f the deputy-keeper, immediately on a patient
being admitted, to obtain his name, age, where born, what has been his
employment or occupation, his general disposition and habits, when first
attacked with mania; if it has been violent or otherwise, the cause of
his disease, if occasioned by religious melancholy, or a fondness for
ardent spirits, if owing to an injury received on any part of the body,
or supposed to arise from any other known cause, hereditary or
adventitious, and the name of the physician who may have attended him,
and his manner of treating the patient while under his direction.
8th. Such of the patients as may be selected by the physician, or the
Committee of the Asylum, shall be occasionally taken out to walk or ride
under the care of the deputy-keeper; and it shall be also his duty to
employ the patients in such manner, and to provide them with such kinds
of amusements and books as may be approved and directed by the
Committee.
9th. The female keeper shall endeavour to have the female patients
Constantly employed at suitable work; to provide proper amusements,
books, etc., to take them out to walk as may be directed by the
Committee.
10th. It shall be the indispensable duty of the keepers, to have all the
patients as clean as possible in their persons, and to preserve great
order and decorum when they sit down to their respective meals.
11th. It shall be the duty of the physician to keep a book, in which
shall be entered an historical account of each patient, stating his
situation, and the medical and moral treatment used; which book shall be
laid before the Committee, at their weekly meetings.
The sentiments and improvements proposed in the preceding remarks, for
the consideration of the Governors, are adapted to our present situation
and circumstances; but a further and more extensive improvement has
occurred to my mind, which I conceive, would very considerably conduce
towards affecting the cure, and materially ameliorate the condition, and
add to the comfort of the insane; at the same time that it would afford
an ample opportunity [Transcriber's note: original reads 'apportunity']
of ascertaining how far that disease may be removed by moral management
alone, which it is believed, will, in many instances, be more effectual
in controlling the maniac, than medical treatment especially, in those
cases where the disease has proceeded from causes operating directly on
the mind.
I would pro
|