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

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REPORT 



RELATING TO 



LUNATIC HOSPITAL. 



Digitized by the Internet Arciiive 

in 2010 with funding from 

University of IVIassachusetts Amherst 



http://www.archive.org/details/annualreportoftr02stat 



FOURTH 



ANNUAL REPORT OF THE TRUSTEES 



STATE LUNATIC HOSPITAL 



AT WORCESTER. 



DBCKMBBR, 1S36. 



Morton: 

DUTTON AND WENTVVORTH, STATE PRINTERS. 
1837. 



The undersigned, Trustees of the State Lunatic Hos- 
pital at Worcester, respectfully submit this their Fourth 
Annual Report to his Excellency the Governor and the 
Honorable Council, exhibiting a Statement of the condi- 
tion of the Hospital and of its concerns, up to the present 
time. 

By the tables which accompany this report, and which 
have been carefully prepared by the Superintendent, it 
will appear, that the whole number of patients received 
into the Hospital, since its establishment is Jive hundred 
and ten ; that the whole number which have been in 
the Hospital during the past year is two hundred and 
forty-four ; one hundred and twenty-five of these having 
been received during the year, and the remainder contin- 
ued from former years. Of these one hundred and tioen- 
ty-five^ one hundred and seventeen were committed by the 
courts, leaving only eight private patients received during 
the year. One hundred and six have been discharged 
during the year, leaving one hundred and thirty-eight in 
the Hospital at the end of the year. Of the 07ie hun- 
dred and six who have been discharged, fifty-seven were 
cured, fijteen improved, eight have died, and twenty-four 
were discharged by the Trustees for want of room, un- 
der the provisions of the statute. 

Of the patients cured the proportion of recent cases, 
that is of less than one year's duration, has been eighty- 
four and one-fifth per cent. ; while of those of longer du- 
ration the proportion has been only eighteen and two- 
thirds per cent, including those discharged for want of 



4 STATE LUNATIC HOSPITAL. 

room, as all of the latter with a single exception should 
be put down in the class of incurables. Of those who 
remained at the end of the year, eleven only were recent 
cases, while fifty-four of this description had been receiv- 
ed during the year, and these eleven are all considered by 
the Superintendent as curable. A more extended view 
of this branch of our subject will show that of the one 
hundred and sixty-one cases of less than one year's du- - 
ration admitted into the Hospital since its establishment, 
one hundred and thirty-two have been and eleven more 
probably will be cured, ten have died, six have been re- 
moved before the effect of the remedies applied had been 
sufficiently tested, and only two have been left to become 
old cases. It further appears that in the older cases, va- 
rying from one year to thirty years and upwards, the 
chance of cure is nearly in an inverse ratio to the dura- 
tion of the disease. 

From these results as exhibited in the tables before us, 
we are admonished of the propriety of again inviting the 
attention of our fellow citizens to the importance of a 
speedy application of remedies in all recent cases of this 
disease. They speak more forcibly than any other lan- 
guage which it would be in our power to adopt ; and, if 
felt and appreciated as they cannot fail to be when fully 
understood, must produce the desired effect ; for surely 
the friends of the patient who is first visited with this 
afflicting disorder, with the evidence of these facts be- 
fore them, could never suffer him, for want of timely at- 
tention to his malady, to become the victim of hopeless 
and confirmed insanity. 

It further appears, as far as can be ascertained from an 
examination of the books of the Institution, that of the 
whole number of patients admitted to the Hospital, there 



STATE LUNATIC HOSPITAL. 

have been supported by themselves or thek friends 

139 males, 
112 females, 



Supported by the tovi^ns, 106 males, 

73 females, 



251 



179 



State Paupers, 52 foreigners, 

21 from other States, 
73 



Satisfactory evidence of the birth and former residence 
of the remaining seven could not be ascertained. 

An abstract of a report by the justly celebrated Esqui- 
rol, of the royal institution of Charenton near Paris, con- 
tains the following particulars. The results are the more 
interesting as this excellent public charity is of a char- 
acter nearly resembling the State Lunatic Hospital of 
Massachusetts. The report is for the eight years next 
preceding the year 1834. 

Esquirol found in the Hospital at the commencement 
of the period above mentioned, 492 patients, 

Admitted during the eight years, 1557 



Of this number recovered. 


518 


Mj'^xj 


Died, 


546 




Discharged not cured, 


514 


1578 


Remained, 




471 



Esquirol makes his estimates of cured on the admis- 
sions during the eight years, viz. : 1557 
The number of cures 518, is about SS^ percent. 
Estimate of deaths on the whole number, 2049 
546 deaths are 26J per cent. 



6 STATE LUNATIC HOSPITAL. 

The State Lunatic Hospital has received 510 patients, 

It has had 28 deaths, which is 5J per cent. 

It has discharged, 372 

Its estimate of cures is upon the discharged, about 53^ 
per cent. 

If the estimate of cures in the French Hospital were 
made in the same manner, it would not as will be per- 
ceived materially alter the per centage. 

Esquirol's recoveries of the whole number in that Institu- 
tion including incurables is 25^ per cent, or 518 of 2049. 

The recoveries in the State Lunatic Hospital of all 
the patients, is 38 4-5 per cent, viz : 198 of 510. 

Both Institutions contain a large proportion of incura- 
bles. 

The result of this comparison of the success of our 
Institution with that of one which has been for eight 
years past under the superintendence of a man so distin- 
guished as Esquirol, whose knowledge and skill in the 
treatment of the insane have placed him at the very head 
of his profession, cannot fail to be gratifying, and should 
. encourage us to persevere in our efforts to perfect to the 
extent of our means and to diffuse as widely as possible 
the benefits of this benign charity. 

Since our report of last year the new south wing has 
been completed, and, from the twenty-eighth day of Sep- 
tember last, has been occupied by the class of incurables. 
This, as contemplated in former estimates and reports of 
this Board, has furnished a much better opportunity for 
classifying the patients than could before be obtained. 
And it is to be hoped that the accommodations here af- 
forded will relieve the Trustees from any future necessi- 
ty of using the discretionary power, vested in them by the 
statute, of removing patients of this class back to the 



STATE LUNATIC HOSPITAL, 7 

houses of correction — a power which they have been re- 
luctantly compelled to exercise, in a considerable number 
of cases, in consequence of the crowded state of the 
Hospital during the past year. 

The evil complained of last year in the want of a suf- 
ficient supply of water, we believe is now fully remedied. 
The former pipe, which was deficient in strength and of 
too small a calibre, and was frequently bursting from that 
cause, has been taken up and replaced by one of larger 
size through nearly its whole extent ; and as the supply 
has been abundant since in this season of scarcity of wa- 
ter, we think it will prove adequate to all the future 
wants of an enlarged establishment. 

The porticos which the Commissioners have caused 
to be erected in front of the new wings, while they con- 
tribute much to ornament, and improve the general ap- 
pearance of the edifice, will be found to contribute much 
more to the comfort and convenience of its inmates. 
They are used as places of recreation and exercise for 
the patients, and, in the opinion of the Trustees, are 
much to be preferred to the yards which were formerly 
used for these purposes ; insomuch that since the porti- 
cos have been occupied the yards have been entirely re- 
moved from the premises. They can be used in stormy 
weather when the yards could not be. Accommodations 
for exercise beneath the open sky are very properly pro- 
vided in many of the European Hospitals. They are 
much oftener needed in the genial climates of southern 
Europe, or even in our middle and southern States than 
in New-England. The days which require the shelter of 
a portico for the protection of invalids in our bleak cli- 
mate far outnumber those that would admit of a greater 
exposure. And many of our patients with suitable at- 



8 STATE LUNATIC HOSPITAL. 

tendants can walk out in the fields when the weather 
will admit of such exercise. But there were stronger 
objections to the use of the yards than any we have yet 
mentioned. Enclosed by high fences, they brought home 
to the feelings of the patients a sense of confinement 
and of degradation, and had thus a tendency to produce 
despondency and gloom, unfavorable in many instances 
to their recovery. Some of the patients had a propen- 
sity to lie for a long time prostrated on the ground and 
if not carefully watched would often injure themselves 
by this practice. These difficulties are mainly if not 
entirely obviated in the porticos. They have the air of 
cheerful and healthy saloons, and while they afford am- 
ple security in every respect, the consciousness of being 
restricted as in the yard of a prison is not forced upon 
the mind of the sensitive patient. He feels the portico 
to be a place of enlargement and not of confinement, and 
such as he feels it, it becomes to him. 

The report of the treasurer, which will accompany 
this, shows a very considerable increase in the expendi- 
tures of the Hospital over those of the preceding year. 
The increased number of patients to be provided for, and 
the great increase in the price of nearly all the necessa- 
ries of life, will at once account for a portion of these 
increased expenditures. To these must be added the re- 
pairs upon the aqueduct already mentioned, which could 
no longer be delayed, and which cost about one thousand 
dollars ; bills of the former year remaining unpaid to 
nearly the same amount ; and sundry improvements in 
levelling and fencing the grounds and altering and en- 
larging the stable and other out-buildings of the Hospi- 
tal. When these, which should be considered extraordi- 
nary expenses and not among the current expenses of the 



STATE LUNATIC HOSPITAL. 9 

present year, are deducted from the amount, it will leave 
the actual current expenses of the present year to exceed 
those of the preceding by about five thousand dollars. 

The importance of providing employment of some 
kind in sufficient quantity to occupy all the patients that 
may be in condition to labor has been frequently recom- 
mended to the consideration of the Legislature, and 
more especially by the Superintendent in his report of 
the last year. The Trustees deem it to be their duty 
again to call the attention of those whom they address to 
this subject. Employment is necessary to every man 
from the very constitution of his nature, and he will have 
it. If it be not furnished him for goodj he will find it 
for evil. If not turned to a profitable account, it will be 
devoted to injury and mischief. This great truth is as 
apparent in a hospital for lunatics as it is found to be 
every where else. For if occupation be necessary to the 
sane man to preserve him in health of body and mind, it 
is not less necessary to the insane as one of the means of 
his restoration. To the convalescent it is an impor- 
tant instrument of his cure. To the incurable it affords 
one of the few comforts which his condition will admit, 
while it relieves those who have the care of him from 
much trouble and anxiety on his account. We have had 
an eye to this subject in the alterations of some of the 
buildings already mentioned in this report. It is con- 
templated to fit up a carpenter's and a shoe-maker's shop, 
in one of them, as we shall probably always have some 
among our patients who have followed these occupations. 
But it is not within the means of the Trustees to meet 
all the demands of the Hospital in this department. Ag- 
ricultural employment may be expected to contribute its 
full share in promoting the great purposes for which this 
2 



10 STATE LUNATIC HOSPITAL. 

Institution was established. We have many farmers 
among our patients, and such might be advantageously 
employed in cultivating a garden or a field, while they 
have never learned to wield the tools of a mechanic to 
advantage. We earnestly recommend that a few acres 
of ground should be procured in the neighborhood of the 
hospital for the purposes of horticulture. A larger quan- 
tity might then be obtained in a more remote situation, 
and consequently at a reduced price to serve the other 
purposes of the Institution. Nor is there a reasonable 
doubt that, with the abundant resources for labor and for 
enriching the soil which the hospital possesses within it- 
self, the purchase of a small tract of land for its accom- 
modation would prove to be a profitable investment for 
the Commonwealth. And yet this is far from being the 
principal consideration, which should commend it to the 
attention of the Legislature. It is rather that labor and 
particularly agricultural labor, would contribute largely to 
promote the primary objects of the Institution. That 
it would be an important means of cure in all those 
cases where restoration is possible, and a no less impor- 
tant means of comfort to the condition of those who 
must unfortunately be classed among the incurable. 

On the subject of a chapel it would be superfluous to 
attempt to add strength to the cogency of the arguments, 
contained in the report of the Superintendant. They 
have our entire concurrence. And we cordially commend 
them with the other topics embraced in that interesting 
document, to the careful consideration of the Legisla- 
ture. 

There is no provision in the Revised Statutes, by 
which the Treasurer is authorized in any case to charge the 
damages committed by patients in the bills for their sup- 



STATE LUNATIC HOSPITAL. 11 

port. Patients brought to the Hospital in a state of fu- 
rious madness have sometimes, during the few first weeks 
of their residence here, and before this stage of the dis- 
order could be controlled, committed injuries in the de- 
struction of the bedding and other furniture to a much 
greater amount than the whole sum charged for their 
maintenance. This has occured in some instances where 
the pecuniary means of the patient were amply sufficient 
to repair the damages, without incommoding himself or 
his friends. We see no reason why the loss in these 
cases should fall upon the Commonwealth, and would 
suggest the propriety of some modification of the laws 
relating to the Hospital in this particular. 

By the existing laws, the judge of the municipal court 
in the county of Suffolk, and the judges of probate in 
the other counties, are authorized to commit to the Hos- 
pital any lunatic who cannot, in their opinion, without 
danger to the peace and safety of the community, be 
permitted to go at large. We have full confidence in 
the judicial officers to whom this power is entrusted, 
and have no reason to believe, that the authority thus 
given to them is unsafe in their hands. But the spirit of 
our institutions is adverse to the uncontrolled exercise by , 
any tribunal of so great a power as this. It should 
guard with scrupulous jealously against every possible 
encroachment upon the liberty of the citizen under what- 
ever pretence ; and we would respectfully propose such 
a modification of the statute as would in every case se- 
cure to the individual or to his friends, if they should 
think proper to claim it, the right to have the fact in this 
matter of dangerous lunacy determined by a jury. 

The State Lunatic Hospital has now been in opera- 
tion about four years. It was the first institution estab- 



12 STATE LUNATIC HOSPITAL. 

lished bj a state government in this country, for the re- 
ception primarily of such lunatics as had committed 
deeds which if done in a sane mind, would be adjudged 
to be heinous crimes ; of those who could not be permit- 
ted to go at large, without manifest danger to the safety 
of the community, and of pauper lunatics — embracing in 
these classes a large proportion of the very worst and 
most friendless cases of insanity which are to be found in 
any country. The success which has thus far attended 
our efforts will appear, from the tabular statements ap- 
pended to this and to former reports, to be unsurpassed, 
considering the class of patients with which we have had 
to deal, by any institution with which an opportunity of 
comparison has been afforded. During these four years 
of its operation, it has been open to visitation and in- 
spection, and has been freely visited by many eminent 
citizens of other States and of foreign countries. It has 
thus contributed its full share to awaken public attention 
to the interesting question, what can best be done to 
ameliorate and relieve the condition of this deeply ajfflict- 
ed portion of the human race. And it is gratifying to be 
able to state that many of our sister States are taking 
measures to establish institutions of a similar character. 
In Maine, a hospital is now in progress at Augusta, for the 
erection of which, by the joint liberality of two of her 
distinguished citizens and of the State, forty thousand 
dollars are already appropriated. Vermont has commen- 
ced an establishment at Brattleboro' which we are inform- 
ed will go into operation the present month. New York 
is erecting buildings on a large scale in the vicinity of 
Troy, intended as we learn for the accommodation of one 
thousand patients. Ohio is also embarked in the cause, 



STATE LUNATIC HOSPITAL. 13 

and her buildings have been in preparation during the 
past season. Beside these, several institutions of a less 
public character have been commenced in other States. 

In confirmation of the vievv^s which have already been 
given at some length in another part of this report, we 
would here state, that in Maine between seventy and 
eighty acres of land are to be connected with the Hos- 
pital. In Vermont thej will have fifty acres. In Ohio 
they commenced with thirty acres. In New York they 
propose to occupy a farm of three hundred acres. And 
we feel authorized to say, that they have been induced 
thus to provide land for cultivation by the patients, and 
in one or two instances to increase the quantity beyond 
what was orignally contemplated, from having ascertain- 
ed, through their agents sent personally to examine this 
Institution, the inconveniences to which we are subjected 
for want of such accommodation. 

In reference then to w^iat is doing for the insane in 
this and the neighboring States, is it not a just cause of 
congratulation that the spirit of benevolence is abroad in 
the land ? May its influence extend and the work go 
prosperously on, till an asylum commensurate to their 
necessities shall be provided for these children of afflic- 
tion in every State of the Union ; in every nation on the 
globe. 

In conclusion, we feel it to be a duty to express our 
satisfaction with the faithful manner in which the officers 
of the Hospital have discharged their several duties dur- 
ing the past year ; and particularly to express our una- 
bated confidence in the skill and devotedness of the Su- 
perintendent in the discharge of the arduous and responsi- 
ble duties of his station, to whom under Providence, we 



14 STATE LUNATIC HOSPITAL. 

are chiefly indebted for the prosperity which has hitherto 
attended the Institution. 

THOS. A. GREENE, 
THOS. KINNICUTT, 
HORACE MANN, 
EMORY WASHBURN, 
ABM. R. THOMPSON. 

Worcester, Dec, \2th, 1836. 



STATE LUNATIC HOSPITAL. 15 

To His Excellency Edward Everett, Governor, and to the 
Honorable Executive Council, of the Commonwealth of 
Massachusetts. 

The Treasurer of the State Lunatic Hospital respectful- 
ly presents his Fourth Annual Report. 

The Treasurer charges himself with receipts 
amounting to $25,689 49 

He credits himself with expendituresamount- 
ing to 24,220 34 

Balance to new account as of Dec. 1, 1,469 15 

___ $25,689 49 

The receipts were, from the State 

Treasury 11,000 00 

The balance of last year's account, 
payments for patients, by towns 
and individuals, two cows, and 
one yoke of oxen sold by the 
steward, and sundry sums re- 
ceived by him for divers small 
articles sold 14,491 61 

Credits on several bills for old 
iron, barrels, socks and hose, 
tallow, grease, ashes and labor 
of men and team 197 88 

25,689 49 



The expenditures were, for 

Improvements and repairs 2,496 09 

Furniture 831 61 

Salaries, wages and labor 6,023 02 

Provisions and groceries 8,100 25 

Fuel and lights 2,623 05 

Clothing, linen, &.c. 976 18 

Medical supplies 401 90 



16 STATE LUNATIC HOSPITAL. 

Hay and straw 669 13 

Miscellaneous 1,151 38 

Accounts belonging to and includ- 
ed in the analysis of the expen- 
ditures of 1835, but paid this 
year ^952 68, less ^4 95, the 
difference between the accounts 
as rendered, and as settled 947 73 

Balance to new account 1,469 15 

25,689 49 

Amount of account, Dec. 1, 1835, 

to Dec. 1, 1836 25,(589 49 

Accounts of last year, paid this 

as stated 947 73 

Balance to new account 1,469 15 

2,416 88 



Cost of supporting the establishment from 
Dec. 1, 1835, to Dec. 1, 1836, as shewn 
by the Treasurer's books ^23,272 61 

Deducting the extra repairs as mentioned be- 
low, 1,877 33 



The current expenses of the year remain ^21,395 28- 



The item of improvements and repairs, includes payments 
for relaying the aqueduct amounting to 1,067 33 

For moving and altering the barn and out- 
buildings, 610 00 

For painting 200 OD 



Making ^1,877 33 

Which should not be considered as common repairs. The 
painting may occur every few years, but the others prob- 
ably will not. 



STATE LUNATIC HOSPITAL. 



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STATE LUNATIC HOSPITAL. 19 

Provisions and Groceries, include 

Fresh Beef, lbs. 15,402J #1,012 57 

Veal, lbs. l,750i 134 83 

Mutton and Lamb, lbs. & 13 qrs. l,192i 122 17 

Fresh Pork, lbs. 1,131| 133 99 

Salt Pork, lbs. and 13 barrels, 218 362 59 

Ham, lbs. 1,701 209 75 

Salt Beef, lbs. and 1 barrel, 1502 130 18 

Smoked Beef, lbs. 125 15 62 

Sausages, lbs. 176| 23 70 
Mackerel, 4 bbls. Tongues 1 bbl. 

Herrings, 4 boxes, Salmon 55 

lbs. Tripe and Lobsters, 61 57 

Salt Fish, lbs. 2,774 104 41 

Fresh Fish, 45 57 

Poultry, 79 S6 

Biscuit, 116 04 

Butter, lbs. 5,255 13 oz. 1,186 17 

Lard, lbs. 14J 1 81 

Cheese, lbs. 3,707 376 52 
Flour, including 19 bbls. Rye and 

2 half bbls. Buck-wheat, 200 

barrels, 1,734 93 

Corn, Corn Meal and Rye, bushels, 285 331 04 

Rice, lbs. 1,716 75 21 

Potatoes, bushels, 788^ 310 85J 

Peas and Beans, bushels, 27J 69 08 

Cabbages, number, 355 22 19 

Turnips, bushels, 6^ 2 17 

Eggs, 17 19 

Milk, quarts, 1,369 68 58 

Molasses, gallons, 292 137 93 



20 STATE LUNATIC HOSPITAL. 



Tea, lbs. 


448J 




166 00 


Coffee, lbs. 


667 




93 14 


Brown Sugar, lbs. 


4,797| 




315 06 


Loaf Sugar, lbs. 


285 




43 76 


Vinegar, barrels, 


3 




10 62 J 


Apples, pears, figs, raisins, lemons, 








oranges and pickles, 






151 43 


Soap, 






166 81 


Spices, Salt, and small groceries. 






68 91 




;^8 


,101 74 


Underpaid, mistake in adding one 


meat bill, 




1 49 



Fuel and Lights are tMis : 



Miscellaneous includes 



1,100 25 



Charcoal, bushels, 939 ^113 00 

Anthracite, lbs. 69,845 467 13 

Wood, 401 cords 5 feet 4 inches, 1,850 97 ] 

Oil, 180J gallons, candles, 140| lbs. 191 95 



^2,623 05 



Expenses of pursuing elopers and returning 

patients discharged, ;^319 52 

Funeral charges, including conveyance of 
bodies home when not buried in Worces- 
ter, 110 00 
Horse, saddle and bridle 80, exchange of 

cows 20, oxen 85, pigs and shoats 14 42, 199 42 
Keeping 6 cows 78, oxen 32 70, 110 70 

Books, stationary and copy press, 90 58 

Postage, 19 01 



STATE LUNATIC HOSPITAL. 21 

F. C. Gray 5 expenses as Trustee 104 35, 

H. Mann, do. 22 36, 126 61 

Attorney's fees and costs, 59 27 

Sundries, 116 27 



^1,151 38 

It should be remarked that the crowded state of the 
Hospital in the first half of the year, made the discharge 
and removal of more patients necessary than heretofore, 
of the class who cannot take care of themselves. To 
that circumstance principally is attributable, the increas- 
ed expenses mentioned above as for pursuing elopers and 
returning patients. 

During the year, several considerable claims which 
were outstanding on the 1st of December, 1835, having 
been paid, the amount of the appropriation of the last 
year only, has been drawn from the Treasury of the Com- 
monwealth, leaving the same sum now there, appropri- 
ated for the current expenses of the Hospital, as was 
there when the Treasurer last reported, viz. : three thou- 
sand dollars. 

The balances of accounts due the Hospital, which the 
Treasurer supposes will be paid, without controversy, 
amount to ;^6,939 50. There may, however, be charges, 
in some cases, for persons who will prove to be State 
Paupers, included in that sum. It will be safe to consider 
the amount, $6,500 00 

Balance on hand Dec. 1, 1,469 15 

In the State Treasury unexpended appro- 
priation, 3,000 00 



Making the funds of the Institution which 

may be regarded as available within six 

months, ^10,969 15 



22 STATE LUNATIC HOSPITAL. 

Amount brought up, ^10,969 15 

It will probably be within the truth, if we 
calculate upon receiving from charges for pa- 
tients in the six months after June 1, 1837, 
a like sum as in the next six months, 6,500 00 



Making the amount which may be expect- 
ed, for the current expenses of the year en- 
suing to be, 17,469 15 

Should the necessaries of living continue 
to bear the present high prices, this sum will 
not be sufficient to support the establishment, 
being less than the expenses of last year, af- 
ter deducting the extra repairs of the year 
by the sum of, 3,926 13 



The whole expense of the year, exclu- 
sive of extra repairs being, ;^21,395 28 

It will not be less than that sum the ensuing year, and 
will probably be more. The new wing has been open, 
only since August, for the reception of patients. The 
other wing is expected to be opened for the reception of 
patients early the next summer ; when open it will un- 
doubtedly be occupied, and of course, the expenses must 
be increased. An accurate estimate of what the ex- 
penses of the ensuing year will be, it is impossible for 
the Treasurer to make. He believes that, thus far, the 
Institution has been economically managed, and supposes, 
therefore, that, unless some unforeseen change occurs, 
the cost of sustaining it will not be less in proportion to 
the number of patients than it has been. It appears to 
him that a further appropriation will be required. As the 
facts, through this Report and that of the Trustees, will 



STATE LUNATIC HOSPITAL. 23 

be before the government, he might forbear to state what 
amount he thinks will be sufficient, and only bear testi- 
mony to the disposition, of those who manage the Hos- 
pital, to use no more of the people's money than appears 
necessary for its usefulness. He will, however, say that, 
in his judgment, ten thousand dollars will be sufficient. 

It appears, from the statements of the Superintendent, 
that the average number of patients for the year is 127 1-5. 

Deducting the extra repairs, the sum to be divided 
among this number is ^21 ,395 28, which gives as the 
sum per annum for each ^168 20, or nearly ^3 23 J per 
week. This may be considered now the actual cost of 
supporting the patients. It should perhaps be a little 
less than this, on account of the charges for articles fur- 
nished for individual patients, and charged to them, and 
upon which, the average should not be made. And it is, 
otherwise, not strictly accurate, as the average of the 
number of patients is for the whole year, whereas the 
average prior to the opening of the new wing was less, 
and, since then, is greater. But it shows that the charge 
of two dollars and fifty cents per week, which has not yet 
been altered by the Trustees, is below the actual cost at 
least fifty cents per week. No remark need be made to 
any purchaser of the principal articles consumed in the 
Hospital, to shew a reason for the increase. If the same 
system which has thus far been so prosperous is to be 
continued, the cost, it is believed, cannot be avoided. 
Will it be obtrusive in the Treasurer to suggest that the 
salaries of the officers, should be paid bj^ the Common- 
wealth, as well as the extra repairs ? It appears to him, the 
money could not be better used and the charge per week 
might then remain, for the present, as it is. A price less 



24 STATE LUNATIC HOSPITAL. 

than ^2 50 per week has been charged, the past year, in 
only four cases. 

The charges for those ascertained to be State Paupers 
are continued against their own names. There are still a 
few doubtful cases where the charges stand against the 
towns, from which they were sent to the Hospital. 
These will be investigated and disposed of as soon as 
circumstances permit. 

The Treasurer will readily make any more minute ex- 
planations which may be desired of him, if in his power. 

A. D. FOSTER, 

Treasurer of the State Lunatic Hospital. 

Worcester, Dec. 22, 1836. 



FOURTH REPORT 

Of the Superintendent of the State Lunatic Hospital, Worcester, Massachusetts, from December \st, 1835, to November SOth, 1836, inclusive. 



Time of 
Admission. 



9 
12 
13 

18 
19 
20 
21 
23 
24 
27 
32 
33 
34 
35 
36 
39 
44 
45 
56 
59 
62 
63 
64 
69 
70 
73 
74 
101 
102 
103 
133 
137 
147 
148 I » 
352 I Dec, 



1833. 

Jan. 22, 

" 22, 

" 28 
29, 
30 
Feb. 5 
" 15. 
" 15, 
" 18 
" 18, 

] 
" 18, 
" 18 
« 27, 
" 28, 
March 6, 
" 6, 



April 



June 



Ott. 

Nov. 



Age, 



Male 

Male 

Male 

Male 

Male 

Male 

Male 

Male 

Female 

Feinale 

Male 

Male 

Male 

Male 

Male 

Male 

Male 

Male 

Male 

Male 

Male 

Male 

Male 

Male 

Female 

Female 

Female 

Female 

Male 

Male 

Male 

Male 

Male 

Female 

Male 

Female 

Male 

Male 

Male 

Male 



4 



Married 
or 

Siiisle. 



Widower 

Single 

Single 

Widower 

Single 

Widower 

Single 

Married 

Widow 

Widow 

Single 

Single 

Single 

Single 

Married 

Married 

Single 

Single 

Single 

Married 

Single 

Single 

Widower 

Single 

Single 

Single 

Single 

Single 

Single 

Single 

Single 

Single 

Single 

Single 

Single 

Married 

Married 

Single 

Single 

Single 



Supposed Cause. 



Fanaticism 
Wound on the Head 
Intemperance 
Unknown 
Unknown 
Loss of Property 
Intemperance 
Intemperance 
Unknown 
Unknown 
Masturbation 
Masturbation 
Unknown 
Fanaticism 
Intemperance 
Fanaticism 
Unknown 
Intemperance 
Intemperance 
i Intemperance 
Parental Abuse 
Intemperance 
Religious Anxiety 
Hard Study 
Masturbation 
Intemperance 
Intemperance 
Indulgence of Temper 
Intemperance 
Intemperance 
Intemperance 
Intemperance 
Disappointed Ambition 
Disappointed Affection 
Masturbation 
111 Health 
Fear of Poverty 
Intemperance 
Intemperance 
Disappointed Ambition 



Duration before 
Admission 



17 years 

3 years 
6 years 

6 years 
10 years 
30 years 

14 years 

15 years 
27 years 

7 years 
5 years 
5 years 

7 years 

15 years 

5 years 
10 years 
Unknown 

4 years 
10 years 

2 years 
10 years 

16 years 
14 years 

6 j'eais 

13 years 
2 years 
2 years 

14 years 

17 years 
10 years 
10 years 

8 years 
10 years 
14 years 

2 years 

2 years 
30 years 

3 years 
2 years 
8 years 



By whom Committed. 



The Court 
The Court 
The Court 
The Court 
Legislature 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
Tlie 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 
Tiie Court 
TJie Court 
The Court 
The Court 
The Court 



Time spent in 
the Hospital. 



46 months 
46 months 
46 months 
46 months 
46 months 
45 months 
45 months 
45 months 
45 months 
45 months 
40 months 
45 months 
37 months 
45 months 
45 months 
44 months 
44 months 
44 months 
37 months 
37 months 
44 months 
44 months 
44 months 
44 months 
40 months 
36 months 
36 months 
36 months 
43 months 
42 months 
42 months 

35 months 
40 months 
40 months 
40 months 

36 montliS 
30 months 
36 months 
30 months 
33 months 



Discharged 

or 
Remains. 



Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Discharged 

Remains 

Discharged 

Remains 

Remains 

Remains 

Remains 

Remains 

Discharged 

Discharged 

Remains 

Remains 

Remains 

Remains 

Discharged 

Discharged 

Discharged 

Remains 

Kemains 

Remains 

Remains 

Discharged 

Remains 

Remains 

Remains 

Remains 

Died 

Remains 

Discharged 

Abs't, Eloped 



In what State. 



Not Improved 
Not Improved 
Not Improved 
Improved 
Not Improved 
Not Improved 
Improved 
Not Improved 
Not Improved 
Not Improved 
Not Improved 
Improved 
Not Improved 
Not Improved 
Not Impr(5ved 
Not Improved 
Not Improved 
Not Improved 
Not Improved 
Not Improved 
Not Improved 
Improved 
Not Improved 
Not Improved 
Not Improved 
Improved 
Improved 
Improved 
Not Improved 
Not Improved 
Not Improved 
Not Improved 
Not Improved 
Not Improved 
Not Improved 
Not Improved 
Not Improved 
Not Improved 
Not Improved 
Not Improved 



Remarks. 

Hereditary, Periodical, 

Paroxismal, &lc. 



Hereditary. Homicidal. 
Labors some. 
Hereditary. Homicidal. 
Hered. Hom. Labors well 
Hered. Hom. Labors some. 
Hereditary. Homicidal. 
Foreigner. Pauper. Labors. 

Foreigner. Labors some. 

Foreigner. Labors some. 

Foreigner. Pauper. 

Labors some. 

Foreigner. Pauper. 

Labors some. 

Labors well. 

Labors some. 

Foreigner. Pauper. 

Labors a little. 

Pauper. 

Foreigner. Pauper. 

Paupen 

Hered. Horn. Laborssome. 

Hered. Hom. Labors well. 

Labors well. 

Foreigner. Pauper, [some 

Foreigner. Pauper. Labor'd 

Foreigner. Pauper. Labor'd 

Labors some. [some. 

Foreigner. Pauper. 

Pauper. 

Pauper. Labors some. 

Foreigner. Pauper. 

Hered itaiT. 

Labors some. 

Labors some. 
Hereditary. 

Foreigner. Pauper. 
Hereditarj'. 



26 



STATE LUNATIC HOSPITAL. 



No. 


Time 

Adinis! 


of 
ion. 


j 

Age 


Sex. 


Married 
or 

Single. 


Supposed Cause. 


Juration before 
Admission. 


By whom Committed. 


Time spent in 
the Hospital. 


Discharged 
Remains. 


la what State. 


Remarks. 

Hereditary, Periodical, 

Paroxismal, &.c. 




1834 I 






















173 


Jan. 


31, 


45 


Male 


Widower 


Unknown 


30 years 


The Court 


34 months 


Remains 


Improved 


Hereditary. 


176 


Feb. 


10, 


47 


Male 


Single 


Disappointed Affection 


10 years 


The Court 


34 months 


Remains 


Not Improved 


Labors some. 


177 


" 


14, 


43 


Male 


Single 


Disappointed Affection 


20 years 


The Court 


34 months 


Remains 


Improved 


Paroxismal. 


180 


Marcli 


4, 


40 


Male 


Married 


Intemperance 


11 years 


The Court 


33 months 


Remains 


Not Improved 


Labors well. 


190 


« 


22, 


43 


Male 


Married 


Jealousy 


3 years 


The Court 


33 months 


Remains 


Not Improved 




192 


April 


29, 


83 


Male 


Married 


Intemperance 


5 years 


The Court 


32 months 


Remains 


Not Improved 


Foreigner. Pauper. 


206 


" 


30, 


35 


Male 


Single 


Unknown 


6 years 


The Court 


.32 months 


Remains 


Not Improved 


Demented. 


209 


« 


30, 


32 


Male 


Single 


Unknown 


6 years 


The Court 


32 months 


Remains 


Improved 


Hereditary. Labors well. 


223 


June 


21, 


42 


Female 


Single 


Intemperance 


10 years 


The Court 


31 months 


Remains 


Not Improved 




233 


July 


18, 


34 


Female 


Married 


Religious Excitement 


2 months 


The Court 


30 months 


Remains 


Not Improved 


Demented. 


247 


Sept. 


11, 


34 


Female 


Single 


111 Health 


8 years 


The Court 


26 months 


Remains 


Not Improved 


Labors some. 


253 


" 


26, 


37 


Male 


Married 


Domestic Trouble 


10 years 


The Court 


26 months 


Remains 


Not Improved 


Hereditary. Labors eorae. 


260 


Oct. 


y, 


39 


Male 


Single 


Unknown 


6 years 


The Court 


25 months 


Remains 


Not Improved 


Hered. Labors some. De- 


273 


Dec. 


3, 


34 


Female 


Single 


Domestic Affliction 


6 months 


The Court 


23 months 


Discharged 


Not Improved 


Demented, [mented. 


274 


" 


3, 


32 


Male 


Single 


Masturbation 


5 years 


The Court 


23 months 


Remains 


Not Improved 


Demented. 


275 


II 


3, 


36 


Male 


Single 


Masturbation 


14 years 


The Court 


23 months 


Remains 


Not Improved 


Demented. 


278 


18, 1 


40 


Male 


Single 


Unknown 


2 weeks 


The Court 


23 months 


Remains 


Improved 


Labors some. 


288 


Feb. 


J 

1, 


47 


Male 


Married 


Intemperance 


13 months 


The Court 


20 months 


Remains 


Not Improved 




289 


" 


2, 


29 


Male 


Single 


Masturbation 


2 months 


The Court 


15 months 


Discharged 


Improved 


Demented. 


292 


« 


13, 


60 


Female 


Widow 


Fear of Poverty 


8 months 


The Friends 


10 months 


Discharged 


Recovered 


Hered. Labored some. 


293 


II 


13, 


40 


Male 


Married 


Family Trouble 


48 months 


The Court 


18 months 


Discharged 


Improved 




296 


'• 


27, 


47 


Male 


Widower 


Intemperance 


Unknown 


The Court 


20 months 


Remains 


Improved 




301 


March 


21, 


46 


Male 


Single 


Masturbation 


13 months 


The Court 


19 months 


Remains 


Not Improved 


Hereditary. 


307 


April 


14, 


26 


Male 


*ngle 


Masturbation 


13 months 


The Court 


13 months 


Discharged 


Not Improved 


Demented. 


308 


« 


18, 


26 


Female 


Single 


Unknown 


13 months 


The Court 


23 months 


Remains 


Improved 


Foreigner. WorkB some. 


309 


II 


28, 


29 


Female 


Married 


111 Health 


63 months 


The Court 


23 months 


Remains 


Improved 


Works well. 


310 


May 


1, 


41 


Male 


Single 


111 Health 


16 years 


The Court 


20 months 


Remains 


Improved 


Demented. 


311 


II 


4, 


73 


Male 


Widower 


Intemperance 


6 years 


The Court 


13 months 


Discharged 


Not Improved 


Demented. 


312 


II 


4, 


36 


Male 


Single 


Intemperance 


2 years 


The Court 


13 months 


Remains 


Not Improved 




315 


" 


5, 


24 


Female 


Single 


Intemperance 


16 months 


The Court 


8 months 


Discharged 


Not Improved 


Foreigner. 


316 


" 


7, 


37 


Female 


Married 


Domestic Trouble 


13 years 


The Court 


13 months 


Discharged 


Improved 


Labored some. 


317 


II 


7, 


29 


Male 


Single 


Masturbation 


2 years 


The Court 


7 months 


Discharged 


Not Improved 


Demented. 


318 


II 


12, 


33 


Female 


Single 


Indulgence of Temper 


Many years. 


The Court 


13 months 


Discharged 


Improved 


Foreigner. Pauper. 


319 


" 


12, 


46 


Female 


Married 


Family Trouble 


12 months 


The Court 


19 months 


Remains 


Not Improved 


Labors some. 


323 


II 


21, 


21 


Male 


Single 


Masturbation 


2 years 


The Friends 


18 months 


Remains 


Improved 


Demented. 


325 


" 


26, 


36 


Female 


Single 


Disappointeil Affection 


7 years 


The Court 


11 months 


Discharged 


Improved 


Demented. 


330 


June 


5, 


45 


Female 


Widow 


Family Trouble 


5 years 


The Court 


18 months 


Remains 


Not Improved 


Hereditary. Labors some. 


338 


II 


23, 


28 


Female 


Single 


111 Health 


9 years 


The Court 


11 months 


Discharged 


Improved 


Hereditary. Labored some. 


340 


July 


1. 


31 


Male 


Single 


Epile[)sy 


Unknown 


The Court 


8 months 


Died 


Not Improved 


Demented. 


345 


II 


14, 


41 


Female 


Widow 


Family Trouble 


4 years 


The Court 


17 months 


Remains 


Not Improved 


Demented. 


346 


" 


15, 


55 


Male 


Married 


Domestic Affliction 


8 years 


The Court 


5 months 


Discharged 


Improved 




347 


« 


15, 


53 


Male 


Married 


Intemperance 


6 years 


The Court 


16 months 


Remains 


Not Improved 


Hereditary. Labors well. 


349 


Aug. 


1, 


44 


Male 


Married 


Repelled Eruption 


6 years 


The Court 


16 months 


Remains 


Not Improved 


Hereditary. Demented. 


351 


" 


5, 


46 


Female 


Married 


Family Trouble 


2 years 


The Court 


15 months 


Remains 


Improved 


Hereditary. Labors well. 


353 


" 


15, 


39 


Male 


Single 


Intemperance 


1 year 


The Court 


15 months 


Remains 


Improved 


Hereditary. Detueoted. 


354 


" 


20, 


37 


Female 


Single 


Disappointed Ambition 


2 years 


The Court 


15 months 


Remains 


Improved 


Labors well. 


355 


" 


31, 


39 


Male 


Single 


Intemperance 


8 months 


The Court 


5 months 


Discharged 


Recovered 




357 


" 


31, 


52 


Male 


Widower 


Intemperance 


3 weeks 


The Court 


6 months 


Discharged 


Recovered 


Relapsed. Heredilsry. 



STATE LUNATIC HOSPITAL. 



27 



No. 


Time of 
Admission. 


Age. 


Sex. 


Married 

or 
Single. 


Supposed Cause. 


Duration before 
Admission. 


By whom CommiUed. 


Time spent in 
the Hospital. 


Discharged 

or 
Remains. 


In what State. 


Remarks. 

Hereditarjr, Periodical, 

Paroxismal, &c. 


359 


Sept. 


2, 


72 


Male 


Widower 


Domestic Affliction 


12 months 


The Court 


9 months 


Discharged 


Improved 


Hereditary. 


360 


" 


2, 


38 


Female 


Married 


Intemperance 


4 months 


The Court 


4 months 


Discharged 


Not Improved 


Demented. 


364 


i( 


16, 


40 


Female 


Married 


Unknown 


11 years 


The Court 


13 months 


Remains 


Not Improved 


Hereditary. 


365 


" 


25, 


24 


Male 


Widower 


Failure in Business 


2 years 


The Court 


13 months 


Remains 


Not Improved 




366 


" 


30, 


27 


Male 


Single 


III Health 


2 months 


The Court 


3 months 


Discharged 


Recovered 




367 


Oct. 


1, 


33 


Male 


Single 


Masturbation 


4 years 


The Court 


13 months 


Remains 


Not Improved 


Hereditary. Demented. 


368 


(t 


2, 


51 


Female 


Married 


Religious Perplexity 


2 years 


The Court 


13 months 


Remains 


Improved 


Labors well. 


370 


(1 


13, 


26 


Male 


Single 


111 Health 


3 weeks 


The Court 


11 weeks 


Discharged 


Recovered 




371 


(( 


13, 


18 


Male 


Single 


Masturbation 


2 months 


The Friends 


3 months 


Discharged 


Recovered 


Labored well. 


372 


(1 


19, 


67 


Male 


Married 


Intemperance 


Unknown 


The Court 


13 months 


Remains 


Not Improved 


Demented. 


373 


u 


28, 


37 


Female 


Single 


Masturbation 


14 years 


The Court 


10 months 


Discharged 


Not Improved 


Demented. 


374 


t< 


28, 


47 


Female 


Married 


Paralysis 


12 months 


The Court 


13 months 


Remains 


Improved 


Labors well. Suicidal. 


375 


(1 


30, 


38 


Male 


Widower 


Disappointed Affection 


12 months 


The Court 


13 months 


Remains 


Improved 


Suicidal. Hereditary. 


376 


n 


30, 


52 


Male 


Married 


Unknown 


3 months 


The Court 


8 weeks 


Discharged 


Not Improved 


Suicidal. Hereditary. 


377 


II 


31, 


16 


Female 


Single 


111 Health 


3 months 


The Court 


4 months 


Discharged 


Recovered 


Hereditary. 


378 


u 


31, 


40 


Female 


Single 


III Health 


3 weeks 


The Court 


3 months 


Discharged 


Recovered 


Hereditary. 


379 


Nov. 


5, 


62 


Female 


Widow 


Intemperance 


1 week 


The Friends 


3 months 


Discharged 


Recovered 


Hereditary. Labored welL 


380 


(( 


5, 


29 


Female 


Married 


Puerperal 


6 years 


The Court 


13 months 


Remains 


Not Improved 


Hereditary. Demented. 


381 


<( 


8, 


31 


Female 


Married 


Religious 


6 years 


The Court 


4 months 


Discharged 


Improved 




38a 


It 


9, 


40 


Male 


Single 


Disappointed Affection 


5 years 


The Court 


5 months 


Discharged 


Recovered 


Homicidal. 


383 


(1 


10, 


30 


Male 


Married 


III Health 


4 years 


The Court 


7 months 


Discharged 


Not Improved 


Demented. Suicidal 


384 


(( 


13, 


37 


Female 


Single 


Masturbation 


10 years 


The Court 


4 months 


Discharged 


Not Improved 


Demented. 


.385 


(( 


16, 


21 


Female 


Single 


Disajipointed Affection 


2 weeks 


The Friends 


5 months 


Discharged 


Recovered 


Demented. Labored well 


386 


Dec. 


i, 


20 


Male 


Single 


Masturbation 


13 months 


The Court 


12 months 


Remains 


Not Improved 


Demented. Hereditary. 


387 


(( 


4, 


23 


Female 


Married 


Family Trouble 


12 months 


The Court 


12 months 


Remains 


Improved 


Labors well. 


388 


u 


9, 


28 


Male 


Single 


Wound of Head 


3 weeks 


The Court 


4 months 


Discharged 


Recovered 


Labored well. 


389 


u 


11, 


30 


Female 


Married 


Puerperal 


5 weeks 


The Court 


4 months 


Discharged 


Recovered 


Hereditary. Labored well. 


390 


u 


14, 


65 


Male 


Married 


Unknown 


40 years 


The Court 


3 months 


Discharged 


Improved 


Hereditary. Suicidal. 


391 


n 


15, 


36 


Male 


Married 


Religious Excitement 


2 weeks 


The Court 


5 weeks 


Discharged 


Recovered 


Hereditary. Demented. 


392 


" 


21, 


20 


Female 


Married 


Puerperal 
Fear of Poverty 


3 weeks 


The Court 


8 weeks 


Discharged 


Recovered 




393 


» 


23, 


68 


Male 


Married 


4 weeks 


The Court 


11 weeks 


Discharged 


Recovered 


Hered. Relapsed. SuicidaL 


394 


<t 


29, 


65 


Female 


Single 


Unknown 


12 months 


The Court 


8 weeks 


Discharged 


Recovered 


Worked well. 


395 


30, 


IB 


Female 


Single 


Masturbation 


13 months 


The Court 


11 months 


Remains 


Improved 


Works well. 


396 


Jan. 


6, 


21 


Male 


Single 


Masturbation 


2 years 

2 years 

12 weeks 


The Court 


11 months 


Remains 


Not Improved 


Hereditary. 

Hereditary. Labored well. 


397 


(t 


8, 


35 


Male 


Single 


111 Health 


The Friends 


9 months 


Discharged 


Recovered 


398 


" 


13, 


-39 


Male 


Single 


Intemperance 


The Friends 


5 months 


Discharged 


Recovered 


Hereditary. 

Hereditary. Labored welL 


399 


" 


21, 


24 


Female 


Married 


Puerperal 


10 weeks 


The Court 


7 weeks 


Discharged 


Recovered 


400 


u 


28, 


35 


Female 


Single 


Unknown 


(') years 
3 months 


The Court 


10 months 


Remains 


Not Improved 


Demented. 

Hereditary, Labored well. 


401 


(C 


29, 


27 


Male 


Single 


Intemperance 


The Court 


3 months 


Discharged 


Recovered 


402 


Feb. 


1, 


35 


Male 


Single 


Masturbation 


6 years 

4 years 

5 weeks 


The Friends 


10 months 


Remains 


Not Improved 


Hereditary. 


403 
404 


" 


5, 


40 


Female 


Single 


Intemperance 


The Court 


10 months 


Remain.s 


Not Improved 


Labors well. 


K 


6, 


19 


Female 


Single 


Mental Labor 


The Court 


6 weeks 


Discharged 


Recovered 


Hereditary. Lahore welL 


405 
406 
407 
408 
409 
410 


U 


9, 


32 


Male 


Single 


Intemperance 


4 months 


The Court 


6 months 


Discharged 


Recovered 


It 


23, 


28 


Male 


Single ' 


Masturbation 


4 years 
3 months 


The Friends 


4 months 


Discharged 


Not Improved 


Demented. 


(t 


24, 


34 


Male 


Single 


Intemperance 


The Court 


8 weeks 


Discharged 


Recovered 


Labored well. 
Labored well. 


U 


27, 


51 


Female 


Married 


Family Trouble 
111 Health 


6 years 
3 months 


The Court 


15 weeks 


Discharged 


Recovered 


March 3, 


46 


Female 


Single 


The Court 


5 months 


Discharged 


Recovered 


Labored some. 


" 


3, 


61 


Female 


1 Single 


Fright or Alarm 


5 years 


The Court 


9 months 


Remains 


Not Improved 





28 



STATE LUNATIC HOSPITAL. 



No. 


Time of 
AdDiission. 


Age. 


Sex. 


Married 

or 
Single. 


Supposed Cause. 


Duration before 
Admission. 


By whom Commilled. 


Time spent in 
ihe Hospital. 


Discharged 
Remains. 


In what Stale. 


Remarks. 

Hereditary, Periodical, 

Paroxismal, &c. 


411 


March 8, 


24 


Female 


Single 


Masttnbalion 


6 years 


The Court 


9 months 


Remains 


Not Improved 


Hereditary. Demented. 


412 


10, 


23 


31 ale 


Single 


III Health 


2 years 


The Court 


9 months 


Remains 


Improved 


Hereditary. 


413 


14, 


38 


Female 


Married 


111 Health 


9 months 


The Court 


8 month.s 


Discharged 




Labored well. Suicidal. 


414 


15, 


35 


Male 


Married 


Jealousy 


4 years 


The Court 


9 weeks 


Discharged 


Recovered 


Labored well. 


415 


22, 


50 


Female 


Widow 


III Health 


3 weeks 


The Court 


5 weeks 


Discharged 


Recovered 


Hereditary. 


416 


" 24, 


54 


Male 


Single 


Disappointed Affection 


30 years 


The Court 


4 months 


Discharged 


Not Improved 


Demented. 


417 


25, 


31 


Male 


Single 


Religious 


3 months 


The Court 


11 weeks 


Discharged 


Recovered 


Hereditary. Labored well. 


418 


" 30, 


24 


Male 


Single 


Injury of the Head 


3 months 


The Court 


8 weeks 


Discharged 


Recovered 


Labored well. 


419 


30, 


46 


Female 


Widow 


Family Trouble 


2 months 


The Friends 


12 weeks 


Discharged 


Recovered 


Hereditary. Suicidal. 


420 


April 5, 


53 


Male 


Widower 


Intemperance 


2 months 


The Court 


10 weeks 


Discharged 


Recovered 


Hered. Labored some. 


421 


5, 


19 


Female 


Single 


III Health 


3 months 


The Court 


4 months 


Discharged 


Recovered 


Hered. Suicidal. Labored 


422 


7, 


21 


Male 


Single 


Unknown 


1 month 


The Court 


4 months 


Discharged 


Improved 


Hered. Demented, [well. 


423 


" 7, 


35 


Female 


Single 


111 Health 


9 months 


The Court 


7 months 


Discharged 


Improved 


Demented. Labored some. 


424 


11, 


17 


Female 


Single 


III Health 


2 months 


The Court 


2 months 


Discharged 


Recovered 


Hereditary. Labored some. 


425 


12, 


41 


Female 


Single 


Domestic Affliction 


6 years 


The Court 


8 months 


Remains 


Improved 


Hereditary. Labors well. 


426 


15, 


68 


Male 


Married 


Fear of Poverty 


5 months 


The Court 


5 months 


Discharged 


Recovered 


Hereditary. 


427 


15, 


62 


Male 


Mai'ried 


Fear of Poverty 


11 years 


The Court 


3 months 


Discharged 


Improved 


Demented. Hereditary. 


428 


" 15, 


26 


Male 


Married 


Religious 


8 years 


The Court 


10 weeks 


Discharged 


Improved 


Hereditary. Suicidal. 


429 


20, 


27 


Male 


Single 


Religious 


2 years 


The Court 


7 months 


Remains 


Not Improved 




430 


May 2, 


30 


Male 


Single 


Religious Peri)lexity 


6 months 


The Court 


5 months 


Discharged 


Recovered 


Labors well. 


431 


" 3, 


29 


Female 


Single 


III Health 


5 years 


The Court 


6 months 


Remains 


Not Improved 


Hereditary. Demented. 


432 


5, 


32 


Male 


Single 


Masturbation 


4 years 


The Court 


8 months 


Remains 


Not Improved 


Hereditary. Demented. 


433 


5, 


63 


Male 


Married 


Unknown 


12 years 


The Court 


7 months 


Remains 


Improved 




134 


" (J, 


24 


Male 


Married 


Intemperance 


12 months 


The Court 


7 months 


Remains 


Not Improved 




435 


6, 


40 


Female 


Married 


III Health 


8 years 


The Court 


7 months 


Remains 


Not Improved 


Hereditary. 


436 


9, 


38 


Female 


Married 


HI Health 


1 week 


The Court 


14 weeks 


Discharged 


Recovered 




137 


13, 


52 


Male 


Married 


Paralysis 


2 years 


The Court 


2 weeks 


Discharged 


Not Improved 


Demented. Improper sub- 


438 


" 18, 


20 


Male 


Single 


Intemperance 


5 months 


The Court 


5 weeks 


Discharged 


Recovered 


[ject. 


139 


" 18, 


48 


Male 


Married 


Intemperance 


2 years 


The Court 


3 months 


Died 


Not Improved 




140 


20, 


43 


Female 


Single 


III Health 


1 week 


The Court 


5 months 


Discharged 


Recovered 


Hereditary. 


141 


" 20, 


35 


Female 


Married 


Domestic Trouble 


2 years 


The Court 


6 months 


Remains 


Improved 


Demented. Suicidal. 


142 


23, 


41 


Female 


Single 


Indulgence of Temper 


2 months 


The Court 


6 months 


Remains 


Improved 




443 


23, 


40 


Male 


Single 


Masturbation 


20 years 


The Court 


6 months 


Remains 


Improved 


Demented. 


144 


27, 


51 


Female 


Married 


Religious E.xcitement 


30 months 


The Court 


6 months 


Remains 


Improved 




145 


June 1, 


37 


Female 


Single 


Disappointed Affection 


6 months 


The Court 


6 months 


Discharged 


Recovered 


Labored well. 


446 


9, 


53 


Female 


Married 


Domestic Affliction 


3 months 


The Court 


3 months 


Discharged 


Recovered 


Hereditary. Suicidal. 


447 


10, 


53 


Female 


Widow 


Loss of Property 


6 months 


The Court 


6 months 


Remains 


Not Improved 


Hereditary. 


148 


10, 


27 


Female 


Married 


Family Trouble 


1 week 


The Court 


5 months 


Remains 


Not Improved 




449 


25, 


24 


Male 


Single 


Masturbation 


9 months 


The Court 


3 months 


Died 


Not Improved 


Hereditary. Suicidal. 


150 


27, 


53 


Female 


Married 


Family Trouble 


4 months 


The Court 1 


6 weeks 


Died 


Not Improved 


Hereditary. Suicidal. 


151 


» 28, 


40 


Male 


Single 


Intemperance 


15 months 


The Friends 


5 months 


Remains 


Improved 




152 


29, 


56 


Female 


Married 


Puerperal 


17 years 


The Court 


5 months 


Remains 


Not Improved 




153 


July 2, 


18 


Female 


Married 


Puerperal 


4 weeks 


The Court 


3 months 


Discharged 


Recovered 


Hereditary. 


454 


5, 


19 


Male 


Single 


Idiot 


19 years 


The Court 


5 months 


Remains 


Not Improved 


Idiocy. 


455 


" '') 


60 


Male 


Married 


Intemperance 


Unknown 


The Court 


5 months 


Remains 


Improved 




456 


8, 


40 


Male 


Married 


Religious Perplexity 


6 months 


The Court 


6 weeks 


Died 


Not Improved 


Hereditary. Suicidal. 


457 


9, 


47 


Male 


Married 


Pecuniary Embarrassment 


5 weeks 


The Court 


4 months 


Died 


Not Improved 


Demented. Epilepsy. 


458 


13, 


50 


Male 


Married 


Family Trouble 


C months 


The Court 


6 weeks 


Discharged 


Improved 


Hereditary. Suicidal. 


459 


15, 


20 


Female 


Single 


Masturbation 


5 years 


The Court 


4 months 


Remains 


Improved 


Labors some. 



STATE LUNATIC HOSPITAL. 



29 



43 
60 
21 
40 
40 
36 
24 
28 
30 
35 
18 
60 
19 
22 
45 
55 
48 
22 
16 
35 
38 
45 
15 
19 
66 
30 
31 
55 
30 
36 
40 
46 
40 
32 
22 
21 
43 
60 
38 
28 
50 
46 
46 
43 
21 
32 
30 
30 



Sex. 



Female 

Female 

Male 

Female 

Male 

Female 

Female 

Female 

Male 

Female 

Female 

Male 

Male 

Female 

Female 

Female 

JIule 

Male 

Male 

Male 

Female 

Female 

Female 

Male 

Female 

Female 

Female 

Male 

Male 

Female 

Male 

Male 

Female 

Female 

Female 

Male 

Male 

Male 

Male 

Female 

Female 

Female 

Male 

Male 

Male 

Male 

Male 

Female 



Married 

or 
Single. 



Married 

Widow 

Single 

Married 

Single 

Single 

Single 

Single 

Married 

Married 

Single 

Married 

Single 

Single 

Single 

Married 

Married 

Single 

Single 

Single 

Single 

Widow 

Single 

Single 

Single 

Single 

Married 

Single 

Single 

Single 

Single 

Single 

Married 

Single 

Married 

Single 

Married 

Married 

Single 

Married 

Widow 

Married 

Married 

Widower 

Single 

Single 

Married 

Single 



Supposed Cause. 



Family Trouble 

Unknown 

Masturbation 

III Health 

Intemperance 

Unknown 

Unknown 

III Health 

Intemperance 

Family Trouble 

III Health 

Fear of Poverty 

Repelled Eruption 

Family Trouble 

III Health 

Family Trouble 

Intemperance 

Unknown 

Idiot 

Intemperance 

Masturbation 

Disappointed Ambition 

III Health 

Masturbation 

Indulgence of Temper 

Intemperance 

Religious Perplexity 

Unknown 

Masturbation 

III Health 

Masturbation 

Unknown 

III Health 

III Health 

Puerperal 

Masturbation 

Anxiety about Property 

III Health 

Paralysis 

Puerperal 

Repelled Eruption 

Religious Excitement 

Unknown 

Perplexity of Business 

Masturbation 

Unknown 

Perplexity of Business 

Indulgence of Temper 



Duration before 
Admission. 



12 months 
12 months 

2 years 

5 months 

3 weeks 
5 weeks 
1 month 
1 month 
1 week 
5 years 

4 years 
3 weeks 
3 weeks 

Unknown 

5 months 

5 years 

8 months 
12 months 
16 years 
Unknown 
10 years 
10 years 
10 months 

1 year 
20 years 
Unknown 

3 years 
Unknown 
10 years 

2 years 

12 months 
1 month 

14 years 

1 year 

13 months 

4 years 

2 months 

3 weeks 
3 years 

12 months 
12 months 

3 months 

2 weeks 

1 week 

1 year 
10 years 

1 year 

6 months 



By whom Committed 



The Court 
The Court 
The Court 
The Court 
Tlie Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Court 
The Friends 
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. 



4 months 
4 months 
4 months 
4 months 

2 months 
4 months 

3 months 
3 months 
3 weeks 

3 months 
9 weeks 

4 weeks 
14 weeks 

4 months 
4 months 
4 months 
4 months 
10 weeks 
3 weeks 
3 months 
3 months 
3 months 
10 weeks 
12 weeks 
3 months 
3 months 
3 months 
3 months 
3 months 

3 weeks 
2 months 

4 weeks 
2 months 
2 months 

2 months 
6 weeks 
6 weeks 
6 weeks 
6 weeks 
6 months 
4 weeks 

3 weeks 
3 weeks 
3 weeks 
2 weeks 
2 weeks 
2 weeks 
6 days 



Discharged 

or 
Remains. 



Remains 

Remains 

Remains 

Remains 

Discharged 

Remains 

Discharged 

Discharged 

Discharged 

Remains 

Discharged 

Discharged 

Discharged 

Remains 

Remains 

Remains 

Discharged 

Discharged 

Discharged 

Remains 

Remains 

Remains 

Discharged 

Discharged 

Remains 

Remains 

Remains 

Remains 

Remains 
Died 

Remains 

Discharged 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Reinains 

Remains 

Remains 

Remains 

Discharged 

Remains 

Remains 

Remains 

Remains 

Remains 



In what Slate. 



Improved 

Not Improved 

Improved 

Improved 

Recovered 

Improved 

Recovered 

Recovered 

Recovered 

Improved 

Recovered 

Recovered 

Recovered 

Improved 

Improved 

Not Improved 

Recovered 

Recovered 

Not Improved 

Improved 

Improved 

Improved 

Recovered 

Recovered 

Not Improved 

Not Improved 

Improved 

Improved 

Improved 

Not Improved 

Not Improved 

Recovered 

Not Improved 

Not Improved 

Improved 

Not Improved 

Improved 

Improved 

Improved 

Improved 

Improved 

Improved 

Improved 

Improved 

Improved 

Not Improved 

Not Improved 

Not Improved 



Remarks. 

Hereditary, Periodical, 

Paroxismal, &c. 



Hereditary. 
Hereditary. Suicidal. 



Hereditary. 

Foreigner. 

Hereditary. 

Foreigner. 

Suicidal. 



Suicidal. 

Labors well. 
Pauper. 



Labored well. 
Labored well. 
Heredirary. Suicidal. 
Hereditary. 

Suicidal. 

Demented. 

Hereditary. 

Labored well. 

Idiot. Improper subject. 

Labors well. Foreigner. 



Labored well. 
Hereditary. 

Demented. Hereditary. 
Foreigner. Demented. 

Foreigner. Vagrant. 

Demented. Improper sub- 
Hereditary, [ject. 
Labored well. 



Demented. 

Demented. Hereditary. 

Hereditary. 

Hereditary. 

Paralytic. 20 years. 

Suicidal. 
Labors well. 
Hereditary. 
Hereditary. 

Demented. 
Hereditary. 
Hereditary. 



30 



STATE LUNATIC HOSPITAL. 



No. 


Time of 
Admission. 


Age. 


Sex. 


Married 
Single. 


Supposed Cause. 


Duration before 
Admission. 


By whom Committed. 


Time spent in 
the Hospital. 


Discharged 
Remains. 


In what State. 


Remarks. 

Hereditary, Periodical, 

Paroxismal, &c. 


508 
509 
510 


Nov. 25, 
30, 
30, 


66 

48 
32 


Male 
Male 
Male 


Widower 

Married 

Single 


Domestic Affliction 

Intemperance 

Unknown 


3 years 
1 year 
3 years 


The Court 
The Court 
The Court 


5 days 
1 day 
1 day 


Remains 
Remains 
Remains 


Not Improved 
Not Improved 
Not Improved 


Hereditary 
Hereditary 



TABLE L 

Shewing the State of the Hospital from Dec. 1, 1835, to Nov. 30, 1836. 



Patients admitted, 

Males, 
Females, 


65 
GO- 


125 
-125 


Patients sent by the 

Courls, 
Private, 

Patients in the Hos- 


117 

8- 


— las 






Recent cases, 
Old cases 


60 
65 


-125 


pital in the course 
of the year, » 


. 


244 


Remains at the end of 
the year, 


" 


I 
138 


Admitted, 

Remained at the end 
of the last year, 


125 
1 IQ 


o|^ 









TABLE 2. 



AVhole No. 


No. ef each sex 


Recov'J, 


Improv'd 


Notlmprv'd 


Want of Room. 


Died. 


Patients Disch'd, 


106 














Males, 




62 


30 


10 


2 


14 


6 


Females, . 




44 


27 


5 





10 


2 


Recent cases: 
















Discharged, . 


57 














Males, 




32 


26 


5 








2 


Females, . 




25 


22 


1 





# 


1 


Old cases: 
















Discharged, . 


49 














Males, 




30 


5 


5 


2 


14 


4 


Females, . 




19 


4 


4 





10 


1 


Remains, 


138 














Males, 




80 




20 


60 






Females, . 




58 




12 


46 







Per cent, of Recoveries of those discharged in the course of 

the year, . . . . , . . . , 53 3-4 per cent. 

Per cent, of Recoveries of cases discharged of less than one 
years duration, 84 1-5 per cent. 

Per cent, of Recovei'ies of all other cases discharged, . 18 2-5 per cent. 



STATE LUNATIC HOSPITAL, 

TABLE 3. 



Duration of Insanity with those remaining in the 


Ages of Patients remaining in the Hospital Nov- 


Hospital November SO, 183( 






30, 1836. 


Less than I year. 


11 


Under 20, .... 3 


From 1 to 5, 


39 


From 20 to 25, 






12 


« 5 to 10, 


35 


(( 


25 to 30, 






9 


« ]0to20y 


35 


(( 


30 to 35, 






19 


« 20 to 30, 


7 


a 


35 to 40, , 






23 


« 30to40j . 


2 


u 


40 to 45, 






. 25 


Unknown, 


9 


a 


45 to 50, 






17 






u 


50 to 55, 






11 





138 


it 


55 to 60, 
60 to 65, 






5 

8 


Hereditary, or having Insane 




u 


65 to 70, 






4 


relations, near kindred, as 




a 


70 to 75, 






1 


far as known, . 


145 


M 


75 to 80j 









Periodical, 


77 


Over 


80, . 






1 


Homicidal, 


15 






Suicidal as far as known. 


48 




138 



TABLE 4. 



No. arlmitted and discharged each month. 


Average of Patients in the Hospital each aiontfii. 




Admitted. 


Discharged. 


December, . 




December, 


10 


10 


121 2-3 


January, 


6 


6 


January, 


120 1-6 


February, 


7 


4 


February, 


122 


March, 


11 


15 


March, 


123 


April, 


10 


12 


April, . 


119 1-3 


May, 


15 


7 


May, . 


120 1-2 


June, 


8 


11 


June, . 


122 


July, 


16 


5 


July, . 


127 


August, 


18 


12 


August, 


136 3-4 


September, 


5 


6 


September, • 


137 4-5 


October, 


8 


10 


October, 


138 


November, 


11 
125 


8 
106 


November, . 

Aver 


136 2-3 




age, 127 1-5 



STATE LUNATIC HOSPITAL. 



33 



TABLE 5. 

Statistics qf the State Lunatic Hospital, from January 1833, to No- 
vember 1836, inclusive. 





Total. 


1833. 


1834. 


1835. 


183fl. 


Admitted, .... 
Discharged, .... 
Recovered, .... 
Died, ..... 
Eloped, 


510 
345 

198 

28 

4 


153 

39 

25 

4 

1 


119 

106 

64 

8 

1 


113 

103 

52 

8 

1 


125 

97 
57 

8 

1 


Patients in the Hospital during 
each year, . . . • 

Patients remaining at the end of 
each year, .... 




153 
114 


233 
118 


231 
119 


245 

138 


Males admitted, .... 
Females admitted. 


292 
217 


96 
57 


79 
39 


51 

62 


66 
59 


Males discharged, 
Females discharged, . 


195 
153 


23 
16 


59 
49 


57 

46 


56 
41 


Males died, .... 
Females died, .... 


18 
10 


3 
1 


5 

3 


4 
4 


6 
2 


Patients sent by the Courts, 
Private patients, .... 


370 
140 


109 
44 


55 

64 


89 
24 


117 

8 


Old cases, 

Recent cases, .... 


278 
232 


108 
45 


47 
72 


58 
53 


65 
60 


Recovery — Males, 

Females, . 


104 
94 


13 
12 


33 
31 


27 
25 


31 
26 



Per Cent, of Recoveries of recent CaSes Discharged, 



Average, 
Of all cases, 



83 
52 



82 
551 



82^ 

m 



84 1-5 
531-4 



34 



STATE LUNATIC HOSPITAL. 



TABLE 5 .— Continued. 





Total. 


1S33. 


1831. 


1835. 


1836. 


Admissions in Winter, 


100 


'27 


26 


24 


23 


Admissions in Spring, 


173 


71 


35 


31 


36 


Admissions in Summer, 


140 


24 


30 


30 


42 


Admissions in Autumn, 


111 


31 


28 


28 


24 


Discharges in Winter, 


63 





22 


21 


20 


Discharges in Spring, 


103 


7 


33 


30 


33 


Discharges in Summer, 


93 


10 


28 


31 


24 


Discharges in Autumn, 


91 


24 


24 


22 


21 


Recoveries in Winter, 


37, 





12 


14 


11 


Recoveries in Spring, 


47 





20 


13 


14 


Recoveries in Summer, 


53 


9 


16 


16 


12 


Recoveries in Autumn, 


53 


16 


15 


12 


20 


Deaths in Winter, 


5 





4 


1 





Deaths in Spring, 


6 


1 


2 


2 


1 


Deaths in Summer, 


11 


3 


3 


2 


4 


Deaths in Autumn, 


6 








3 


3 



Average of Deaths, 
Per Cent, of Death, 



1 of m 

5h 



TABLE 6. 
Shewing the duration of Insanity before admitted to the Hospital. 





Total. 


1833. 


1534. 


IS 35. 


1836. 


Less than 1 year, .... 


197 


48 


56 


49 


54 


From 1 to 5, 


123 


20 


29 


37 


37 


From 5 to 10, 


71 


27 


14 


17 


13 


From 10 to 20, 


56 


31 


8 


6 


11 


From 20 to 30, . 


19 


12 


4 


1 


2 


From 30 to 40, . 


7 


3 


1 


1 


2 


Unknown, 


33 


12 


6 


7 


6 



STATE LUNATIC HOSPITAL. 



35 



TABLE 7. 

Duration of Disease with those remaining at the end of the year. 





Totiil. 


1833. 


1S34. 


1835. 


1838. 


- 
Less than 1 year, .... 


83 


29 


22 


21 


11 


From 1 to 5, 


106 


20 


25 


22 


89 


From 5 to 10, 


113 


20 


24 


34 


35 


From 10 to 20, .... 


118 


30 


24 


29 


35 


From 20 to 30, . 


24 


9 


5 


3 


7 


Over 30, 


11 


3 


2 


4 


2 


Unknown, 


39 


8 


16 


6 


9 



Single, . 
Married, 
Widows, 
Widowers, 



TABLE 8. 

Shewing the civil state of the Patients admitted. 



283 


92 


71 


52 


173 


38 


40 


46 


30 


12 


4 


8 


24 


11 


4 


7 

1 



68 

49 

6 

2 



TABLE 9. 

Shewing the Ages of Patients admitted each year. 



Under 20, 


22 


2 


6 


3 


11 


From 20 to 30, 








108 


34 


23 


22 


29 


From 30 to 40, 








164 


48 


44 


42 


30 


From 40 to 50, 








177 


34 


28 


30 


25 


From 50 to 60, 








50 


14 


9 


11 


16 


From 60 to 70, 








39 


17 


6 


6 


10 


Over 70, 








12 


5 


2 


5 






36 



STATE LUNATIC HOSPITAL. 



TABLE 10. 

Shewing the Age at which Insanity commenced. 









Total. 


Male. 


Female. 


Under 20, .... 


58 


27 


31 


From 20 to 30, . 






]55 


91 


64 


From 30 to A(\ . 






125 


75 


50 


From 40 to 50, . 






56 


28 


28 


From TiO to 60, . 






32 


19 


13 


From ()0 to 70, . 






7 


6 


1 


From 70 to PO, . 






3 


3 





Unknown, 






24 


15 


9 



TABLE 11. 

Shewing the Diseases which have proved fatal, and the number of cases. 



Epileps}', 
Marasmus, . 


6 
6 


Consumption, 
A|)oplexy, . 
Suicide, 

Ciiolera Morbus, 
Brain Fever from Ii 


4 
2 
2 
2 

tem- 


perance, . 


1 23 



Brain disease not Intem- 
perate, 
Di.<ease of the Heart, 
Disease of the Bladder, . 
Inflammation of the Bowels, 
Lung Fever, 



5 

23- 



-28 



TABLE 12. 
Shewing the comparative curability of Insanity attaching at different ages. 









Total of Cases. 


Of each Sex. 


Cured. 


Not Cured. 


Under 20, 


48 








Male, 








21 


6 


15 


Female, 








27 


17 


10 


From 20 to 25, 






72 








Male, 








42 


17 


25 


Female, 








30 


10 


20 


From 25 to 30, 






76 








Male, 








43 


16 


27 


Female, 








33 


14 


19 



STATE LUNATIC HOSPITAL. 

TABLE 12.— Continued. 



37 









Total of Cases. 

78 


Of each Sex. 


Cured. 


Not Cured. 


From 30 to 35, . 








Male, . 








55 


20 


35 


Female, 








23 


11 


12 


From 35 lo 40, 




• 


44 








Male, . 








24 


10 


14 


Female, 








30 


9 


11 


From 40 to 45, 






39 








Male, . 








23 


14 


9 


Female, 








16 


12 


4 


From 45 to 50, 






31 








Male, 








15 


11 


4 


Female, 








16 


13 


3 


Froin 50 to 55, 






28 








Male, . 








14 


6 


8 


Female, 








14 


9 


5 


From 55 to 60, 






19 








Male, . 








9 


7 


2 


Female, 








10 


4 


6 


From 60 to 65, 






9 








Male, . 








6 


6 





Female, 








3 


3 





From 65 to 70, 






5 








Male, 








5 


3 


2 


Female, 


















TABLE 13. 

Shewing the comparative curability of cases treated at different periods 

of Insanity. 





Total of Cases. 


Total of each 
Sex. 


Cured or Cura- 
ble. 


Not Cureil or 
Incurable. 


Less than 1 year's duration, 
Male, 
Female, 


161 


87 
74 


76 

e7 


11 

7 


From I to 2 years, 
Male, 
Female, 


64 


30 
34 


22 

24 


8 
10 


From 2 to 5 years, 
Male, 
Female, 


79 


48 
31 


12 
10 


36 
21 



38 STATE LUNATIC HOSPITAL. 

TABLE 13. — Continued. 





Total of Cases. 


Total of each 
Sex. 


Cured or Cura- 
ble. 


Not Cured or 
Curable. 


From 5 to 10 years, 
Male, 
Female, 


62 


32 
30 


3 
3 


29 
27 


From 10 to 15 years, 
Male, 
Female, 


44 


28 
16 


2 



26 
16 


From 15 to 20 years, 
Male, 
Female, 


19 


13 
6 


1 




12 

6 


From 20 to 25 years, 
Male, 
Female, 


9 


7 
2 






7 
2 


From 25 to 30 years, 
Male, 
Female, 


3 


3 







3 



From 30 upwards, 
Male, 
Female, 


9 


9 







9 




TABLE 14. 

Classification with reference to the kind of Insanity. 





Whole Number. 


No. of each Sex. 


Cured or Curable. 


Total of Cured or 
Curable. 


Mania, 

Male, . 
Female, 


292 


155 
137 


81 

77 


158 


Monomania, 
Male, . 
Female, 


104 


64 
40 


38 
30 


68 


Dementiaor Idiotic, 
Male, . 
Female, 


79 


48 
31 


2 
3 


5 


Idiocy from Birth, 


5 








Male, . 




5 








STATE LUNATIC HOSPITAL. 



39 



TABLE 15. 

Shewing the relation between Cause and Recovery. 





Whole No. 


No. of each 
Sex. 


Cured or Cura- 
ble. 


Not Curable, 


Intemperance, 
Male, 
Female, 


110 


93 
17 


46 

8 


47 
9 


Domestic Afflictions of va- 
rious kinds, 
Male, 
Female, . 


115 


50 
65 


26 
35 


24 
30 


Ill Health, incliidingWounds, 
Puerperal, Amenorrhcea, 
&c., .... 

Male, 

Female, 


86 


23 
63 


12 

50 


11 
13 


Religious, of all kinds, . 
Male, 
Female, , 


41 


26 
15 


12 

7 


14 

8 


Masturbation, . 
Male, 
Female, 


55 


43 
12 


4 



39 
12 



An Abstract of the Report by the justly celebrated Esquirol, of the Royal 
Institution near Paris, contains the following particulars. 

The results are more interesting, as this excellent pubUc charity is of a 
character nearly resembling the State Lunatic Hospital of Massachusetts. 

The Report is for the eight years next preceding 1834. 



Esquirol found in the Hospital, 
Admitted in eight years. 



Total, 



492 patients. 
1557 

2049 



Of this number— Recovered, 

« ' Died, 

Discharged not cured, . 
Remained, 



518 
546 

514 1578 

471 



40 STATE LUNATIC HOSPITAL. 

Esquirol makes his estimates of cured on the admis- 
sions during the eight years, to wit — . . 1557 

518, the number of cures, is about 33 per cent. 

Estimates of deaths on the whole number of patients — 546 of 2049 is 
fi6k per cent. 

The State Lunatic Hospital has received . 510 patients 

Has had 28 deaths, which is . . . 5i per cent. 

Has discharged ..... 372 patients 

Its estimate of cures is upon the discharged, which is 
about ...... 53i per cent. 



Esquirol's recoveries of the whole number in the Insti- 
tution, including incurables, is 25^ per cent, to wit — 518 of 2049 

The recoveries in the State Lunatic Hospital of all the 

patients is 38 4-5 per cent, to wit — . . 198 of 510 

Both Institutions contain a large share of Incurables. 



STATE LUNATIC HOSPITAL. 41 

In the preceding tables, it will be seen that I have gone 
more fully into the statistics of insanity than in my form- 
er reports. The facts here presented it is presumed will 
be interesting. 

The fulness and extent of this tabular view may com- 
pensate, in some degree, for the deficiency of copies of 
the former reports, which cannot now be found to satisfy 
the demand for information concerning the Hospital. 

The condition of the Institution for the past year has 
been in all respects as favorable as at any former period. 

By the blessing of the Divine Hand, we have been ■-; 
spared from severe sickness and mortality and no acci- 
dent has occured, endangering the life of officer or in- 
mate, this too, while many of the furious insane have 
been abroad in the field, garden and wood yard, with the 
implements of labor in their hands, and in the work shop 
with the tools of the mechanic in constant use, furnished 
without reserve for all mechanical operations. This is 
rendered the more remarkable, from the fact that many 
of these individuals are liable to high excitement while 
in the halls, and occasionally require restraint to prevent 
acts of violence and danger. Does not this speak well 
for the utility of labor for the insane ? 

From the first table accompanying the report, it will 
be seen that in the course of the year there have been in 
the Hospital 244 patients, 125 of whom have been ad- 
mitted in the course of the year. Of this number ^b 
were males and 60 were females, 60 were recent cases of 
less than one year's duration, and ^b had been diseased 
for a longer period. Of this number eight only were pri- 
vate patients; while 117 were sent by the different 
courts. At the end of the year 138 were remaining, 19 
more than at the end of the last year, 



42 STATE LUNATIC HOSPITAL. 

The second table shews that 106 patients were dis- 
charged from the Hospital in the course of the year, of 
which 57 were recent cases, of less than one year's du- 
ration, and 49 were old cases. Of the whole number of 
cases discharged 57 have recovered, 15 improved and 
eight have died ; 24 were discharged for want of room, 
before the new accommodations were ready for occu- 
pancy. 

The recoveries of all the patients discharged this year 
have been o3^ per cent. The recoveries of recent cases 
of less duration than one year have been 84 1-5 per cent. 
The recoveries of old cases, including those discharged 
for want of room, have been 18 2-5 per cent., exclusive 
of those discharged for want of room 36 per cent. 

By the third table, we learn that of those remaining 
at the end of the year, the greatest number had been in- 
sane from one to five years, and that a large number of 
old cases remained, while 1 1 recent cases only were in 
the Hospital at the end of the year. It would appear 
from this table that of any 10 years, much the greatest 
number were insane between 35 and 45. That from 25 
to 35 and from 45 to 55 the same number are found in- 
sane, at present, in this Hospital. 

A reference to the fourth table will shew that since the 
additional accommodations were ready for the reception 
of patients, the increase has been from 15 to 20 patients. 
The average number of patients has been 127 1-5 for 
the year. 

The fifth table goes extensively into the statistics of 
the Hospital during the whole period of its operation, 
from it many interesting facts may be learned. It is 
conceived that such tables reported for a succession of 



STATE LUNATIC HOSPITAL. 43 

years will afford much information both curious and 
useful. 

On the subject of recoveries it may be proper to re- 
mark that the first year none were discharged during the 
winter and spring months, which makes the sum total 
larger in summer and autumn than a fair proportion. By 
a reference to the last three years in the table, the facts 
on this subject will be apparent. 

In most institutions, particularly those of a private 
character, the admissions of recent cases are much great- 
er than those of old ones. In this Hospital, by the sixth 
table, it will be seen that more than three fifths of the 
admissions have been old cases, almost two fiths of which 
have existed from 5 to 30 years and upwards. 

By comparing this and the seventh table it will be seen 
that comparatively few recent cases remain at the end of 
the year. In 1836, 54 recent cases were admitted in the 
course of the year and only 1 1 remained at the end 
of it. 

The eighth table shews that of the patients admitted 
into the Hospital, 337 were unmarried, and only 173 
married. Of the 337, 283 were never married, 30 were 
widows, and 24 widowers. 

The ninth table shews that a large proportion of the 
cases admitted into the Hospital, is in middle life, the 
greatest number of any ten years, between 40 and 50 
years of age, next greatest between 30 and 40, and the 
least under 20 years, except in extreme old age. 

From the tenth table we learn that, so far as our re- 
cords are a criterion, the greatest number of attacks of 
insanity of both sexes is from the age of 20 to 30, and 
the next greatest from 30 to 40. But in one of the great 
hospitals in France a different result is exhibited. Males 
8 



44 STATE LUNATIC HOSPITAL. 

are there most frequently attacked between 20 and 30, 
and females between 30 and 40 years of age. 

By the eleventh table it will be seen that the number 
of deaths in the Hospital has been 28, amounting to 1 of 
18^, or 5 J per cent., 28 of 510. In the French hospi- 
tal to which, I have just alluded, the deaths were 546 of 
2049, one of 3|, or about 26J per cent. ; 18 of the 28 
deaths were the result of chronic diseases, and 10 of 
acute and sudden attacks. 

The twelfth table exhibits some interesting facts. Of 
21 males under 20 years of age 6 only recovered, less 
than 28 J per cent. Of 64 males between the ages of 40 
and 65, 44 recovered, almost 68 per cent. Of 72 pa- 
tients between the ages of 20 and 25, 27 only recovered, 
37^ per cent. Of 7Q patients between the ages of 40 
and 50, 50 recovered, which is more than 70 per cent. 
Of 47 patients between the ages of 50 and 60, 26 re- 
coved, which is more than 55 per cent. Of 9 cases be- 
tween the ages of 60 and 65 all recovered. 

The facts here presented are different from the opinions 
of authors and from the general impressions of the public, 
it is believed, however, that in this country they are 
correct. One reason why insanity is less curable in the 
young, is, that it arises, in such cases, more frequently 
from physical causes than in more advanced life, particu- 
larly from maturbation. Another reason, probably, is, 
that the brain and nervous system of the young, being 
more susceptible are more likely to be affected by organic 
disease, which renders insanity permanent and incurable. 

The thirteenth table also exhibits much that is inter- 
esting. Of 161 cases that were admitted into the Hos- 
pital during the iirst year of insanity, 143 recovered or 
are curable- 18 only failed of a cure, of these 10 died 



STATE LUNATIC HOSPITAL. 45 

and 6 were removed before they had had a sufficient 
trial of remedies, so that of 161 recent cases, 2 only re- 
main in the Hospital as old cases, and but oue of these 
is certainly incurable ! In the 161 recent cases are esti- 
mated, the 11 remaining in the Hospital at the close of 
this year and these are all included with the cural)le. 
Of 64 cases between 1 and 2 year's duration, 46 re- 
covered. Of 62 that had been insane between 5 and 10 
years, 6 only recovered, and of 74 cases represented to 
have been insane over 10 years, three only recovered, 
and it may be doubtful whether these had been so long 
diseased. 

The fourteenth table shews what cases of insanity are 
received into the Hospital. Nearly 3-5 of the whole arc 
mania. It is in consequence of the law regulating the 
Hospital, restricting its admissions to the violent and fu- 
rious, that so large a proportion of our inmates are of this 
class. 

The monomaniacs are about 1-5 of the number, more 
than half of these have manifested a propensity to homi- 
cide or suicide. 

By dementia or demented and idiotic, is meant those 
whose minds have been destroyed by disease, by idiocy 
those who have from birth been destitute of reason or 
understanding. 

From the fifteenth table we derive some valuable facts. 

First. The disparity of cases from intemperance in 
the different sexes, of the 110 cases from this cause, 93 
were males and 17 females, two or three only, were de- 
lirium tremens. 

Second. The disparity of cases from domestic afiflic- 
tions of various kinds, of 1 15 cases, 65 were females and 
50 males. 



46 STATE LUNATIC HOSPITAL. 

Third. The disparity of cases from ill health of va- 
rious kinds, of 86 cases, 63 were females and 23 males. 

Fourth. The disparity of cases from various religious 
causes, of 41 cases, 26 were males and 15 females. 

There are one or two facts in this connexion that de- 
serve a passing remark. It is a very common observa- 
tion by the unreflecting, that females become insane more 
frequently than men from religious causes, and this is 
often spoken reproachfully of religion. The facts here 
recorded shew a different result. Another fact is that 
religious people are not more frequently afllicted with re- 
ligious melancholy or religious phrenzy than the dissolute 
and licentious, the scoffers and revilers of Christianity. 
Such has been my observation in my intercourse with the 
insane. It may be surprising to some that so large a 
number of cases are attributed to religious causes, but 
when we consider the diversity of modes by which these 
causes may affect the mind, we shall cease to be sur- 
prised. In one case the cause is high excitement, in ano- 
ther exaltation, in a third, fear of future punishment, in 
a fourth, fear of the displeasure of Deity, in a fifth, sense 
of guilt, &c. 

The genuine principles of Christianity have no tendency 
to distract the mind, on the contrary, they are directly 
calculated to calm and allay the feelings when excited, 
and to encourage and give hope to the depressed and des- 
ponding. But the discordant views of mankind on this 
subject may have a very different tendency, and the mode 
adopted to impress the subject upon the attention, is often 
most injudicious, and directly calculated to excite the 
passions, and carry them on beyond control of the reason 
and the judgment. Insanity from sucl* a cause is not 
chargeable to religion itself. 



STATE LUNATIC HOSPITAL, 47 

Fifth. The number of cases from masturbation, and 
the few recoveries of insanity arising from that cause. 
The number of cases of insanity from this cause appears 
large, and is much larger than is reported from European 
hospitals or the hospitals in this country. This may be 
attributable partly to the fact, of our giving greater atten- 
tion to the subject ; perhaps the greater prevalence of 
licentiousness in Europe may in some measure account 
for this difference. 

Of the cases of insanity from intemperance, about 50 
per cent, recover in this Hospital. From domestic afflic- 
tions, about 53 per cent, recover. From ill health, about 
72 per cent, recover. From religious causes, about 50 
per cent recover. From masturbation, about 7^ per cent, 
recover. Many more facts of greater or less importance 
may be obtained from these tables. 

We are often gratified with good tidings and favorable 
reports of patients discharged from the Hospital. So far 
as we have known, very few have relapsed who have 
been discharged as cured, and a number that have been 
discharged improved, were, in fact, convalesing, and con- 
tinued to mend after leaving the institution till they 
finally recovered. 

The reputation of hospitals for the insane, depends 
much upon the number of its cures, but it often requires 
much more effort, and even greater skill, to improve an 
old case that has been considered hopeless, that has been 
abandoned to chains and the dungeon, exposed to the 
cruelties of cold and hunger, and every abuse which can 
degrade or render desperate. To gain the confidence of 
such an individual, awaken his self-respect, and bring 
him to feel that he is a human being, worthy of the sym- 
pathy, respect and confidence of those around himj is a 



48 STATE LUNATIC HOSPITAL. 

work far more difficult than the cure of a recent case. 
This is the merit we aspire to. We have the satisfaction 
to witness the most favorable changes in all the habits 
and feelings of this unhappy class of patients, whose minds 
will never become free from the illusions of insanity, es- 
tablished by time and rendered permanent by habit. We 
have seen, in many cases, the desperate, furious and ex- 
asperated maniac, who, for years, has been the tenant of 
a cold and dreary cell, naked and filthy, devouring his 
food like a wild beast ; set at the table calm and self- 
possessed, with his knife and fork, taking his meal with 
order and sobriety, clad in decent apparal, going to his 
bed at night with composure, uniting in amusements, or 
joining in labor with cheerfulness and pleasure. 

These changes are not effected without long and per- 
severing effort. The number of this class, able to labor, 
is constantly increasino; in this establishment. Many who 
for a long period have been considered unsafe when a 
weapon was within reach, have during this year gone into 
the garden and the wood-yard with implements in hand, 
and performed their labor quietly and correctly. 

Of the patients discharged, as recovered, from the Hos- 
pital, during the four years of its operation, eight only 
have relapsed, as far as we have heard. Fifteen have 
had insanity return from a renewal of the causes which 
first produced it. 

There are many cases of hereditary insanity which be- 
come periodical, with intervals of one, two, three or more 
years. These paroxysms recur frequently without appar- 
ent exciting cause. Slighter causes operate in such cases 
to produce insanity than vyhen no predisposition to the 
disease exists. We have had some re-commitments of 
cases of this description also. 



STATE LUNATIC HOSPITAL. 49 

Relapses from recoveries of insanity are not more fre- 
quent than from other acute diseases, and are less numer- 
ous than we should expect, when we consider that many 
patients return from the Hospital to the scenes and cir- 
cumstances connected with the orisin of the disease. 

If insanity arises from domestic afflictions, the loss of 
friends, or the reverse of fortune, the impressions may be 
again renewed, when the individual arrives at home. 
Restoration of reason does not remove the sad realties 
with which are aasociated the distress and anguish that 
overwhelmed the mind. Tiie lost friends arc not there, 
the indications of former prosperity are gone, the discords 
of domestic strife may be renewed, poverty may again 
oppress, and bring its train of evils and anxieties, 
coarse and scanty fare, hard and unhealthy labor, sick- 
ness and suffering from the apprehension of want : and 
intemperance, of all causes of insanity the most likely to 
be renewed, because temptations are every where pre- 
sented. 

Physical causes are more likely to produce permanent 
disease, and realities produce more permanent impressions 
than imaginations or fiction, and these impressions are 
more likely to be renewed, for the causes are constantly 
operating. Ill health, of all the causes of insanity, is 
most easily removed, this will be seen by a reference to 
the tables, and forms an exception to the al)ove remark. 
The reason of this is, that a removal of the disease, upon 
which the insanity depends, effects the cure, it being 
symptomatic. 

The experience of the past has not in the least dimin- 
ished our confidence in the utility and importance of moral 
management in the treatment of the insane. Kindness 
and indulgence, the inculcation of self-respect and self- 



50 STATE LUNATIC HOSPITAL. 

control are indispensable auxiliaries ia all well regulated 
management. While we give full credit to these, how- 
ever, it must not be overlooked, that in all recent cases 
of insanity, and in many old ones, we rely upon medical 
treatment to subdue the inordinate excitement, and so 
control the symptoms as to bring the patient within the 
range of moral influence. A steady and persevering use 
of remedies, in such cases, is followed by the most mark- 
ed benefit. In numerous instances, excitement is un- 
doubtedly removed, which would have continued for a 
long time unrestrained and unabated. 

The following cases are given to show the effect of 
remedies in controlling excitement and in promoting re- 
covery. 

No. 1. Was an athletic man, aged 32, his habits were 
correct and rather abstemious, after a few days of unusual 
mental effort, he was suddenly taken insane. His excite- 
ment was violent in the extreme, his strength, like that of a 
giant ; for three weeks he had scarcely slept. In this state 
he was brought to the Hospital. In my experience with 
the insane, I had rarely seen such a case. He had at the 
time of his admission, from one to two hundred boils and 
bruises, the effect of the struggles and restraints he had 
previously had, many of them suppurated and discharged 
purulent matter. The whole surface of his body was lit- 
erally covered with bruises and contusions. His mind 
was wholly chaotic, he neither knew where he was or 
who was about him, but raved and struggled perpetually, 
quite unconscious of what he did. He was immediately 
put upon an active and efficient course of remedies, in a 
short time he became more quiet, and about the fifth day 
came suddenly to himself, so far as to enquire where he 
was, who were about him, and how he came to the Hos- 



STATE LUNATIC HOSPITAL. 51 

pital. From this time he convalesced rapidly. In a week 
he was perfectly calm and slept well, took his meals at the 
table with others with propriety and decorum. His rem- 
edies were gradually diminished, and at the end of four 
weeks were withdrawn. His mind became rational, and 
has continued so to this time. Previous to his coming to 
the Hospital, he was bled very freely, which reduced his 
strength, and he did not regain it in some time. 

No. 2. A female, aged 25, had been insane twelve 
months. During the whole of this period she had been 
in the worst possible condition of excitement and degra- 
dation. All efforts to influence her to self-restraint were 
unavailing. After a long time it was resolved to try the 
effect of active remedies. She was almost immediately 
more quiet and slept better. In a few weeks there was 
a manifest improvement of all her symptoms, her health 
was better and her mind mostly rational. She continued 
to mend rapidly, and in two months was fully restored to 
health and sanity, and continued well the last accounts 
we had from her. 

No. 3. Had been insane three months ; trial had been 
made in a private institution to remove the disease, with- 
out benefit. When this patient came into the Hospital, 
her situation was truly deplorable ; violent, filthy, noisy 
and ill-natured in the extreme. She refused her food, 
and resisted every effort to administer it, as she did every 
attempt to make her comfortable in other respects. She 
had been reduced by depletion and starvation, without 
any favorable influence upon her mind. She was imme- 
diately placed under the influence of active remedies, and 
every effort was made to excite some feelings of self re- 
spect. In a few days there was manifest amendment ; 
her appetite improved, and she began to give some atten- 
9 



62 STATE LUNATIC HOSPITAL. 

tion to personal cleanliness. She exchanged her filthy 
and tattered garments for decent apparel. In two weeks 
she sat calmly at work ; in one month she was transform- 
ed into a beautiful and intelligent woman, and left the 
Hospital at the end of two months quite recovered. 

No. 4. Was a young man of 30. In consequence of 
severe mental anxiety he was taken insane. For three 
months he was violent and dangerous in the extreme. 
After a severe and long trial with his friends, he was 
brought to the Hospital. His violence, noise and excite- 
ment w-ere of the worst kind. He was placed upon an 
active course of medical treatment ; in a few days he 
became calm and rational, and his disease was apparently 
removed. His remedies were withdrawn, or nearly so ; 
in four or five days his insanity returned as violent as be- 
fore. The medicine was resumed, with the same result 
as in the first trial ; he appeared, when steadily under its 
influence, rational and quiet. After some weeks the 
remedies were again withdrawn with caution ; yet all the 
symptoms of former excitement again appearing, it was 
again repeated in full doses and continued for a longer 
period still : it was then withdrawn very gradually till it 
was wholly discontinued. After this thorough trial there 
was no return of insanity ; in less than four months he 
left the Hospital completely recovered. 

No. 5. A young female, 18 years of age, after an at- 
tack of severe febrile disease, became insane. She was 
under the care of two medical gentlemen of great re- 
spectability, who prescribed for her three months and 
then despaired of her recovery, believing that organic 
lesion, the effect of the previous disease, produced the 
insanity and rendered it hopeless. In this situation she 
was brought to the Hospital. At this time her health 



STATE LUNATIC HOSPITAL. 53 

was bad ; she was pale, feeble, extremely irritable, and 
greatly excited ; she had no appetite, slept little, and all 
the functions of the nervous and digestive system were 
badly performed. She was treated with active and ef- 
ficient remedies ; in a week she was much better, had 
appetite and slept better. In two weeks she was ration- 
al, and her health was comfortable. Her recovery was 
rapid ; in eight weeks she was quite well, and has re- 
mained so to this time, eight months. 

No. 6. Was an aged lady, whose severe domestic af- 
flictions had brought on a most deplorable melancholy. 
She had a strong and irresistible propensity to suicide ; 
starvation was one of the modes by which she determined 
to effect this object. It was with great difliculty she 
could be induced to take sufficient food to sustain life. 
In this condition she was brought to the Hospital. She 
was in a most deplorable and alarming condition ; her 
mind in a state of extreme anxiety, her frame emaciated 
to a skeleton, she spent her time, day and night, in groan- 
ing, walking and rubbing her hands, bewailing the calam- 
ity that had befallen her, imploring all who saw her to 
take her life, and thus end her misery. A course of 
active remedies was prescribed for her, and food was reg- 
ularly administered to her when she refused it. In a few 
weeks she became quiet and commenced labor. From 
this time she improved daily ; in two months was cheer- 
ful and industrious ; her medicine was diminished and 
finally suspended ; she left the Hospital in three months, 
quite rational and in good healtl). 

No. 7. Was a young man aged 24. A. severe contu- 
sion upon his head brought on insanity, which, from the 
nature of the cause, was apprehended, by his friends and 
physicians, to be irremediable. He became so trouble- 



54 STATE LUNATIC HOSPITAL. 

some that his friends brought hiin bound, hands and feet, 
to the Hospital. At this time his disease had existed 
three months. For a day or two he was exceedingly 
outrageous ; broke the windows and crockery, and tore 
his garments and bedding. He was immedintely placed 
upon a course of active remedies ; the effect was surpris- 
ing : in three days he was calm, rational and quiet — con- 
versed with propriety, slept well, and requested employ- 
ment ; he also read considerably. From this time he had 
no considerable excitement. He remained about two 
months in the Hospital, and was discharged quite recov- 
ered. 

No. 8. The case of a young man is given, to show 
the influence of motive in producing self control. He 
had been four months insane when he was placed in the 
Hospital. He was represented by his friends as being 
violent and dangerous. We soon found he was unsafe 
with other patients without restraint, as he would quarrel 
and strike without the slightest provocation, and when 
enraged, would tear his clothes and destroy every thing 
that was in his way. He was so unmanageable that he 
was placed in a solitary room ; here he stripped himself 
entirely, and was exceedingly noisy, filthy and violent. 
Many efforts were made to appease him, and induce him 
to be quiet and wear clothing ; but he tore up every gar- 
ment that was given to him, and would not be persuaded 
nor rendered comfortable. Finding him peaceable and 
pleasant one morning, I said to him, " there is no neces- 
sity of your remaining in this state, you can do better ; 
and to induce you to do so, I will give you work at your 
trade, such as I would trust in no hands but those of an 
accomplished mechanic ; 1 will dress you handsomely 
throughout, and you shall be removed from this solitude 



STATE LUNATIC HOSPITAF.. 55 

to the best gallery in the Hospital.'* He listened atten- 
tively to the proposition ; said he would make an effort 
to do well, and would like to try. In an hour he was at 
his labor, which he accomplished with the skill and dex- 
terity of a master. From this time he worked almost 
daily at his trade, and improved regularly. Fearing that 
some aid would be required to maintain his equanimity, 
active remedies were prescribed for him from the com- 
mencement. In half the time that he was a raving, filthy 
maniac, confined in a solitary cell, he was restored to his 
health and the full exercise of his mental faculties. 

No. 9. Is a female, who had been confined in a hos- 
pital for six years. For some time previous to her ad- 
mission into this institution, she had been in a solitary 
cell, naked, filthy and violent ; her language was vulgar 
and profane, and all her habits as bad as were ever found, 
even in an insane hospital. She had done no labor for 
many months, perhaps years, and was supposed to be be- 
yond the reach of hope, or the possibility of improve- 
ment. A few days after she came under our care, she 
was induced to take a little work, and no effort was 
spared to induce her to be quiet, industrious and to exer- 
cise self control. These efforts were happily well re- 
ceived, and had an influence. By degrees all her habits 
improved ; she now dresses neatly, keeps her room in ex- 
cellent order, washing and scouring it frequently ; works 
steadily ; unites in amusements, and associates with the 
most intelligent patients ; attends the matron's sewing 
parties, and is hardly ever otherwise than civil and re- 
spectful. She has been constantly in the use of medicine, 
and has improved in her health as remarkably as in the 
state of her mind. 

No. 10. A female patient has been in the deepest 



56 STATE LUNATIC HOSPITAL. 

melancholy ; for four or five years she had been in one of 
the best institutions in this country without benefit 
When she came into this Hospital nothing could exceed 
the wretchedness and misery of her condition. She be- 
lieved herself utterly hopeless, and had giv-en herself up 
to despair. For a long time no effort had any influence 
to change the state of her mind, or to improve her condi- 
tion. After a while her confidence was secured, and the 
motives presented to awaken self respect, and the desire 
of the approbation of others, had a perceptible influence. 
By degrees she emerged from this miserable condition, 
and became cheerful and happy ; her strength returned ; 
and, with it, a confidence that she could assume her for- 
mer station in society, and be useful and happy. She 
left the institution in four months, free from insanity, 
with a heart full of gratitude to all who had been instru- 
mental in her recovery, and has since been quite well. 

These cases are not selected as singular or remarka- 
ble in the hospital, many more might be detailed that are 
very similar. They are given to shew what may be done 
in the early periods of insanity, by judicious medical 
treatment, combined with such moral influence as is ap- 
plicable to each case. 

It is conceived hardly proper, in a public report, to go 
into particulars respecting the system of medication adopt- 
ed in the cases detailed, my motive being to inspire confi- 
dence in such institutions, rather than recommend my 
own practice. 

No disease, of equal severity, can be treated with great- 
er success than insanity, if the remedies are applied suf- 
ficiently early. If, however, the early symptoms of in- 
sanity be neglected, till the brain becomes accustomed to 
the irregular actions of disease, or till organic changes 



STATE LUNATIC HOSPITAL. 67 

take place from the early violence ot these actions, then 
the case becomes hopeless of cure. In this situation, in 
too many cases, the victim of this deplorable malady is 
cast off by his friends, thrust into a dungeon or into chains, 
there to remain till the shattered intellect shall exhaust 
all its remaining energies in perpetual raving and violence, 
till it sinks into hopeless and deplorable idiocy. In the 
condition of distress and suffering the insane man is the 
only individual upon earth, who rejects the proffered kind- 
ness of his friends. With strangers he will be civil and 
kind ; on this account he is always a proper subject for an 
institution, the design of which is to meliorate his condi- 
tion as well as attempt his cure. 

The results of labor, both remedial and pecuniary, 
have, for the last year, been more satisfactory than ever, 
and cause us to regret that this important means of bene- 
fiting a large class of our patients cannot be more liberally 
furnished. With suitable direction and supervision, we 
could bring into the field of labor thirty men or more, 
who have for years been confined in solitude, and seclud- 
ed from society as des])erate and dangerous. These, with 
some convalescents and a few that are harmless, are ca- 
pable of performing a large amount of labor. The pro- 
portion of females, of corresponding classes able to labor, 
is greater still, as the means of employment are more 
constantly within their reach. 

In the course of the last year we must have had more 
than 200 patients who could have steadily attended reli- 
gious worship on the sabbath, if we had had a suitable 
chapel contiguous to the hospital. A few of our inmates 
at present go to the churches, and are always gratified by 
such an indulgence, others spend the day in reading at 
home, but with a large proportion of them, the day passes 



58 STATE LUNATIC HOSPITAL. 

heavily along, and is spent in idle listlessnes or irritation. 
If it were proper to engage in sports or amusements on 
the sabbath, in such an institution, the habits and feelings 
of New England people, even when insane, are decidedly 
against them. Very few individuals in this hospital would 
consent to engage in the most quiet amusements, and 
others would consider them highly improper. I greatly 
doubt the propriety or advantage of amusements on the 
sabbath, on the contrary I am of opinion they would be 
injurious. With the insane, I would, as far as possible, 
inculcate all the habits of rational life. I wish them to 
attend religious worship on the sabbath for the same rea- 
son that other men do, for instruction in religion and vir- 
tue. In matters of religion and morality, I would deal 
with the insane, as with the rational mind, approve of no 
deception, encourage no delusions, foster no self compla- 
cent impressions of character, dignity and power. I 
would improve every opportunity, when the mind is calm 
and the feelings kind, to impress them that they are men, 
to excite in their minds rational contemplations, encour- 
age correct habits, awaken self-respect, and prompt to 
active duty. In aid of this, I wish them to attend reli- 
gious worship, to listen to instruction from the volume 
of truth, and receive encouragement to calm and quiet 
temper from its promises of reward to virtuous and up- 
right conduct. Few individuals are so completely insane 
as to be beyond the reach of moral instruction, and per- 
haps I may add moral responsibility. If so, it may be 
doubted whether it be right to incarcerate men, and de- 
prive them also of that instruction upon which their fu- 
ture well being may depend. 

When the hospital shall be completed, according to the 
present design, we shall have ample and excellent accom- 



STATE LUNATIC HOSPITAL. 59 

modations for the insane. The edifice is the largest and 
probably the best arranged of any one in this country. 
Taking the lead in the enterprises of this character, this 
state should be solicitous to have the best as well as the 
first institution. 

A hospital building is but one item necessary for the 
successful management of the insane. In every possible 
case they should be employed. Riding, amusements, 
games, walks and reading, are all useful, and the means 
for them all should be amply provided. But labor is the 
very best employment, and the only one that can be con- 
tinued long without satiety. Provide fields, gardens and 
workshops for labor, and a chapel for religious worship 
on the sabbath, and you will show to the insane what 
you consider them capable of doing and enjoying, and they, 
in return, will show, by their industry, sobriety and self- 
control, that they properly appreciate your confidence, 
and are grateful for your efforts to promote their happi- 
ness. 

State Lunatic Hospital, November 30th, 1836. 

S. B. WOODWARD, Superintendent. 



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