtesy Willard

Exhibition of Fancy Work, 1908, courtesy inmatesofwillard.com

Occupational therapy was an important part of patient care in nearly all asylums. Patients were encouraged to do skilled work that got their minds off their problems/issues and produced a tangible object in which they could take pride. Genteel ladies might do fancy sewing while men engaged in woodwork, even in an elite asylum such as the McLean Asylum for the Insane in Massachusetts.

Indian patients at the Canton Asylum for Insane Indians were also encouraged to do crafts like beadwork and basket weaving if they so desired, to help pass time. (Peter Thompson Good Boy spent time “beading” at St. Elizabeths during his stay there beginning in 1913.) Occasionally, patients like Lizzie Vipont earned a little bit of money with their beadwork by selling items to visitors. Necklaces and handbags seemed to be most popular–or at least are mentioned most often. One report mentions that men whittled wooden objects, but went on to say that women were the primarily crafters. The asylum’s second superintendent, Dr. Harry Hummer, also allowed these kinds of occupations, but apparently stopped encouraging it so that the practice fell by the wayside.

This photo appeared in USA Today. Artifacts left over from the Hiawatha Insane Asylum for Indians in Canton, S.D. are displayed at the Canton Public Library on April 23, 2013. Photo: Elisha Page, Sioux Falls, S.D. Argus Leader

This photo appeared in USA Today. Artifacts left over from the Hiawatha Insane Asylum for Indians in Canton, S.D. are displayed at the Canton Public Library on April 23, 2013. Photo: Elisha Page, Sioux Falls, S.D. Argus Leader

 

Occupational Therapy, Toy Making in WWI-Era Psychiatric Hospital, courtesy Otis Historical Archives, National Museum of Health and Medicine

Occupational Therapy, Toy Making in WWI-Era Psychiatric Hospital, courtesy Otis Historical Archives, National Museum of Health and Medicine

Asylum Visitors

 

A Trolley Helped Make Visiting Easy, 1907

A Trolley Helped Make Visiting Easy, 1907

Though few people wanted to be in an asylum–probably including its staff at times–many people did go to asylums either out of a sense of duty or of curiosity. Bands from a nearby town would often provide music for patients, while other people would offer lectures, magic lantern shows and other entertainments, or conduct religious services. Continue reading

A Run for Freedom

Escape of Keosoht

Patients were often brought to insane asylums against their wills, and then stayed in them against their wills. Many were heartbroken to think that relatives or spouses would commit them to treatment in such places, and some patients discovered to their horror that there would be little chance of returning to their homes. Continue reading

Deficits in Care

James McLaughlin

Inspectors regularly toured the Canton Asylum for Insane Indians, and generally found the buildings in order. Even non-medical men, however, could see early on that the institution wasn’t really fulfilling its purpose. A report by James McLaughlin in 1910 says: “The present facilities for care of the insane patients meet requirements as to baths, meals and sleeping accommodations, but for the proper treatment of those who might be benefited by some special course, there are no facilities.”

By this time, Dr. Turner had resigned from his duties at the asylum and his replacement, Dr. Hardin, had also resigned. Superintendent Dr. Harry Hummer was the only medical person on staff–the same situation Dr. Turner had been in under the asylum’s first superintendent. However, Dr. Hummer had to run the asylum as well as provide medical care, since the assistant superintendent’s position was never subsequently filled. Even though Dr. Turner’s attempts at psychiatric care had been modest at best, Dr. Hummer apparently let even these small efforts go by the wayside.

Meeting of the Medical Staff, Kankakee Mental Hospital, circa 1910

Psychiatric Patients in Steam Cabinets, circa 1910, courtesy American Psychiatric Association Archives

______________________________________________________________________________________

 

 

 

 

 

Agriculture at the Asylum

Herd Pasturing on Wild Hay, 1910, courtesy Minnesota Historical Society

The Canton Asylum for Insane Indians did not depend on its gardens and livestock for survival, but the dairy products, fresh meat, and fresh produce they produced made meals more bountiful and nourishing. Dr. Harry Hummer depended upon them to keep his costs down, and failures were disappointing to both his self-esteem and his goal of running a tight (economic) ship. Hummer was a micromanager, though, and his interference probably added to whatever problems the site had due to weather and soil conditions.

Dr. Hummer’s unreasonableness was well-known, and a farmer on staff complained once that the doctor expected him to get a spring garden in (sow seed) while the field for it was under a foot of water. A few years later, the asylum lost its potato and corn crops due to drought and excessive heat, an unpreventable loss that has regrettably always been part of the farmer’s lot. Despite these setbacks, Hummer embraced farming and raising livestock wholeheartedly. Many of his letters to various commissioners of Indian Affairs requested more buildings and equipment to expand these operations, and he was generally praised for his efforts in these areas. Either Hummer concentrated on farming because it was more rewarding than trying to cure his patients, or because he was so concerned about economy that he was willing to neglect his patients to spend time on these non-patient concerns.

Wheat Field, Kearney Nebraska, 1908, courtesy Library of Congress

Effects of Drought on Corn near Russelville, Arkansas, 1936, by Dorothea Lange, courtesy Library of Congress

______________________________________________________________________________________

Garden Problems

A South Dakota Farm During the Depression

A South Dakota Farm During the Depression

Many insane asylums had gardens which grew both flowers and produce. The Canton Asylum for Insane Indians included a garden that provided supplemental fresh food for staff and patients, but sometimes with indifferent results.

South Dakota was subject to harsh and unpredictable weather, with great temperature swings at times, drought, and pests. Continue reading

Insanity Mixed With Other Issues

A 1926 Poster Urging the Removal of Defective People

Dr. Harry Hummer’s concern about releasing female patients of childbearing age (see last post) shows that he was looking at factors beyond a patient’s ability to live comfortably outside asylum walls. Hummer was neither alone nor unusual in his concern that a former female patient might bear a child who would, in turn, inherit the mother’s problem. (For some reason, he did not voice the same concerns about male patients.) Both anecdotal observation and real scientific research over many years had made it clear that certain genetic traits could be inherited. A fear of inherited insanity was of long standing, and featured as a theme in a number of Victorian novels in which characters refused to marry because of the “taint of insanity” running through their bloodline.

The rising popularity of eugenics (the theory and practice of improving the genetic quality of a population) during the turn of the century and into the 1930s, gave validity to concerns about inheriting madness. Researchers in eugenics tended to believe that many human qualities–good or bad–were inherited rather than the product of environment. Their pseudo-science was well-presented, however, and many people believed that almost anything could be inherited. Even before Hummer became the Canton Asylum for Insane Indians‘ superintendent, Americans had begun to support theĀ  idea of sterilizing so-called “unfit” people in order to stop specific undesirable traits from passing to a new generation. In 1907, the country’s first compulsory sterilization law was passed in Indiana, and targeted “confirmed criminals, idiots, imbeciles, and rapists.” The law was struck down in 1921 but later reinstated in 1927; the second law targeted the “insane, feeble-minded, and epileptic” and stayed on the books until 1974.

Contestants in a Better Baby Contest at the 1931 Indiana State Fair

Eugenic Certificate

______________________________________________________________________________________

Another Patient’s Fate

Admission Notes Showing Insane and Epileptics Co-Mingled

Susan Wishecoby was sent to the Canton Asylum for Insane Indians probably because of her epilepsy. She apparently did not know exactly what was wrong with her, and erroneously thought she was going to a hospital. She wrote many letters to the commissioners of Indian Affairs in office during her confinement, but they always referred her requests for discharge to Dr. Harry Hummer.

Wishecoby obviously got better, and worked with the attendants keeping the wards clean. After Commissioner Burke forwarded a letter of Wishecoby’s to Hummer, he replied: “She suffered from epileptic seizures, upon admission, but has not had one, so far as we have observed, for more than three years.” Hummer went on to say that Wishecoby had had delusions which were also in abeyance, and that her “irascible nature” was probably permanent. Hummer added that “her actions here are all that could be desired.”

After making such a case for her recovery, Hummer hastened to add: “…that she is endeavoring to convince us that she should be returned, and, when the restraints of this institution are removed, she may give way.” Then he got to the heart of the matter–she was of childbearing age. “If we are concerned only in treating this individual, we should probably discharge her. If we are concerned also in treating the future generations and preventing the increase of the number of cases of mental disease, we should pause and give this matter deep consideration.”

Records are incomplete, but the letters that remain show that Hummer wrote these words to the commissioner in July, 1925, and that Susan Wishecoby was returned home on September 14, 1925. The intervention of her brother and the reservation superintendent probably came into play, since references are made to them in additional letters around that same time.

An Epileptic Asylum in Abilene, Texas

One Treatment for Epilepsy

______________________________________________________________________________________