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

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1354 -&6 
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PUBLIC DOCUMENT No. 27. 



TWENTY-SIXTH ANNUAL REPORT 



THE TRUSTEES 



STATE LUNATIC HOSPITAL 



AT WORCESTER. 



OCTOBER, 1858 



BOSTON: 

WILLIAM WHITE, PRINTER TO THE STATE. 

1858. 



Digitized by the Internet Archive 

in 2010 with funding from 

University of Massachusetts Amherst 



http://www.archive.org/details/annualreportoftr24stat 



OFFICERS OF THE HOSPITAL, 



TRUSTEES. 

THOMAS COLT, Esq., Chairman, Pittsfield. 

CHARLES H. STEDMAN, M. D., ..... Boston. 

JOSEPH N. BATES, M. D., . . . . . . . Worcester. 

WILLIAM T. MERRIFIELD, Esq., . . . . . Worcester. 

ROBERT W. HOOPER, M. D., . . . . . . Boston. 

TREASURE R . 

HENRY WOODWARD, Esq., ...... Worcester. 

Office — Mechanics' Bank, Main Street, Worcester. 

resident officers. 
MERRICK BEMIS, M. D., . . . . . . Superintendent. 

FRANK H. RICE, M. D., ..... Assistant-Physician. 

CAROLINE A. BEMIS, Matron. 

HENRY C. PRENTISS, M. D., . . . . Clerk and Apothecary. 
GEORGE E. BLAKE, . . . Supervisor of Male Department. 
JULIA A. BUXTON, . . . Supervisor of Female Department. 
Rev. ISAAC HORSFORD, . Chaplain. 



TWENTY-SIXTH ANNUAL REPORT 

OF THE 

TRUSTEES OF THE STATE LUNATIC HOSPITAL, 

AT WORCESTER. 

185 8. 



To His Excellency the Governor, and the Honorable Council. 

The Trustees of the State Lunatic Hospital at Worcester, in 
accordance with the requirements of the law, have the honor to 
submit this, their Twenty-Sixth Annual Report. 

The discrepancy noticed in the last Annual Report of the 
Trustees, between the Act of the legislature of 1857, requiring 
that the Annual Reports of the various state institutions should 
be made up to the thirtieth of September in each year, and the 
provisions of the Revised Statutes that the annual meeting of 
the Trustees of the Worcester Hospital should be held in the 
month of December in each year, has been reconciled by the 
passage of an Act of the legislature of 1858 repealing sec- 
tion 5, chapter 48, of the Revised Statutes, and requiring the 
Trustees of the hospital to hold their annual meetings in 
October. The reports of the different officers of the hospital 
are accordingly made up to September 30th, 1858, and embrace 
a period of only ten months since their last Annual Report. 
The Trustees having altered their contracts with the patients 
for the payment of board, there will hereafter be no difficulty 
in submitting full reports for the year, from the different offi- 
cers of the hospital at the time prescribed by the Act of 1857. 



6 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

In commencing our Report, we desire to express our acknowl- 
edgments and thanks to Divine Providence for the continued 
goodness and care which during the last year has kept the 
hospital from the ravages of unusual disease, has protected it 
from any great calamity, and by the prosperity vouchsafed to it 
seems to have marked its approval of the efforts that have been 
made to alleviate the sufferings of the greatest of human mis- 
fortunes. 

There has not been a great amount of sickness among the 
inmates of the hospital, and the deaths have been almost 
wholly confined to worn-out and demented cases of long stand- 
ing. No epidemic disease has prevailed, and the general health 
of the hospital has been unusually good. 

The report of the Superintendent, which is herewith trans- 
mitted, exhibits in full the general condition of the hospital 
and the results of its operations during the last ten months. 
"We have great pleasure in saying that the confidence we had in 
Dr. Bemis, and the high expectations we had of his abilities at 
the time he was appointed to the responsible position of Super- 
intendent of this old and large hospital have in no particular 
been disappointed, and we congratulate ourselves and the State 
that the institution possesses a man so well adapted to the 
position he occupies. The affairs of the hospital have been 
managed with prudence and economy, and yet with liberality 
towards its inmates in the matters of food, clothing and exer- 
cise. An increasing disposition to orderly and quiet behavior 
and cheerfulness of intercourse which has been manifest during 
the whole year, proves to the Trustees that the true remedial 
measures in the treatment of the insane, are those of gentle 
kindness, and only by these can be secured the cooperating 
efforts of the patient himself, which are so necessary to effect 
a permanent cure. 

With great gratification we repeat, what was said in our last 
Report, that Dr. Bemis has not in a single instance made use 
of the so called strong-rooms for the confinement of patients ; 
and we are satisfied from past experience, that their use is by 
no means necessary in the treatment of even the very worst 
cases of insanity. Most of these rooms have been removed 
during the last year and their places occupied by rooms for the 
exercise and labor of the patients. A few of the rooms have 



1858.] PUBLIC DOCUMENT— No. 27. 7 

been dismantled and left for the present as a curious relic of 
the mistakes and misunderstandings of the past. 

The restraint placed upon the patients has been slight, being 
simply a confinement to their own bed-room when too noisy 
and turbulent, and in a very few (only four) instances of 
suicidal mania, the camisole has been used. In most instances 
an appeal to the self-respect and sense of propriety of the 
patient has been sufficient to insure their good behavior and to 
prove that even the most insane do not entirely lose their power 
of self-control. 

The Superintendent has made efforts during the year to give 
employment to the patients, and though he has succeeded in 
some measure, we regret it cannot be done to a greater extent. 
We deem a light and cheerful occupation of the bodily faculties 
an important curative element in the treatment of mental dis- 
ease, and this is the most important reason for introducing 
manual labor into an insane asylum. As a secondary object, it 
might be made a source of revenue to the institution. Most 
of the patients are willing and desirous to work. Their labor 
should certainly never be compulsory. But we see no reason 
why an insane asylum may not be a large industrial establish- 
ment, where the cheerfulness and gratification of voluntary and 
successful labor shall drive out the despondency of long days of 
weary listlessness, and by diverting the mind from the contem- 
plation of its own disease help to restore it to its natural health. 

During the year, Dr. Frank H. Rice has continued, as 
Assistant-Physician, to render valuable aid to the Superintend- 
ent, and by his skill as well as interest in all the affairs of the 
institution, has earned the approbation of the Trustees and of 
Dr. Bemis. His fidelity to his duties make him a valuable 
officer of the hospital. 

The Trustees have appointed only one Assistant-Physician, 
Dr. Bemis having preferred to manage the hospital without 
further medical assistance. This arrangement has imposed 
greater labor upon himself and Dr. Rice. As long as they find 
themselves equal to the task, the Trustees deem it for the best 
interests of the hospital that there should be but one Assistant- 
Physician. 

The duties of Steward have been performed by Mrs. Bemis in 
a manner creditable to the hospital and highly acceptable to 
the Trustees. 



8 



LUNATIC HOSPITAL AT WORCESTER. 



[Oct. 



The Rev. Isaac Horsford has officiated as chaplain during 
the year in a manner entirely satisfactory to the Trustees and 
Superintendent. 

By reference to the report of the Superintendent it will be 
seen that, at the close of the last year the number of patients 

372 



307 



in the hospital was .... 


. 


Males, 


. 177 


Females, 


. 195 


Admitted during the last ten months, 


. 


Males, .' . 


. 142 


Females, 


. 165 


Discharged during the same period, 


. 


Males, 


. 180 


Females, ....... 


. 196 



376 



Whole number of patients who have received the care of the 
hospital during the last ten months, 679. 

There are in the hospital at the close of this year 301 
patients. 



Males, 
Females, 



141 

160 



127 patients have been discharged from the hospital as 
recovered, and many more of those discharged have been very 
much improved ; so much improved as to return to their accus- 
tomed employments. Of the 376 patients discharged, 149 were 
discharged to enter the new lunatic hospital which the State 
has erected at Northampton, and the Taunton Hospital. In pre- 
vious years, when this lunatic hospital was the only one founded 
by the State, there has been crowded into its walls 570 patients 
— a number which at once destroyed in a great measure the 
objects of the institution and rendered it a place to be carefully 
avoided by those who sought the means of curing' an insane 
relative or friend. So great an evil as this crowded condition 
of the hospital, demanded an immediate remedy which the 
State has provided by the erection of two new lunatic hospitals, 
one at Taunton and another at Northampton, thus excelling as 
she does in all her charities, in the provision she has made for 
the most unfortunate of all human beings. 



1858.] PUBLIC DOCUMENT— No. 27. 9 



In the Worcester Hospital there are private sleeping rooms 
for 276 patients. By placing several beds in the same room, 
the hospital can accommodate 306 patients, without being 
obliged, as was the case previous to the opening of the North- 
ampton Hospital, to place any patients at night in beds laid 
upon the floor. But the rooms in which the associated beds 
can be, and are placed, were designed for other uses, such as 
the exercise and recreation of the patients and for work rooms 
when the patients have employment. To use them for dormi- 
tories is a perversion of them from what we deem a very impor- 
tant purpose. The hospital is full with 276 patients, but can 
accommodate 306 by crowding the beds ; and a larger number 
cannot be accommodated without injury to the favorable con- 
dition of the patients. 

When the hospital is in a crowded condition there is a ten- 
dency to discharge patients sooner than it is proper, in order to 
give more room to new applicants. A patient who relapses on 
account of premature discharge is almost always sure to be 
returned to the hospital in a condition greatly worse than at 
first, if not entirely incurable. In this way the evil of an 
over-crowded state of the hospital, reacts upon itself. 

The Trustees have made such alterations in the wards of the 
hospital as will increase the entrance of light and air into every 
part of the different wards, and give to the patients opportu- 
nities of enjoying the beautiful prospect which the elevated 
position of the hospital buildings commands. Recesses have 
been formed in most of the wards, and furnished in such man- 
ner as to give them the appearance of a social sitting-room, 
instead of the comfortless look of a hospital hall. Pictures, 
and books, and plants, have been placed in the several wards, 
and the use and care bestowed upon them by the patients shows 
how acceptable they have been. 

The Superintendent has given much attention to the classifi- 
cation of patients, classifying and separating them according to 
their previous social position in life. The Trustees desire to 
express their approval of such a classification, and their belief in 
its importance in the ultimate cure of the patients. The finer 
sensibilities of the insane are by no means lost in their affliction, 
and it would be no wonder if the insanity of a highly educated, 
intelligent and refined person should be increased rather than 

2 



10 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

cured, if the person is brought into close contact with those 
who were always coarse in their habits and tastes, rough in 
disposition, and filthy in their dress. We have no doubt that 
persons in the better walks of life have often been deprived of 
the benefits of a hospital from the dread of the associations they 
would be obliged to make within its walls. A classification 
into different wards can be made without depriving any class of 
patients of its rights and privileges, and we hope such a classi- 
fication may be completely carried out. Private lunatic hos- 
pitals, as demonstrated in the experience of other countries, 
more than our own, are liable to become great evils, and it is 
only by affording in public institutions the best medical aid and 
the most comfortable accommodations, that irresponsible and 
unwatched private hospitals can be rendered harmless. 

The Trustees have been highly gratified with the perfect 
operation of the heating and ventilating apparatus which has 
recently been placed in the hospital. It has answered our expec- 
tations in every particular. The accompanying report of the 
Superintendent will show how economically it is worked, and 
how perfectly it answers its purpose. 

During the year many improvements have been made on the 
farm. Stone wall has been built, under-drains have been made, 
ditches have been dug, water pipes repaired and relaid, buildings 
kept in order, and the land and out-buildings of the hospital 
carried on to a greater state of improvement. The hospital 
now possesses a choice lot of pure blooded animals, obtained, 
by careful breeding, at comparatively small cost to the hospital. 
Necessary furniture has been purchased for the hospital, so that 
the expenses for general improvements and repairs during the 
last ten months has been large. These expenses are always 
necessary to make and keep the Worcester hospital what it may, 
and should be, and what it has heretofore been, — a model insti- 
tution, creditable to the State and worthy of the public favor 
with which it has always been regarded. 

During the last year the Trustees have added to the farm of 
the hospital two small pieces of land, one by exchange of a 
small piece previously owned by the hospital, and the other by 
payment of $1,275. One of these pieces was purchased to 
prevent the necessity of opening a street through some portion 
of the hospital grounds, and the other piece was deemed a 



1858.] PUBLIC DOCUMENT— No. 27. 11 

desirable purchase to preserve the proper and convenient shape 
of the farm. 

The Treasurer's report transmitted herewith, shows a favor- 
able pecuniary condition of the hospital. 

The Treasurer of the hospital finds some difficulty in the 
adjustment of his accounts with the State as settled by the 
State auditor. The account of the hospital against the State, 
for the support of State paupers for one of the quarters of last 
year, was returned to the Treasurer of the hospital with several 
deductions made from the balance due the hospital. One 
deduction was to the amount of 1622.24, being the amount 
already paid to the hospital, by the State, during the last six 
years for the support of a patient who, the agent of the Board 
of Alien Commissioners now decides, possessed, at the time of 
his commitment to the hospital, a legal residence in one of the 
towns of this Commonwealth, and consequently that the said 
town is liable for his support. In another instance the auditor 
has deducted $200 for the amount paid four years ago for the 
support of a patient who has not been in the hospital since that 
time. No objections were made to these charges, by the State 
authorities at the time they were paid, and now so long a 
time has elapsed that it is utterly impossible for the officers of 
the hospital to procure any legal proof that shall compel the 
towns to refund the amount taken by the State from the 
balance due the hospital. In some instances, in which the proofs 
of residence were deemed by the State auditor sufficient to 
warrant the deduction from our account, these proofs have been 
submitted to the legal adviser of the hospital, and he has 
declined to commence a suit against the towns designated 
because he did not consider such proofs strong enough to justify 
the risk of the action. It seems proper to the Trustees that if 
such deductions are to be made from the hospital accounts, 
there should be some limit to the time during which they shall 
be liable to such deduction, so that the hospital can find a 
remedy against the parties who may be legally liable. But it is 
the opinion of the Trustees that in the matter of the support of 
State paupers the hospital acts simply as the agent of the State, 
and any claims against any town for the support of an insane 
pauper, should be prosecuted by the State and in its name, and 
that the hospital should be relieved from the burden of prose- 



12 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

cuting for the board of a patient, whose support in any case, 
costs the institution more than it ever receives. 

Of all the public charities -which are justly the pride and 
boast of this Christian Commonwealth, there are none which 
more warmly commend themselves to the sympathies and 
watchful care of every citizen than the institutions which she 
has erected for the care and cure of the insane. For there is 
no inhabitant of the whole State of any age or sex, no person, 
however high his social position, however strong his physical 
health, or however great and just his pride of intellect that can 
feel always sure that he will never call for the experience or 
care that can only be obtained from these institutions. While 
he feels gratitude that accident or disease has not made him 
one of their inmates, he should be eager to alleviate in every 
possible way the condition of those upon whom so great a 
calamity has fallen. 

THOMAS COLT. 
C. H. STEDMAN. 
J. N. BATES. 
WM. T. MERRIPIELD. 
R. W. HOOPER. 



1858.] 



PUBLIC DOCUMENT— No. 27. 



13 



TREASURER'S REPORT 



The Treasurer respectfully submits the following report. 



Cash on hand, December 1, 1857, 

Received for interest on bonds, 

From the Commonwealth for support of patients, 

From towns and individuals, for support of patients, 

From Mechanics' Bank, 



The disbursements have been as follows : — 
Steward's orders, ..... 
Worcester Bank, ..... 

Mechanics' Bank, 

Bills payable. Treasurer's note due Jan. 11 
Interest to Worcester and Mechanics' Banks, 
Real Estate, ...... 

Recording Deeds, ..... 

Printing for Treasurer, 

J. M. Barker, examining Treasurer's accounts 
Town of Waltham. Expenses of suit,' . 
Treasurer's salary, .... 

Cash on hand, ..... 



$132 91 

15 00 

25,760 31 

33,600 23 

793 97 





$60,302 42 


. $38,267 26 




8,955 46 




8,273 


25 


1858 


, 2,000 


00 




351 


64 




1,275 


00 




1 


00 




16 


25 


;s, 


5 


00 




72 


79 




480 


93 




603 


84 




$60,302 


42 



H. WOODWARD, Treasurer. 



Worcester, October 13, 1858. 



14 LUNATIC HOSPITAL AT WOKCESTER. [Oct. 



SUPERINTENDENT'S REPORT. 



Twenty-Sixth Annual Report of the Superintendent to the 
Trustees of the State Lunatic Hospital, at Worcester. 

Gentlemen, — In obedience to the By-Laws of the State 
Lunatic Hospital, the Superintendent presents to its Board of 
Trustees the Twenty-Sixth Annual Report. 

It is needless to remark that the year has been one of peculiar 
trial and severe labor. 

In reviewing its history we hope it may be found that our 
efforts have been crowned with some degree of success. 

Our aim has been to sustain the high character of the 
hospital, increase its usefulness, and to extend its curative 
facilities. 

Whatever of good has been accomplished, must be attributed 
to your constant oversight, ready assistance, and wise direction 
in all the affairs of the institution. 

During the entire year the general health of the patients has 
been good, with complete exemption from all epidemic diseases. 
For this blessing, we must all feel abundant cause for renewed 
thankfulness to God, as well as for the discipline, good order, 
and harmony which have always marked our household. 

The hospital has accommodations for three hundred patients. 
Our tables will show that during almost the entire ten months, 
the period which this report covers, — we have been greatly 
crowded. 

By order of his Excellency, Governor Banks, there were 
transferred to the hospital for insane at Northampton, 

August 16, 1858— 

Males, ...... 35 

Females, . . . . . 16 

— 51 



1858.] PUBLIC DOCUMENT— No. 27. 15 

September 20, 1858— 

Males, . ..... 32 

Females, ..... 31 

— 63 

September 30, 1858— 

Males, .00 

Females, 28 

— 28 

Total to Northampton, . . . 142 

And to the State Lunatic Hospital at Taunton, 

September 2, 1858— 

Males, 3 

Females, ...... 4 

— 7 

Whole number transferred, . . . 149 

By the same authority we have received from the State 
Lunatic Hospital at Taunton, 
August 30, 1858— 

Males, 17 

Females, ...... 26 

— 43 

September 17, 1858 — 

Males, ...... 4 

Females, 11 

— 15 

Total from Taunton, . 58 

From the Boston Lunatic Hospital, 

September 20, 1858. 

Males, > . 12 

Females, ...... 19 

— 31 

Whole number received by transfer, . 89 

Thus diminishing the number of patients in this hospital by 
the several tranfers — 

Males, ...... 37 



Females, 23 



— 60 



16 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

On the opening of the " hospital for insane," at North- 
ampton, the friends of all patients committed to this hospital 
on private bonds from the four western counties of the State, 
were at once notified by the undersigned of the occupancy of 
the hospital at Northampton, and of their right and privilege to 
remove their insane wards from this to that institution. 

In preparing the annual reports of hospitals for the insane, 
great similarity in general character must occur, and consid- 
erable repetition in the details. Each report, however, adds 
something to the mass of facts, and the value of these depends 
upon their number and the faithfulness and accuracy of those 
who observe them. 

Reports of hospitals for the insane have undoubtedly done 
much in diffusing a knowledge of the condition of the insane, 
the character of the disease, the proper method of treatment 
and the claims of hospitals upon the community 

The whole number of patients in the hospital, December 1st, 
1857, was — 

Males, . 177 

Females, 195 



Total, 372 

The whole number admitted from December 1, 1857, to Sep- 
tember 30, 1858, inclusive, was — 

Males, 142 

Females, 165 



Total, 307 

The whole number under treatment, from December 1,1857, 
to September 30, 1858, inclusive, was — 

Males, . 319 

Females, . . . . . .360 

Total, . . - . . . .679 



1858.] 



PUBLIC DOCUMENT— No. 27. 



17 



The whole number discharged from December 1, 1857, to 
September 30, 1858, inclusive, was — 

Males, .180 



Females, 

Total, 
As follows : — 



196 



376 





Males. 


Females. 


Total. 


Recovered, .... 


55 


72 


127 


Improved, 


97 


77 


174 


Not improved, . 


10 


31 


41 


Died, 


18 


16 


34 


Total, 


180 


196 


376 



The whole number remaining in the hospital September 30, 

1858, was — 



Males, 
Females, 

Total, 



141 
160 

301 



One hundred and twenty-seven patients have been discharged 
and have returned to their families and friends in the enjoy- 
ment of a degree of mental health and strength equal to that 
possessed by them previous to the attack of disease which 
placed them under our care. 

One hundred and seventy-four have been discharged improved ; 
and although not recovered, many of them were sufficiently 
well to return to their accustomed occupation, and assist in the 
support of themselves and their families. Some of this class 
are periodically insane, having intervals of apparent health, of 
longer or shorter duration, during which they transact all the 
ordinary business of life, and are esteemed valuable members 
of society. 

It is extremely difficult, in many cases, to decide whether or 
not, the patients have recovered. A large class of persons who 

3 



18 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

are brought within the care of hospitals for the insane never 
possessed strong and active minds, — could never manage well for 
themselves, or control at all the affairs of others. While under 
the care and guardianship of friends, they meet well enough 
the common events of life. But when oppressed by care and 
anxiety, — when afflicted with disease, or when bereaved by the 
loss of those upon whom they have leaned for support they 
become the ready victims to insanity. After a time they 
improve ; but old and familiar faces do not again shine upon the 
invalid with their accustomed cheerfulness. Arms once their 
willing support are not now outstretched. The charity of the 
almshouse is all that is offered them. Under a different state 
of things many of this class might be said to have recovered. 

There has been during the year the usual amount of sick- 
ness ; confined mostly to the habitually feeble, demented, and 
long insane patients. During the winter several of the aged 
patients suffered from influenza. In the spring there were 
several cases of fever. During the summer and autumn there 
has been some diarrhoea and dysentery, generally of a mild 
character and yielding readily to proper remedies. 

The mortality of the patients has been confined almost 
entirely to cases of marasmus, consumption, epilepsy and palsy. 

It is not to be supposed however, that the inmates of hospi- 
tals for the insane are in the possession and enjoyment of robust 
health. With few exceptions they are all feeble. The excite- 
ment of distempered imaginations may keep up for a time a 
state of feverish activity, but it soon subsides and shows too 
plainly how sure and fatal have been the approaches of disease. 

Table 1, 

Showing the Admissions and state of the Hospital, from November 30, 
1857, to September 30, 1858, inclusive. 



Patients in the Hospital December 1, 1857, 372 

Males, 177 

Females, 195 

Patients admitted in the course of the year, 307 

Males, . 142 

Females, 165 

Whole number in the Hospital in the course of the year, . . 679 

Males, 319 

Females, 360 



1858.] PUBLIC DOCUMENT— No. 27. 

Table No. 1 — Continued. 



19 



Patients remaining in the Hospital September 30, 1858, 

Males, 141 

Females, 160 



301 



Of the admissions, there were cases of less duration than one year, 120 

Males, 59 

Females, 61 

Of the admissions, there were cases of one year or more, . . 144 

Males, 63 

Females, » . 81 

Of the admissions, there were cases, the duration of whose insanity 

could not be ascertained, 43 

Males, . . . 18 

Females, 25 

Patients committed by Courts, 151 

Males, . 79 

Females, 72 

Patients committed by Overseers of the Poor, .... 22 

Males, 10 

Females, 12 

Patients committed by order of the Governor, .... 88 

Males, 32 

Females, ' . . . .56 

Patients on bonds, 44 

Males, . . . • 21 

Females, 23 

Foreigners, and those who have no settlement in this State, 

admitted in the course of the year, 136 

Males, 53 

Females, 83 

Foreigners, and those who have no settlement in this State, dis- 
charged in the course of the year, 185 

Males, 75 

Females, 110 

Patients discharged by order of the Governor, .... 149 

Males, 70 

Females, 79 

Foreigners, and those who have no settlement in this State, remain- 
ing in the Hospital September 30th, 1858, .... 86 

Males, 33 

Females, 53 

Foreigners and those who had no settlement in this State, remaining at the 
close of each year, as nearly as can be ascertained : — 



1842, 








34 


1851, 






. 208 


1843, 








38 


1852, 






. 241 


1844, 








38 


1853, 






. 216 


1845, 








57 


1854, 






. 151 


1846, 








52 


1855, 






. 115 


1847, 








121 


1856, 






. 155 


1848, 








150 


1857, 






. 119 


1849, 








167 


1858, 






. 86 


1850, 








181 





20 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

By the foregoing table it is shown that you have discharged 
from this hospital, in the course of ten months, one hundred 
and eighty-five patients who had no settlement in this Common- 
wealth. 

Many of them had recovered and are now supporting them- 
selves and families by their own labor. A large proportion of 
those not recovered, were able to labor, and at the time of dis- 
charge might, with little assistance and direction, procure their 
own livelihood. 

Nearly all of those having no settlement in this Common- 
wealth were foreigners, a large majority of whom were Irish. 

This large class of people stand in false relations to nearly 
every thing about them. They are strangers in a strange land. 
Surrounded by circumstances novel to them, met by customs to 
which they cannot adapt themselves, influenced by motives 
often extravagant and wild, they must necessarily become 
involved in harrassing doubt and perplexity. 

They receive in prosperous times high wages, and are able at 
the cheapest rates to gratify vicious indulgences. They seek 
for labor in the most menial capacity, huddle together in the 
most objectionable places, neglect all the rules of health, and 
prefer the excitement or solace of rum or tobacco to the quiet, 
intelligent influences of well-ordered homes. Under this state 
of things it is natural to suppose that a large percentage of 
insanity would be found. The table also shows that only eighty- 
six patients remain in the hospital who are supposed to have no 
settlement in this Commonwealth. A smaller number than has 
been in the hospital at any time during the last twelve years. 

The number of State paupers has diminished by thirty-three 
in the course of ten months. 

The number discharged exceeds the number admitted by 
forty-nine. 

In preparing the preceding table it is shown most conclusively 
that those who had no settlement in this Commonwealth have 
received the first and best privileges of this hospital. 



1858.] 



PUBLIC DOCUMENT— No. 27. 



21 



Table No. 2. 

Supposed Causes of Insanity of Patients admitted to the Hospital from 

January 18, 1833, to September 30, 1858, inclusive. 













1858. 


Previously. 


SUPPOSED CAUSES. 












Males. 


Females. 


Males. 


Females. 


Apoplexy, 
Asthma, . 








- 


- 


2 
o 


- 


Bowels, Disease of, . 








- 


- 


1 


- 


Brain, Inflammation of, 








- 


- 


1 


5 


Bronchitis, 








- 


- 


2 


13 


Chorea, . 










- 


- 


- 


2 


Congenital, 










- 


- 


4 


- 


Constipation, 
Convulsions, 










— 


- 


8 


1 
6 


Dysentery, 
Dyspepsia, 
Epilepsy, 
Eruptive Disea 


ses, . 








8 


4 


1 

2 

73 

2 


2 

30 
1 


Eyes, Disease of, 

loss of, . 
Fever, 








- 


- 


1 
1 

25 


32 


Scarlet, 








- 


- 


1 


3 


Ill-health, 








19 


35 


135 


467 


Influenza, 








- 


- 


1 


5 


Insolation, 








- 


- 


12 


- 


Laryngitis, 
Measles, . 








- 


- 


3 


1 

4 


Nervous Irritation, . 








_ 


- 


- 


4 


Nymphomania, 
Old Age, 








1 


1 


7 


1 
3 


Otitis, 










_ 


_ 


3 


- 


Palsy, _ . 
Periodical, 










4 


2 


34 

48 


21 
56 


Pneumonia, 










_ 


- 


_ 


1 


Rheumatism, 










- 


- 


3 


1 


Satyriasis, 
Scrofula, . 










- 


- 


1 


2 


Sea-sickness, 










_ 


_ 


_ 


1 


Somnambulism, 








_ 


_ 


_ 


1 


Sore Finger, . 








_ 


- 


_ 


1 


Spinal Disease, 
Suppressed Eruption, 
Ulcer, . 








- 


- 


5 
1 


1 
4 
3 


Tic Doloureux, 








_ 


_ 


_ 


1 


Tumor, . 








- 


- 


- 


1 



22 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Table No. 2 — Continued. 









1858. 


Previously. 


SUPPOSED CAUSES. 












Males. 


Females. 


Males. 


Females. 


Whooping Cough, .... 


_ 


_ 


_ 


1 


Amenorrhea, . 






- 


- 


- 


14 


Lactation, 






- 


- 


- 


5 


Menorrhagia, . 






- 


- 


- 


2 


Menorrhagia, suppressed, 






- 


- 


- 


1 


Miscarriage, 






- 


- 


- 


1 


Pregnancy, 






- 


- 


- 


3 


Puerperal, 






- 


5 


- 


136 


Turn of Life, . 






- 


5 


- 


21 


Amputation of Leg, 






- 


- 


1 


- 


Bathing in cold water, 






- 


- 


2 


- 


Cut Foot, 






- 


- 


1 


1 


Dog Bite, 






- 


- 


1 


- 


Drinking cold water, 






- 


- 


1 


- 


Dye-house, fumes of, 






- 


- 


1 


- 


Exposure to cold, . 






- 


- 


6 


- 


Fall, 






- 


- 


- 


4 


Fracture of Arm, . 






- 


- 


- 


1 


Injury, . 






- 


- 


4 


3 


Injury of Head, 






1 


1 


43 


7 


Kick of Horse, 






- 


- 


1 


- 


Lead, poison of, 






- 


- 


2 


- 


Lightning, 






- 


- 


1 


1 


Loss of Blood, 






- 


- 


1 


- 


Malformation of Head, 






- 


- 


1 


- 


Poison, . 






- 


- 


1 


- 


Spinal Injury, . 






- 


- 


1 


1 


Excess of Labor, 






- 


- 


28 


51 


Loss of Sleep, . 






- 


- 


- 


3 


Fatigue and Exposure, 






2 


1 


1 


2 


Study, excessive, 






- 


- 


25 


6 


Inventions, 






- 


- 


1 


— 


Excitement, . 






- 


- 


2 


4 


Excitement of Politics, 






- 


- 


1 


2 


Anticipation of Marriage, 






- 


- 


- 


1 


Fortune being told, . 






- 


- 


- 


1 


Enthusiasm, 






- 


- 


- 


1 


Mesmerism, 






- 


- 


- 


1 


Spiritualism, . 






1 


1 


10 


13 


Light reading, Novels, &c 


■) 




- 


- 


- 


1 


Anxiety, . 






- 


- 


2 


11 


Criminal Trial, 






- 


- 


2 


- 


False Accusation, . 






- 


- 


- 


1 


Imprisonment, 






.- 


- 


1 


- 


Death of Brother, . 






- 


- 


1 


3 


Children, . 






- 


- 


3 


19 


Father, 






- 


- 


2 


1 


Friends, . 






_ 


_ 


2 


3 


Husband, . 






— 


— 


- 


19 



1858.] PUBLIC DOCUMENT— No. 27. 

Table No. 2 — Continued. 



23 









1858. 


Previously. 


SUPPOSED CAUSES. 












Males. 


Females. 


Males. 


Females. 


Death of Mother, . 






1 


6 


Niece, 




- 


- 


- 


1 


Sister, 






- 


- 


- 


3 


Wife, 






- 


- 


10 


- 


Husband, departure of, 






- 


- 


- 


1 


sickness of, 






- 


- 


- 


3 


intemperance c 


>, 




- 


- 


- 


2 


desertion of, 






- 


- 


- 


2 


abuse of, . 






- 


- 


- 


7 


Abuse of master, 






- 


- 


1 


- 


parent, 






- 


- 


1 


2 


Domestic trouble, 






2 


9 


57 


127 


grief, 






- 


- 


56 


137 


cares, 






— 


— 


- 


1 


Marriage, unfit, 






- 


- 


4 


2 


Disappointment, 






- 


- 


4 


7 


in Love, 






- 


- 


47 


51 


Disappointed ambition, 






1 


1 


5 


5 


Homesickness, 






- 


- 


1 


5 


Lost in woods, 






- 


- 


- 


1 


Shipwreck, 






- 


- 


1 


- 


Fright, . 






- 


2 


10 


15 


Fear, 






_ 


- 


2 


_ 


of Death, 






- 


1 


1 


- 


of Insanity, 






- 


- 


1 


- 


Being witness in Court, 






- 


- 


- 


1 


Seduction, 






- 


- 


- 


1 


Millerism, 






- 


- 


5 


5 


Religious, 






- 


- 


89 


142 


Religious anxiety, . 






- 


- 


1 


4 


excitement, 






- 


— 


13 


8 


fanaticism, 






- 


- 


13 


7 


perplexity, 






- 


- 


9 


3 


Pathetism, 






— 


- 


— 


1 


Infidelity, 






- 


- 


1 


- 


Mormonism, 






- 


- 


1 


- 


Pecuniary anxiety, . 






- 


- 


18 


5 


difficulty, 






- 


- 


55 


8 


loss, 






— 


- 


43 


10 


Strike for Wages, . 






- 


- 


1 


_ 


California Excitement, 






- 


- 


2 


_ 


Poverty, . 






- 


- 


- 


1 


Fear of Poverty, 






3 


- 


25 


11 


Giving up Business, 






- 


- 


1 


- 


Change of Business, 






_ 


- 


1 


_ 


Indulgence of Parents, 






- 


- 


3 


1 


Jealousy, 






1 


3 


16 


20 


Passion uncontrolled, 






- 


- 


- 


1 


Violent Temper, 






— 


— 


1 


14 



24 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Table No. 2 — Continued. 









1858. 


Previously. 


SUPPOSED CAUSES. 


Males. 


Eemales. 


Males. 


Females. 


Anger, . 

Great Indignation, . 

Intemperance, 

Opium, use of, 

Tobacco, use of, 

Masturbation, . 

Venery, excess of, . 






11 

3 


2 
1 

1 


1 

413 

1 

232 

1 


1 

46 
3 
3 

24 



Little is known respecting the causes of insanity. They may 
be remote and only slightly predisposing to the influence of the 
disease, or they may be immediate and exciting to a greater or 
less degree. 

Among the remote causes are constitutional predisposition, 
hereditary or otherwise. The influence of education, moral 
and physical, the peculiarities of organization, and previous 
attacks of disease seriously disturbing the action of the brain. 

Some of the immediate and exciting causes are domestic 
affliction, reverses of fortune, disappointments, jealousy, and 
unrestrained anger. The exciting causes may also be physical, 
as irregular menstruation, consequence of parturition, apo- 
plexy, blows on the head and abuse of strong drink. 

It has been supposed that some peculiarity, mental or 
physical, is necessary to the development of insanity ; without 
the existence of which, causes capable of producing the disease 
will not affect the individual, or they will put in motion some 
other train of morbid phenomena. 

Habitual intoxication does not always produce insanity. 
Some are afflicted with paralysis, some with apoplexy, others 
with disease of the liver or lungs. 

Again, it is supposed that there is something in the state or 
condition of society which promotes a peculiar susceptibility to 
mental diseases. It is well known that a false system of edu- 
cation increases the susceptibility to mental disease. 

By lack of moral discipline and by capricious indulgence, 
the passions acquire a controlling power, and thus form a char- 
acter subject to violent emotions. An overstrained and prema- 



1858.] PUBLIC DOCUMENT— No. 27. 25 

ture exercise of the intellectual powers is equally destructive 
to mental health. During the early years of existence the 
brain is inadequate to perform the task of reflection to any 
great extent, or to accomplish any purely intellectual labor. 

The artificial forcing of young minds is utterly destructive to 
sound health of body or mind. Parents and teachers ambitious 
for the intellectual prowess of their children and pupils destroy 
their own hopes and lay the foundation for early bodily disease 
and mental decay. 

Notwithstanding the extensive religious awakening and excite- 
ment during the early part of the year the insanity of few if 
any of the patients admitted during the ten months had any 
connection with the doubts, fears, and anxieties respecting a 
future state of existence. 

We believe that the number of persons made insane by the 
influence of religious hopes and fears has been greatly over- 
stated. The insane mind is frequently occupied by delusions 
of a religious nature when it is well known that the cause of its 
derangement has no connection with feelings or impressions 
relating to a future state of existence. No richer or wider 
field than the invisible world, can be offered to the gloomy mis- 
anthrope whose mind is already diseased, none his imagina- 
tion will be more apt to choose to wander in and dwell on, 
when the whole origin of his derangement may have been 
nothing more than the influence of dyspepsia or some trivial 
reverse of fortune. 

Ill health in its various forms, as usual, stands at the head of 
our table, sending us twice the number of females that it does 
of males. 

Intemperance sends us thirteen, and domestic affliction fre- 
quently caused by intemperance, eleven. 



26 



LUNATIC HOSPITAL AT WORCESTER. 



[Oct. 



Table No. 3. 

Diseases which have proved Fatal, from January 18, 1833, to September 

30, 1858. 











1858. 


Previously. 




Males. 


Females. 


Males. 


Females. 


Apoplexy, 


_ 


_ 


14 


9 


Asthma, . 








1 


— 


2 


1 


Anasmia, . 








- 


- 


1 


1 


Asphyxia, 








- 


- 


1 


- 


Bronchitis, 








- 


- 


2 


- 


Brain Fever, . 








- 


- 


1 


- 


Consumption, . 








2 


4 


29 


47 


Convulsions, . 








- 


- 


3 


1 


Cholera Morbus, 








- 


- 


2 


3 


•Cholera, . 








- 


- 


5 


— 


Cancer, . 








- 


- 


1 


1 


Congestion of Lungs, 






- 


- 


- 


1 


Brain, 






- 


- 


1 


1 


Chronic Dysentery, 






- 


- 


2 


- 


Meningitis, 






2 


- 


1 


- 


Dysentery, 






- 


- 


10 


6 


Dropsy, . 






- 


- 


5 


7 


Delirium Tremens, . 






- 


- 


3 


- 


Disease of Heart, . 






- 


- 


9 


11 


of Bladder, 






- 


- 


1 


_ 


of Brain, . 






- 


- 


6 


14 


Diarrhoea, 






- 


- 


13 


8 


Enteritis, 






- 


_ 


3 


6 


Epilepsy, 






4 


2 


41 


15 


Exhaustion, 






- 


- 


27 


43 


Erysipelas, 






- 


- 


9 


10 


Gangrene of Lungs, 






- 


- 


1 


1 


Hydro-thorax, 






- 


- 


1 


1 


Hemorrhage, . 






- 


- 


4 


4 


Hemoptysis, 






- 


- 


1 


- 


Inflammation of Bowels, 






- 


- 


3 


3 


Jaundice, 






_ 


- 


- 


2 


Marasmus, 






1 


4 


44 


43 


Mortification, . 






_ 


_ 


_ 


1 


Maniacal Exhaustion, 






_ 


- 


4 


2 


Malignant Fever, . 






_ 


- 


1 


- 


Old Age, 






2 


1 


11 


9 


Palsy, 






4 


2 


11 


12 


Pneumonia, 






- 


1 


9 


14 


Pleurisy, 






- 


- 


- 


1 


Kupture, 






- 


- 


1 


- 


Syncope, 






- 


- 


1 


- 


Suicide, . 






_ 


_ 


13 


8 


Suppurative Phlebitis, 






- 


- 


1 


- 


Typhoid Eever, 






- 


1 


8 


5 


Typho Mania, .... 


2 


1 


5 


3 


Total, 








18 


16 


311 


294 



1858.] 



PUBLIC DOCUMENT— No. 27. 



27 



TABLE 4.--S/ig 



■ the Post Mortem Appearances of all Cases examined from November 30, 1857, to September 30, 1858. 



Mental Disease. 



Date of 
Post Mortem 
Exatui nation. 



One year, 

Four mouth;), 



Exhal lStiOD, 



Fourteen hours, 



Chronic and Paroxys- 



Melancholia, 



Melancholia ami Palsy, 



Thirty-two hours, 



Paralysie Generale, 



Paroxysmal Mania and 



Paralysie Generale, 



Acute Mania. 



Paroxysmal Mania, 



Twelve months, 



Twenty-four hrs. 



General Appearance of Body. 



Well formed, not much wasted, 
but rather thin ; enmplcMoii 
light, but slightly Sallow, 

Great emaciation ; lividity of de- 
pending portions; rigor mortis 
strongly marked; complexion 



'ull ; well formed when admitted : 
complexion sallow; much ema- 
ciated; sedemn of tinkles, 



; rigor mortis 



Somewhat emaciated: ci.i j.K-\i< -u 



Strong, and well formed ; com- 
plexion light ; abundance of 
cutaneous fat: rigor mortis 
strongly marked, 



larked ; ,-li^ht lividity of de- 



pending portions, 



marked . depending portion 
livid . feet ami ;i nk !. - swollen, 



Strong, and well formed; much Very thin ; Strongly adherent 

emaciated at tin I ' <!•■ ith : com- to Cranium, an " 

plexion dusky and sallow, but little blood 



Thin, a 

Uttle blood,' 



Thick, and much congested, 



Thin and bloodless ; strongly 
adherent to Cranium, 



Thin, ami adherent 



ruled from I'niiiiuiii, 



Scalp thick, and congested 
with venous blood, easily 
separated ; ecchymozedfrom 

heating bis head against the 



and contained 



Head quite thin and large, 
am well formed, 

Normal, 



Head large ; Cranium 



Head small and narrow, par- 
ticularly in front; Cranium 
thin J osseous, tissue dense; 
Diplce almost absent. 



Of moderate thk 



Cerebri! Substance. 



of the membranes, 



■ -mail whitish opaque bodice 



imbedded in the substance of the Pia Mater, 



t the top and side of brain, 



Nothing unusual in appearance nf membrane,' 



it. There was a moderate effusion in the cavity of the Arach- 
noid, and considerable vascular congestion. The membranes 
were perfectly healthy, 



din.'il Si nil v tie.ir the I leeijiit..-!':iHetal -iltnrei, w.i- mi ., I he-i, ,i , 

of this membrane to the Arachnoid, and a bony deposit contain- 
ing spirilla 1 of hone three-fourths of an inch in length. The 



sides of the Brain, containing 
1 in each Ride of the Brain, li : 
were small deposits of false : 
ditiou, containing small bony deposits. Tin- ' 



No adhesion of Dura Mater to Cranium o 
serum elTused in the Arachnoid cavit 
and opacity of that membrane, 



Dan Mater Df usual thickness, and not adherent to Cranium or 

Ar.iel 1 I Lin -li.-ht eltu-iou ,.,f -iTuiii in An-linoid I'avity ; 

Pia Mater very v.tscular; Cliiudula? Pacchioni small, 



r three pia. e-. and containing bony Cerebrum of 



ttealthy to appearance. 

E change io substance or vessels of Brain. 



the ventricles 



> Pleura on both -ide-, and also to Mediastinum. 
J Air-cells and small bronchial tubes were much dilated, and 
I plugs of viscid mucous completely filled them. The capillary 
- emptied and nearly obliterated by < 



ray matter natural in appearance and color: general con sis t- 
enee firm ; no congestion of vessels of Brain. The Vertebral 
and Basilar arteries were much thickened, and contained por- 

tions i,| bum ami ealear is matter; portions of the Internal 

Carotid and Cerebral arteries were completely ossified. The 
Choroid Plexus congested, and occupied with cysts, but a 



small quantity of si 



in the Cerebral subs 



Iubstance of Brain apparently healthy; the ventricles were 
distended with serum, the Lateral containing one ounce each. 
The Basilar and Vertebral arteries were thickened and spotted 
1 with an atheromatous deposit of a calcareous nature. 



Nothing unusual in the appej 



e substance or vessels 



. and to appearance 



Cerebellum softened, the 
arteries much thickened, ami * 



. and apparently healthy, 



1 in : ; 1 lb and 



t the si/i* of n large pea. imbedded mi the substance 



Apparently healthy, 



morbidly adherent to Cranium; 



No change in substance of Brain 



1858.] PUBLIC DOCUMENT— No. 27. 29 

Three persons died, within the ten months which this report 
embraces, who were more than eighty years of age. 

Four were between the ages of seventy and eighty years, and 
six were between the ages of sixty-five and seventy years. 
Making thirteen of those the cause of whose death is stated in 
the table of mortality upwards of sixty-five years of age each. 

Of the patients who died, seven were admitted since Decem- 
ber 1, 1857. Two had been inmates of the hospital more than 
fifteen years, and two more than ten years each. 

Two patients died within thirty-six hours after admission ; 
three within one week after admission, and two within two 
weeks after admission. 

Table No. 5, 

Showing the Ages of Patients admitted from November 30, 1857, to 
September 30, 1858. 



Less than 15 years of age, - . 3 

Between 15 and 20, 18 

20 and 30, 63 

30 and 40, 93 

40 and 50, 78 

50 and 60, 35 

60 and 70, 12 

70 and 80, 3 

More than 80 years of age, 2 

Total, 307 



Table No. 6, 
Showing the Ages of Patients remaining in the Hospital, September 30, 

1858. 



Less than 15 years of age, 1 

Between 15 and 20, 9 

20 and 30, 52 

30 and 40, 128 

40 and 50, 84 

50 and 60, 40 

60 and 70, 15 

70 and 80, 8 

More than 80 years of age, 4 

Total, 301 



30 



LUNATIC HOSPITAL AT WORCESTER. 



[Oct. 



Table No. 7, 

Showing the Duration of Insanity before admission, of those admitted 
from November 30, 1857, to September 30, 1858. 



Insane less than 1 year, 135 


more than 1 and less than 2 years, 








52 


2 and less than 5 years, 








40 


5 and less than 10 years, 








23 


10 and less than 15 years, 








19 


15 and less than 20 years, 








12 


20 and less than 25 years, 








8 


25 and less than 30 years, 








1 


30 years, 








2 


Unascertained, 








15 


Total, 307 



Table No. 8, 

Slowing the Duration of Insanity of those remaining, September 30, 

1858. 



Insane less than 1 year, . 


more than 1 and less than 2 years, 








33 


2 and less than 5 years, 








52 


5 and less than 10 years, 








95 


10 and less than 15 years, 








30 


15 and less than 20 years, 








15 


20 and less than 25 years, 








9 


25 and less than 30 years, 








11 


30 years, 








3 


Unascertained, 








12 


Total, 301 



Table No. 9, 

Slioioing the Civil Condition of Patients admitted from November 30, 
1857, to September 30, 1858. 



Unmarried, 158 

Married, 122 

Widows, 14 

Widowers, ...... r ... 6 

Unascertained, 7 

Total, 307 



1858.] 



PUBLIC DOCUMENT— No. 27. 



31 



Table No. 10, 
Showing the Civil Condition of Patients remaining September 80, 1858. 

Unmarried, . 165 

Married, 84 

Widows, 23 

Widowers, .......... 8 

Unascertained, . .21 

Total, 301 



Table No. 11, 

Shovjing the Occupation of Patients admitted into the Hospital from 
January 18, 1833, to September 30, 1858, inclusive. 



OCCUPATION OF PATIENTS. 


1858. 


Previously. 


MALES. 






Auctioneers, ....... 


- 


3 


Armorers, 












- 


3 


Author, 












1 


- 


Blacksmiths, 












2 


32 


Bakers, 












- 


6 


Butchers, . 












- 


5 


Bookkeepers, . 
Book-binders, . 












1 


5 
6 


Boot-makers, 












- 


15 


Brokers, . 












- 


2 


Britannia-workers, 












- 


o 


Brickmakers, . 












- 


5 


Bellows-makers, 












- 


2 


Brewers, . 












- 


2 


Basket-makers, 












- 


- 


Bricklayers, 
Butlers, 












- 


3 
2 


Barbers, . 












- 


3 


Clergymen, 
Carpenters, 
Coppersmiths, . 












2 
8 


16 

107 

6 


Coopers, . 
Cabinet-makers, 












1 


15 
9 


Calico-printers, 












- 


3 


Clothiers, 












- 


17 


Comb-makers, . 












- 


4 


Coach-makers, . 












- 


7 


Card-makers, . 












1 


1 


Chair-makers, . 












— 


3 



32 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Table No. 11 — Continued. 



OCCUPATION OF PATIENTS. 


1858. 


Previously. 


Cigar makers, 




3 


Coachmen, 












- 


16 


Clerks, 












2 


24 


Carpet weaver, 












- 


1 


Curriers, . 












- 


7 


Cashiers of Banks, . 












- 


4 


Cordwainers, . 












- 


4 


Collectors, 












- 


2 


Caulkers, 












- 


4 


Chandlers, 












- 


5 


Camphene distiller, . 
Conductor on railroad, 












1 


1 

1 


Dyers, 
Druggists, 












_ 


4 
3 


Draymen, 
Drover, . 












— 


3 

1 


Dancing master, 












- 


1 


Daguerreotypist, 
Engravers, 












1 


1 

2 


Editors, . 












- 


4 


Express-men, . 
Farmers, . 












30 


3 

420 


Fishermen, 












1 


12 


Fruiterers, 












- 


4 


Gunsmiths, 












- 


3 


Gardeners, 












- 


9 


Grocers, . 












- 


3 


Glass-blowers, . 












- 


3 


Gilders, . 












- 


2 


Hotel-keepers, . 
Hatters, . 












— 


15 
3 


Hostlers, . 












- 


9 


Housewrights, . 












- 


7 


Harness-makers, 












- 


7 


Ironmongers, . 












- 


3 


Jewellers, 












- 


11 


Lawyers, . * . 
Laborers, 












32 


12 

290 


Last-maker, 












- 


1 


Manufacturers, 












- 


31 


Millers, . 












- 


6 


Merchants, 












4 


107 


Masons, . 












- 


17 


Miners, 












- 


5 


Mat-makers, 












- 


3 


Miniature painter, . 
Musicians, 












— 


1 

7 


Machinists, 












1 


29 


Messengers, . . 












- 


2 


Moulders, 












- 


6 


Millwright, 












- 


1 


Millers," • 












1 


3 



1858.] PUBLIC DOCUMENT— No. 27. 

Table No. 11 — Continued. 



33 



OCCUPATION OF PATIENTS. 


1858. 


Previously. 


Nail r, 




1 


New men, 










- 


3 


Optiscian, 










- 


1 


Operatives in mill, . 










2 


47 


Oystermen, 










- 


4 


Painters, . 










1 


27 


Printers, . 










- 


29 


P hysicians, 










- 


11 


Paper-makers, 










- 


4 


Peddlers, . 










- 


17 


Plot, 










- 


1 


Potters, 










- 


3 


Porters, . 










- 


9 


Pump and Block-makers, 










- 


3 


Pattern-makers, 










1 


4 


Police officers, . 










1 


3 


Rope-makers, . 










- 


9 


Riggers, . 










- 


3 


Restaurators, . 










- 


7 


Shoemakers, 










12 


183 


Sail-makers, 










- 


9 


Soap-makers, . 










- 


4 


Sash and Blind makers, 










- 


2 


Stage drivers, . 










- 


4 


Sea Captains, . 










1 


14 


Sailors, 










3 


94 


Saddlers, . 










- 


9 


Silversmiths, 










- 


19 


Students, . 










- 


49 


Stock-maker, . 










- 


1 


Silk-weavers, . 










- 


2 


Ship Carpenters, 










- 


17 


Ship Brokers, . 










- 


2 


Shop keepers, . 










- 


3 


Stone cutters, . 










2 


12 


Soldiers, . 










- 


5 


Spinners, . 










- 


13 


Sheriffs, . 










- 


3 


Shoe dealers, . 










- 


3 


Stable keepers, 










- 


2 


Shoe binders, . 










- 


7 


Tailors, . 










1 


13 


Teachers, 










1 


49 


Tobacconists, . 










_ 


3 


Teamsters, 










1 


11 


Tinmen, . 










_ 


2 


Umbrella-makers, 










- 


4 


Victuallers, 










_ 


3 


Wheelwrights, . 










- 


13 


Watch makers, 










- 


4 


Wood-turners, . 










_ 


3 


Watchman, 










_ 


1 


Whip-maker, . 










_ 


1 


Weavers, 








• 


- 


17 



34 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Table 11 — Continued. 



OCCUPATION OF PATIENTS. 


185S. 


Previously. 


FEMALES. 






Carpet weavers, 


- 


2 


Cooks, 














- 


55 


Chamber maids, 














- 


33 


Dress makers, . 














4 


47 


Engraver, . • 














- 


1 


Housekeepers, . 














67 


927 


House maids 














23 


112 


Laundresses, 














8 


44 


Milliners, . 














4 


22 


Mantua-makers, 














- 


6 


Midwife, 














1 


- 


Nurses, 














1 


12 


Nursery-maids, 














- 


18 


Operatives in mill, 

Seamstresses, . 














8 
7 


116 

305 


Straw-sewers, 
















3 


7 


Shoe-binders, 
















- 


16 


Students, . 
















- 


4 


School girls, 
















5 


36 


Teachers, 
















2 


56 


Tailoresses, 
















3 


33 


Type-setter, 
Wool stapler, 
Weavers, . 
















- 


1 
1 

17 



Table No. 12, 

Showing the Duration of Insanity before admission, of Patients admitted 
from January 18, 1833, to September 30, 1858. 



Males. 


Insane less than 1 year, 1,606 


more than 1 year and less than 2 years, 






326 


2 years and less than 5 " 






427 


5 years and less than 10 " 






233 


10 years and less than 15 " 






115 


15 years and less than 20 " 






35 


20 vears and less than 25 " 






37 


25 years and less than 30 " 






16 


30 years, .... 






24 


Unascertained, 






225 


Total, 3,044 



1858.] PUBLIC DOCUMENT— No. 27. 

Table No. 12 — Continued. 



35 



Females. 




more than 1 year and less than 2 years, 






287 


2 years and less than 5 " 






373 


5 years and less than 10 " 






202 


10 years and less than 15 " 






127 


15 yeai's and less than 20 " 






36 


20 years and less than 25 " 






39 


25 years and less than 30 " 






9 


30 years, . 






24 








237 


Total, 2,975 



Table No. 13, 

Showing the Ages of Patients admitted to the Hospital from January 18, 
1833, to September 30, 1858. 





Males. 


Females. 


Less than 15 years of age, 


19 


24 


Between 15 and 20 years of age, 






199 


183 


20 and 30 " 






799 


773 


30 and 40 " 






689 


762 


40 and 50 " 






583 


606 


50 and 60 " 






310 


359 


60 and 70 " 






180 


143 


70 and 80 " 






50 


51 


More than 80 years of age, 






7 


14 


Unascertained, . . . . 






8 


17 


Totals, .... 






2,844 


2,932 



Table No. 14, 

Showing the Civil Condition of Patients admitted to the Hospital from 
January 18, 1833, to September 30, 1858. 



Civil condition. 


Males. 


Females. 


Unmarried, 

Married, 

Widowers, . . . . . 

Widows, 

Unascertained, 


1,520 

1,170 

135 

38 

2,863 


1,262 
1,250 

343 
35 




2,890 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Table No. 15, 

Showing the Number of Admissions and Discharges, and the Whole 
Number under Treatment for each of ten months. 







Admitted. 


Discharged. 




Whole 
Number. 




















Males. 


Females. 


Males. 


Females. 


December, 1857, 


395 


12 


11 


11 


9 


January, 1858, 






393 


9 


7 


5 


15 


February, " 






393 


10 


8 


8 


7 


March, " 






397 


11 


8 


9 


10 


April, " 






401 


11 


12 


13 


12 


May, 






404 


16 


12 


14 


16 


June, " 






397 


11 


12 


8 


10 


July, " 






402 


12 


11 


15 


8 


August, " 






443 


24 


40 


46 


28 


September, " 






434 


26 


43 


51 


81 


Totals, . 








142 


165 


180 


196 



Table No. 16, 

Showing the Admissions from each County during the last and previous 

years. 











1858. 


Total. 


Previous^'. 










Whole No. 




Males. 


Females. 








Barnstable, 








126 


126 


Berkshire, 








5 


2 


7 


177 


184 


Bristol, 








21 


37 


58 


281 


239 


Dukes, 








_ 


- 


- 


19 


19 


Essex, 








22 


18 


40 


392 


432 


Franklin, 








1 


1 


2 


121 


123 


Hampden, 








10 


7 


17 


334 


351 


Hampshire, 








2 


4 


6 


214 


220 


Middlesex, 








20 


30 


50 


718 


768 


Nantucket, 








- 


- 


- 


31 


31 


Norfolk, . 








3 


2 


5 


565 


570 


Plymouth, 








- 


2 


2 


229 


231 


Suffolk, . 








17 


29 


46 


568 


614 


Worcester, 








38 


31 


69 


1,383 


1,452 


Other States, 








3 


2 


5 


12 


17 


Totals, 








142 


165 


307 


5,468 


5,775 



1858.] 



PUBLIC DOCUMENT— No. 27. 



37 



Table No. 17, 

Showing the whole number of Patients during the ten months, the average 
number, the number at the end of each year, the expense of each year, 
and the annual expense for each patient for each of the twenty-six years 
the Hospital has been in operation. 



Year. 


Whole No. 


Average No. 


No. at end of 
each year. 


Current expenses of 
each year. 


Annual expense 
for each patient. 


1833, . 


153 


107 


114 


$12,272 91 


$114 67 


1834, . 


233 


117 


118 


15,840 97 


135 38 


1835, . 


241 


120 


119 


16,576 44 


137 30 


1836, . 


245 


127 


138 


21,395 28 


168 44 


1837, . 


306 


163 


185 


26,027 07 


159 64 


1838, . 


362 


211 


218 


28,739 40 


136 20 


1839, . 


397 


223 


229 


29,474 41 


132 16 


1840, . 


391 


229 


236 


27,844 98 


121 59 


1841, . 


399 


233 


232 


28,847 62 


123 81 


1842, . 


430 


238 


238 


29,546 87 


111 12 


1843, . 


458 


244 


255 


27,914 12 


114 40 


1844, . 


491 


261 


263 


29,278 75 


112 17 


1845, . 


656 


316 


360 


43,888 65 


138 88 


1846, . 


637 


359 


367 


39,870 37 


111 06 


1847, . 


607 


377 


394 


39,444 47 


104 62 


1848, . 


655 


404 


409 


42,860 05 


106 09 


1849, . 


682 


420 


429 


40,870 86 


97 31 


1850, . 


670 


440 


441 


46,776 13 


106 40 


1851, . 


704 


462 


466 


52,485 33 


112 61 


1852, . 


775 


515 


532 


43,878 35 


85 20 


1853, . 


820 


537 


520 


53,636 66 


103 14 


1854, . 


819 


430 


381 


53,221 52 


123 77 


1855, . 


580 


349 


336 


54,895 88 


157 29 


1856, . 


577 


357 


376 


45,631 37 


128 64 


1857, . 


647 


387 


372 


49,004 75 


124 04 


1858, . 


679 


372 


301 


38,267 26 


102 86 



38 



LUNATIC HOSPITAL AT WORCESTER. 



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PUBLIC DOCUMENT— No. 27. 41 



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42 



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48 



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1858.] 



PUBLIC DOCUMENT— No. 27. 49 






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50 



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1858.] PUBLIC DOCUMENT— No. 27. 55 



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56 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



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Pauper from Ireland, 
do do do 

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1858.] PUBLIC DOCUMENT— No. 27. 57 



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58 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



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1858.] 



PUBLIC DOCUMENT— No. 27. 



59 



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60 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

It will be seen that nearly all the foregoing tables date from 
the opening of the hospital. They thus embrace a period of 
twenty-six years, and cover nearly six thousand cases, contain- 
ing all that has been known and recorded concerning the 
patients. 

The tables are as nearly correct as can be made from the 
records of the hospital, and may be relied upon as affording 
statistics relative to the peculiar features and conditions of 
insanity as observed in this hospital. 

While it is a popular belief, that insanity is a disease of 
growing frequency in this community, it seems to be proper to 
afford all the information possible as to the mode and success 
of its treatment, the character and condition of the hospital, 
and its fitness for the care and recovery of those who may be 
placed within its wards. 

No hospital for the insane within our acquaintance, possesses 
such complete accommodations for the classification of the 
several grades of patients and the various phases and con- 
ditions of disease. There are comfortable, cheerful, home-like 
wards for twelve classes of each sex, each ward having by 
itself all its appointments and arrangements complete, as to 
dining rooms, water closets, bath rooms and lavatories, ward 
robes, attendants' rooms and suicidal rooms. There are con- 
venient sick rooms, patients' visiting rooms and recreation 
rooms, in close proximity to each ward. 

During the last year a complete separation has been main- 
tained between the foreign and native patients, much to their 
mutual satisfaction and benefit. The foreign patients have 
the same comforts and accommodations, the same grade of 
attendants, and receive the same care and attention that native 
patients do. But looking at the welfare of the patients, there 
seemed to be good and sufficient reasons for a separation. 
When in health they separate themselves. They do not occupy 
the same house or live in the same neighborhood, except in 
widely different capacities. They have but few feelings in 
common with each other. Opposite in religion and all the 
notions of social life, it would not be well to class the two races 
in the same wards, where each must bear from the other what 
was considered troublesome and offensive while in health. 



1858.] PUBLIC DOCUMENT— No. 27. 61 

But while an effort has constantly been made to keep up a 
style of life in the hospital which should not so widely differ 
from that to which our patients have been accustomed in their 
homes as to disturb their natural feelings or offend their tastes, 
the result has been greatly to elevate the condition of the 
foreign patients while in the hospital. So that the separation 
has not been brought about by any considerations of economy, 
such as plainer and cheaper accommodations, or a smaller 
allowance for the daily sustenance and care of the poor insane 
immigrant. 

The subject of labor becomes of more importance each year. 
Its pecuniary value cannot be estimated. But aside from its 
cheering and healthy influences it procures for the patients 
many small comforts which could hardly be afforded otherwise. 

We must again add our testimony to the value of agricultural 
and horticultural employment in the cure and recovery of the 
insane. It has of late been well established that a farm and 
gardens are very important parts in a system of the treatment 
of the insane, and we hope their utility may never be ques- 
tioned. They are valuable by affording employment, and thus 
contributing to the comfort, happiness and recovery of a large 
class of patients, as well as for the pleasure and luxury 
resulting from an abundant supply of fruits and vegetables 
obtained from them. 

In making up the table of the products of the farm and 
gardens, we regard a few bushels of roots or a few barrels of 
fruit, more or less, as of little value in themselves. But in 
another view of the case, these little matters are of great 
importance. The pleasure of watching their growth and assist- 
ing in their cultivation has helped restore the insane to health. 
It has banished harrassing doubts and perplexities, dissipated 
distressing delusions, brought quiet and repose to excited 
mind, and sleep to wakeful eyes. 

The farm and gardens belonging to the hospital were never 
more productive, and their results in all respects never more 
satisfactory than at present. The garden devoted to the raising 
of kitchen vegetables, has been, as usual, almost entirely 
managed by patients. We hope, in addition to this, to have 
a green-house for the cultivation of grapes. 



62 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



In making up the table the present year before the harvest, 
will materially lessen the amount of the products of the farm, 
leaving, as it does, some of the crops on the ground. 



Apples, . 


50 bushels. 


at $0 50- 


- $25 00 


Cherries, . 


10 


it 


at 


2 


00 


20 00 


Plums, 


1 


a 


at 


2 


00 


2 00 


Grapes, . 


5 


u 


at 


2 


00 


10 00 


Corn, sweet, 


150 


a 


at 




50 


75 00 


Beans, 


30 


a 


at 


2 


00 


60 00 


Peas, 


60 


a 


at 


1 


00 


60 00 


Beets, 


75 


a 


at 




50 


37 50 


Cucumbers, 


. 125 


a 


at 




50 


62 50 


Tomatoes, 


. 150 


a 


at 




75 


112 50 


Squashes, 


3,000 


pounds, 


at 




01 


30 00 


Cabbages, 


1,000 heads, 


at 




05 


50 00 


Milk, . 


25,000 


quarts, 


at 




05 


1,250 00 


Hay, . 


75 tons, 


at 12 


00 


800 00 


Rowen, . 


15 tons, 


at 10 


00 


150 00 


Corn Fodder, . 


25 


tons, 


at 


2 


00 


50 00 


Potatoes, 


100 bushels. 


at 




50 


50 00 




12,844 50 



The carrots, beets, and potatoes for winter use are not 
included. Beef and pork fattened on the place during the year 
is not yet slaughtered. 

There are kept on the farm for the use of the hospital three 
horses, four oxen, one bull, and sixteen cows. There are 
growing up six yearling heifers, three yearling bulls, and four 
calves, and fifty swine. 

In the. course of the year there have been built about two 
hundred and fifty rods of heavy stone wall, and about the same 
number of rods of large, capacious stone under-drains have been 
laid. Rocks have been blasted and removed from the fields, 
water pipes have been repaired, land reclaimed, and ditches 
made. A portion of all this labor has been performed by 
patients. 

The labor of the female patients is no less important. They 
assist in the kitchen and wash room, and perform nearly all 
the ironing for the whole establishment. They work in the 



1858.] 



PUBLIC DOCUMENT— No. 27. 



63 



sewing room, and do much of the mending for the inmates. 
They make all the bedding, towels, napkins, table spreads, and 
window curtains. They also make the chemises, dresses, shirts, 
and some of the trousers and vests worn by the patients. 

Some of them assist the attendants in the care of the dining 
rooms, and many of them prefer to take care of their own rooms 
and furniture. 

The following table will show the number of articles made 
by the female patients, from November 30, 1857, to September 
30, 1858. 



Bed Ticks, . 


26 


Sheets, 


383 


Chemises, . 


300 


Shirts, 


278 


Coats, . 


8 


Skirts, 


60 


Dresses, 


175 


Skirts, embroidered, 


18 


Frocks, 


19 


Suspenders, pairs of, 


160 


Hose, pairs of, 


32 


Spreads, 


45 


Mattress Ticks, . 


117 


Table Covers, 


20 


Napkins, 


75 


Towels, 


235 


Pillows, 


105 


Trowsers, pairs of, 


84 


Pillow Cases, 


400 


Window Curtains, 


. 150 


Overalls, pairs of, . 


14 


Vests, . 


. 23 



Our mattresses have all been made over, and some fifty new 
ones manufactured by male patients. 

Nothing contributes more to the happiness of the household 
than the round of amusement afforded them. Biding, walk- 
ing, reading, games of all kinds, cultivation of flowers, care of 
pets, birds, &c, the Matron's parties, dancing, singing, magic 
lantern scenes, maps and pictures, break up the monotony 
which must otherwise be dull and irksome. 

The carriage is mostly devoted to females and feeble old men. 

The males who do not labor much on the farm take frequent 
and long walks with an attendant. They also engage in games 
of base ball, cricket and quoits, and spend much of the time 
in the open air. 

In addition to riding, the females walk in pleasant weather 
about the grounds in parties, or sit with their needle work or 
books in the grove within the inclosure and amuse themselves 
by watching the business of the street. In the house they play 



64 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

all the various games of cards, draughts, dominoes, graces, 
battledoor, &c. 

The males also, while in the house, engage in all the games 
that ingenuity can devise to occupy time. 

It is to be hoped and expected that we may hereafter be able 
to have for the benefit of the patients, a reading-room and 
museum for each sex. 

It is designed to fit up an apartment in a cheerful and attract- 
manner, in which the convalescent and the cultivated patients, 
who desire some place of resort, may quietly read and study, 
or amuse themselves with such objects of interest as we may 
be able to collect. If we are successful in making the arrange- 
ment, a want will be supplied which has long been felt by 
patients of refined feelings and cultivated minds ; especially 
while convalescing, and still so feeble as to be constantly 
annoyed by the many unpleasant associations of a hospital 
ward. We hope it will be in our power to place in these rooms, 
beside books, papers and periodicals, specimens of natural 
history, birds, minerals, shells, &c, pictures, charts, maps, 
globes, portraits, busts, &c. A multiplication of such objects 
cannot fail to render a residence in the hospital less irksome 
than it would otherwise be. 

Although there must be restraint and privation connected 
with a residence in a hospital for the insane, we desire to sur- 
round the patients with so much that is cheerful and attractive, 
and such a variety of the means of occupation and amuse- 
ment, as to dispel many unpleasant associations and hasten 
a restoration to health and usefulness. 

In view of these things, we have also in contemplation the 
furnishing of a billiard room for males, and a sort of calisthe- 
neum for females. 

The process of warming and ventilating the hospital is quite 
perfect, and has been found to be satisfactory, by all who have 
examined it. Every apartment in the house is not only warmed, 
but thoroughly ventilated. The temperature is equal ; the 
warmth well diffused, and the air so constantly renewed by the 
operation of the fan, as to be always fresh and pure in every 
part of the house. The fan is in constant operation during 
summer and winter, affording the patients as much comfort in 



1858.] 



PUBLIC DOCUMENT— No. 27. 



65 



the warm weather by its supply of cool, fresh air, as in the 
winter by its constant breeze of warm air. 

The following table will show the exact amount of coal con- 
sumed from November 30, 1857, to September 30, 1858. 



Amount for 

each Month. 

lbs. 



Daily Average, 
lbs. 



December, 1857, 
January, 1858, 
February, " 
March, " 

April, " 

May, " 

June, " 

July, 

August, " 

September, " 

Total, . 



152,000 

144,000 

167,000 

126,000 

71,700 

47,400 

38,100 

32,400 

35,500 

38,100 



4,903 
4,645 
5,964 
4,064 
2,585 
1,529 
1,270 
1,045 
1,146 
1,270 



852,200 or, 426^ tons. 



Little can be said in an annual report of a hospital for the 
insane respecting the treatment of insanity. But it may be 
necessary in passing to remark that all our patients are under 
treatment. 

None are left without some effort being made to restore to 
them that degree of mental health which will enable them to 
return to their families and assume their ordinary business. 

All occupation suited to their physical condition, all amuse- 
ment congenial to their tastes, all seclusion and restraint neces- 
sary for the safety of the patient, belong to the domains of 
medicine and might very properly be classed under the heads, 
hygienic and moral. Nothing can be of greater importance to 
the insane than a system of judicious moral treatment. 

In fact the whole discipline of an asylum may be termed its 
system of moral treatment, inasmuch as its tendency is to 



66 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

bring about a new class of mental impressions and direct the 
operations of the mind into healthy channels. The means in 
use in hospitals for the insane often seem to be slight and 
feeble, and to the inexperienced utterly inadequate to meet and 
overcome the passion, violence, and fury which has so often 
been observed in attacks of insanity. 

But it must be borne in mind that the patients are under 
constant care and surveillance, and that wide departure from 
good order and correct discipline cannot be unobserved. 

Kind, firm, persevering watchfulness takes the place of seclu- 
sion and mechanical restraint, and vastly diminishes the neces- 
sity of severe and repressive measures. 

Thus it happens that patients who, while with their friends, 
surrounded with all the comforts of home, were furious, abu- 
sive, and uncontrollable, become harmless and obedient when 
they find themselves belonging to a community controlled and 
directed in all its movements, watched and restrained in all its 
manifestations of violence, and cheered and sustained by kind- 
ness and sympathy amid all its gloom and melancholy. 

But every physician will understand how utterly useless is 
purely moral treatment in the case of those whose insanity 
depends upon a change in the pathological condition of the 
brain or any other organ. Here recourse must be had to 
medicines. And in order to fulfil the indications of treatment 
and meet the symptoms of disease as observed here, cathartics, 
emetics, and emetico-cathartics, warm baths, and warm baths 
with the application of cold to the head, are employed to a con- 
siderable extent. In many cases however stimulants and tonics 
are freely administered and are generally admissible in the 
later stages of mania when the system is much enfeebled by 
the process of disease and other sources of exhaustion to which 
neglected cases are sometimes exposed. 

Still we must often be content with removing all causes of 
excitement and enforcing only hygienic rules. The dismissal 
of intimate friends, the removal of familiar objects of occupa- 
tion and amusement, the absence of noise and confusion, the 
suppression as far as possible of mental activity, the establish- 
ment of regular habits as to sleep, diet, and exercise, are all 
that can or need be done for the restoration of the patient to 
sound mental health. These are the influences which attend 



1858.] PUBLIC DOCUMENT— No. 27. 67 

a residence in a hospital for the insane, and which often restore 
health to the patient without the administration of medicine. 

Looking over the events of the year now closed, we cannot 
too strongly express our gratitude to our Heavenly Father that 
we are able to record so much success and prosperity. 

The number of patients who have been restored to usefulness 
and happiness has been large. There has not been an unusual 
amount of sickness and mortality. The condition of those who 
remain under our care is comfortable, and a large majority of 
them are contented and happy. 

We desire in behalf of the patients to express our gratitude 
to Hon. George B. Upton, for a donation of fifty dollars for the 
purchase of engravings for one of the male wards ; to Samuel 
Jennison, Esq., for the purchase of statuary for one of the 
female wards ; to Messrs. Earle and Drew, publishers of the 
Massachusetts Spy ; to William R. Hooper, Esq., publisher of 
the Worcester Transcript ; Hon. J. S. C. Knowlton, publisher 
of the Worcester Palladium; and T. W. Caldwell, Esq., pub- 
lisher of the Bay State, for large and weekly packages of their 
best exchanges, as well as for their weekly and daily issues. 
Also to S. Thomson, Esq., for liberal supplies of illustrated 
papers ; to Nathan Hale, Esq., for the Boston Daily Advertiser 
since the opening of the hospital in 1833 ; to the publishers of 
the Salem Register, the Salem Gazette, the Andover Adver- 
tiser, the Bunker Hill Aurora, the Cambridge Chronicle, the 
New England Farmer, the Statesman, the Youth's Companion, 
Zion's Herald, Gospel Messenger, and to unknown friends for 
other weekly papers received by mail. 

We are aso indebted to Hon. Charles Sumner for Public 
Documents, to Hon. Charles Mason for Patent Office Reports, 
and to Professor Henry for publications from the Smithsonian 
Institute, to Mr. Chamberlain of Boston for an interesting 
microscopical exhibition, and to Edwin Bynner, Esq., for a 
valuable watch dog. 

I must express my sense of obligation to the other resident 
officers of the hospital for the persevering manner in which they 
have performed all their duties, and their untiring devotion to 
the interests of the institution. 

To my assistant, Dr. F. H. Rice, I am under special obliga- 
tions for the fidelity and efficiency with which he carries out 

9 



68 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

all my plans and labors to promote the welfare of all the inmates 
of the hospital. 

While we acknowledge with devout gratitude the many bles- 
sings vouchsafed to this institution during its whole history, let 
us hope that the same Good Providence will still watch over 
and protect it, and assist all who may be connected with it to 
elevate its character and increase its usefulness. 



MERRICK BEMIS. 



State Lunatic Hospital, Worcester, \ 
October 1, 1588. j 



METEOROLOGICAL OBSERVATIONS 



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LUNATIC HOSPITAL AT WORCESTER. 



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1858.] 



PUBLIC DOCUMENT— No. 27. 



79 





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