Total abolition of personal restraint in the treatment of the insane, a lect. on the management of lunatic asylums

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Page 19 - I assert then in plain and distinct terms, that in a properly constructed building, with a sufficient number of suitable attendants, restraint is never necessary, never justifiable, and always injurious, in all cases of lunacy whatever.
Page 13 - He raised himself many times from his seat, but fell again on it, for he had been in a sitting posture so long that he had lost the use of his legs. In a quarter of an hour he succeeded in maintaining his balance, and, with tottering steps, came to the door of his dark cell. His first look was at the sky, and he cried out enthusiastically,
Page 14 - Bicetre in a state of the greatest excitement. He had now been chained for ten years, and with greater care than the others, from his having frequently broken his chains with his hands only. Once when he broke loose, he defied all his keepers to enter his cell until they had each passed under his legs : and he compelled eight men to obey this strange command. Pinel, in his previous visits to him, regarded him as a man of original...
Page 12 - English captain, whose history no one knew, as he had been in chains 40 years. He was thought to be one of the most furious among them ; his keepers approached him with caution, as he had in a fit of fury killed one of them on the spot with a blow from his manacles. He was chained more rigorously than any of the others.
Page 17 - The result was beyond his hopes. Tranquillity and harmony ^succeeded to tumult and disorder, and the whole discipline was marked with a regularity and kindness which had the most favorable effect on the insane themselves ; rendering even the most furious more tractable.
Page 13 - From his frequent excesses, he had been discharged from his corps, and he had speedily dissipated his scanty means. Disgrace and misery so depressed him that he became insane: in his paroxysms he believed himself a general, and fought those who would not acknowledge his rank. After a furious struggle of this sort, he was brought to the Bicetre in a state of the greatest excitement.
Page 21 - There is now," says this report, " an increased confidence that the anticipations of the last year may be fulfilled, and that an example may be offered of a public asylum, in which undivided personal attention towards the patients shall be altogether substituted for the use of instruments of restraint.".
Page 11 - You may do what you will with them," said he, " but I fear you will become their victim." Pinel instantly commenced his undertaking. There were about fifty whom he considered might without danger to the others be unchained, and he began by releasing twelve, with the sole precaution of having previously prepared the same number of strong waistcoats with long sleeves, which could be tied behind the back if necessary. The first man on whom the experiment was to be tried was an English captain, whose...
Page 11 - Couthon then interrogated those who were chained, but the abuse he received, and the confused sounds of cries, vociferations, and clanking of chains in the filthy and damp cells, made him recoil from Pinel's proposition. ' You may do what you will with them,' said he, ' but I fear you will become their victim.
Page 36 - ... and the total absence of every description of other occupation of the attendants.

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