and opinions of Tuke, but having frequently mixed
my own observations with his, and his manner of expression not being
always adapted to our circumstances and situation, I have attempted to
vary the language, so as to apply it to our own institution; this will
account for many of the subsequent remarks not being noticed as taken
from Tuke's work.
It is, in the first place, to be observed, that in most cases of
insanity, from whatever cause it may have arisen, or to whatever extent
it may have proceeded, the patient possesses some small remains of
ratiocination and self-command; and although many cannot be made
sensible of the irrationality of their conduct or opinions, yet they are
generally aware of those particulars for which the world considers them
proper objects of confinement. Thus it frequently happens, that a
patient, on his first introduction into the asylum, will conceal all
marks of mental aberration; and, in some instances, those who before
have been ungovernable, have so far deceived their new friends, as to
make them doubt their being insane.
It is a generally received opinion, that the insane who are violent,
may be reduced to more calmness and quiet, by exciting the principle of
_fear_, and by the use of chains or corporal punishments. There cannot
be a doubt that the principle of fear in the human mind, when moderately
and judiciously excited, as it is by the operation of just and equal
laws, has a salutary effect on Society. It is of great use in the
education of children, whose imperfect knowledge and judgment, occasion
them to be less influenced by other motives. But where fear is _too
much_ excited, and especially, when it becomes the chief motive of
action, it certainly tends to contract the understanding, weaken the
benevolent affection, and to debase the mind. It is, therefore, highly
desirable, and more wise, to call into action, as much as possible, the
operation of superior motives. Fear ought never to be induced, except
when an object absolutely necessary cannot be otherwise obtained.
Maniacs are often extremely irritable; every care, therefore, should be
taken, to avoid that kind of treatment that may have any tendency
towards exciting the passions. Persuasion and kind treatment, will most
generally supersede the necessity of coercive means. There is
considerable analogy between the judicious treatment of children and
that of insane persons. Locke has observed "the great secret of
educat
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