Skip to main content

Full text of "Annual report of the trustees of the State Lunatic Hospital at Worcester"

See other formats


tffiminTf**iii>\ i,\uiU'i'.r\i'.<; '■•.■,.',■■•■■■.'■■'■■" '- • ■ 



A 



Digitized by the Internet Archive 

in 2010 with funding from 

University of IVIassachusetts Amherst 



http://www.archive.org/details/annualreportoftr01stat 



^yUlA.^^^ -.yO^iJUjdSA^ ^Ae- K^«^t&i;U>i.-t;i.^, 



REPORT 



RELATING TO 



LUNATIC HOSPITAL. 



SENATE..... ......No. 7. 

THIRD 

ANNUAL REPORT OF THE TRUSTEES 



O R C E S T E 



DECEMBER, 1836. 



S^UTTON AND WENTWORTH, STATE PRINTERS. 
1836. 



To His Excellency the Governor, and the Honorable 
Council. 



The Trustees of the State Lunatic Hospital, at Wor- 
cester, respectfully present this their Third Annual Re- 
port — being for the year 1835. 

The statistics of the institution are fully and minutely 
■exhibited in the tables accompanying this report. And in 
the examination of these tables, in comparing the details of 
this institution with those of others of a similar design, 
one important consideration should be kept in mind. In 
most of these others, the object is remedial, and chiefly 
remedial. Here on the contrary, many are sent decided- 
ly incurable, and whom this hospital must receive and 
guard, knowing them to be such on their admission — 
for one of its chief objects is to secure such as are so 
furiously mad that they cannot be permitted to go at 
large, without endangering the safety of the commu- 
nity. Whence, if our tables show — -when compared 
with those of other institutions, the number discharged 
to be smaller in proportion ;— and also show the average 
number of its own incurables increased and increasing, 
the reason is plain. Such is one design of the institu- 
tion. Its inmates are not cured, because not sent to he 
cured ; but to be guarded when past cure. 

The design of the institution being perfectly under- 
stood, it is thought that the extent of its benefits and the 
nature of them may best be made known and apprecia- 



4 STATE LUNATIC HOSPITAL. Jan 

ted by an exposition of a few cases reported by the su- 
perintendent. 

No. 1. One case, reported by the Commissioners for 
the erection of the hospital, had been, when he was 
brought to the institution, twenty eight years in prison — 
seven years he had not felt the influence of fire, and 
many nights he had not lain down for fear of freezing. 
He had not been shaved for twenty eight years, and he 
had been provoked and excited by the introduction of 
hundreds, to see the exhibitions of his raving. He is 
now, and has been, comfortable in health — well clad — 
keeps his bed and room remarkably clean, and, although 
very insane on certain subjects, is most of the time plea- 
sant, companionable and entirely harmless and docile. 
He shaves himself twice a week — sits at table with 
sixteen others — takes his meals — walks about the village 
and over the fields with an attendant to accompany him^ 
and enjoys himself as well as his illusions will permit. 

This man committed homicide. 

No. 2. Had been in one prison fourteen years, he was 
naked — his hair and beard grown long ; and his skin so 
entirely filled with the dust of charcoal as to render it 
impossible from its appearance, to discover what nation 
he was of. He was in the habit of screaming so loud as 
to annoy the whole neighborhood, and was considered a 
most dangerous and desperate man. When he came to 
the hospital he was provided with a new suit of clothesy 
which the sheriff advised us to have taken off and pre- 
served, as he doubted not he would strip them in tatters 
in two hours. He was^ however, induced to preserve 
them with great care, and has constantly for two years 
worn his clothes, sleeps in a good bed — sits at the table 



1836. SENATE— No. 7. 5 

to take his meals and is quite a civil, although a very in- 
sane man. 

He too committed homicide. 

No. 3. An old man of seventy years of age or more, 
had been chained for twenty Jive years, and had his chain 
taken off but once in that time. Has for many months 
been very quiet and civil, and behaves like a gentleman : 
and, although quite insane keeps his room in good order, 
and takes his meals at table with seventeen others, w^ith 
the utmost propriety. 

No. 4. A female, had so long been confined with a 
short chain, as wholly to lose the use of her lower limbs. 
Her health had been materially impaired by confinement, 
and she was unable to stand, and had not walked for 
years. In the hospital her health has been restored, her 
limbs rendered again useful so that she walks without 
difficulty ; is now in the enjoyment of health and reason, 
and able to labor sufficiently to support herself. She is 
now with her friends. 

No. 5. Is a mechanic, who had been in close confine- 
ment for six years. He committed homicide ; and if this 
institution had not been erected, would probably never 
have been permitted to leave his cell. He is now a 
useful mechanic, labors a great portion of his time — often 
reads his bible and the public papers— is exceedingly hap- 
py that this place has been provided for him ; and blesses 
its founders and conductors daily for the benefits confer- 
red by it, on himself and other inmates. He v/alks 
abroad and often attends church. 



6 STATE LUNATIC HOSPITAL. Jan 

No. 6. Another man reported by the commissioners, 
was confined seventeen years before he was removed to 
the hospital. He was very violent and dangerous, often 
in chains notwithstanding he was in a strong prison room. 
He used to scream and commit acts of violence that re- 
quired the most rigid restraint. He is now well dressed, 
civil, and, although often excited, is respectful and pleas- 
ant — is in the habit of assisting the females in washing 
the floors, drawing water, preparing food and similar do- 
mestic offices, and is about the premises without re- 
straint. 

He committed homicide. 

No. 7. Had been confined a violent maniac. Had 
been caged and chained for years. It was concluded to 
set him free, and see how he would conduct. He fell 
foul of his brother, and killed him with a bludgeon, and 
pursuing his sister would probably have done the same to 
her, had he not been arrested in season to prevent it. 
When ciiged he was naked and filthy ; but now dresses 
neatly, is cleanly and civil; mingles freely with sixteen 
other persons, and, though quite insane, is to us perfectly 
harmless. 

No. 8. Had been ten years without clothes ; a most 
inconceivably filthy and degraded being ; exceedingly vio- 
lent and outrageous. He now wears clothes, is neat and 
cleanly in his person, takes his food at table with a large 
company, does much needle work and knitting, and, 
though at times violent, is managed without the least 
severity or difficulty. 

No. 9. Another female, exceedingly filthy in her hab- 



1836. SENATE— No. 7. 7 

its, had not worn clothes for two years, during which 
time she had been confined in a filthy cell, destitute of 
every thing like comfort, tearing every thing in [pieces 
that w^as given her. She is now dressed cleanly, works 
some, takes her food at table in company, sings very pleas- 
antly when requested, and is a large part of the time very 
civil and agreeable. 

No. 10. Has been insane 8 years ; almost the whole 
of this time in jail, and in a cage. He cut the throat of 
an infant while sleeping in a cradle, instantly killing it ; 
made an attack, with an axe, upon an aged man, at the 
same time. It is stated that he was in a most wretched 
condition before he came here. 

He is now insane, but pleasant ; keeps his bed and 
room in good order, takes his meals regularly at the table, 
spends much time in reading and in conversing with the 
inmates, and labors some. 

No. 11. Was very insane when he came here. Was 
represented to us as being very violent and dangerous ; 
and a part of the time he was so — being furious and out- 
rageous in the extreme. When he entered the hospital 
was filthy, and nearly or quite naked. 

He is now calm, quiet; dresses himself neatly, keeps 
his room and bed in good order, and takes his meals with 
the other boarders. He is now quite pleasant, and useful 
too ; works out daily ; saws and cuts wood. 

No. 12. A patient six years confined for homicide in 
close jail, and would probably have been confined for life. 
After six months here he commenced labor, and has not 
only continued it daily, but takes excellent care of every 



8 STATE LUNATIC HOSPITAL. Jan 

thing connected with the farming and gardening establish- 
ments. He is pleasant, very mild in his feelings, and 
ready to perform whatever is required of him. He is 
trustworthy, and can perform labor without superintend- 
ence. We have frequently noticed the novel spectacle of 
two men ploughing in the field alone, both insane, both 
having committed homicide, and both having been confined 
in jail for a very long time. 

Many other similar cases might be named. They were 
all considered incurable; but are now comfortable, pay 
great attention to habits of cleanliness and order. We 
have remarked that when one of these men has been 
placed in solitary confinement, and suffered to remain a 
few days without inspection, the disposition to tear 
clothing, to go naked and filthy returns. We have many 
that have for years been naked, exceedingly filthy and 
violent, that are now well clad, decent and civil. We 
have probably fifty that have been so ; at present scarcely 
half a dozen remaining in these habits. 

A reference to the subjoined tables will show that the 
prosperity of the hospital, so far as respects the recovery 
and improvement of its inmates, has been equal to that of 
the last year. The mortality has been the same. The 
admissions have been of a less favorable character than 
the former year ; as theii the recent cases were the most 
numerous ones ; this year, on the contrary the old cases 
preponderate. 

This year have been admitted 58 old cases, and 65 
recent ones. Discharged this year 60 old cases, and 52 
recent ones. During the year there have been 231 pa- 
tients in the hospital. In the management of this number 
of insane persons, no accidents have occurred, endanger- 



1836. SENATE— No. 7. 9 

ing the lives of officers or inmates. This fact is rendered 
more striking when we consider that 15 persons have 
been admitted to the hospital, who previous to their en- 
trance had actually committed homicide. 

It is desirable that every facility should be afforded the 
Institution which the nature of the case will admit ; that 
supplies be furnished enabling the charity to meet the 
increased responsibilities of the coming year, which their 
enlarged accommodations will necessarily demand. 

It has been found by experience, that the pipe supply- 
ing the establishment with water is of insufficient calibre 
and strength to meet the present demand ; and there is 
hardly a possibility of its answering, when this shall be 
greatly increased. Much trouble has been caused by this 
failure. In little more than two months the aqueduct has 
been seven times mended, and has now again failed. 
When it is considered how indispensable it is, both for 
health and comfort, that the supply of pure water be abun- 
dant, there can be no doubt that this subject will receive 
the consideration and attention its importance deserves. 

The erection of wings to the hospital has called for in- 
creased vigilance in the management of the institution. 
The addition made is to accommodate one hundred indi- 
viduals ; and improvements so extensive cannot be made 
without imposing some slight restraint upon the present 
inmates, somewhat prescribing their limits, and guarding 
closely against their escape. 

As the number of inmates are increased, a proportionate 
enlargement of the offices and buildings about the estab- 
lishment will become requisite. The quantity of provis- 
ion must be increased : also facilities for exercise and at- 
tendants. 

The introduction of religious exercises has been thought 
2 



10 STATE LUNATIC HOSPITAL. Jan. 

highlj important, and as such the subject is submitted to 
jour consideration. These serviceSj if judiciously con- 
ducied, would probably advance the good order and hap- 
piness of many of the inmates. A becoming observance 
of the Sabbath will without doubt have a tendency to pro- 
duce calm and quiet ; inasmuch as it will carry the mind 
back to the time and place where they were earliest 
taught habits of attention and self-control. This self- 
control is of the utmost importance and advantage to those 
who are recovering an healthy action and tone of mind ; 
and even though the immediate effect of religious worship 
should be small, yet the habits of stillness during its ob- 
servance will prove salutary ; and will gain a day, that is 
now one of the most trying and exciting to our patients, 
owing to the prohibition of their usual amusements and 
exercises. 

It is highly desirable that the institution sh^ll have 
more land at its disposal, for cultivation. This is of great 
and primary importance both as regards the profits of the 
establishment, and the health and consequent recovery of 
its inmates. Experience has proved the vast importance 
of labor, and its utility. There are in the hospital more 
than a dozen able bodied men, who can labor daily in the 
field, and as many others that may be employed a part of 
the time profitably and pleasantly. An institution of this 
character will have a large number of working-men among 
its inmates at all times. We find these are always inclined 
to labor. Shut up in our halls, or in their cells, they are 
unhappy, restless, discontented, and in consequence less 
mild and docile, often troublesome. But when suffer- 
ed to go out into the field and garden to labor, their whole 
nature seems changed as it were at once. They become 
cheerful and healthy. They rightly appreciate the confi- 



1836. SENATE— No. 7. 11 

deuce reposed in them, and exercise all their powers of 
self-control, that they may prove such confidence is not 
misplaced. Appetite and sleep are promoted, and the 
chances of recovery greatly increased. Convalescents 
also are peculiarly benefitted by labor, especially by labor 
of this kind. As the excitement of disease wears away, 
and the mind, regaining its powers, becomes capable of 
rational reflection, subjects of employment are first ad- 
verted to, and the physical system now demands and feels 
the need of habitual and active exertion. Relief from the 
irksomeness of confinement is now sought; and is best 
found in moderate labor. By this means mental and 
physical strength are promoted, and simultaneously re- 
gained. Thus the patient is brought again within the 
sphere of his healthful and accustomed activity ; old asso- 
ciations return, former trains of thought are excited and 
re-established ; and one illusion after another being dis- 
pelled, they yield at last to reality, and thus renew in the 
mind those healthy influences which completely restore 
the empire of reason. Another beneficial influence of la- 
bor which operates alike on the sane and insane mind, and 
which greatly enhances its utility, is the ides, of production 
or benefit. This idea of practical utility, this witnessing 
the results of their own labor, in the improvements of the 
grounds and walks, in the culture of flowers, the growth 
of vegetation, the manufacture of tools and implements, 
and such comforts as contribute to the benefit of those 
who are within the reach of their influence — all these and 
similar pursuits lead the mind from the consideration of 
causes to their effects. And it were unnecessary to 
add, that such consideration is a great point gained, and 
a rapid advance towards ultimate recovery. Nor must 
this labor be overlooked, as regarding the profit directly 



12 STATE LUNATIC HOSPITAL, Jan, 

accruing to the institution. Though the good effect upon 
the patient is the first and most important consideration, 
its present gain is by no means to be lost sight of. ThiS' 
gain will be greater from the fact, that the labor in an In- 
stitution like this costs nothing ; idleness being worse 
than useless, inasmuch as it has been proved by expe- 
rience to delay recovery. 

All which is most respectfully submitted to His Excel- 
lency and the Honorable Council by the Trustees ; who 
feel that they can not injustice conclude this report, with- 
out expressing their high sense of the talent, vigilance^ 
fidelity and zeal of the distinguished man, whom the State 
has placed at the head of this institution ; whose opinions 
have had great influence on their report ; and whose char- 
acter and conduct in the superintendence of the hospital^ 
command their cordial approbation. 

F. C. GRAY, 

ALFRED DWIGHT FOSTEK^ 
THOMAS KINNICUT, 
THOMAS A. GREENE^, 
HORACE MANN- 

December SOth, 1835. 



» •■>Hfc- 



1836 SENATE— No. 7. 13 



To His Excellency the Governor^ and the Honomble 
Executive Council of the Commonwealth of Massachu- 
setts : 

The Treasurer of the State Lunatic Hospital makes his 
Annual Report. 

The Treasurer charges himself with receipts 
amounting to ^15,915 55 

And credits himself with expenditures amount- 
ing to 15,623 76 
And balance to new account Dec. 1, 291 79 

, 15,915 bb 

The receipts were, from the State 

Treasury 4,000 00 

From towns and individuals for the 
support of patients, and small 
sums received by the steward for 
articles sold 11,839 33 

Credited on several bills for old iron, 

calf, ashes, grease and pork barrels 76 22 

•15,915 bb 



The expenditures were for 




Improvements and repairs 


568 02 


Furniture 


472 85 


Salaries, wages and labor 


4,712 49 


Provisions and groceries 


5,944 30 


Fuel and lights 


1,864 37 


Clothing, linen, &c. 


611 72 


Medical supplies 


408 37 



14 STATE LUNATIC HOSPITAL. Jan 



Hay and straw 


269 58 


Miscellaneous 


772 06 


ilance to new account 


291 79 




1 C QIC CC 







There were accounts against the hospital on 

the first day of December amounting to 952 68 

Amount paid as before stated 15,623 76 

Making the cost of supportingthe establishment 
from December 1, 1834, to November 30, 
1835, inclusive 16,576 44 

Including the accounts unpaid, the expenditures 
are thus distributed : 

Improvements and repairs 570 52 

Furniture 472 85 

Salaries, wages and labor 5,400 38 

Fuel and lights 1,864 37 

Clothing, linen, &c. 656 05 

Medical supplies 408 37 

Hay and straw 269 58 

Provisions and groceries 6,061 76 

Miscellaneous 872 56 

16,576 44 



1836. 



SENATE— No. 7. 



15 









o 


o ao tr.'^ 


O M CO TO 03 




t^-Htr)C1MeJO>^(2(31 


■* S^ CO ouo t- 








o 


oo=— co>oG0 3--is^tr> 




G^OC0"*C~r~U2OSN 


c^ "1 10 CJ> 




^ 




o 


ooof?jai"#'^-*t— ci 




t^-#iotntj: — t~t--M 


s-i lo cr"# ■^ vra 








o 




o o in 


■* e^ G-( (« 




CriC t--3't-O^OTfi 


©^ « CO ri t^s^ 




o 




^l 


»0 lO rt ' 














H 




m 


















u 










(n 






©< 


-ft 5^ 




s: in 










lO 




c^ 


lO 




cS 














e<5 


01C£J to 














■d 


-o 




-0:2 


x;^ rs 


'cs -0 




£ « oj 

III 








■5 
a, 


■5 
c 




'co 5 

II 


'5 '5 5 
t 1 1 


1 1 
J. T 




2^1 










i 




=0 


44 c4 


G'J CO 

CO 














&9 




CO 








p 2 










-o 




rE ^ 


y-3 X 


























S- 










■5 




"(0 '5 


'cs 'c5 'S 


CO 




<i 










CLh 




C,Dh 


P-i- fc 


C- Pi 






c 


-6 








- 












cs 


5 




















"S 


e 












. 








^3 


CD 




















r/ 


JD 


-u 


e ' -^ ' 


■^ 






•^ ^ 






o 


c 


5 





I H 


• Co) 




oj 




K> • • .IS W 

Sj C cli 






o 


a 


x; 
c 


a. '^- 


& s ?s s 


i 


^^ E- 


s. ^s. 


B$' E & S- 




w 

Oh 

o 






■~ -lo a; 


000 CJ 







000 


oj "U a> 




fl 


0) 


5 


c^ - 

^ 3 --f. 


a.2, Q, 
— ■* e-) (M ^ 




a. a. 

G-) S^ >0 -* 


Q-"^ "5 

„ e^ ■* « 'H 


D. C1..0 O- S. Q. 
'O CO — ■* ^ 'f -!? 






3 


c 


S^ = aQ-l 






" —I 




" '— 1— r-< 




o 




2 




-a 5 "3 
curt 






















_, ci._,- 
















O 


r- 


""■ 




- 


- - ■• ^ 










c 


hJD 


o 


■- ^ i; 
















G) 




o 


505 




















(-0 


c — 
















SQ 




SQ 


:i;&sa3 






















c 




" 




. 


S 












03 














H 


1^ 






■3 






'^ 


" 







O 


*^ 






*« -V 






c 


.^ 


M ■ ■ 




> 


<u 






5r> 'rs ■ 






■ a • 


• ^ • 




a 
to 


■a 
c 

5 

IX 




-3 „- 

H CO 

MS 


= £ E c 
« 3 -c .5 

.5 S s i 

V) a; c (3 


lendant, 
lendant, 
liloress, 
Kilclien, 





ttndant, 
aslierw on 
lendant, 
tendant. 


'3 ^ 


<1> — 

= s; - = ■ = c 

CS ^ - cs CS cs 

4 </i c« 3 'i = a 
0; s %7; Q Qj v 






3 




<EiC^ 


<<i^^ 


a 


<^<< 


-6<Uh 


<E<<0<'< 




tc 








• • 


' ■ ■ 






- • • 


• • • 


























r5 






















<; 


13 




..^ 




_^ 












i^ 






■^ " 


• 


^ 






•^ ' " uT 


/-^A^V 






O 

o 






UN 


Harris, 
ckmer, 
ascomb, 
Hand, . 

Dickens 


oT 




1 ^-§ 


= . tczi >»3 S 
3 en .- — ^ c^ 1- 






f5 




c^^ 


orge Ch 
red D. 1 
rah P. I 
illiam J( 


= 5 . c^ 


•^ 


i-^^ 


d^HE^ 






3 

s 






ry A 

nicl ] 
cy A 
cy L 

Imon 


g 


'« "5 X ~ 


nnah 

nira 

lliam 

linda 

igail 






C3 






0<(H^ 


"= n 3 3 cs 




>- en ca 


cs _r ^^ 0^ X 


= !-j: . 3 >^oi 






OJ 




US 


S Q hJ J 02 33 S a K Z E «C ? S < cc S <; Z -J ■ J 



16 



STATE LUNATIC HOSPITAL. 



Jan 



Ci CO o o s^i 

■^ VD CI « S^ 






so — — >n T# 

•* -^ so so (M 


S4 


&5 




"^ "u -s ~ -3 


-a 


-C "O 


•a 


-unpa 
-uiipa 
-unpa 
-unpa 
-unpa 


a, 
c 
3 
1 


a. Q. 
c ~ 
3 3 
1 1 


3 


c. -?) ^o — 


so 


to 




g) C71 03 — CO 

r- C3 to lO ■* 




to — " 




-:3 -3 ^ -r -3 


■5 


~ "2 
'a "a 




a a a a a 





J2 O ^ 



S. 



— ^ — ^ 



s- & 



; : ■: - o 



Ss - 



£1. ic >0 Q> B- 
■* -? — 1-1 -# ■* S» ■ 



OJ 


*. 


0) 


c. 






is 


c 








I- ■* "* 








0. 




a. 


in 


5, 


c 


SO 


^ 


lO ^ 



'-}>— eOS(30&<-S'Tfi-^«,j.,-<(50-^30'# 



t: — « « ?^ I- !^ « CO 03 

ii — -c -^ o „ .-^ -c -o 



E^3§^^iii!Sa>a)£'^.-=5J'oapiSa)ere£I5'c3^2 



S-^-^ 



fe- 



3 -5 s 



S v; c t J 3 



i; ca • 



^ - 



1836. SENATE— No. 7. 17 
Provisions and Groceries are thus : 

Beef, 14,179 lbs. #768 26; unpaid 1620 lbs. 

^76 86—15,799 lbs. 843 12 
Veal, 238 lbs. ,#139 07; unpaid, 20 1-2 lbs. 

#1 23—2,078 1-2 lbs. 140 94 

Pork, 663 lbs. 52 85 

Mutton and lamb, 1148 lbs. 89 52 

Ham and dry beef, 1449 lbs. 149 48 

Salt beef, 975 lbs. 59 79 

Salt pork, 11 barrels, 400 lbs. 262 00 

Mackerel, 4 1-2 barrels, 33 00 

Fresh fish, 28 26 

Salt fish, 3,152 1-2 lbs. 95 08 

Salmon, tongues and sausages, 130 1-2 lbs, 15 81 

Poultry, 34 61 

Biscuit, 85 25 

Cheese, 5,708 lbs. 512 13 
Butter, 4778 lbs. #864 88 ; unpaid 8 lbs. #1 84 

—4786 lbs. 866 72 

Flour, 191 1-2 barrels, 1,296 42 

Rice, 1,343 1-2 lbs. 54 38 

Corn and meal, 133 bushels, 157 75 

Molasses, 472 gallons, 160 47 

Sugar, 4,892 lbs. 6 oz. 451 10 

Coffee, 770 lbs. 86 36 

Tea, 437 lbs. 157 57 

Eggs, #16 93; unpaid, #5 25, 22 18 
Milk, 94 galls, #15 12 ; unpaid 4 galls. 80 cts. 

—98 galls. 15 92 
Potatoes, 249 bushels, #99 70 ; unpaid 87 bush- 
els, #24 75—336 bushels, 124 45 
Fruit, lemons, raisins, &c. 29 80 

3 



18 STATE LUNATIC HOSPITAL. Jan 

Small groceries, 44 05 
Apples, peas, beans, beats, parsnips, lard, horse 

radish, and 33 cts. drawing water unpaid, 161 55 

Apple sauce, ,^5 80 ; do. 32 galls, unpaid, #'6 40, 12 20 

Vinegar, 4 2-3 barrels, 17 00 



,#6,061 76 



#108 


87 


257 


12 


1,390 


41 


107 


97 


Jf],864 


37 



Fuel and Lights are thus : 
Charcoal, 1031 bushels, 
Anthracite, 46,385 lbs. 
Wood, 357 cords, 7 feet, 8 inches, 
Oil, 132 gallons, candles, 5 lbs. 



Miscellaneous includes : 

Expenses of pursuing elopers, and removing 

patients discharged, #160 && 

Funeral expenses of deceased patients, 49 25 

One pair of working oxen, and three cows and a 

calf, 176 00 

Expenses of W, B. Calhoun, #15 50, Thomas 

A. Greene #90, attending meetings of the 

Trustees, 
Soap, 

Stationery and blank books. 
Postage, #14 74 ; unpaid, #3 50. 
Pasturing 6 cows, unpaid, 
Sundry other things, 

#872 SQ 



105 


50 


122 


m 


45 


39 


18 


24 


72 


00 


122 


86 



1836. SENATE— No. 7. 19 

The balances of accounts against towns and individuals 
are large, but the proportion which will be realized is so 
uncertain it is thought of no importance to give the 
amount. Under the act of the winter session of the last 
Legislature, towns are no longer liable for the support of 
patients who are state paupers, and accounts have been 
opened, with such as were undoubtedly of that character, 
in their own names. In cases where there was doubt 
whether any town was liable, and the towns charged have 
refused to pay, the accounts have been suffered to remain 
as they were, awaiting further information. 

In the last report of the Treasurer it was stated that 
no appropriation would be necessary for the then ensuing 
year. There still remains in the treasury of the Com- 
monwealth, the sum of three thousand dollars, part of the 
appropriation of 1834. But with the receipts from other 
sources, this will not be sufficient to defray the expenses 
of the current year, even if the present number of patients 
should not be increased. And as it is supposed that forty 
or fifty more may be expected between the first of June 
and the first of December next, many of whom will be 
chargeable to the Commonwealth, it is manifest that a 
further appropriation is now required. It is difficult to 
say with precision how large it should be, because of the 
difficulty of determining the amount which will be received 
from other sources. As, however, the money appropri- 
ated will remain safely in the state treasury until drawn 
by warrants of the Governor when actually needed, it 
would seem to be wise to make the appropriation suffi- 
ciently large. The Treasurer suggests the sum of ten 
thousand dollars. 

Should any more minute information be desired bv the 



20 STATE LUNATIC HOSPITAL. Jan 

government, the books and papers of the Treasurer are 
open to examination, and he is ready to answer any 
inquiry to the extent of his ability. 

Respectfully submitted. 

A. D. FOSTER, 

Treasurer of the State Lunatic Hospital. 

Worcester, Dec, 31, 1835. 



THIRD REPORT 

Of the Superintendent of the State Lunatic Hospital, Worcester, Massachusetts, from December 1st, 1 834<, to November 30th 1835 inclusive 



Time of 
Admiasion. 



1833. 

Jan. '2'2 

2> 

" 29 

29 

29 

" 30 

Feb. 5 

" 11 

15 

« 15 

« 15 

« 15 

15 

15 

18 

18 

« 18 

« 18 

18 

27 

28 

Maiel) 3 

6 

6 

« 6 

6 

« 6 



Aiiril 



Age. 



Male 

Male 

Male 

Male 

Male 

Male 

Male 

Female 

Male 

Male 

Male 

Male 

Female 

Female 

Female 

Female 

Male 

Male 

Male 

Male 

Male 

Male 

Male 

Male 

Male 

Male 

Male 

Male 

Female 

Male 

Male 

Male 

Male 

Female 

Female 

Female 

Female 

Female 

Female 

Male 

Male 



Married 




or 


Supposed Cause 


Single. 




Widower 


Fanaticism 


Single 


Wound on the Head 


Single 


Intem[ieranoe 


Single 


Intemperance 


Widower 


[Inknown 


Single 


Unknown 


Widower 


Loss of Property 


Widow 


Unknown 


Single 


Intemperance 


Married 


Intemperance 


Widower 


Intempcran(;e 


Single 


Intemperance 


Widow 


Masturbation 


Widow 


Unknown 


Widow 


Unknown 


Widow 


Unknown 


Single 


Masturbation 


Single 


Masturbation 


Single 


Intemperance 


Single 


Fanaticism 


Married 


Intemperance 


Single 


Wound on the Head 


Married 


Fanaticism 


Single 


Masturbation 


Single 


Intemperance 


Single 


Intemperance 


Married 


Intemperance 


Single 


Intemperance 


Single 


Intemperance 


Single 


Intemperance 


Widower 


Religions Anxiety 


Single 


Masturbation 


Single 


Study 


Single 


Unknown 


Single 


Masturbation 


Widow 


Unknown 


Single 


Intemperance 


Single 


Intemperance 


Single 


Indulgence of Temper 


Single 


Unknown 


Single 


Intemperance 




4 



Duration beforei„ l ,-. •.. i 
Admission, P^ ^''°'" Committed. 



17 years 

3 years 

6 years 

7 years 

6 years 
10 years 
30 years 
10 years 

14 years 

15 years 
24 years 
Unknown 
Unknown 
Unknown 
27 years 

7 years 
5 years 
5 years 

7 years 

1 5 years 

5 years 
2 years 

10 years 
Unknown 

4 years 

10 years 
2 years 

1 1 years 

6 years 

16 years 

1 6 years 
Unknown 

G years 

13 years 

8 years 
Unknown 

2 years 
2 years 

14 years 
8 years 

17 years 



The Court 
Tlie Court 
The Court 
The Court 
The Court 
The Legislatyre 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 



Time spent in 
the Hospital. 



34 months 
34 months 
34 months 
28 months 
34 months 
34 months 
33 months 
33 months 
33 months 
33 months 
33 months 
33 months 
30 months 
30 months 
33 months 
33 months 
33 months 
33 months 
33 months 
33 months 
33 months 
3:5 months 
32 months 
32 months 
32 months 
28 months 
28 months 
32 months 

30 months 
32 months 
32 months 

24 months 
32 months 

31 months 
27 months 
27 inonths 
31 months 
31 months 
31 months 

25 months 
31 months 



Discharged 

or 

Remains. 



Remains 

Remains 

ReiTiains 

Discharged 

Remains 

Remains 

Remains 

Discharged 

Remains 

Remains 

Discharged 

Discharged 

Died 

Discharged 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Discharged 

Discharged 

Remains 

Discharged 

Remains 

Remains 

Discharged 

Remains 

Remains 

Discharged 

Discharged 

Remains 

Remains 

Remains 

Discharged 

Remains 



In what State. 



Stationary 

Stationary 

Stationary 

Improved 

Improved 

Stationary 

Stationary 

Stationary 

Improved 

Stationary 

Stationary 

Stationary 

Consumption 

Stationary 

Stationary 

Stationary 

Stationary 

Improved 

Stationary 

Improved 

Stationary 

Stationary 

Improved 

Stationary 

Stationary 

Stationary 

Stationary 

Stationary 

Stationary 

Stationiiry 

Improved 

Stationary 

Stationary 

Improved 

Stationary 

Improved 

Improved 

Improved 

Improved 

Improved 

Stationary 



Remarks. 

Herediiary, Periodical 

Paroxismal, &c. 



Hereditary and Homicidal. 
Paroxismal. 
Paroxismal. 

Foreigner and Vagrant. 
Hereditary and Homicidal. 
Hereditary and Homicidal. 
Hereditary and Homicidal. 
Idiot and Pauper. 
Foreigner and Pauper. 
Paroxismal. 
Foreigner and Pauper. 
Foreigner and Pauper. 
Foreigner and Pauper. 
Idiot and Foreigner 
Foreigner and Pauper. 
Foreigner and Pauper. 
Foreigner and Pauper. 

Foreigner and Pauper. 

Foreigner and Pauper. 
Foreigner and Pauper. 
Foreigner and Pauper. 
Foreigner and Pauper. 



Foreigner and Pauper. 

Hereditary. 

Hereditary and Homicidal. 
Hereditary and Homicidal. 
Foreigner and Pauper. 

Foreigner and Pauper. 
Foreigner and Pauper. 
Foreigner and Pauper. 
Foreigner and Pauper. 
Hered. Foreign & Pau.jei!:;. 

Hereditary & Paroxis.infel^ 
Foreigner Bud Paiipetr;. 



24 



STATE LUNATIC HOSPITAL. 



Jan 



No. 


Time of 
Admissiun. 


Age. 


Sex. 


Married 

or 
Single. 


Supposed Cause. 


Duration befiare 
Admission. 


By whom CommiUed. 


Time spent in 
the Hospital. 


Discharged 

or 

Remains. 


In what stale. 


Remarks. 

Hereditary, Periodical, 

Paroxismal, Sec. 


290 


Feb. 


7 


25 


Male 


Single 


Ill Health 


1 month 


The Court 


3 months 


Discharged 


Recovered ^ 


Periodical. 


291 


(1 


13 


64 


Male 


Widower 


Intemperance 


30 years 


The Friends 


7 months 


Discharged 


Improved 


Periodical. 


292 


(( 


13 


60 


Female 


Widow 


Fear of Poverty 


8 years 


The Friends 


10 months 


Remains 


Improved 


Hereditary and Periodical. 


29a 


u 


13 


40 


Male 


Married 


III Hcniili 


4 years 


The Court 


10 mniitlis 


Remains 


Improved 


294 


" 


16 


38 


Female 


Single 


Disaj)i)ointed Affection 


1 years 


The Friends 


3 months 


Discharged 


Improved 


Hereditary. 
Periodical. 


295 


(( 


19 


61 


Female 


Widow 


Snuff and Intemperance 


3 weeks 


The Friends 


2 months 


Discharged 


Recovered 


296 


tl 


27 


47 


Male 


Widower 


Intemperance 


Unknown 


The Court 


10 months 


Remains 


Stationary 




297 


March 6 


70 


Male 


.Married 


Intemperance 


Unknown 


The Comt 


3 months 


Discharged 


Recovered 


Periodical. 


298 


(( 


13 


25 


Female 


Single 


Followed Fever 


4 years 


The Court 


4 months 


Discharged 


Recoveied 


Hereditary. 


299 


« 


13 


47 


Male 


Married 


Peiuniary Embarrassment 


3 months 


The Court 


2 tnonths 


Discharged 


Recovered 


Hereditary and Periodical. 


300 


11 


17 


25 


Female 


Single 


III Health 


6 weeks 


The Court 


7 months 


Discharged 


Recovered 


Hereditary and Periodical. 


301 


« 


21 


36 


Male 


Single 


Fear of Poverty 


13 months 


The Court 


10 months 


Remains 


Stationary 


Hereditary. 


30a 


u 


23 


23 


Female 


Married 


Indulgence of Temper 


2 months 


The Friends 


6 months 


Discharged 


Recovered 




303 


It 


27 


35 


Mule 


Married 


Fanaticism 


4 weeks 


The Comt 


5 months 


Died 


Cholera Morbus 




304 


« 


28 


58 


Male 


Single 


Intemperance 


4 months 


The Court 


10 weeks 


Discharged 


Recovereil 




305 


« 


31 


49 


Female 


Married 


Family Trouble 


2 months 


The Friends 


6 months 


Discharged 


Recovered 


Periodical. 


306 


April 


1 


68 


Male 


Married 


Wound on the Head 


4 years 


The Court 


3 months 


Discharged 


Recovered 




307 


u 


14 


25 


Male 


Single 


Loss of Property 


3 months 


The Court 


8 months 


Remains 


Improved 




308 


u 


18 


25 


Female 


Unknown 


Unknown 


Unknown 


The Court 


8 months 


Remains 


Stationary 


Foreigner and Pauper. 


309 


" 


28 


28 


Female 


Married 


111 Heahli 


6 years 


The Court 


8 months 


Remains 


Improved 


Paroxistnal. 


310 


May 


1 


40 


Male 


Single 


Intemperance 


16 years 


The Court 


7 months 


Remains 


Stationary 


Homicidal. 


311 


" 


4 


73 


Male 


Widower 


Intemperance 


6 months 


The Court 


7 months 


Remains 


Improved 




312 


(I 


4 


36 


Male 


Single 


Intemperance 


2 years 


The Court 


7 months 


Remains 


Stationary 




VS 


« 


5 


40 


Male 


Married 


Unknown 


4 years 


The Court 


4 months 


Died 


Stationary 




314 


u 


5 


30 


Female 


Single 


Unknown 


6 months 


The Court 


6 months 


Discharged 


Recovered 




315 


« 


5 


23 


Female 


Single 


Intemperance 


16 months 


The Court 


7 months 


Remains 


Stationary 


Foreigner and Pauper. 


316 


(1 


7 


36 


Female 


Married 


DoiDestio Trouble 


8 years 


The Court 


7 months 


Remains 


Stationary 




317 


1( 


7 


29 


Male 


Single 


Mastiu'bation 


2 years 


The Court 


7 months 


Remains 


Improved 




318 


" 


12 


33 


Female 


Single 


Indulgence of Temper 


Many years 


The Court 


7 months 


Remains 


Improved 


Foreigner and Pauper. 


319 


u 


12 


46 


Female 


Married 


Family Trouble 


] year 


The Court 


7 months 


Remains 


Improved 




320 


n 


15 


45 


Male 


Married 


Ai}xiety about Property 


2 months 


The Court 


2 months 


Discharged 


Recovered 


Hereditary. 


32L 


« 


15 


21 


Male 


Single 


From K-arly Life 


1 week 


The Friends 


10 weeks 


Discharged 


Recovered 


Hereditary and Periodical. 


3-32 


u 


21 


25 


Male 


Single 


Intemperance 


2 months 


The Friends 


5 weeks 


Discharged 


Recovered 




323 


" 


21 


20 


Male 


Single 


Masturbation 


2 years 


The Friends 


6 months 


Remains 


Improved 




324 


(( 


22 


50 


Male 


Married 


Intemperance 


4 weeks 


The Court 


6 weeks 


Discharged 


Recovered 


Hereditary. 


325 


u 


26 


35 


Female 


Single 


Disappointed Affection 


7 years 


The Court 


6 months 


Remains 


Stationary 




326 


u 


27 


32 


Male 


Single 


Intemperance 


3 weeks 


The Court 


6 weeks 


Discharged 


Recovered 


Foreigner. 


327 


« 


27 


18 


Female 


Siimle 


Masturbation 


13 u)onihs 


The Friends 


6 weeks 


Discharged 


Stationary 




328 


June 


2 


51 


Female 


Married 


Domestic Affliction 


5 months 


The Friends 


4 months 


Discharged 


Recovered 




■329 


« 


5 


45 


Male 


Single 


Intemperance 


5 weeks 


The Court 


2 weeks 


Discharged 


Recovered 


Foreigner and Pauper. 


3:i0 


li 


5 


44 


Female 


Widow 


Domestic Affliction 


3 years 


The Court 


6 months 


Remains 


Stationary 




331 


<( 


9 


35 


Male 


Married 


HI Health 


5 years 
8 years 


The Court 


6 mouths 


Remains 


Stationary 




332 


X 


11 


32 


Female 


Single 


111 Health 


The Overseer 


4 months 


Discharged 


Improved 


Hereditary and Periodical. 


333 


« 


12 


40 


Female 


Widow- 


Domestif, Trouble: 


9 years 


The Court 


6 months 


Remains 


Stationary 




334 


11 


12 


25 


Male 


Single 


Masturbation 


2 years 


The Court 


6 months 


Remains 


Improveci 




3:35 


II 


15 


35 


Male 


Married 


Fanaticism 


6 months 


The Court 


6 months 


Remains 


Improved 


Hereditary. 


336 


« 


16 


45 


Male 


Single 


Unknown 


9 years 


The Court 


6 months 


Remains 


Improved 


Hereditary and Periodical. 


3:37 


" 


22 


25 


Female 


Single 


Ma^jturbatioii 


5 years 


The Court 


G months 


Remains 


Stationary 




338 


» 


23 


28 


Female 


Single 


Unknown 


9 years 


The Friends 


6 months 


Remains 


Improved 


Hereditary. 



1836. 



SENATE—No. 7. 



123 



Time of 
Admissio" ^Se. 



Aug. 8 

" 11 

" II 

" '20 

" 21 

« 28 

Sept. 3 

» 11 

" 11 

" 16 

« 19 

« 26 

» 26 

» 26 

« 26 



Oct. 



Dec. 



7 

7 

9 

11 

22 

30 

3 

14 

14 

20 

21 

21 

21 

25 

27 

3 

3 

3 

13 

17 

18 

18 

QO 



1S3S 

Jan. 



Feb. 



25 i 22 



Female 

Female 

Male 

Female 

Female 

Male 

Male 

Female 

Female 

Male 

Male 

Male 

Male 

Male 

Female 

Female 

Female 

Female 

Male 

Female 

Female 

Male 

Male 

Male 

Male 

Male 

Female 

Male 

Male 

Female 

iMale 

Female 

Male 

Male 

Female 

.Male 

Male 

Male 

Female 

Male 

Female 

Female 

Male 

Male 

Female 

Female 

Male 

Male 



Married 

or 
Single. 



Widow 

Sinjrie 
Single 
Manied 
Single 
Single 
Single 
Single 
Single 
Married 
Single 
Manied 
Single 
Married 
Single 
Single 
Single 
Single 
Single 
Single 
Single 
Single 
Single 
Married 
Married 
Married 
Married 
Single 
Single 
ftlarried 
Man-ied 
Single 
Single 
Single 
Widow- 
Single 
Single 
Married 
Single 
Single 

Single 

Married 

Married 

Widower 

Married 

Single 

Married 

Sinffle 



Supposed Cause. 



Domestic Trouble 

III Health 

Fear of Poverty 

I'nknown 

Lightning 

Masturbation 

E|iile|)sy 

III Health 

111 Health 

Repelled Eruption 

Unknown 

Unhappy Marriage 

Intemperance 

Masturbation 

Loss of Mother 

Domestic Affliction 

Disappointed Affection 

Intemperance 

Unknown 

Unknown 

III Health 

Unknown 

Intemperance 

Palsy 

Unknown 

Inteniperaiice 

Puer|>eral 

Intemperance 

Intemperance 

Unknown 

Failure in Business 

Death of Mother 

Masturbation 

Masturbation 

Domewiic Trouble 

Unknown 

Unknown 

Intemperance 

Unknown 

Intemperance 

III Health 

III Health 

Intemperance 

Intemperance 

Religious Perplexity 

Eruption 

Intemperance 

Masturbation 



Duration before 
Admission. 



4 years 
12 months 

3 years 
10 years 

5 weeks 
12 months 

2 months 
8 years 

10 years 

5 years 
Unknown 
10 years 

6 months 
6 months 

4 months 

4 months 

3 tnonths 
3 months 
6 years 

6 months 

5 weeks 

1 week 

6 months 
3 months 
3 weeks 

3 weeks 

5 months 

6 months 
6 months 

2 weeks 
12 months 

5 months 
5 years 
14 years 

3 weeks 
.3 years 
2 weeks 

4 weeks 
18 months 

12 months 

2 months 

4 months 

5 years 

2 months 

13 months 

2 years 

3 months 
2 months 



By whom Committed. 



The Court 
The Friends 
The Court 
The Court 
The Friends 
The Friends 
The Friends 
The Court 
The Friends 
The Friends 
The Court 
The Court 
The Court 
The Court 
The Friends 
The Overseers 
The Overseers 
The Overseers 
The Court 
The Court 
The Friends 
The Court 
The Court 
The Friends 
The Friends 
The Court 
The Overseers 
The Court 
The Court 
The Friends 
The Court 
The Court 
The Court 
The Court 
The Friends 
The Court 
The Court 
The Court 
The Court 
The Court 

The Court 
The Friends 
The Court 
The Court 
The Court 
The Friends 
The Court 
The Friends 



Time spent in 
the Iluspital. 



8 months 
4 months 

4 months 

5 months 
12 months 

9 months 
10 months 
15 months 

5 months 
9 months 

8 months 
15 months 

3 months 
7 months 

5 months 

4 months 
4 months 
4 months 

14 months 
12 months 

9 weeks 
3 months 
3 months 
3 months 
7 weeks 

3 months 
7 months 

4 months 

3 months 

6 months 
9 months 

12 months 
12 months 
12 months 

7 months 

5 months 
12 months 

6 months 

4 months 
12 tnonths 

6 months 
9 months 
3 months 
3 months 

7 months 

5 months 
10 months 
10 months 



Discharged 

or 
Remains. 



Discharged 

Discharged 

Discharged 

Discharged 

Discharged 

Discharged 

Discharged 

Remains 

Discharged 

Discharged 

Discharged 

Remains 

Discharged 

Discharged 

Discharged 

Discharged 

Discharged 

Discharged 

Remains 

Discharged 

Discharged 

Discharged 

Discharged 

Discharged 

Discharged 

Discharged 

Discharged 

Discharged 

Discharged 

Discharged 

Discharged 

Remains 

Remains 

Remains 

Remains 

Discharged 

Remains 

Discharged 

Discharged 

Remains 

Discharged 

Discharged 

Discharged 

Discharged 

Discharged 

Discharged 

Remains 

Remains 



In what Slate. 



Recovered 

Recovered 

Improved 

Improved 

Recovered 

Improved 

Stationary 

Stationary 

Improved 

Stationary 

Improved 

Stationary 

Recovered 

Im|)roved 

Recovered 

Recovered 

Recovered 

Recovered 

Stationary 

Stationary 

Recovered 

Recovered 

Recovered 

Stationary 

Recovered 

Recovered 

Improved 

Recovered 

Recovered 

Recovered 

Improved 

Stationary 

Stationary 

Stationary 

Recovered 

Stationary 

Improved 

Recovered 

Stationary 

Imjiroved 

Recovered 

Recovered 

Recovered 

Recovered 

Improved 

Improved 

Stationary 

Improved 



Remarks. 

Herediiary, Periodical, 

Paroxismal, &c. 



Hereditary. 

Periodical. 

Hereditary. 

Periodical. 

Hereditary. 

Idiotic. 

Paroxismal. 

Hereditary. 

Foreigner and Pauper. 

Homicidal. 

Periodical. 

Hereditary & Paroxismal. 
Foreigner and Pauper. 
Foreigner and Pauper 

Hereditary. 

Hereditary, Periodical and 
Hereditary. [Suicidal. 

Hereditaiy and Periodical. 

Idiotic. 

Hereditary and Periodical. 
Hereditary and Periodical 
Hereditary. [20 years. 
Foreigner and Paufier. 
Foreigner and Pauper. 
Hereditary and Periodical. 
Periodical. 
Paroxismal. 

Hereditary. [Suicidal. 

Hereditary, Periodical and 

Suicidal and Periodical. 

Periodical. 

Hereditary and Periodical. 

Periodical. 

Foreigner and Pauper. 

Hereditary and Periodical. 

Hereditary and Periodical 

Hereditary and Periodical 

Periodical. 

Paroxismal. 

Paroxismal. 

Periodical. 



22 



STATE LUNATIC HOSPITAL. 



Jan 





Time 


of 






Married 




Duration before 




Time spent in 
Ihe Hospital. 


Discharged 




Remarks. 


No. 


Admission. 


Age. 


Sex. 


or 
Single. 


Supposed Cause. 


Admission. 


By whom Committed. 


nr 
Remains. 


In what State. 


Herediiary, Periodical, 
Paroxismal, &e. 


70 


1833. 

April 5 


49 


Male 


Single 


Intemperance 


10 years 


The Court 


31 months 


Remains 


Stationary 




73 


" 


5 


59 


Male 


Single 


Disappointed Affection 


10 years 


The Court 


31 months 


Remains 


Stationary 


Epiliptic 


74 


a 


5 


36 


Male 


Single 


Intemperance 


8 years 


The Court 


31 months 


Remains 


Im[)roved 


Foreigner and Pauper. 


78 


" 


6 


30 


Female 


Single 


Intemperance 


[Jnknown 


The Court 


24 months 


Died 


Enteritis 


Foreigner and Pauper. 


84 


" 


27 


32 


Male 


Single 


Masturbation 


10 years 


The Court 


22 months 


Discharged 


Stationary 


Hereditary. 


95 


May 


24 


68 


Male 


Widower 


Wound on the Head 


15 years 


The Court 


24 months 


Discharged 


Improved 




101 


June 


5 


42 


Male 


Single 


Disappointed Ambition 


10 years 


The Court 


29 months 


Remains 


Improved 


Hereditary. 


102 


" 


6 


44 


Female 


Single 


Masturbation 


14 years 


The Court 


29 months 


Remains 


Stationary 




103 


" 


8 


18 


Male 


Single 


Masturbation 


2 years 


The Court 


29 months 


Remains 


Stationary 


Periodical. 


107 


(1 


28 


40 


Female 


Married 


Jealousy of Husband 


6 years 


The Court 


29 months 


Remains 


Improved 




113 


July 


10 


32 


Female 


Married 


Abuse of Husband 


9 months 


The Court 


22 months 


Discharged 


Recovered 


Paroxismal. 


114 


" 


12 


41 


Male 


Single 


Fanaticism 


15 years 


The Friends 


22 months 


Discharged 


Stationary 




120 


Aug. 


23 


58 


Male 


Widower 


TiOss of Property 


17 years 


The Court 


21 months 


Discharged 


Stationary 


Paroxismal. 


132 


Oct. 


13 


25 


Male 


Single 


Followed Fever 


7 years 


The Court 


24 months 


Discharged 


Improved 


Hereditary. 


133 


u 


19 


35 


Female 


Married 


Abuse of Husband 


2 years 


The Court 


25 months 


Remains 


Stationary 




137 


Nov. 


6 


73 


Male 


Widower 


Fear of Poverty 


30 years 


The Court 


25 months 


Remains 


Stationary 


Hereditary. 


146 


'• 


17 


50 


Male 


Married 


Intemperance 


4 years 


The Friends 


18 months 


Discharged 


Siatioiiary 


Hereditary & Paroxismal. 


147 


u 


20 


35 


Male 


Single 


Intemperance 


3 years 


The Court 


24 months 


Remains 


Improved 




148 


" 


20 


38 


Male 


Single 


Masturbation 


2 years 


The Court 


24 months 


Remains 


Stationary 




1.58 


Dec. 


7 


40 


Male 


Married 


Religious Perplexity 


2 years 


The Court 


18 months 


Discharged 


Improved 


Periodical. 


159 


(1 


7 


21 


Female 


Single 


Masturbation 


1 year 


The Friends 


18 months 


Discharged 


Stationary 


Foreigner and Pauper. 


162 


" 


16 


41 


Male 


Single 


Disappointed Affection 


8 years 


The Court 


24 months 


Remains 


Stationary 


Hereditary. 


166 


18 3*. 

Jan. 6 


25 


Male 


Single 


Intemperance 


2 months 


The Court 


19 months 


Discharged 


Recovered 




172 


" 


29 


51 


Female 


Married 


Religious Perplexity 


1 month 


The Court 


11 months 


Discharged 


Improved 


Paroxismal. 


173 


Feb. 


3 


44 


Male 


Widower 


Hypochondrical 


30 years 


The Court 


22 months 


Remains 


Improved 


Hereditary, Periodical and 


175 


" 


6 


23 


Female 


Single 


Indulgence of Temper 


4 years 


The Court 


15 months 


Discharged 


Imjiroved 


Hereditary. [Homicidal. 


176 


" 


10 


45 


Male 


Single 


Disappointed Affection- 


10 years 


The Overseers 


22 months 


Remains 


Improved 




177 


(C 


14 


40 


Male 


Single 


Disappointed Affection 


20 years 


The Court 


22 months 


Remains 


Stationary 


Periodical. 


180 


March 4 


38 


Male 


Married 


Intemperance 


11 years 


The Court 


21 months 


Remains 


Stationary 


Hereditary. 


190 


" 


U2 


41 


Male 


Married 


Jealousy of Wife 


3 years 


The Court 


21 months 


Remains 


Improved 




192 


" 


29 


80 


Male 


Married 


Intemperance 


5 years 


The Court 


15 months 


Remains 


Stationary 


Hereditary. 


194 


April 


5 


34 


Male 


Married 


Loss of Property 


2 years 


The Court 


15 months 


Discharged 


Stationary 


Hereditary. 


J95 


u 


8 


32 


Female 


Single 


Indulgence of Temper 


5 years 


The Friends 


9 months 


Discharged 


Improved 


Paroxismal. 


197 


it 


10 


24 


Male 


Single 


Masturbation 


2 months 


The Court 


11 (nonths 


Discharged 


Recovered 


Paroxismal. 


203 


" 


21 


23 


Female 


Single 


Domestic Afflictioa 


6 years 


The Court 


15 months 


Discharged 


Stiitionary 


Paroxismal. 


206 


((■ 


26 


36 


Male 


Single 


Unknovvn 


6 years 


The Court 


20 months 


Remains 


Stationary 


Paroxismal. 


207 


" 


26 


30 


Male 


Simgle 


Unknown 


Unknown 


The Court 


20 months 


Eloped 


Improved 


Foreigner and Pauper. 


209 


" 


30 


30 


Male 


Single- 


Unknown 


6 years 


The Court 


20 months 


Remains 


Stationary 


Hereditary. 


212 


May 


12 


49 


Female 


Widow 


Unknown. 


10 months 


The Court 


13 months 


Discharged 


Recovered 


Periodical. 


213 


11 


19 


26 


Male 


Single 


Masturbation 


2 years 


The Court 


12 months 


Dis-charged 


Improved 




222 


June 


21 


68 


Male 


Married 


Intemperance 


15 months 


The Court 


7 months 


Died 


Marasmus 




223 


i( 


21 


41 


Female 


Single 


Domestic Trouble- 


10 years 


The Court 


16 months 


Remains 


Stationary 


Hereditary. 


227 


July 


3 


28 


Female 


Single: 


Ill Health 


3 years 


The Friends 


17 months 


Ren)ains 


Stationary 




228 


" 


4 


34 


Male 


Single 


' Wnknown 


3 years 


The Friends 


6 months 


Discharged 


Improved 




229 


(C 


5 


32 


Male 


Single 


Intemperance' 


Unknown 


The Court 


14 months 


Discharged 


Stationary 


Paroxismal. 


231 


(( 


17 


57 


Male 


Single 


Intemperance 


27 years 


The Court 


6 months 


Discharged 


Stationary 


Foreigner and Idior. 


233 


tf 


18 


33 


Female 


Married 


Religious Excitement 


2 months 


The Friends 


16 months 


Remains 


Improved 


Paroxismal. [Pauper. 


535 




22 


53 


Male 


Single 


Intemperance 


Unknown 


The Court 


10 months 


Discharged 


Stationary 


Foreigner, Paroxismal and 



1836. 



SENATE— No. 7. 



23 



Time 


of 






Married 




Duration before 




Time spent in 
the Uiispilaj. 


Discharged 





Remarks. 


No. Adtnii, 


sion. 


Age 


Sex. 


• or 
Single. 


Supposed Cause. 


Admission. 


By whom Committed. 


or 
Remains. 


In what State. 


Heredii.Try, Pcrioilicl, 
raroxi!,mal, iVr. 


339 June 


24 


39 


Female 


Married 


Religious Perplexity 


2 weeks 


The Court 


3 weeks 


Discharged 


Recovered 




340 


July 


1 


30 


Male 


Single 


Epilepsy 


Unknown 


The Court 


6 months 


Remains 


Stationary 


Foreigner and Pauper. 


341 


i( 


2 


43 


Female 


Mairied 


Puerperal 


8 weeks 


The Court 


10 weeks 


Discharged 


Recovered 


342 


II 


3 


32 


Male 


Married 


Intemperance 


2 weeks 


The Court 


5 days 


Died 


Brain Fever 


Foreigner and Pauper. 


343 


<i 


6 


33 


Female 


Married 


Unknown 


5 months 


The Court 


3 months 


Discharged 


Recovered 


344 


K 


11 


45 


Male 


Married 


Fear of Poverty 


2 months 


The Friends 


3 months 


Discharged 


Recovered 




345 


II 


14 


40 


Female 


Widow 


Family Affliction 


4 years 


The Court 


5 months 


Remains 


Stationary 




346 


II 


15 


58 


Male 


Married 


Domestic Affliction 


8 years 


The Court 


5 months 


Remains 


Stationary 




347 


" 


15 


52 


3Iale 


Married 


Intemperance 


6 years 


The Court 


5 months 


Remains 


Stationary 


Hereditary and Periodical. 


348 


IC 


31 


47 


Male 


Single 


Infemperance 


16 months 


The Friends 


3 months 


Discharged 


Iiri])roved 




349 


Aug. 


I 


43 


Male 


Married 


III Health 


6 years 


The Court 


5 months 


Remains 


Stationary 


Hereditary. 


350 


i< 


1 


43 


Female 


Married 


111 Healtli 


6 montlis 


The Court 


5 weeks 


Discharged 


[{ec^vererl 


Hereditary. 


351 


If 


5 


45 


Female 


Single 


Domestic Affliction, 


27 months 


The Court 


5 months 


Remains 


Stationary 


Hereditary. 


352 


i( 


14 


31 


Female 


Single 


111 Health 


12 months 


The Friends 


3 months 


Discharged 


Improved 


^ 


353 


" 


15 


38 


Male 


Single 


Intemperance 


12 months 


The Court 


5 months 


Remains 


Itnproved 


Hereditary. 


354 


" 


20 


36 


Female 


Single 


Disappointed Ambition 


2 years 


The Court 


5 months 


Remains 


Improved 




355 


II 


22 


30 


Female 


Widow 


Domestic Affliction 


5 months 


The Court 


10 weeks 


Died 


Disease of Heart 


Hereditary. 


356 


" 


29 


38 


Male 


Single 


Intemperance 


5 months 


The Court 


5 months 


Remains 


Improved 


Periodical. 


357 


II 


31 


52 


Male 


Widower 


Intemperance 


3 weeks 


The Court 


4 months 


Remains 


Improved 


Hereditary and Periodical. 


'i58 


Sept. 


1 


35 


Male 


Single 


INIasturbalioii 


3 years 


The Friends 


3 months 


Discharged 


Improved 




359 


<i 


2 


71 


Male 


Widower 


Domestic Affliction 


2 months 


The Court 


3 months 


Remains 


Stationary 


Hereditary and Periodical. 


360 


11 


2 


38 


Female 


Married 


Intemperance 


4 months 


The Court 


.3 months 


Remains 


Improved 




361 


11 


4 


21 


Female 


Single 


Masturbation 


3 years 


The Court 


11 weeks 


Died 


Consumption 




362 


" 


5 


48 


Female 


Married 


Domestic Affliction 


3 months 


The Court 


12 weeks 


Discharged 


Recovered 


Hereditary and Periodical. 


363 


II 


11 


57 


Male 


Married 


Intemperance 


2 months 


The Court 


10 weeks 


Discharged 


Recovered 


Peri(jilicaf. 


364 


II 


16 


39 


Female 


Married 


Unknown 


1 1 years 


The Court 


3 months 


Remains 


Siaiioiiary 


Hereditary. 


365 


II 


25 


23 


Male 


Married 


Masturbation ^i 
111 Health ^' 


2 years 


The Court 


3 months 


Remains 


Stationary 




366 


11 


30 


26 


Male 


Single 


3 months 


The Court 


2 months 


Remains 


Improved 




367 


Oct. 


1 


32 


Male 


Single 


III Health 


4 years 


The Court 


2 months 


Remains 


Stationary 


Hereditary. 


368 


" 


2 


51 


Female 


Married 


Religions Perplexity 


2 years 


The Court 


2 months 


Remains 


Improved 




369 


II 


2 


30 


Male 


Single 


Intemperance 


2 months 


The Court 


2 months 


Discharged 


Recovered 




370 


II 


13 


26 


Male 


Single 


Effect of Poison 


2 weeks 


The Court 


2 months 


Remains 


Improved 


Periodical. 


371 


II 


13 


18 


Male 


Single 


Masturbation 


2 months 


The Friends 


2 months 


Remains 


Im|)roved 


Hereditary. 


372 


II 


19 


G6 


Male 


Married 


Intemperance 


Unknown 


The Court 


2 months 


Remains 


Stationary 


Periodical. 


373 


II 


28 


37 


Female 


Single 


Disa))pointed Affection 


14 years 


The Court 


1 month 


Remains 


Stationary 


[Stiicidfil. 


374 


" 


28 


46 


Female 


Married 


Paralysis 


10 months 


The Court 


! month 


Remains 


Stationary 


Hereditary, Periodicfd and 


375 


II 


30 


30 


Male 


Widower 


Disa|)pointed Affection 


12 months 


The Court 


1 month 


Remains 


l4iiproved 


Hereditary and Suicidnl. 


376 


" 


30 


52 


Male 


Married 


Unknown 


3 months 


The Court 


1 month 


Remains 


Stationary 


Hereditaiy. 


377 


II 


31 


16 


Female 


Single 


III Health 


3 months 


The Court 


1 month 


Remains 


Iniproved 


Hereditary. 


378 


11 


31 


40 


Female 


Single 


Unknown 


3 weeks 


The Court 


1 month 


Remains 


Iiiipjoved 


Hereditary. 


379 


Nov. 


5 


62 


Female 


Widow 


Intemperance and Snuff 


1 week 


The Overseers 


1 month 


Remains 


Improved 


Periodical. 


380 


11 


5 


28 


Female 


Married 


Puerperal 


6 years 


The Court 


1 month 


Remains 


Stationary 


Hereditaiy. 


381 


II 


8 


30 


Female 


Married 


Religious Anxiety 


2 years 


The Court 


3 weeks 


Remains 


Stationary 




382 


II 


9 


40 


Male 


Single 


Disappointed Affection 


5 years 


The Court 


3 weeks 


Remains 


Stationary 




383 


II 


10 


30 


Male 


Married 


Unknown 


4 years 


The Court 


.3 weeks 


Remains 


Stationary 




384 


" 


13 


37 


Female 


Single 


III Health 


3 months 


The Court 


2 weeks 


Remains 


Stationary 


Periodical. 


385 


II 


16 


21 


Female 


Single 


Disappointed Affection 


3 weeks 


The Overseers 


2 weeks 


Remains 


Stationary 





26 



STATE LUNATIC HOSPITAL. 



Jan 



SUMMARY. 



Whole number of Patients ad- 
mitted into the Hospital, 



Old Cases, . 
Recent Cases, 



213 
172- 



Sent by Courts, . 253 

Private and by Overseers, 132- 

Whole number of Patients dis- 
charged, . . 



385 
-385 
-385 

266 



"Recovered, . . 142 

Improved, . . 53 

Died, . . 20 

For want of Room, 19 

Eloped, . . 3 

Stationary and Idiotic, 29 — 266 

Patients in the Hospital Dec. 
1, 1834. 

Old Cases, . . 96 

Recent Cases, . 22—118 

Patients in the Hospital Dec. 
1, 1835. 

Old Cases, . . 98 

Recent Cases, . 21—119 



Patients in the Hospital dur- 
ing the year ending Nov. 

30.1834, . . 233 

Patients in the Hospital dur- 
ing the year ending Nov. 

30.1835, . . 231 

Patients admitted during the 
year ending Nov. 30, 1835. 
Old Cases, . . 58 

Recent Cases, . 55 — 113 



Of each sex. 
Males, 
Females, . 



51 
62—113 



Of which were sent 

By Courts, . . 89 

Private, . . 24- 



Present number of Patients, 119 
Considered curable or hope- 
ful, . . o5 
Incurable and hopeless, 84 — 119 



Present number of 
Males, 
Females, . 



78 
41—119 



Patients discharged during the 
year ending Nov. 30, 1835, 



112 



Of the cases discharged there 


have 






Recovered 




52 


Improved, 




23 


For want o 


f Room, . 


19 


Died, 




8 


Stationary 


and Idiotic, 


9 


Eloped, 




1 



-112 



Of the recent cases discharged 

there have 

Recovered, . . 43 

Died, . . 3 

Improved, . . 3 
For want of Room, 

Stationary, . . 1 

Of the old cases discharged 

there have 
Recovered, . 
Improved, . 
For want of Room, 
Died, 

Stationary and Idiotic, 
Elo[)ed, 



— 52 



60 



Recovery of all the cases discharg- 
ed from the Hospital to November 
ber 30, 1835, 531 pr cent. 

Recoveries of all cases discharged 
during the year ending November 
30, 1835, 46i pr cent. 

Recoveries for the same period, ex- 
clusive of those discharged for 
want of room, 56 pr cent. 

Recoveries of the discliarged whose 

cases were of less than one year's 

duration, to November 30, 1835, 

80 pr cent. 

Recoveries of old cases discharged 
to November 30, 1835, 27 pr cent. 

Recoveries of those patients during 
the year ending November 30, 
1835, whose insanity was less than 
one year's duration, 82^ pr cent. 



Recovery of the old cases discharg- 
ed during the year ending Novem- 
ber 30, 1835, 15i pr cent. 

Of the same, exclusive of those dis- 
charged for want of room, 

21 i pr cent. 

Proportion of deaths of the whole 
number of patients ; 

one of 19i pr cent. 

Per centof deaths of the whole num- 
ber of patients, 5i pr cent. 

Per cent of deaths on the number 
discharged, 7i pr cent. 

Per cent of deaths on the discharged 
of the last year, 7^ pr cent. 



1836. 



SENATE— No. 7. 



27 



SUMMARY— Continued. 



Present number of Patients iti 




Average number of Patients 


Present ages of the Patients 


Occupations, 




Steward's estimate of the quantity and value 


the Hospital Dec. ], 1835, 




for tiie last year, ending N 


0- 


now in the Hospital, 




Cotnmon Laborers, 


57 


of produce raised by the patients 


with the 


Recent cases Improved, 12 




veniber30, 1835, 


120 


Under 20 


3 


Fartners, 


52 


assistance and under the superintendence of 


'• Stationary, 9 




Average for each month, 




Between 20 and 30 


22 


Manufacturers, 


18 


one farmer, shewing the benefit of labor in a 


Old cases Improved, 18 




December, 


122i 


" 30 " 40 


42 


Shoe makers, 


18 


pecuniary view. 




" Stationarj^, 80— 


-119 


January, 


122 


" 40 " 50 


30 


Seamen, 


16 










February, 


1193 


" 50 " 60 


11 


Teachers, 


13 


Corn, 140 bushels, at $1 per bushel. 


$140 00 


Of the 385 — having insane an- 




March, 


120i 


« 60 " 70 


6 


Carpenters^ 


10 


Potatoes, .500 do., at 25 cts. do. 


125 00 


cestors or other near relatives, 


90 


April, 


122 


Over 70 


5 


INlerchants, 


8 


Onions on 15 rods of ground, 60 bush- 








May, 


1241 




— 


Machinists, 


6 


els, at 80 cts. per bushel, 


48 00 


Of the 385— Periodical, cases 




June, 


119 




119 


Blacksmiths, 


5 


Beets, 70 bushels, at 50 cts. per bushel 


35 00 


recurring occasionally with 




July, 


114 


Duration of insanity with those 


Tailors, 


4 


Carrots, 8 bushels, at 50 cts. do. 


4 00 


an interval of one or more 




August, 


1145 


now in the Hospital, 




Printers, 


3 


Parsnijis, Ifi bushels at 50 cts. do. 


8 00 


years. 


40 


September, 


116^ 


Less than 1 year. 


21 


Paper makers. 


.3 


Tiirnips,200 bushels, at 17 cts. do. 


34 00 






October, 


117 


From 1 to 5 


22 


Clothiers, 


3 


French, do. 10 bushels, at 5(i cts. do. 


5 00 


Applications made at tlie Hos- 




November, 


12U 


" 5 " 10 


34 


Millers, 


2 


Beans, 14 bushels, at $1 50 cts. do 


2100 


pital lor admittance rejected 


91 


Admitted and discharged as 


follows. 


" 10 " 20 


29 


Calico printers. 


2 


Winter Squashes, 1 ton. 


20 00 






JMontlt. Adnvlled. Discharzed. 


« 20 " 30 


3 


Cabinet makers. 


2 


Pumpkins 6 loads, 


6 00 


From abroad, 15 




December, 9 


5 


Over 30 


4 


Rakers, 


2 


Cabbages, 500 heads, 4 cents each. 


20 00 


For want of room, 76— 


- 91 


Januaiy, G 


7 


Unknown, 


6 


Stevedores, 


2 


Green Peas on 15 rods of ground, es- 








February, 9 


10 






Stone cutter. 




esti mated at 


30 00 


Town Paupers, 40 




March, 9 


4 




119 


Comb maker. 




Hay, 2 tons, 


30 00 


State " 23 




April, 4 


5 


Supposed Causes, 




Cooper, 




Corn Fodder, 


12 00 


Total of Paujiers now in the 




May, 18 


23 


Intemperance, 


96 


Harness maker. 




Summer Vegetables estimated at 


100 00 


Hospital, 


63 


June, 12 


12 


Produced by, or perpetuated 




Tanner, 




Pork raised, 2700 lbs. at 74 per lb. 


202 50 






July, 9 


16 


by Masturbation, 


40 


Pedlar, 












Persons of Color, 


8 


August, 9 


5 


Domestic Afflictions, 


36 


Currier, 






$840 50 


Per cent, of Blacks, 2^ 




September, 9 


9 


III Health of various kinds 


35 


Brick layer. 




For a short time the pork was fed 








October, 12 


10 


Religious feelings, including 




Clergyman, 




upon the corn raised. 




Of the 385— Cases of Homici- 




November, 7 


6 


Fanaticism, Perplexity, Ex- 




Lawyer, 








dal Insanity, 


15 







altation, Enthusiasm, Doubt 




Physician, 




The Females have knit at least 200 


pairs of 


Of the 385— Cases of Suicidal 




113 


112 


and Fear of Future Punish- 




Vagrants, 


13 


socks and stockings, made a large 


quanJity 


propensity, 


30 


Foreigners. Foreigners from other States. 


ment, 


25 






of sheets, jiillow cases, shirts and 


assisted 






Irish, 12 N. York, 


.. 1 


Loss of Property, Fear of Pov- 






250 


more or less in domestic labor an( 


making 


Patients able to perfortn some 




German, 1 N. Hampshire, 1 


erty or disappointment of 








clothing. 




profitable labor, male and fe- 




French, 1 Virginia, 


y 


Wealth, 


24 






The Males have done tnucli other labor about 


male, now in the Hospital 


50 


Welsh, 1 Kentucky 


1 


Disappointed Affection, 


14 


Many fiimales who are 




the grounds, new building, walks, 


&c , cut. 






Haytian, 1 


K 


Disappointed Ambition, 


, 9 


House-keepers and 




sawed .-md piled fiom 2 to 300 cords 


of wood 






Canadian, 1 


•> 


Indulgence of Temper, 


8 


sempstresses not in- 




with the help of the farmer. 








I7 


17 


Wounds on the Head, 
Puerperal, 


5 

7 


cluded. 


135 










Total Foreigners, 


22 


Many Unknown, 




In the whole. 


385 







Worcester^ November 30, 1 835. 



S. B. WOODWARD, Su^yerintendent. 



1836. SENATE— No. 7. 29 

A reference to the foregoing table will show that the 
prosperty of the Hospital, so far as relates to the recov- 
ery and improvement of its inmates, has been nearly the 
same as the last year, and that the mortality has been the 
same. 

Notwithstanding many incurable cases have been dis- 
charged the last year for want of room, the number has 
considerably increased, and is at this time greater than at 
any former period. 

So also, the cases sent in by the courts as dangerous 
to be at large, are in much greater proportion, than in 
any former year. Indeed we have received no private 
boarder for some time past, excepting such cases as were 
contemplated by the law establishing the Hospital. 

The Hospital has gained some reputation as a curative 
institution. This has induced the friends of chronic and 
hopeless cases to procure for them a residence within its 
wards, with the expectation that remedial means might 
be successful in restoring them to reason, and to useful- 
ness. Few individuals are aware of the difficulty of re- 
moving insanity from the mind, which has long felt its 
influence and yielded to its illusions. 

The per ct. of recoveries of recent cases has been 
greater than the last year, and of chronic cases about the 
same. The whole number of cases under our care dur- 
ing the year, has been 231. 

In the management of this number of violent insane 
persons, no accident has occurred endangering the life of 
officers or inmates. With increased experience, we find 
less difficulty in the management of patients. Whatever 
disasters occur, almost invariably arise from a want of 
vigilance and care of inexperienced attendants. 
6 



so STATE LUNATIC HOSPITAL. Jan 

We have to lament too frequent changes of this kind, 
which is always unfavorable to the safety and comfort of 
the inmates. The regulation adopted by the Board of 
Trustees, to secure the faithfulness, and prolong the term 
of service of attendants, will, it is confidently believed, 
have a favorable influence. 

The resignation of the present steward and matrony 
is a circumstance greatly to be regretted at this time. 
The loss of their experience and judicious aid will be 
seriously felt. We may consider ourselves peculiarly for- 
tunate, if we are able to supply their places by those in> 
whom we can place equal confidence. 

In the course of another year, the labors and responsi- 
bilities of the institution will be increased, by the addi- 
tional accommodations now in preparation, which it is 
understood will be in readiness early in the summer. 

With this additional care, it is desirable that every 
facility should be afit)rded of furnishing the necessary 
supplies to the establishment. 

During the present year, we have had much difficulty 
with the aqueduct, supplying us with water. It is found,, 
upon experience, that the present pipe is of insufficient 
strength to bear the pressure of the quantity of water 
needed in the hospital, as the supply has been frequently 
interrupted by the bursting of the pipe.^ 

We are now satisfied that the quantity of water fur- 
nished by the fountain is sufficient for all our wants, and 
if an additional quantity should be ultimately needed, 
other sources in the vicinity of the present supply can be- 
added at a moderate expense. 

It is all important that the aqueduct be increased m 
size and strength, so that an abundance of water h& 
always at hand to supply the wants of the HospitaL 



1836. SENATE— No. 7. 31 

Neither cleanliness or ventilation can be secured without 
it, and the health of the inmates must necessarily suffer. 

We are also in danger of an obstruction of the sewers, 
the cleansing of which requires a large quantity of water, 
moving with considerable momentum ; should these be- 
come obstructed, it would be a most serious evil, involv- 
ing great expense in its removal. 

I suggest thus freely on the subject of water, as I feel 
that the institution will suffer in most important interests, 
if a remedy, ample and effectual, is not provided. When 
We contemplate the embarrassments of the seasons that 
are past, on this subject, we feel that we cannot continue 
to encounter them, with the accumulation of duties and 
labors, which the additional accommodations for patients 
will impose upon us. 

The subject of a chapel has been suggested by a num- 
ber of distinguished individuals, who have taken an inter- 
est in the Hospital, and has been strongly recommended 
by his Honor the acting Governor of the Commonwealth. 
I fully respond to the importance of this appendage to an 
institution of this character, i cannot suppose that relig- 
ious worship in our halls at present, crowded as they are, 
and badly classified as our patients will be, while thus 
crowded, would promote the general good. But a select 
number might attend worship in a chapel with advantage, 
and would be gratified with such an indulgence. 

The reading of the scriptures and appropriate prayers 
on week days, and such a discourse and other religious 
teaching, as would be suitable 02^ the sabbath, would be 
beneficial by a mental and moral exercise. 

The sabbath is at present the most tedious of the days. 
Amusements are laid aside, and labor is suspended ; a 
large proportion of the inmates spend the day in idleness, 



32 STATE LUNATIC HOSPITAL. Jan 

and often in a state of irritation, not at all conducive to 
comfort or recovery. 

If a proportion of the inmates were suffered to visit 
a chapel daily, others would be desirous of the same 
privilege, and thus a motive to quiet and self control, 
would be constantly active, and would not fail to produce 
a favorable influence. 

On the subject of labor, all our experience confirms 
the views formerly expressed of its utility, both to the 
patients and the Institution. We have at present a dozen 
incurable patients, who could labor daily in the field, and 
as many more that might be employed a part of the time, 
pleasantly and profitably. 

An institution of the character of this, will always 
have a number of working men in it, and they are always 
disposed to labor when permitted. 

Shut up in the halls, they are often unhappy, discon- 
tented and troublesome ; suffered to go into the field and 
garden, and join in the labors of the season, they will be 
cheerful, pleasant and healthful. Patients duly appre- 
ciate the confidence thus reposed in them, and bring into 
requisition all their power of self-control, to show that con- 
fidence has not been misplaced. 

Appetite and sleep are promoted by labor, the physical 
powers become renovated, and the prospect of cure 
is greatly increased, I am confident, with suitable moral 
management, labor is the best means of restoring chronic 
cases to health and mental soundness. 

Convalescents are also particularly benefitted by labor. 
When the excitement of disease wears away, and the 
mind becomes capable of rational reflection, the subject 
of employment is first adverted to ; the animal powers 
feel the need and demand active exertion, " Give me 



1836, SENATE— No. 7. S3 

something to do," is the universal request of this class of 
patientSo 

In moderate labor thej find relief from the irksome- 
ness of confinement, and mental and physical strength 
are by this means promoted. 

In this way also the patient is brought within the 
sphere of his healthy and accustomed activity. Old asso- 
ciation returns, former trains of thought are re-excited 
and confirmed, rational views of subjects are established, 
^nd one illusion after another is dispelled from the mind. 

Another beneficial influence of labor, which operates on 
the sane as well as on the insane mind, producing cheer- 
fulness and pleasure, is the hope and expectation of pro- 
duction and benefit, witnessing the results of their own 
operations in the improvement of grounds and walks, the 
growth of vegetables, the cultivation of flowers and gar- 
dens, and the manufacture of implements and the means 
of employments, and amusement. This gives an im- 
pulse to the mind as useful as it is pleasant, awakens 
daily new sources of enjoyment, and imparts vigor and 
energy to all the powers of man. 

This essential principle of human activity is not ex- 
cited by other kinds of exercise, as games, walks, cards, 
checkers, and the like, although these are all more or less 
useful, by occupying the mind, influencing the feelings, 
and fixing the attention. 

During the period of high excitement, in cases of recent 
insanity, the mind should be kept perfectly quiet, and the 
patient much of the time secluded from company and 
noise. In this condition, the faculties want rest, and 
every means should be adopted to avoid irritation, and to 
calm and compose the purturbation of feelings, which the 
workings of disease perpetually excite. 
7 



34 STATE LUNATIC HOSPITAL. Jan 

But as the excitement of disease wears away, some, 
suitable employments both of body and mind must be 
grndually and carefully commenced, and must be in- 
creased and varied according to the fitness and ability to 
bear it. If suffered to remain without occupation, the 
mind w^ill be in danger of sinking into a state of imbecility 
and torpor, from which it may never be aroused. 

Nothino; can be worse for the inmates of an insane 
hospital, than inactivity of body and mind. They should 
be constantly employed in such a way as to interest 
the feelings, and give strength to the mental and physical 
powers. 

I am aware that other kinds of exercise have been rec- 
ommended by those whose opinions are entitled to the 
greatest weight on this subject. Whatever may be the 
case in other countries, and in other institutions in this 
country, I am confident that for the inmates of this hospi- 
tal, coming as they do almost exclusively from the labor- 
ing classes of society, agricultural and mechanical employ- 
ments are most congenial to their feelings, and most ad- 
vantageous in promoting recovery. 

We have not the military taste of the Prussians and 
the Germans, nor a relish for the light amusements of the 
French and Italians. We are emphatically a working. * 
people, and are not in our element without kibor. 

Much of the success which we have had in the man- 
agement of recent cases of insanity, is to be ascribed to 
active medicinal treatment. We have witnessed the most 
decided and unequivocal good effects from the use of ac- 
tive remedies ; and continue to prescribe them, with a 
confidence strengthened by daily observation of their util- 
ity. Insanity is a disease of the physical system, ensuing 
from a derangement of the functions of the brain and 



1836. SENATE— No. 7. 35 

nerves, and requires medicinal treatment in its cure, as 
much as any other physical disease. In many cases little 
medicine is indicated, in others a regular use of remedies 
for a long period, has been attended with the most pleas- 
ing results. 

In recent cases of insanity, under judicious treatment, as 
large a proportion of recoveries will take place, as from any 
other acute disease of equal severity. This is a truth of 
great importance, which it is believed will be confirmed 
hy the records of all well regulated hospitals in this coun- 
try. 

The records of this institution will show that the first 
three months of the first year of disease afford two chances 
of a cure, where the last three months of the year do one. 
In other words, two \v\\\. recover, less than three months 
insane, where one will, that has been insane nine months, 
and twenty five per cent, is a large proportion of cures of 
cases of one year's duration. Of older cases, one occa- 
sionally recovers ; but a very large proportion are irreme- 
diable and hopeless. 

These facts cannot be too extensively known. If gen- 
erally understood, they would prom.pt to early application 
for the means of cure, and thus multitudes would be 
restored to usefulness and enjoyments, that otherwise 
will fall into hopeless imbecility and idiocy. 

Chronic cases are sometimes, though rarely, cured by 
medicine. If attended by marked symptoms of ill health, 
medicine may be beneficiaL If not, we have reason to 
fear that confirmed habit, or organization of the brain, 
may establish the wanderings of intellect, or blot it out 
forever. 



36 STATE LUNATIC HOSPITAL. Jan 



(COPY.) 

To His Honor Samuel T. Armstrong, Acting Governor' 
of the CommonwealtJu 

SiRj. 

Having been enstrusted by the Commissioners for en- 
larging the State Lunatic Hospital at Worcester, with 
a more particular superintendence of the work, in the 
absence of the other members of the Board, I take leave 
as the year is closing, to inform you of its progress and 
condition. 

One half only of the contemplated enlargement has as 
yet been commenced. This constitutes a building of 
134 feet in length by 34 feet in width, attached to and 
running back at right angles with the southern extremity 
of the present building, and corresponding in height 
wdth the same. The walls were ready for the roof early 
in October. The roof and coving are now finished, with 
some slight exceptions about the piazza at the connecting 
angle of the buildings, which the recent extreme cold 
has somewhat retarded. The whole building, however, 
is in a good state of forwardness ; — the interior is nearly 
ready for plastering, the windows are glazed ; and there 
is no reason to fear but the contractor will be quite able 
'to meet his engagement, and that the building will be 
finished and ready for occupancy by the 1st of June 
next. 

The season has been unfavorable for building, hj rea- 
son of the scarcity of materials, and the difiiculty of pro- 



1836. SENATE— No. 7. 37 

curing suitable workmen ; but the Commissioners feel 
much gratified, that, notwithstanding these inconven- 
iences, they have succeeded in the accomplishment of 
their commission thus far, in a manner which they are 
confident will meet the approbation and promote the 
interests of the Commonwealth. 

In behalf of the Commissioners, 

I have the honor to be, 
Very respectfully, 

Your obedient servant, 

JOSEPH JENKINS. 

Boston, Dec. 26, 1835. 



MAR -6'! 7