Tag Archives: plunge bath

Hydrotherapy

Continuous Bath, Life Photograph

Continuous Bath, Life Photograph

The plunge bath, douche bath, continuous bath, needle bath, and so on, fell under hydrotherapy treatment. In theory, the treatment should have been effective and fairly humane. Warm, soothing baths would help patients sleep, while a plunge bath, using water at temperatures between 45-70 degrees, might shock a violent patient into settling down. Though uncomfortable, such a treatment was preferable to being wrestled to the ground or restrained.

Hydrotherapy Wrapping, St. Elizabeths, courtesy National Archives

Hydrotherapy Wrapping, St. Elizabeths, courtesy National Archives

Even at the best of times, hydrotherapy tended to be uncomfortable. Many doctors thought cold water treatment was superior to warm, and believed treatments should be administered in the morning just as the patient arose. Many medical people believed that warm baths opened up the pores so that a person could catch cold more easily.

Plunge baths and other cold water hydrotherapy were  believed to be invigorating for patients, though other doctors thought it absurd to think that any person–sick or well–would enjoy emerging from a warm bed in order to plunge into a cold bath. Unfortunately, patients had no say in the matter and had to live with whichever theory their own doctor adhered to.

Hydrotherapy Apparatus

Hydrotherapy Apparatus

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Punishing the Insane

Douche Bath in Pennsylvania Hospital for the Insane, 1868, courtesy cournellpsychiatry.org

Douche Bath in Pennsylvania Hospital for the Insane, 1868, courtesy cournellpsychiatry.org

Some asylum superintendents treated their patients like naughty children or criminals, imposing punishment upon those who were unruly or uncooperative.

Doctors forced patients to take hyoscyamine (an alkaloid found in henbane that has a very bitter, nasty taste) or to drink disgusting concoctions. Another popular punishment was the plunge bath, in which patients were repeatedly dunked in ice-cold water.

Hyoscyamine (Henbane)

Hyoscyamine (Henbane)

Patients who were able to work, but refused to do so, were especially irritating. Doctors might try to humiliate or degrade them by forcing these patients to wear ragged clothes, or by cutting their hair off.

Other doctors noted that these punishments seldom worked, and called for humane treatment. In their opinion, the insanity itself was the cause of a patient’s misbehavior. These doctors felt it was pointless to punish someone who couldn’t control his behavior or had lost his moral sense through the disease of insanity.

Surprise Bath, courtesy cornellpsychiatry.org

Surprise Bath, courtesy cornellpsychiatry.org

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