"^
ii |i||||!;i
i II !l
11 1 j
ililllnl li! 1 li hii
PUBLIC DOCUMENT I^o. 23.
THIRTY-SIXTH ANNUAL REPORT
THE TRUSTEES
STATE LUNATIC HOSPITAL
W^OHCESTEK.
October, 1868.
BOSTON:
WRIGHT & POTTER, STATE PRINTERS,
79 Milk Street (corner of Federal).
1869.
Digitized by the Internet Archive
in 2010 with funding from
University of IVIassachusetts Amherst
http://www.archive.org/details/annualreportoftr34stat
TRUSTEES' REPORT,
To His Excellency the Governor and the Honorable Council of
the Commonwealth of Massachusetts.
The Trustees of the Worcester Lunatic Hospital respectfully
submit their Tliirty-Sixth Annual Report.
This hospital was established nearly forty years ago in the
suburbs of the quiet town of Worcester. It is now in the
middle of a thriving and prosperous city. Its essential features
remain the same as when it was built, with only the addition of
such improvements as its construction permitted. It is yet far
from being such a building as the wants of this community
require. At no distant day it may be thought advisable to
relinquish the valuable tract of land in which it stands, in ex-
change for a more quiet and less expensive location at a little
distance ; and, by such exchange, the Trustees believe that a
jiew hospital, suited to the times and to the character of the
Commonwealth, might be built without cost to the State. As
it is, tlie Trustees have confidence that the condition of its
inmates, during the past year, has been as satisfactory as at
any previous time.
By the Treasurer's report, the finances, which had been some-
what embarrassed by the high cost of supplies, are now in a
good condition ; and when all dues are received, and all debts
paid, a balance will remain in favor of the hospital.
The average cost per week of each patient, in 1867, was
§1.60, and for the present year |3.80. The latter sum now
4 LUNATIC HOSPITAL AT WORCESTER. [Oct.
nearly approaches the amount paid by the State and towns
for their patients. The deficiency is made up by the payment
of private patients, some of whom, at a sacrifice to their sense
of pride and independence, prefer not to be a public burden.
In the treatment of those under our care, we can hardly ven-
ture to say that any very decided improvement has been made
over former years, as our facilities have not increased with the
progress of experience. "We have far from reached perfection
in the treatment of the insane. There are more truths yet to
be revealed to us, and we trust that nothing that thought or
expenditure can give will be neglected to make this hospital
what it should be.
Freedom from personal restraint, instituted by the humane
and courageous Pinel, marked an epoch in the annals of insan-
ity. Another great step in advance will be to give useful and
cheerful occupation to the insane, to relieve the tedious monot-
ony of a hospital life, — to make a cheerful and happy home for
such as are visited with this malady, from which no gift of mind
or person can exempt us. Judge, counsellor, legislator and
private citizen are all alike subject to it. It is the duty of
every member of the community to use his power and influence
to lessen the sufferings of those afflicted with insanity.
The restraints formerly used here, partly from ignorance, but
more from motives of economy, — the cell, the camisole, chains
and other instruments of days gone by, — have been exchanged
for the gentle but firm presence of faithful and conscientious
attendants, at all hours, to protect the patient from injury to
himself or to others. If such attendance could be had in pri-
vate families, and the love and affection of friends not exhausted,
there are many patients in our hospitals who might remain at
home. Yet the surroundings of a hospital, which seem so
painful to visitors, are a source of benefit to some patients, from
the sympathy and interest they excite.
It must not be supposed that the hardness of each individual
case is in proportion to the complaints made by patients of the
injustice of confining them to a hospital. This man who repre-
sents his case to the visitor most eloquently as being separated
from his family, for whose support he is able to work, in another
hour is dangerous to approach. This one who claims the need
1868.] PUBLIC DOCUMENT— No. 23. 5
of her children for her fostering care, if placed at large would
put a firebrand to her dwelling.
Every attention possible is given to the complaints by patients
of ill usage from their friends or attendants, and experimental
visits to their homes, when the friends desire, are allowed, if
safe and proper. Some are permitted to work at their trades
in the city, while under the supervision of the hospital, and all
are allowed the largest amount of liberty consistent with safety.
The health of our Superintendent, after a life of twenty years
of labor in the hospital, having failed, he was induced to take a
vacation in the summer, which he passed in visiting the hospi-
tals of other lands. He has returned, apparently restored to
health, and filled with experience which he will detail to you in
the report that accompanies this.
In his absence, the duties of his office were most faithfully
performed by Dr. Draper, to whom we feel gratefully indebted.
Yery respectfully submitted by the Trustees.
R. W. HOOPER.
CHAS. MATTOON.
HENRY CHAPIN.
WM. WORKMAN.
S. E. SEW ALL.
LUNATIC HOSPITAL AT WOECESTER. [Oct.
TREASUEEE'S EEPOET
To the Trustees of the Worcester Lunatic Hospital.
Gentlemen: — I herewith submit mj annual report of the
financial condition of the Worcester Lunatic Hospital.
Receipts.
Cash on liancl September 30, 1867,
received of the Commonwealth for support of patients,
received of cities and towns for support of patients, .
received of individuals for support of patients, .
received from sale of farm products,
The expenditures of the ;
year have
been
as follows : —
Provisions, —
Flour, 524 bbls., $6,908 65
Fresh meats.
3,705 02
Salt meats, .
4,297 67
Butter,
4,871 76
Sugar,
2,032 36
Eggs and groceries.
1,424 65
Tea, .
698 30
Coffee and chocolate,
624 53
Eice and crackers,
373 82
Meal, .
130 50
Fresh fruits.
526 48
Potatoes, .
1,617 52
Beans,
578 70
Fish, .
594 61
Molasses and sirup,
749 22
Ice,
412 62
Vinegar and pickles.
236 75
Cheese,
145 23
Furniture, bedding, table ware, &c..
2,477 93
Medical supplies,
1,135 23
Books, papers, stationt
iry, p
rintir
g, &<:
•1
792 79
^1,779 04
19,417 59
27,203 83
35,765 47
3,087 83
887,254 36
1868.]
PUBLIC DOCUMENT— No. 23.
Fuel, ....
Light,
Soap, ....
Improvements and repairs,
Freight and express, .
Live stock, .
Salaries and wages,
Miscellaneous,
Provender, .
Total amount of current expenses,
Clothing, .....
Undertakers' bills,
Paid on loan, .
Cash on hand, September 30, 1868,
^5,737 84
1,175 73
473 89
4,164 34
164 72
705 00
20,567 71
2,829 74
1,901 78
§72,054 59
2,395 72
1,142 90
7,500 00
4,161 15
Kesources.
Cash,
Due from the Commonwealth,
Same, (Appendix bills,)
Due from cities and towns, .
Due from individuals.
^4,975 76
. 578 91
57,254 36
§4,161 15
I 5,554 67
7,707 26
8,893 92
§26,317 00
Liabilities.
Worcester County Institution for Savings, .
Due for bills of supplies and expenses,
Due for salaries and wages,
Balance,
Invested funds, (market value,)
Dividends from the same on hand.
Surplus, ......
Worcester Luxatic Hospital, }
Worcester, Oct. 1, 18G8. |
§4,500 00
7,910 91
4,983 90
17,394 87
. §8,922 13
2,050 00
72 00
. §11,044 13
D. W. BEMIS, Treasurer.
We have examined the above account, with tLc vouchers, and find it correct.
WILLIAM WOKKMAN,
HENRY GIIAriN,
Audit in fj Commilicc.
WORCESTEK, Oct. 17, 18G3.
8 LUNATIC HOSPITAL AT WORCESTER. [Oct.
OFFICERS OF THE HOSPITAL.
TKUSTEES
EGBERT W. HOOPER, M. D.,
HON. CHARLES MATTOON, .
HON. HENRY CHAPIN, .
WILLIAM WORKMAN, M. D.,
HON. SAMUEL E. SEWALL, .
. Boston.
. Greenfield.
. Worcester.
. Worcester.
. Boston.
RESIDENT OFFICERS.
MERRICK BEMIS, M. D., .... Superintendent.
JOSEPH DRAPER, M. D., . . . . Assistant-Physician.
CAROLINE A. BEMIS, Matron.
DANIEL W. BEMIS, . ... . . . Steward.
TREASURER.
DANIEL W. BEMIS, Worcester.
Office at the Hospital.
SALARIED OFFICERS OF THE HOSPITAL.
Superintendent, ^1,800 00
Assistant-Physician, 900 00
Matron, 200 00
Steward and Treasurer, 1,000 00
1868.]
PUBLIC DOCUMENT— No. 23.
SUPEEINTENDENT'S REPOET.
To the Trustees of the Worcester Lunatic Hospital.
Gentlemen: — In obedience to the laws of the Common-
wealth, I have the honor to submit to you the Thirty-Sixth
Annual Report of the Worcester Lunatic Hospital.
For the general results of the year, and the condition of the
patients in detail, you are respectfully referred to the following
tabular statements, and such brief explanatory remarks as may
accompany them : —
Table No. 1,
Sliowing ilte general results during the year.
Males.
Females.
Totals.
Patients in the Hospital, October 1, 1867,
177
178
355
Admitted during the year, ....
158
138
296
Whole number under treatment,
335
316
651
Discharged recovered,
62
48
110
improved.
44
48
92
not improved,
20
14
34
Died,
21
12
33
Whole number discharged,
147
122
269
Eemaining, September 30, 1868,
188
194
382
From this table, it appears that two hundred and ninety-six
patients were admitted during the last year, of whom one
hundred and fifty-eight were males, and one hundred and
thirty-eight were females.
At the close of the previous year, there were three hundred
and fifty-five patients inmates of the hospital, of whom one
2
10 LUNATIC HOSPITAL AT WORCESTER. [Oct.
hundred and seventy-seven were males, and one hundred and
seventy-eight were females, so that there were six hundred and
fifty-one persons under treatment in the course of the year, of
whom three hundred and thirty-five were males, and three
hundred and sixteen were females ; the daily average was three
hundred and seventy. No disturbing causes have operated to
influence in any very great degree the usual results of the
year.
The number of patients discharged was two hundred and
thirty-six, of whom one hundred and ten were recovered,
ninety-two improved, and thirty-four not improved. Thirty-
three were removed by death, of whom twenty-one were males,
and twelve were females.
The recoveries were thus in the ratio of a fraction more than
thirty-nine per cent, to the number of admissions,— a gratify-
ing result if compared with the percentage of recoveries in
other old and long established hospitals.
At the close of the year there were eight patients in the
hospital who had recovered their usual degree of mental health,
and were awaiting the convenience of their friends for their
removal. If this number be added to the number of those
discharged and tabulated, the ratio of recoveries to the num-
ber discharged will be increased from forty-seven to fifty per
cent. And if eight cases of recurrent mania and ten cases of
unknown duration be included in the tabular statement, the
ten per cent, of recovery of recent cases will be increased from
fifty-four to sixty per cent.
Again, if fifty-six patients who were transferred directly to
other institutions be deducted from the whole number dis-
charged, the ratio of recoveries to the number discharged will
be sixty-one per cent., or sixty-five per cent, if the eight who
had recovered and were remaining be added to the number
of those discharged.
The rate of mortality is somewhat less than during the
previous year, and may be considered as quite moderate, if we
regard the condition of many of the patients when admitted.
The percentage of deaths of the average number of resi-
dents was nine, and only five per cent., if calculated on the
whole number under treatment.
1868.]
PUBLIC DOCUMENT— No. 23.
11
Table No. 2,
Slioiving the Admissions and state of the Ilosjnial fro7n October 1, .1867, to
Septemler 30, 1868.
Males.
Females.
177
178
158
138
188
194
103
82
49
48
6
8
109
88
12
10
37
36
1
3
58
60
61
63
47
48
45
45
8
8
1
6
Patients in the Hospital, October 1, 1867, .
admitted in the course of the year,
remaining in the Hospital, Sept. 30, 1868,
Of the admissions there were cases of one year or less
duration, ......
Of the admissions there were cases of more than one
year's duration, .....
Of the admissions there were cases the duration of
whose insanity could not be ascertained,
Patients committed by Courts, ....
committed by Overseers of the Poor,
on bonds, ......
committed by Governor's warrant,
committed by the Board of State Charities,
committed by Commissionei'S of Lunacy,
Foreigners and those having no settlement in
State, committed in course of the year,
Foreigners and those having no settlement in
State, discharged in course of the year.
Foreigners and those having no settlement in
State, remaining in the Hospital, Sept. 30, 1868,
Patients in Hospital previously, ....
in other Hospitals in this State previously,
in Ilosjiltals of other States previously.
the
the
the
355
296
382
185
97
14
197
22
73
118
124
95
90
16
7.
State Paupers remaining in the Hospital at the close of each year as nearly as
can be ascertained.
1842,
34
1851, .
201
1860, .
130
1843,
88
1852,
241
1801, .
156
1844,
38
1853,
216
1862,
189
1845,
. . 57
1854,
151
1863, .
175
1846,
52
1855,
115
1864,
116
1847,
121
1856,
155
1865,
91
1848,
150
18.57,
119
1866,
129
1849,
167
1858,
121
1867, .
101
1850,
181
1859, .
124
1868,
95
The preceding table shows that one hundred and eighty-five
patients were admitted to the hospital in the course of tlie year
whose insanity had existed one year or less previous to the
date of their admission. Other tables in tliis connection show
that about seventy-five per cent, of all patients admitted to the
hospital who had been insane not more than one year previous
12 LUNATIC HOSPITAL AT WORCESTER. [Oct.
to admission have recovered their mental health and useful-
ness and have been restored to society.
It may also readily be shown that a large proportion of those
who are placed under treatment on the first appearance of dis-
ease recover their customary health within a period of six
months.
The table also shows that one hundred and ninety-seven
patients were committed by order of the probate courts of the
several counties, thus making the commitment of patients an
open, fair, legal proceeding. In all cases where the patient
has been admitted by the officers of the hospital the admission
has been given on the authority of a certificate of insanity from
two physicians. And in those cases where the patient has vol-
untarily sought the benefits of the institution an examination
has at once been made and certificates procured from physi-
cians not connected with the hospital.
Of the one hundred and ninety-seven committed by the
courts in the course of the year, one hundred and eighteen
were supported by tlie charity of the Commonwealth. Of this
class one hundred and twenty-four were discharged, leaving
ninety-five in the hospital at the close of the year.
The number of patients admitted into the hospital since it
was opened amounts to eight thousand one hundred and ninety-
eight, of whom four thousand and ninety-five have been males
and four thousand one hundred and three females.
Of this number, three thousand eight hundred and twenty-
five have been discharged recovered, and one thousand four
hundred and forty-six have been discharged improved ; the
recoveries being in ih ratio of forty-eight and nine-tenths per
cent, to the whole number, after deducting the number of those
who remain under treatment. And the ratio of those dis-
charged improved, to the whole number, is a fraction less than
twenty per cent., after deducting those who remain in the
hospital.
Fifty-seven patients have been removed to otlier institutions
in the course of the year by order of the Board of State Chari-
ties, and five have been removed to their homes out of the
Commonwealth. A large majority of these patients were sup-
posed to be incurable, and had been residents in the hospital
varying periods of time from a few weeks to several years.
1868.] PUBLIC DOCUMENT— No. 23. 13
I have done all in my power to carry out the plan of board-
ing a few quiet chronic patients in private houses, whose con-
dition seemed to warrant it, both in deference to the opinions
encouraged by your board, and under the convictions on this
subject which I urged in my reports of 1856 and 1857 ; but I
must confess that I find very great difficulty in getting proper
persons to interest themselves sufficiently in the subject to
assist me in my efforts, and have thus far been able to procure
suitable homes for a few cases only of those whose service
would be of real value.
In reference to those cases for whom asylums are sought out
of the Commonwealth and similar cases so disposed of in former
years, I beg leave to make a single remark.
It is much to be regretted that there cannot be a fair under-
standing and an equitable arrangement between the authorities
of different countries and also between the authorities of differ-
ent sections of our own country, for the purpose of facilitating
and rendering such transfers humane and desirable, not only
between this country and England, Scotland, Ireland and Ger-
many, but between different States of our own country.
Under the existing state of things lunatics who may be wisely
and properly transferred to tlieir homes in a foreign country,
are generally landed at Liverpool, where it not unfrequeritly
happens that all trace of them is lost. Sometimes, however,
they are picked up as wanderers in the streets, and are sent to
English asylums or poor-houses.
And in the case of those who are sent into other States, where
they are supposed to have settlements, the result frequently is,
that on arriving in the place of their settlement, either their
identity or their insanity is repudiated by the authorities, and
the unfortunate lunatic, unable to provide for himself, is let
loose on the public streets, to take his chance of what Prov-
idence may do for him. They sometimes succeed in begging
their way back to the hospital. When they have done so they
have been received by order of the Board of State Charities,
and taken care of until they could again be transferred.
Of the unrecovered patients discharged, many were removed
by the Board of State Charities, and proper provision was made
for them in other institutions ; some, however, were removed
for whom no special provision was made for their care ; and
some, as frequently happens, were very injudiciously removed,
14
LUNATIC HOSPITAL AT TVORCESTER. [Oct.
and have consequently been readmitted in a much more hope-
less condition than when they were taken away.
Table No. 3,
Showing the Number Admitted, Restored, Improved, Died, Sj-c, in each Month
in the Year.
*
Admitted.
Eemoved. I
Kemaining.
MONTHS.
"d
>
-d
li
d
Totab
to
1
K
K
g
s
S
r/J
i
1— «
"3
fa
o
M.
F.
M.
F.
M.
F.
M.
F.
M.
F.
T.
s
&H
o
October,
7
11
18
9
8
5
2
1
2
3
1
11
13
24
173
176
349
November, .
9
11
20
1
4
3
2
1
1
1
2
6
9
15
176
178
354
December, .
15
9
24
3
3
4
4
2
1
-
_
9
8
17
182
179
361
January,
19
5
23
■7
5
-
2
_
-
_
-
7
7
14
193
177
370
February, .
8
10
18
4
2
-
1
-
-
-
4
4
8
197
183
380
March,
11
9
20
8
4
3
5
9
3
2
22
13
35
186
179
365
April, .
19
17
36
9
5
3
6
1
-
6
19
12
31
186
184
370
May, .
9
15
24
6
2
4
9
-
2
1
11
14
25
184
185
369
June, .
15
16
31
7
3
8
12
2
3
1
18
19
37
181
182
363
July, .
21
15
36
3
5
3
3
1
1
2
-
9
9
18
193
188
381
August,
9
8
17
8
3
6
1
1
1
2
3
17
8
25
185
188
373
September, .
17
12
29
4
4
5
1
2
-
3
1
14
6
20
188
194
382
Totals,
158
138
296
62
48
44
48
20
14
21
12
147
122
269
-
-
-
Table No. 4,
Shoiving the form of Disease in those Admitted and Discharged during the year.
Admitted.
DlSCHAKGED.
FORM OF DISEASE.
%
C3
H
3
s
o
H
Mania,
" Chronic,
" with Epilepsy,
" Tvith general Paralysis, .
Melancholia,
Dementia, ....
" Senile,
" with Epilepsy, .
" with general Paralysis,
Monomania of Fear,
of Suspicion, .
61
24
9
5
6
28
5
10
8
1
1
56
20
14
33
6
4
2
2
1
117
44
9 1
5
20
61
11
14
10
3
2
48
26
4
3
7
30
1
4
2
1
45
21
10
29
2
1
1
1
93
47
4
o
17
59
3
5
3
1
1
Totals, ....
158
138
298
126
1
110
236
1868.]
PUBLIC DOCUMENT— No. 23.
15
Table No. 5.
Supjwsed Causes of Insanity of Patients admitted into the Hospital from
January 18, 1833, to Septemler 30, 1868.
CAUSES.
Apoplexy,
Asthma, .
Bronchitis,
Bowels, Disease of,
Cancer, •
Chorea, .
Constipation,
Convulsions,
Dysentery,
Dyspepsia,
Epilepsy, .
Eruptive Diseases,
Eyes, Disease of,
Eyes, Loss of, .
Erysipelas,
Fevers, .
Hysteria, .
Hemorrhoides,
111 Health,
Influenza,
Insolation,
Idiocy,
Laryngitis,
Measles, .
Nervous Irritation,
Nymphomania,
Old Age,.
Otitis,
Paralysis,
Pneumonia,
Itheuniatism, .
Scrofula, .
Sea-sickness, .
Somnambulism,
Suppressed Eruption
Suppressed Ulcer,
Satyriasis,
Tic Douloureux,
Tumor, .
Whooping Cough,
Amenorrhcea, .
Ivactation, Excesslv
Menorrhagia, .
Menorrhagia, Suppressed
Miscarriage,
1S68.
Males. Females.
li
1
12
Previously.
Males. Females.
10
2
3
188
3
2
1
52
1
257
1
19
18
30
91
5
4
1
4
1
1
1
3
12
2
2
69
3
1
72
1
1
944
3
10
4
34
30
1
4
1
2
3
3
23
4
10
27
5
16 LUNATIC HOSPITAL AT WORCESTER. [Oct.
Table No. 5. — Concluded.
1SG8.
Pkeviouslt.
CAUSES.
Males.
Females.
Males.
Females.
Pregnancy,
_
_
_
12
Puerperal,
_
12
—
228
Turn of Life, .
-
9
-
90
Amputation of Leg,
-
-
1
-
Bathing in Cold Water,
_
-
3
-
Drinking Cold Water,
_
-
1
_
Exposure to Cold, .
-
-
11
13
Injuries by Falling, &c.,
-
_
21
7
Injury of Head,
3
2
61
14
Injury of Spine,
-
-
5
8
Lead, Poison of.
5 •
-
5
-
Lightning, Stroke of.
-
_
-
1
Labor, Excessive, .
-
-
44
60
Loss of Sleep, .
-
-
1
3
Study, Excessive, .
-
-
29
12
Spiritualism, .
-
-
22
24
Criminal Trial,
_
-
-
1
False Accusation, .
-
_
-
1
Imprisonment, .
-
-
4
1
Death of Relatives, .
—
—
31
90
Domestic Trouble, ,
-
-
115
346
Marriage, Unhappy,
2
6
2
5
Disappointment in Love,
-
6
67
102
Disappointed Ambition,
1
-
9
9
Home Sickness,
—
_
6
18
Fright,_ .
-
-
21
24
Seduction,
-
-
-
3
Millerism,
-
-
9
6
Political Excitement,
-
-
10
1
Religious Excitement,
5
2
158
177
Pecuniary Trouble,
-
-
145
38
Poverty, .
-
-
1
1
Poverty, Fear of.
-
-
32
8
Prosecution, .
-
-
1
-
Giving up Business, .
-
-
2
-
Change of Business,
1
-
9
-
Violent Temper,
-
-
2
15
Jealousy,
-
-
18
28
Intemperance,
30
4
630
87
Opium, Use of,
-
-
3
9
Tobacco, Use of.
-
-
2
7
Masturbation, .
21
6
409
69
Venery, Excess of, .
-
-
1
-
Unknown,
12
18
1,143
1,164
Hereditary or Periodical,
45
55
-
-
Totals, .
•
158
138
3,937
3,965
The foregoing table shows the assigned causes of insanity of
the patients admitted during the year, and also of all the pa-
1868.]
PUBLIC DOCUMENT— No. 23.
17
tients admitted iu previous years since the hospital was opened.
The classification is given as indicating very clearly the relation
of cause and effect in the progress of mental disease. It does
illustrate to some extent the predisposing influences as to
whether they are moral or physical in their nature. In this
respect the table is valuable, having been carefully kept nearly
thirty-six years, and embracing more than eight thousand cases.
1 have endeavored to re-arrange and classify anew the whole
number of cases, and show in a more acceptable manner the
conditions and circumstances influencing the health of the
patients previous to invasion of mental disease.
Having personally known a majority of all the patients ad-
mitted to the hospital, and having carefully studied the histo-
ries of all others, I may be able to present a new classification
in my next annual report.
Table No. 6,
Showing the Ages of Patients Admitted, Discharged Recovered, not Recovered,
and Died during the Year.
AGES.
Admitted.
DiSCnAEGED EE-
COVEKED.
BiSCHAKGED NOT
Eecoveked.
Died.
Males.
Females.
Males.
Females.
Males.
Females.
Males.
Females.
Less than 15, .
1
2
1
From 15 to 20,
8
5
1
2
2
6
_
_
20 to 30,
37
2G
21
11
17
10
2'
1
30 to 40,
40
30
16
9
17
12
1
o
40 to 50,
30
40
8
11
14
18
6
o
■ 50 to 60,
22
11
12
6
9
8
6
3
60 to 70,
6
15
2
6
3
5
1
1
70 to 80,
12
7
2
1
1
2
5
1
80 to 90,
-
1
-
-
-
-
-
o
Unknown,. .
3
2
-
-
1
-
-
-
Totals, . .
158
138
62
48
64.
62
21
12
18
LUNATIC HOSPITAL AT WORCESTER. [Oct.
Table No. 7,
Showing tlie Ages of Patients Admitted, Discharged Recovered, not Recovered,
and Died, from January 18, 1833, to September 30, 1867.
Admitted.
Discharged Ee-
COVEEED.
Discharged not
Kecovered.
Died.
AGES.
Males.
Females.
Males.
Females.
Males.
Females.
Males.
Females.
Less than 15, .
33
27
7
11
21
12
2
2
From 15 to 20,
338
243
]30
148
71
68
15
16
20 to 30,
1,042
990
519
505
376
385
69
75
30 to 40,
966
1,046
467
503
410
383
106
100
40 to 50,
832
857
352
395
299
291
112
100
50 to 60,
440
482
193
226
166
158
79
87
60 to 70,
266
229
93
108
103
71
58
58
70 to 80,
104
75
24
26
27
21
44
25
80 to 90,
1
15
6
o
5
4
6
7
Unknown, . .
1
1
-
-
-
-
-
-
Totals, . .
3,937
3,965
1,791
1,924
1,418
1,393
491
470
Table No. 8,
Showing the Duration of Insanity before Admission of Patients Admitted, Dis-
charged Recovered, not Recovered, and Died during the Year.
Admitted.
Discharged
Kecovered.
Discli'd not
Kecovered.
Died.
DURATION OF ISSAKITY.
1
1
fa
"3
§
fa
i
fa
1
fa
Insane 1 year or less,
86
74
44
38
11
16'
5
6
More than 1 year, and less than
2 vears,
15
14
9
7
14
13
2
2
More than 2 years, and less than
5 years,
16
19
3
3
13
16
9
2
More than 5 years and less than
10 years, ....
More than 10 years and less than
11
9
-
—
16
10
2
—
15 years, ....
More than 15 years and less than
13
5
6
-
3
4
3
—
20 years, ....
5
3
-
-
1
1
-
-
More than 20 years and less than
25 years, ....
More than 25 years and less than
4
5
—
—
1
1
—
2
30 years, ....
2
3
-
-
1
1
-
-
Thirty years or more.
Unknown,
1
5
158
1
5
138
62
48
4
-
21
-
Totals, .....
64
62
12
1868.]
PUBLIC DOCUMENT— No. 23.
19
Table No. 9,
Showing the Duration of Insanity lefore Admission of Patients Admitted, Dis-
charged Recovered, not Recovered, and Died, from January 18, 1833, to Sep-
tember 30, 1867.
Admitted.
Discharged Ee-
covered.
Discharged not
Recovered.
Died.'
DDBATIOX OF IXSAXITY.
m
oi
m
.
"a
3
s
o
a
S
"3
■3
a
"3
1
Insane one year cr less, .
2,486
2,679
1,378
1,505
672
640
244
288
More than one year, and
less than 2 years, .
164
130
176
161
122
94
35
17
More than 2 years, and
less than 5 years, .
549
521
118
136
210
191
93
67
More than 5 years, and
less than 10 years.
303
280
48
1
57
214
208
38
31
More than 10 A'ears, and
less then 15 years,
158
170
14
23
112
104
32
27
More than 15 years, and
1
less than 20 years.
73
47
9
9
46
66
20
11
More than 20 years, and
less than 25 years.
50
44
7
-
33
36
5
8
More than 25 years, and
less than 30 years,
21
16
5
1
11
10
7
6
Thirty years or more.
33
29
2
5
13
13
9
7
Unknown,
100
49
24
21
45
31
8 8
Totals, .
3,937 3,965
2,791
1,924
1,478
1,393
491
470
20
LUNATIC HOSPITAL AT WORCESTER. [Oct.
Table No. 10,
Showing iJie Civil Condition of Patients Admitted, Discliarged Recovered, not
Recovered, and Died during the year.
CIVIL
Admitted.
DiSCHAEGED EE-
COVEKED.
Discharged not
Eecovered.
Died.
CONDITION.
Males.
Females.
Males.
Females.
Males.
Females.
Males.
Females.
Unmarried, .
Married,
Widowers,
Widows,
Unknown,
75
67
16
50
59
29
30
26
5
1
13
21
14
48
40
18
4
2
25
25
12
5
14
2
2
7
3
Totals,
158
138
62
1
64
62
21
12
Table No. 11,
Showing the Civil Condition of Patients Admiiied, Discharged Recovered, not
Recovered, and Died, from January 18, 1833, to September 30, 1'867.
CIVIL
Admitted.
Discharged Ee-
covered.
Discharged NOT
Eecoveked.
Died.
CONDITION.
Males.
Females.
Males.
Females.
Males.
Females.
Males.
Females.
Unmarried, .
Married,
Widowers,
Widows,
Unknown,
2,072
1,661
179
25
1,686
1,778
480
21
890
828
70
3
769
917
235
3
893
517
56
12
732
507
140
14
187
241
57
6
198
182
88
2
Totals,
3,937
3,965
1,791
1,924
1,478
1,393
491
470
18G8.]
PUBLIC DOCUMENT— No. 23.
2L
Table No. 12,
Showing the Occupation of Patients admi'ted to the Hospital from January 18,
1833, to September 30, 1868.
OCCUPATION OF JIALES.
1868.
Previously.
Auctioneers,
2
Armorers,
_
3
Authors, ....
_
3
Blacksmiths and Iron-workers,
2
70
Bakers, ....
-
12
Butchers, ....
_
5
Book-a.2;ents,
-
2
Book-binders, .
1
3
Broom-makers, ...
-
2
Book-keepers, .
-
10
Brittania-workers,
_
2
Brick-makers, . . .
_
6
Bellows-makers,
_
2
Barbers, ....
3
16
Clergymen,
-
25
Carvers, ....
-
3
Carpenters,
6
127
Coppersmiths, .
-
9
Coopers, ....
-
22
Cabinet-makers,
_
17
Clothiers, .
_
18
Comb-makers, .
_
4
Confectioners, .
_
3
Card-makers, .
_
1
Chair-makers, .
-
3
Cisar-makers, .
_
6
Clerks, ....
9
111
Carpet-weaver?,
-
3
Caulkers, ....
_
3
Camphene-distillers, .
-
3
Dyers, ....
-
3
Druggists, ....
_
3
Drovers, ....
_
2
Daguerreotypeists, .
-
4
Engineers,
2
2
Engravers,
_
4
Editors, ....
_
4
Expressmen, ....
-
14
Farmers, ....
26.
763
Fishermen, ....
_
35
Gardeners, ....
_
10
Glass-blowers, ....
_
4
Hotel-keepers, ....
_
14
Hatters,
1
8
Harness-makers,
1
14
Hacknien and Teamsters,
_
37
Jewellers, ....
3
21
22 LUNATIC HOSPITAL AT WORCESTER. [Oct.
Table No. 12— Continued.
OCCUPATION OF MALES.
1S68.
Lawyers,
Laborers, ........ 39
Manufacturers, 1
Millers,
Merchants, 2
Masons, 4
Miners, •••....
Miniature-painter, .....
Mat-makers,
Musicians, ....... 2
Machinists, 5
Moulders,
Operatives in Mills,
Palm leaf splitter,
Painters, 4
Printers, 1
Physicians, ....... 2
Paper-makers,
Peddlers,
Potter,
Pump and Block makers, .
Pattern-makers, .....
Plumbers, ......
Police Officers,
Rope-makers, ......
Restaurators, . . - . . . . . ■ 1
Shoemakers and Boot-makers, .... 11
Sail-makers, ......
Soap-makers,
Sash and Blind makers, ....
Sea-captains, 2
Sailors, ........ 2
Students, 1
Ship-carpenters, .....
Shop-keepers, 3
Stone-cutters,
Soldiers, 2
Sexton, . . . .
Stevedore,
Surveyors, ......
School-boys, 2
Tailors, 1
Teachers,
Tobacconists,
Tinners, .......
Tanners, ........ 4
Umbrella-makers,
Wheelwrights, ......
No occupation, ...... 7
Totals, 158
1868.] PUBLIC DOCUMENT— No. 23.
Table No. 12 — Concluded.
23
OCCUPATION OF FEMALES.
1S68.
Previously.
Actresses, .
2
Cooks,
1
64
Engraver,
—
1
Housekeepers, .
77
2,128
Housemaids,
23
408
Laundresses,
-
4
Music teachers,
-
3
Midwives,
-
2
Nurses,
1
14
Operatives in Mills,
10
227
Seamstresses, .
23
746
School-girls,
1
45
Teachers,
2
82
Type-setters, .
-
3
TSo occupation,
-
286
Totals,
138
3,965
Table No. 13.
Diseases icliich have proved fatal, from January 18, 1833, to September 30, 1868.
1868.
Previously.
DISEASES.
Males.
Females.
Males.
Females.
Apoplexia,
Asphyxia,
Asthma, .
1
1
16
2
4
11
1
Ascites, .
_
_
5
7
Antochiria,
1
-
16
11
Bronchitis,
-
-
2
-
Carcinoma,
-
—
2
2
Cardionosus, .
_
_
13
14
Cholera, .
_
_
5
_
Cholera Morbus,
_
-
2
3
Cystitis, .
-
-
1
1
Dysentcria,
-
-
12
6
Delirium Tremens,
_
-
4
_
Enteritis,
_
—
6
9
Epilepsia,
Erysipelas,
Hepatitis,
4
1
1
74
9
37
10
2
Hydrothorax, .
-
-
1
1
Hernia, .
—
-
1
—
Inanilia, .
-
1
38
58
21 LUNATIC HOSPITAL AT WORCESTER.
Table No. 13 — Concluded.
[Oct.
1868.
Previously.
DISEASES.
Males.
Females.
Males.
Females.
Mania, Exhaustive, ....
2
O
15
15
Marasmus,
1
1
72
70
Meningitis,
_
_
11
15 •
Mortiticatio,
_
_
_
1
Necropneumonia,
_
-
1
2
Paralysis,
9
1
55
20
Plitliisis Pulmonalis,
1
2
65
124
Pleuritis, .
—
_
_
2
Pneumonia,
1
_
15
•9
Senectns,
3
29
21
Typlio-Mania, .
_
_
8
11
Typhoid Fever,
_
_
8
6
Variola, .
21
12
1
-
Totals, .
•
491
470
Table No. 14,
Shoxo'mg the Admissions from each County, from January 18, 1833, to Septevi-
ler 30, 1868.
.
1868.
Previousl3'.
AVhole Ko.
Males.
Females.
Totals.
Barnstable,
128
128
Berkshire,
-
_
_
190
190
Bristol,
1
1
2
294
296
Dukes,..
1
-
1
19-
20
Essex,
29
29
58
1,159
1,217
Franklin,
X
_
1
126
127
Hampden,
1
4
5
372
377
Hampshire,
1
2
3
325
228
Middlesex,
52
40
92
1,386 '
1,379
Nantucket,
-
-
—
32
32
Norfolk, .
5
7
12
637
649
Plymouth,
-
-
_
238
238
Suffolk, .
7
9
16
742
758
Worcester,
59
45
104
2,312
2,303
Other States,
• 1
1
2
42
44
Totals,
158
138
296
7,902
8,198
1868.]
PUBLIC DOCUMENT— No. 23.
25
Table No. 15, *
Showing the Whole Nuniber of Patients during the last year, the Average Num-
ber, the Number at the end of each year, the Expense of each year, the Annual
Expense for each Patient, and the Expense of each Patient per week for each
of the Thirty-six years the Hospital has been in operation.
K"o. at
Current
Annual
Expense per
YEAES.
Whole
Number.
Average
dumber.
end of each
Year.
Expenses of eacb
Year.
Expense for each
Patient.
Week for
each Patient.
1833, .
153
107
114
$12,272 91
$114 67
$2 25
1834, .
233
117
118
15,840 97
135 38
2 60
1835, .
241
120
119
16,576 44
137 30
2 64
1836, .
245
127
138
21,395 28
168 44
3 12
1837, .
306
163
185
26,027 07
159 64
3 07
1838, .
362
211
218
28,739 40
136 20
2 62
1839, .
397
223
229
29,474 41
132 16
2 53
18i0, .
391
229
236
27,844 98
121 59
2 33
1841, .
399
233
232
28,847 62
123 81
2 38
1842, .
430
238
238
29,546 87
111 12
2 13
1843, .
458
244
255
27,914 12
114 40
2 20
1844, .
. 491
261
263
29,278 75
112 17
2 15
1845, .
656
316
360
43,888 65
138 88
2 66
1846, .
637
359
367
39,870 37
111 06
2 13
1847, .
607
377
394
• -39,444 47
104 62
2 01
1848, .
655
404
409
42,860 05
106 09
2 05
1849, .
682
420
429
40,870 86
97 31
1 87
1850, .
1 670
4-40
441
46,776 13
106 40
2 04
1851, .
704
462
466
52,485 33
112 61
2 16
1852, .
775
515
532
43,878 35
85 20
1 64
1853, .
820
537
520
53,606 66
103 14
1 98
1854, .
819
430
381
53,221 52
123 77
2 38
1855, .
580
349
336
54,895 88
157 29
3 02
1856, .
577
357
376
45,631 37
128 64
2 47
1857, .
647
387
372
49,004 75
124 04
2 38
1858, .
' 679
372
301
38,207 26
102 86
2 39
1859, .
i 501
309
317
48,363 33
150 51
3 01
1860, .
! 532
324
331
47,757 01
147 39
2 83
1861, .
583
369
379
54,7,48 53
148 37
2 84
1862, .
600
401
396
53,043 88
132 18
2 50
1863, .
611
398
399
66,082 36
166 03
3 19
1864, .
625
366
344
66,612 00
182 00
3 50
1865, .
565
350
343
73,772 41
211 37
4 06
1866, .
! 630
368
381
88,398 73
239 28
4 60
1867, .
i 669
389
355
86,930 88
223 47
4 30
1868, .
651
370
382
72,054 59
197 60
3 80
No epidemic prevailed to any extent during tlie year, and
the health of the patients ^yas, in general, good.
The eold, wet spring, the very severe weather of summer,
and the sudden changes of the temperature during almost the
entire year, exerted an unfavorable influence on the sanitary
26 LUNATIC HOSPITAL AT WORCESTER. [Oct.
condition of such patients as were enfeebled by age and
exhausting bodily and mental disorders. The deaths of thirty-
three patients, — twenty-one men and twelve women, — have
been somewhat less than during the preceding year ; both
absolutely, and when calculated in reference to the average
population. By referring to the proper table it will be seen
that the mortality for the year reached nine per cent, of the
average number of residents, and five per cent, of the whole
number of residents during the year ; while the average mor-
tality, since the opening of the institution, has been a fraction
more than eight per cent, on the average number of patients,
and a fraction less than five per cent, on the whole number of
residents.
On comparing the mortality for the sexes separately, it will
be found, as has been before noticed, that any seeming increase
in the death-rate is nearly confined to male patients. When
the rate of mortality in the hospital is considered, it must not
be forgotten how large a proportion of the more feeble inmates
are advanced in life, — more than one-third of those who died
having passed their sixtieth year, — nor should it be forgotten
that nearly all are broken in health of body and mind long
before their admission to the hospital.
As to the causes of death, there must be noticed the large
proportion from paralysis, epilepsy, apoplexy and other cerebral
disorders, of which, altogether, there were fifteen cases ; and
also the proportion of thoracic diseases, of which there were as
many as six cases : making, altogether, twenty-one deaths out
of the thirty-three tabulated. The remaining twelve embrace
a variety of cases, the character of which is shown in the table
No. 13.
Several cases were brought to the hospital in nearly a dying
condition, and ought not to have been sent to a hospital at all.
Their transit here most likely hastened their death, and entailed
upon the institution an unnecessary expense in nursing and
attendance, besides adding to our bills of mortality. They
seem to have been committed simply because they were not
cleanly in their habits, and required nursing and attendance.
These patients should be taken care of elsewhere, for the few
days or weeks they may live, and not be sent to an institution
which should be kept as far as possible for curative purposes.
1868.] PUBLIC DOCUMENT— No. 23. 27
It will be seen by reference to table No. 15, that while the
average number of patients was less than during the preceding
year, the average weekly expense was reduced from four dollars
and thirty cents to three dollars and eighty cents, — a fact which
seems to promise for the future something of our old-time
financial prosperity. The weekly expense steadily advanced
during the war until it reached the sum of four dollars and
sixty cents in 1866. While the cost of support has been mate-
rially lessened, the property of the Commonwealth has not been
suffered to deteriorate, nor has there been any reduction in the
quality or quantity of the supplies.
In fact, the whole treatment of the patients, in a medical,
moral and hygienic point of view, has received a full share of
attention, so that the institution might be, as it has been, as far
as possible, curative, and afford relief in those cases where
recovery seemed impossible.
Insanity is so essentially a disease of debility, that, as a
necessary starting point to its successful treatment, a good and
generous dietary is indispensable. No less desirable are faith-
ful and skilful nurses and attendants. In addition to this,
large outlays must be made, annually, to provide other com-
forts, without which little can be accomplished.
Add to all this the expense necessary for the annual repairs
of an establishment subject to the hard usage of a hospital for
the insane, and it will not be expected that the weekly expense
per patient can be reduced very much lower.
All the usual sources of intellectual occupation are kept up,
as formerly, — the library, periodicals, and daily and weekly
papers. Tiie lectures, concerts, social re-unions have been the
means of giving much comfort and relief to our patients who
would otherwise have suffered from the dull monotony of a
hospital routine. The usual recreations of games, rides, walks,
and everything that can be made available for the healthy and
innocent occupation of mind, have been freely encouraged and
employed. I ought not to omit the daily religious services in
the chapel, and the frequent, well-timed visits of the Chaplain,
Rev. George Allen, as among the best and highest prized privi-
leges of the patients.
The usual tables showing the extent to which the patients
have been industriously occupied by the amount of work oxe-
28 LUNATIC HOSPITAL AT WORCESTER. [Oct.
cuted in the house, in the shops and in the gardens and on the
farm are necessarily omitted. But when I remind you that
last year nearly thirty thousand days' work were accomplished,
and nearly the same amount in each of several previous years,
you will be ready to believe that a respectable degree of indus-
try has marked the year just closed.
The great disproportion between the employed and the aggre-
gate number of patients is always noticed and often commented
upon. Those persons who regard this disproportion unfavorably
are apt to overlook the greatly impaired physical condition of a
large majority of insane persons. Regarding as I do occupation
as one of the most important curative agents in the treatment
of insanity, and urging its adoption upon all, both in and out
of my own hospital, it ought of course to be my desire to bring
this curative agent into full force.
When we look for a moment at the population of the house,
it is evident that we cannot draw to a much greater extent
upon the fluctuating portion of it for carrying on the process of
either trade or farm labor. This class of our patients, to us,
improve, or recover and go away. During a large part of the
time they are with us, they not only are unfit for labor, but re-
quire extraordinary care and attention to preserve their health
and lives. Then, the smaller class who sicken and die are not
to be regarded in reference to any plan of occupation. If we
turn our attention to the more, fixed population, we shall find
indolence is one of the most marked characteristics of dementia,
and that incapacity for useful employment is quite frequently
the measure of imbecility.
The general paralytics and epileptics, who comprise classes of
large and increasing numbers, are, aside from all considerations
of their physical condition, too uncertain and too dangerous for
any sort of occupation. It is worthy of remark, that though
the employments of the male patients are distributed among a
great number of trades, we can claim at any one period but
very few competent workmen, in any one of them most useful
to the institution. Few indeed are there able to perform daily
labor.
For example, we have had committed to our care during the
past year four masons, one of whom was discharged at the end
of one week, one is upwards of seventy years of age, one is
1868.] PUBLIC DOCUMENT— No. 23. 29
demented, and constantly excited, and the fourth is demented,
but works daily. Of painters there were three admissions, one
of whom is a young man, paralytic, one is seventy-four years of
age and helpless, and the third was discharged within two
months of the time of his admission. Of tailors there was but
one admission, a paralytic. Of blacksmiths there were two ad-
missions, one of whom was a man seventy-three years of age,
and one young man who was discharged at the end of sis weeks.
Of shoemakers there were eight admissions, four of whom were
discharged within about three months of the time of their ad-
mission, one is homicidal and dangerous, two are paralytic, and
one is epileptic. Of machinists there were five admissions, two
of whom were discharged within two months of the time of
their admission, one is homicidal, one paralytic, and one epilep-
tic. Of carpenters there were five admissions, one of whom
works daily, two are thoroughly demented, and two are each
seventy-nine years of age, and work a little every day.
Very nearly the same conditions will be found to exist, if we
follow through the occupations of all those committed to the
hospital in the course of any one year.
Notwithstandhig all these discouragements, I am more than
ever convinced of the value of systematic occupation as a pow-
erful curative agent in the treatment of the insane — not man-
ual labor merely, but occupation, manual and mental, which
shall employ to the fullest extent consistent with improving
health, every mind and every body under the care and control
of the institution.
30
LUNATIC HOSPITAL AT WORCESTER. [Oct.
coooi— (coooi I'^iiDiCicocor-ieoco-^cs Icoiooi
COCOr- ICOIOCO OCDOICOOSOf— (O]00t>. lOOCO
1—10510 10 (Mb- 10>— IC5(Mi— li— IO500"*t-- lOiOO
•^(MCMt— ICOlO I^'*IO)rHO50OOJ(MO5-5tl coo-"*
C^lOJi— I CD-^i— li— I I— I -*
COCOOOCOCMt- |CJO5tHO5(MtH05C0CO1>. IOOOO
i>.iocooiOi:o oDCMcceoi— io<— (T-toeo i>.co(m
T-ICDOOIGOO Il0 05a5':0 10i— IIOIOCDIO I 1^-01'*
coTficoeo-^co ioo(McoOi— ii— it-hcoos cocoo
CM (Mi— I COTjit-li— Ir-lT— I I— 1 TJ^
O CO 07) CO !•- O
■^ — I O (M O CO
CM <M rH
r^ "rfi lo
O 05 O I
CO CO rH ^
t^ O TfH -J t^ OO
Jr^ t^ lO CO Tfl CO
CM (M ^
I t^ t- CO
CO CO CO i
CO CO T-( -
CO CO (M lO lO r)i
oi oi CM o) crj CM
(M ^ —I
I CO o -tH '
lO CO CD I
lO CO — I ■
CD 00 "*! O OJ >o
CO CM O-J -* -* I— I
CM CM ^
1— I CO oi :
Oi CO O I
-*i (M .— I '
O CO CO CM CO (M
CM O .—I CO CO (M
CM CM rH
I C30 >0 ^
lO lO "— I
-*l OI ^ ■
I O (» t^ I
CO CO O I
•5^ CM --I
• CM CO t^ CJ
I CX) CO CO rH
I CD (M CO '
Ct) CO 1>- I
CO CO
I l^ lO CO
CO Tti CO
) CM 05 05 lO
) CX) d CM 1— I
I 1— I CO lO 1
05 CO !>. I
CO CM
C35 00 O Oi h- CM
t- CD (» (M CO CM
1 l^CiOOlCDO'^COCOCD
05 C^.l GO 05 CO CO 1-1 CM lO
CO CM - 1—1
1 CM CO CO
CO -*i oi
(M
t^ -"SH t- CM CM r-l
r— I rH
1 CMOOCOi-l-^rHOCOCO-*
CO^HOSCOt^iOi— I (MiO
CO CM 1-1
1 lO 1-1 rH
•^ CO 1—1
CM
CO r-l 05 CO O 05
CO (M CD <M CM
1 CDlO-^i^llOt^COCOOJOl
OCOOSt-COrtl CM CO
CO i-t 1—1
1 t^(M CO
CO CO CO
T— 1
LO CD 00 IXM CO
C>> O lO r-( (M
1—1 1— (
1 lOCOiOOCOi— ICDCMt^OO
rJH CO CO CO lO T' 1—1
CM 1—1 1—1
1 (M CD N.
CO CM CM
1—1
I r— I CO C30 Oi I
1—1 CO "* CD I
S ^
bo
n3 Ti
rS .22 OJ
3
t- tj o
o c
(U 03 a> a o
^ ^ ;h .5 s
S S 13 ^3 'T3
D p oj a> (D
fi C be be bJD
o o -r, T",
J5 ^
i-a
be
• a
c •
^.
c-n
q;
3 '^
a
a.?
£ a
^ 1=
^^
03 -2;
rd CO
a.9
a^
_r ►. o)
^ 'a bfi •
iS a> s-
■ J (- J.
.5 03 ^3
a ^ o 'a
'S -^ .2 —-.2
:^pftppW^p^g
s-i s-l a-
3 03 > f>
^ r; rj CJ
-^ — --^ 0)
C C fl '-^
2i ;^ pr ;^ ph ^ f
5 a
C3 3
' ro 03
03 be
!'^ S
S 03
1868.]
PUBLIC DOCUMENT— No. 23.
31
00 CO lO (M O ■^ CO I
05 >— ' (M T— I 00 C5
i-M 00 00 :o CO oi
oo'i>rc6~.-ri-r
I lOcot-cicMCir^ococotMco
05000'-HCO(Mr-.iOiOt^(M
o^r-j_02_oj_io -^ ci_co^t— I (»^ca_co
TJ^T^'COCO" (M'c-r r-Ti-T
«3 CO 1—1 I— 1 I— I 1—1
00 'rfH CO ^ (M CO
CO 1— I >o o 1— I ■*
CI CO 1—1 1—1
COlOlOCOCO'^iClT— lOiOO COI>-CO
COCOi— 11— II— 11— I 1—1 CO
osoicimtoo I o— lcocD<^l^^^~co1— ir—i— icMt^oo
CXDTiHCOC5(MTrl COCOOCJrtiOCMr- IO500 •<5H"*ICO
CM CM COCOi— li— li— lr-( 1—1 CO
1— i-fiiOOOOOCO |lOi— lt>.";tli005 0Jt-IOOO I.— iirHO
(M <M O lO CI CO CO -^ 1— 1 O 1— I O 1— 1 CM OJ C5 lO lO lO
CMCNi—l OCOi— li— li— Ir-I 1—1 CO
CDr-HOClCOOO l>C5rJ^lO.-^lOCO^^CO<MT^^ lOOCO
(M CO CO O 1—1 00 CI I*! O) O iQ CI r-i I— I CM C31 t- CO CO
(MCli— If-I COCOi— li— li— li-l 1—1 CO
lOCJ-*lOCIO I 1— (03-*i— il>.'^CD-*COi— li— li— ICOOD
I— ii— (OOi— ICO I— loii— lOi— icii—ii— iTiHt>. 0005
(M CI 1—1 COCOi— It— li— 1 1—1 CO
o
C!
o
o
i-('#'*icii>.-^ I ococococicii— icooOt-iciooco^^
CIOCICO CO OOOi— lOi— iT-ICJrriClOOCD.O
CI C3 r-l CO CO 1—1 1—1 1—1 1—1 TJH
.-iTtii-ioooo |coojt^-*icocO'*ioo.-i ifocoos
lOOCOCO CO OOl^ClClOSOi—li— icoi>. cococo
CI CI ^ O CO ^ .— I 1—1 rH CO
O 1-1 Ci O O CI I CI 1— I O O CI CTl CJ O CO t^ I O T+i tH
1— lOCJCOi— lC4 COCOOi— lOOii— Ir-lOO COCOCl
CJCIi— I OCOi— iT-lt-l ,—1 -o
O ■<*! C5 CI CO o
O 00 OD O I— I CO
CI 1—1
|i— it^co-e'OOiOO'^co icocoo
Oi— lOClOlOOCJi—lCOCO "*i'*10
O M .-1 ,-1 CO
t^ CO t^ -* 1-1 ^
O t^ CI t^ rtl CO
CO CO ^ 1-1
05 1— I CI O O CO CO CO — I ^^ C35 O C] CI
t^OrtiCOCOOii— ir-<OCOQOOtr~l>.
COCOr-l^,-(.-l .-I CO
•-1 o o o CO -^
1-, t^ O 1>. Tjt
CI CI »-i
I b- CI CO O CI CO O O CI C3 I -5^1 CO t--
'*<t^ci-^co-Tit-(cicoco t^t^oo
I— I .-( b- CO CO O
"* O 05 Ttl CJ CO
CI CI
I l>-COCIO5t~--*lC01>.C0C0
i>-t-i— icio:o>-ii— iCi'rri
O CO ^ 1-1 1-1 r-l
Oi ■* 05 CO C5 t^
05 -*i O CI 1-- CI
1—1 CI ^
I OCOCOCOi— ICOCO-rt<OCOC000505
OOCOCOi— It— ICOi— It— ICOCO 00-*
CS CO CI CO C5 ■*!
05 CO CI O CI CO
CI Tfl -H CI
I C5i— lO'^iOOOOCSiOl^CJOt-O
1— iCOCIt^C2-*ii— It— iCOOi— irrit^co
(X) CO ^ 1-1 —I CI CI tM
CO o o CO CO t-i
CO o -^ CO t-- ■<9<
CI CO •— 1
lOOCOClCOCOOi— It— 1^^ looo
CI CI CO O CO CO CI CJ rti rli CO 00 CI
CO O 1-1 1-1 1—1 .-1 CI o
05 CO CO ■* t— I o
O Tt< O CO CO "*!
CO CI r-i
I o CI CO I— I CO CI o Id o o I o GO o
t-.CO'^OOOSCIClOO 0-*i.-<
1-- O 1— I 1-1 .— 1 CI o
: J ? -^ 2
'•JB P o S
.5 U
'O o
^ ^ 2 ^«
a) Oi oj r-l o
! S OI 01 OJ
: c tfc s). to
) jj 5 « S • 'P <i> ^
! -a r/3 r/5 vj OJ O -3 g
s
3
^ f • .-:3
^-^
5 5 "5 ■'S 7, '-a
;2;Si
; 1; p: Oi
<v <v <v
32
LUNATIC HOSPITAL AT WORCESTER. [Oct.
r-
iH
6
.^.
^
<o
w
fi^
-1
H
n
CO
o
•^
<M
CD
oo
cs
CJ
1—1
CI
'd^ rH
LO
o
oo
00
^
1—1
I— 1
LO
00
t^
'*!
1—1
1^
"^
00
CO
CO CO
o
LO
LO
OS
1^
00
LO
04
-^
GO
CJ
1—1
o:
-^
'^
•*
00
CJ
o
':t1
-^ '^
CJ
o
o
GO
1—1
T— 1
■'"'
LO
OS
ai
CO
LO
OS
CO
iH
1—1
CJ
lO CI
CO
LO
CJ
OS
oo
00
lO
i-H
1—1
1—1
'■"■'
^
Ir-
t-:
Ol
05
t^
r^
CD
CI
CO '
t^ CI
-^
lO
1>-
•*
1-*
1—1
T— 1
"'"'
^+1
t^
05
f^
CO
i^
O
1-1
LO
O CO
CO
LO
LO
t-
>o
Cvl
1—1
t-i
1—1
^
lO
o
1— 1
x^
HIM
rlKM
T— 1
CO
r^
^
cs
o CO
CO
OS
CO
CO
CO
CO
I— 1
r-\
' ■■
'*!
t-
-^
CO
'^
■^
lO
cs
o
CO
OD CI
o
LO
^+1
oo
C5
>o
OI
1—1
1—1
-r-l
CO
LO
c^
00
OS
OS
CO
CO
cs
t^
o CO
o
o
o
GO
00
lO
CM
rH
1—1
■ '
-*
OS
<>i
tH
CD
CO
OD
ca
m
LO
00 tH
OS
o
o
CO
OJ
■^
1—1
I— 1
-t—
CJ
LO
^
T— 1
OS
1—1
CO
^
CO
^
CI CD
o
o
LO
OS
•m
CJ
Ol
1—1
I— 1
CO
>o
c:;
1—1
CO
Ol
lO
tH
r^
LO
CI b-
CO
LO
Oi
lO
(.^J
(.■^J
1—1
1—1
CO
CD
c»
o
1^
t^
1^
O
o
o
00 CO
CO
LO
CD
OO
05
•^
7—1
(M
(M
lO
OS
CO
O
Cl
LO
CO
OS
O
o
CO CO
CJ
CO
LO
00
iQ
T-l.
Ol
I— 1
I— 1
1—1
-*
t^
jr-:
C5
r^
l-O
1—1
CO
CO
CD
O 1—1
OS
o
00
lO
OJ
OJ
1—1
r-l CJ
CJ
LO
CLO
'^l
KO
cs
CI
1^
CO
CO
LO CD
CO
CJ
o
CO
00
M■^
I— 1
CI
I— 1
1—1 I— 1
CO
CD
^o
<M
CO
00
r-(
r^
t^
OS
CO 1>.
1—1
CD
CO
CO
'^
1—1
CI
1—1
■'"'
CO
CO
■--^
(M
■tH
o
00
CO
CI
.-1
-^ CO
CO
- O
00
lO
(M
1—1
1—1
iH
CI
CO
CD
C^
1
1
1
oo
cs
I— 1
t-
LO LO
CI
l-<
CD
O
■'^
CJ
CO
.
1
u •
o
o
o
m
CS
o
s
a> 1
•
•
•
•
2
2
QJ
■n
CJ
^ r^
.
.
.
•
^ •
to .
15
■73
_
t4-,
(«
=«
.
,
,
a ,
cS .
c3 5-
o
o
O
.9 ^
Cj-,
Cm <0
>%
>^
f^
o ;^
HI
<o
<u
^
,
^
, ,
m ^
t>
t*
t»
o
o
o
o
o
u
o
G .2
c3 „
CS (Vj
o
c
5^
o
o
"a
<s a
Is
3
O
a>
o
s s
O "J*
1'§
<D
aj
OJ
S 9
p^
O
<V m
S^ f-i
0)
CJ
K
-a
H
1-1 r^
53 °
fin
P^
Ph
Ph
Ph
Ph
1868.]
PUBLIC DOCUMENT— No. 23.
33
O
o
n
O
05
r-l
CO
05
'^i
o
CO
t-
a,
»-i
5
rH
I— 1
r-f
00
"^
o»
■^
05
lO
•^
00
o
00
lO
CJ
rH
'^f
t^
(M
»o
<M
lO
1
1-1
1—1
K5
05
o
xdH
•*
CM
1— 1
1—1
•^
t^
CO
O
>-l
Ol
1
1-1
iH
N.
o
•*
1—1
CO
1^
O
1— 1
CM
1-1
CO
rH
c^
CO
o
O
CO
1
(M
1
CO
CO
CO
o
oo
o
Ttl
1—1
CJ
I— 1
»^
CO
lO
r^
OJ
1
CJ
1
CM
rH
CXI
CO
oo
t^
»o
i-H
tH
r-l
CO
o»
CO
r^
CO
lO
1
CO
1—1
Ol
CO
(M
1
GO
t-
o
I— 1
1—1
1— 1
lO
' '
CO
C^
"^H
Cl
1—1
I— 1
1
OS
iH
1—1
1—1
lO
lO
GO
rJH
03
CM
OJ
1—1
lO
CO
t-
t-
■*
j^a
05
r-(
CO
lO
Ol
"tM
CM
LO
(M
CO
rt<
GO
GO
CO
C^J
CJ
o
1—1
o
00
^
00
tH
o
1^
tH
>^
CM
lO
lO
T-l
1— (
GO
t^
CO
CO
CM
1—1
lO
00
«
OJ
-r+l
05
t-
1—1
CO
Ttl
t^
CO
CO
1*1
s
C5
CO
I-l
(M
o
^
'^^^
CO
«
lO
CO
CO
oi
1—1
r^
CO
1—1
U7)
o
^^
GO
t-
•*
1—1
I— 1
r-i
CO
Oi
CO
CO
tM
o
1^
1
to
1-1
^
iH
r-l
1—1
CO
t^
CO
CJ
1—1
lO
05
.
CO
lO
o
CO
iH
Oi
iH
a
iH
O
CO
O
xra
t^
CO
CO
CI
^
CO
1—1
cr;
CO
Cf)
lO
Oi
CO
(M
tH
o
CO
o
o
CO
t^
^
1—1
1—1
..J
CO
c»
ir^
Ol
IC.
r^
o
':+<
O
iH
Cl
CO
o
o
CO
Ci
Ttl
1—1
1— (
t-
— '
rH
t^
-^
o
Ol
m
CO
CO
CO
CM
■^
-*
CO
o
CO
00
o
Ol
crs
^ '
lO
t^
CO
CO
^
r^
'^l
(N
fM
CI
^
o
o
CO
CO
CO
'^
04
■'^
in
t>
t-
i-
CM
CO
1-1
C5
CO
CO
CO
(M
CM
1-1
00
CO
■^
lO
00
•
!^
•
.
.
.
, .
u •
^
CJ
n
P-.
o
?"
a
o
-p
rt
a
wT
03
1
.
.,
.
-q .
S .
o
o
0)
1
«
a
3
''3
tt-
J3
o
to .
,
rrS
O
J2
«
(S
o
rn
-£3
,
o
o
o
o
C
o
•
•
•
CS •
'^ 5
!>»
t
^
tn
O
>
g
•
•
rS
IS
CJ
CJ
CJ
rt
a
OJ
a
gC
?H
^
Cw
n
o
■^ S^
'O M
o
S
C4-,
o
C
o
-1-3
a
O
S
C
CO
3
r2
a;
,J3
3
O
To
&,
o
O)
a,
a
c3
=1-
QJ 4)
o «
o
o
PL,
,
i>
-a
«s
t) ^^
"^
01
1— I
«
H
Q-i
►— 1
r^
(^
Ck
p-t
Pui
P^
Oh
34
LUNATIC HOSPITAL AT WORCESTER. [Oct.
00
CO
CO
o
CO
CO
GO
CO*
^
--8
^
W fk
g -3
fl CD
Is
2 Ts2
o do
TJ p
a
a a a
Ttl 05 o to
i-l i~t 'r-t
05 05 00 00
2 a
03 Ci
aaaa sa a
m xn ui xn mm
>-l Jh !-. M ^4 i-(
C^ I?? 1?^ C^ tM CM 1—1
(M C^JCQ CM (MO?
Pi ^
^
Sh
!h
H
p-(
0-1
to
r£3
Sh
fl
T3 ij'^
« S '='
o o o
dnfMO-i
CO CO (M «0
i-H COt^
t> S
« 2
o &^
P-o
aa
in m
<M CI ^-H
^ CO
2 ^ o 3 iS
HOO t^O O30
<M (M <N (N l>) i-l i-H
t^ CO 05J30 i-i (M CO
CO CO CO o -* -^ '^ 13 -* -^
CO >->oo cjoo (lOO Coo mQO_Q0O ^ (»c
g Q g <1 <ii fe H?:z;
(M CO lO M (M
00 (3500 CO OOi-l
)'co ^ bbo >'^'S >>°o "C CO
^^
do
weeks
years
do
rd
A
ii
o
S-l
c«
a^
C0l0-<M>0
1-t CO
CM
•o
-*t~
.- /■
5 ^5
t> a P So^ pt) Q s t)3
CM
CON r-l r^ocio CN C5
OOt— 00 ->*<(MCMOO — ii— I
lOt^ 05 0<MC-JM TjHTfi
— lr-( r-< (MCNCNOq 1M<N
.-H <M CO
00 C5 CO
1868.]
PUBLIC DOCUMENT— No. 23. 85
Qi n3 "^ '^
o
o o o
o o o
o
O O O
-d ^ ,2,25.5
.S £ fd tS 13 "d
■73
T3 'd-d
TSTS-d
'dTS'Ti
<U
2 i-i
w
'TS
Ti
-d
-d
n3 Hd ^d
<a
a>
<u
<u
a> CD a>
>
d
>
t>-
t»
> t- (►
-d 2
.2-^
2 -a
S-d
2-^
IB ?► O
3 OTS
oo g-o g
o o o o
•^ 'd 'd "^
-d S o
'd g o
.2 fl S l> fl ►► fl >55
^c>ofloCo''3'd
tH "^
c3 Ji
""' rH
•-' n
.^ SH
•.-1 5 H "^ !H •', H
O. •"
,c! Ph
-M Ph
■w ft
-tJ P.
^ g fl<+j p.^ ft
^ ^
,°a
<l P5 h- 1 i'^ 1— 1 (!i( H- 1
ra rd
TJ
-d
<u a>
a>
<u
»
»
MM bO
to tc
05 bD03
PJ
a
t! C b
fl t3
fl h fl
•5 o o o
"2 O
o o o o o
o o o o
OS .rl oS
•302
•3°"* '3 ©0000®
gr^TSTS
-^a^
rtinzl'TS'^
g a ^
1'^"
grdrfl g OS .73 rd -d 'd 'd
<u
.2 IB
.2 <u.2
<B .2
<i) .2 0
cs;
QP^
QPhR
p^ p
P^ QP^
^^^^
J3
^^■5^^
a> m !c ID
■5 -^
.fl
.fl.fl^.fl.fl.fl,£-fl^.fl
s ssa
s
saass
sssa
a s
a
aaaaaaaa ea
CO to G3 C3
,_(
CO'-li-lO o
»0-*C<I C5
O CD
0
COiOOJlo-*'-''-!'-''-"-'
t-H
f— ) I— t
r-t
rH
03 03 U) V3
CQ t» CO
ai CO ro cQ u)
03 CO TO M
B! CO CO
m m CO
COCDCO0QO5COcoa5a50Q
M ti "-I !-i
h h h
iH fc< JH IH f^
;h M JM h
%^ U 1-*
ti M h
»Hhh;-iM^^MMM
>~,t^>^t>-.
f^>>(>>
f», ;>^ i>» p>% p^.
^?>,1>>P^
P-.k»(»,
P^>,P>.
P-.>-.>.l>>(*>>.f»>l>^>^>,
oooot^t~
iraio Tjf
•* ^^^coeo
COCO CON
i-((M^
1-1^0
000300 00000
m
m ^
m ^ m -u
j„ ^
05 *J>
-^ CO -M
IH i-tj
K M
M h iH )H
M ^
>H »H
rd J-< "tJ »-< M
s y c
S :=!
S^ P S ^
S !=!
<u d
fl !=! fl ? S
° So
m o
Si o S o
S^ o
<U 0
0 0 0 S 0 >H
So^
aj ^ Oi O -,
o o o o
„ "O
O <D ^>
°s"
=«^«S^^°o°
o 15
0.20 1?
^ "TJ IT3 r^
-d t-^
O c3
'd S-i^
13 (D^ 4) t-^^^-drdrd
S o
^ M
2 § 2 o
,d ^-r j3 h
HSH P-i
^ i-1
.fl M
P-i H!l(
H Ph
HP,
HCU
Ph CLi PL, H Pm 0
s
^
,fl
raont
years
do
do
o "1' S
"If,
O o o o o
o o o «
11'
-u 05
0 '^^
a^"
•SobooOoooo
S-d g -d 'd TS ^d 13 rd nd
'O'd'd'd'd
COUSN o
t^i-HCO
>0^0«5CD
COUSlO ■*
cocqco
cqi-j^
7-li-<CD0050C<loC3?at:^
!M
■-H rt CO
r-((M
^ <M
a ' ' '
.2
o • • •
. . .
• c • • •
_o
....
• . .
• • •
fl
. <u
....
hi
o
^ 2
g u g-^ p
o cfl o :j o
o Si 0 5 c
s
Disappointed i
111 health, .
Unknown, .
Fever, .
• • 0
.2
cS o <u
h M
a '
'S 0-9 =^
• fl •
.2
• fl ■
o"! 0
fl5 fl
0.2^ 0 5 Sio a 2 =^
flSP fl-^'^S-SS-tJ
d^ d=22c^flU
P^ O
c o el ts a
to h^&^
fl ts fl
tS
n:)
rd Tj
•- o o
toSoo
a> (1) <u
g-d bct;
O^O
000
^ T3 qj
na'd bCTS'd
•d bD-a
'd'd'd
S bBH-d Mrd C bCnd M
0 C< 0
«3
^r n
cS £3 c«
a
c! fl cS _C f-< C8 _fl ^
S
^ E«
2 coS
t»
J^coS ccFSiw i^
<u o
a>
<u
0
(U a> <u
o o o
^ O O 6 O
c< 'd -a TJ'd
It
O O fl o
.2 '^,2
I.S0
fl^ 0 B.2ao42oo
g c^rd g ci grd^-d-d
SP^SlJH
S
fc<
E^g pi:<J3&4 ^
eoininco os'oo cd'cocoim "ifoojo «ooco »oot— ico05iMio-*<0003>o«2
eo(N-Hoo (Ncoo co.-i(N<»o oot^r~.Tj( cooeo Oicoco •-i >o c<) so os IQ O o Q o
(N i-HIM Mr-H rlCO ■-((M i-lrtIN CO rHi-HIM r-(l-^ (MCO«>COCO
O CO -H ic CD t-. CO
_ H, <| O CO O H, <| » 1^ 2 <iSi-5 P 02 P _ mO <I <i>-5 <J
O i- 'O CO 10 -t< ■—( CO -»( CO .-< CD !M ■— I CSI CT> »--J^CO t^coo t^ o >f5 03 C-l <M CO o >-; -J
COCIO.-H CT>r-ico a3coco-H-*< coiocoio coioo r-(co>o -*<^ooc»050t~g5g;g;
CO-f'DO CO-f-i< -Tt'CDOt'-l^ COCOCOCT) ,-i,-i^ -+<^rt( lOioiOWSCOi^CDCD^CD
cocococo rf'*'^ ■^ti'*-*-^ -^•^■^Tti loioira >oio'o id'Oiraira'O'Oio'Oic'O
36
LUNATIC HOSPITAL AT WORCESTER. [Oct.
^
f— < '~->
ea *«
"2 .2
'o
.1-1 .^
t3 "tS o
'S •3
1 ■§
a
O o
w
Ph ^
h
lA
lA
>>
-.4 S
T3 ns
iidal.
editar
do
13 13
!§ £
•r* <i>
•r! <u
» S!
5s J-f
C^ M
02 W
;g M
3 tS
m £3
W3pH
tS
tS T3 '«
^ .2
-2
a)
O <U <L>
rt
>
>- (> t>
•(->
■13
2 -«
2 -^2 ^2
^'^ 2 0."^
a!>>:^oooSt.o
"cS
g^ooSoooo
.§r§ gr§r§ ^ g r§ g g^
,«
^
•-' ^H
•r- n--^ S-'^
OJ SH-'^ m ^j
P4
-tJ Pk
-M P.4J P.-W
" P<+J j3 P<
a
t— t
° a
O i3 O fl O
^a.2 o s
r^
-vS 'a
rU Ti
S) .a
01
o) a>
OJ <U
03
bom
bow bcm
Scro scm
is !^o
H
>^ fl
»3 C b P!
*- fl 3 f3
.S O
oooo^':3 00
ce-r3ooooootS-"0
cS -r^ o o o 2 '3
§-
n3'a'T3'T:i-g Ststs
rg ^ ns TJ T3 -^ TS 'd -g |'t3
(D r/5 *"■ QJ W ^
0 K
C?
.S <D
." a> .2 o)
.S .2 tu .S .S <U
Di
PP3
PPh RPh
PQO^ PPP^
^^^^^,g^^
^^,^.S^^.ii ^^
^^^ J^ J^ J.5
s aa aaaa a
a a.aa a aa a a
aa aaaa aa a
t^iO'*-*oa'-iOO
IC 00 t^ CD CO tH IM i-ii-l
C0C0C0»O->*l-*C0Ttll-'
i-i ^
I— 1 1—1
I w
ra a
wwwMwmwm
coMcowwOTMccwajm
MtomromwmaJcc
»-> !h
^}H!-4;HeH!HFH}-t
SHh!-ikii-i>-.H^^4;-<SH
;-t;-cM^5-(^)-iSH^
EH "
f^l>^
>>(>-.p»>p-.p-.>»?-.t»>
P»>!>-.?-.>i>->t-iP-.P^P-^P^;>a
!>^P-.>^P-.P^!>il>-. l>-.f^
oo
0503 050500 05 00 GO
oocooooooooooooooot-t^
t^t^t^l--l:-t^COCDlr~
-h»
m jj m -u m
-M JJ JJ M "^
}H
Jjrrt M
!h H rrt i. (H ^< t3
robate Cour
olice Court
robate Cour
rivate Bond
robate Cour
he Overseer
robate Coui
do
rivate Bond
|5
robate Cou
rivate Bon(
do
robate Cou
do
do
do
do
do
do
Oversee
ate Cou
do
xte Bon
Oversee
ate Cou
do
Oversee
ite Bon
Mg
ti
D-O
PmP^ P-<
HCl, CuHPh HPh
PnPLiPHpHpHr-tPH Ph
rt c
ja
rS
o m o
HI
05
weeks
year
years
years
do
mont
years
do
o°ooslooS|i
ooiSboJgooo
•^ 2 § Sis gr^ninS
>-,
^!>, p^'ts ;>^
^ fi ;^ ^
WO
IX)I-I05<N(NIMCOO
CO«lT((COi-(Tt<(MCOrH^CO
COi-ICOt-HrHOT)<MOOO
•■^
•"H
tn
«3
3
o
o
marriag
iction,
. <u
:g ■ ^ •
>,(U bB
o
a
■^ o
2 P!
nfortunate
pilepsy,
I health, .
do
nknown, .
omestic affl:
pilepsy,
ever, .
of prope
gious exc
turbation
ry by fall
sles,
nown, .
turbation
nown, ,
ealth,
mperanc(
nown, .
epsy,
nown, ,
epsy, .
itualism,
epsy, .
no\vn, .
do
do
do
a-i^
g-^«:3S^2'^'^i^'3
:^/i;:^ i-.:^^
o rt
P. c '^"B. ^ S
RP
PWP! ppwci^
p^PtacBHt:)
f-H o
13
ra n
tT^ r^ "^
tj
'?S
•n o
o^-2^o-So^
(U (U CD (p 01
00— oo-r;o,^o
t3 ^3 iX-d 13 >3 13 6013
5-g
o
t,^
T3 ESCE bCli G'C 60
cS
_i3 cs _a td _iil
03 C nJ C cS
S '^ S
S
mSt! § tc
^ !» S CC S
xn S t«
01
O CD <D
(D OJ (D
0 0)
j'^ r— f 1— 1
02
^1
do
Male
do
Fema
Male
Fema
Male
Fema
^oogoo^g^og
CS1313 g'd'dlS tS g
g fI.^ gpM^ &<
§ [S gfe
Age
when
admit-
ted.
o o
oo O CO TfH <M CO lO C5
COCOCOOiOOSCOi— IIOOIC
lOCD-HtNCDOOOCOO
T«rt(
COCHO<N-*-*iO(N
CO^COCO(M^.-HCO(N'*ICO
CO-^CqcD'^C^jTjt-^CO
O O
rfi05-*Oi-HC005GO
O ^ 'OiO O <M O (M lO CD 'O
<N 05 oc •* ^ ^ ^ CO CO
o-^
cqci
rtrM rHr.H(M(M
(M i-H CM C-l ,-H r-H (M (M i-i
rt rH CO ^ CN
00 C5 O >— 1 ^_i
sa
tf^ tji
CD O <^0 CO 05 Cv) CO t--
CI C5 r^ i^ -* (^ ^ C5 CD t^ lo
eO-HOiOOT|HC50CO
d
CO lO
'OOOOCDOCOOO
CJCO-HCO>^O5-*0OO5i— l<M
t^Oi— IC<llOi00003C<)
1 — I^—
00cy3cr>C50i0iOco
OOOOOOr--l'-l'-'=^<^'
(Mcococococococo-^
•Ous
»0 "O >0 lO'tO >0 CO CO
CDCOCOCOCOCOCOCDCOCOCO
^COCOCOCDCOCOCDCO
1868.] PUBLIC DOCUMENT— No. 23. ST
o o
P4 w
1-3 "*
Ci."S
•4-3 P--*^ P4 -.^ Ph iTn 4^ Ph-^^ Ph-+^ &t -*^ Ph -*-* Ph"*^ Ph
5 s^s s ^s a r'ThS Sh2 a5 a ^2a^2 a^sa
OJ 6jOt» 02 tlDco bDcofaOcQ
•5ooooo OCS-^OOOOOOO •'jOOOOtS-S O0=*0-2 3'SOOO°0°
eS r^ ^O 13 tJ tJ ITS -fi 5 13 ns 'O 13 tJ T3 'U _ 2 '^ 'S 13 'S r*^ 2 -tJ -a .^ ni 2 -^ 2 "O 13 'T3 ^3 13 "^
s ^a ^a ga gs^a
P5 Otf QPJ Qrt Q P^QPh
CA CO
ssaa aaaaaaasaaaa aaaaa sa-^aaaaaaa aa
■-' o C3 o o lo o icno "O ■*•*•* in t^ iM ocics.— lo oc t^ Tj( CO lo o eo CO (rq <N '"' ■"*
>— I I— ( rH 1— I ,— I ,— I
!>, ^ >> ?^ ►». ?^ K-» f>^ !>. P-> K^ ?->>-> P>, >> P^ ►>-. r-. >>>> ?1 >-. K-> r-. P>, f^ (>-. >, P>^. P». P-. >> P>1 >1 r^ l>> f*.
!h tH'^ij i3 ^-iiiH •-'h! i3>-!2 'tf!:l!3'^£i
o <Uoo o Soo So o<yo o,^OoO
„ooS»> o*-'oooo£l-lo~'oooa;^, oo'^ Sot'ooP-IoSt'o'^o
oj-dnsS-CLiJ 13 <ui3 13 1313 > <D^ ^13 "^13 > ^-^13 m f> 13 ^ 13 13 cd 13 >■ ^ 13 Oi 13 ^
_g o-gj "S <^"S _g Ort "S o J ■rf °S ■^ ^
-g aj.fc-p .t "•£; p <"9 .£ <" o .£ <"-§.£: o
Ph HOhCu plj HfC fa HCC (ij H P-i fa h£ Ph fa
S®rtrtOO o ° o S rt ° =2 S ° ° ° » o O rt ® ° S «i o o o 2 S o S o d S o
^13ool3l3 'T31313a>flj13l3^m'^l3'^1313r4Q>'^13 a><yi3'013WQ; — a>r2a><Ud
!-■ .-I —I 1-1 C: ,-1 (M >-( r-ih-'
g -13 8 g. ■ o
« - " - - . - ^T - - " - g - - 2 „- §
ISE-S-^-a S.og^-dS.o'^S.oSS.'So^-S.S^'^ i3'«p,.^5i3'«»i3=s'dga.
PtDQp WPcdgHP p!qHh:>MH:;pfc,Hp >SfflP W i-J fa>5
13 Iil3l3 13 13 "^
13 6tl3 Gl3tD ISlSTSSlSISISSlJrltc'
fi o o^ e o
;i3i3
«-H <"
® o o o 1^ ol oiJ o o o o o1 o o ^1^ I o^ §42 o O O di2
C5131313 g rti3 513 csi3i3i:i3l3 gl3i3 c8 g rt gi3 cs g cs 13 13 13 j; rf
fa___^pi< S fa2faS fa gfaSfaSfaS
■^»<t^.— .(MC-. -f> CO — i-'CD'nC^<MC^OOC.-ir-ic<JCOC5'MOOD3 OCOidCOCOOWt^O— I'*-**"'
N r-IC^., IMC-IIMtN C^ i-lr-l(N Cqi-l(N<N(M <M f-i Olr-li-H CO <M
C<1 CO
■go_o go o2 5 Soo o ^o So^o ^^iiooo^aioo ^oSo^o g^o*j
J?i3'^/S'C'T3 t^>-ii3l3i:uHl3 Sl3 Sl3 3^»2,£^l3l3i3 c3i-h't3i3i-1i3 =Ii3 =ll3il^^
o P Hs^g ^^ >^ t-o <io?^Q hpg a ht, ^^ ^ o
CO CO CO CO tM r:0 (M l^CO O ^H !M r-nV^CO O CO O -tl CO -T^ t^O <0 ^ <:£> CO rt< t^ • O O C^I OO CO CO 1^ o
'!}<■* 'OOOO I— i>0'0C0C0!»OC5C'C0C0-+l!r>C>OOO^H (M-rtl'*iOt^C5'-l'-l'>l<MCO-^CO
'rH-»t*'-+<-<#*»C)'o »o'0'Oto'0»0'0*o<;DCDcocoooi^t^t^t~* i--.t^r^i^r— r^cocococoGOcoco
88
LUNATIC HOSPITAL AT WORCESTER. [Oct.
o a>
02 W
rt
^1
WooW
S 5
IS
> ^ > ^ "^
>; o o "=• > ;:r^ «> "» g-S o o o o o o g-^ o o g<g o o g-S w
Ti
5 2;
^^ ^^
-, jH a>
'o (» O
■" H OK
-M Ph O Ph
o d ai fl
^►5 P35
PP3
JnS'dra,
.rH « o o -^ o 2 -is o o o o o o o =3 "d P o
C U SOS o ^
QO
si
O C53 -f
P3 PP^
QPS
Q05
ass
o o o
s sssa
OO CO 05 00
s-dsssssasaaggasssssssa
CO W to ?^ W tf) 05 « «j «^ «^ «^ -^ «^ i,^ w^ — — —
WCQCOWWCOMajtOroOTCOEBCQ
o-.a
p-l
Ti O-r)
s • «
O tZJ o
" -SI?
PQCU
c3
„S20
® 0^ „1
-a > ^
O cs
HP-i
O cS
HP-i
AnfUCM
« S oi
o cs j;
o t«
HP-I
-P5 «'
- 03^3
i fl S IS g
3 O O O O
>P5^PP^
o o
2.S o.S o.S o
,£3 H tl M ^H iH H
c-Hp-i FLhPhPhPhP-i
?^aa
(MOCOOOOOCOlO -*1C<( (N00i-(O(Mt^«DC0lMi-(i-lTtlOMIMC0Ot^ -«]»0 t^ i-H
(M (N IM I— I .-' I— I n-l ,-1 CN i-H 1-1
m •5
S ^ o
05 (M cot
c« o ts 35
ID d <u £
5FS§
12 ni el
' M ts P en bo
WSWWO
S <U M
HP £iiqppHt>p3g H
Ph tS
P<r^
WP
,il«^
pp
2-^
fLiP
0'-<00000*r^00
■^ tiCni t3 "^3 ^3 '^ ^ "^3 "^
Ti
ti
cc
<U(U<U<D<D(ii Oi^aJ
o'2'-5"Sr-ii-r; o,-5 o o o o o o o-C O'--
■ '" "S'O sens T3 TJ "tS T3 TS tJ C t3 60
ID
5 « O
0) .s
tot^r5 SB'S S'sc
S °* .S S ^ .S '^ .S " ^
S^ S-^ js-^
g^ "^ ft3 «J ^t3t3 bJ t3 2'^'^'^ rt f^ "73 nS ^y
onoiOT«t-ooi-~ioioc<i
C5O00l0t^00OOtDCDOr-4l0,— llOi— li— lOlOCOlOlO
r-lTticOC0(M«O<MTtli-HC0C<)COC0(MiOe0C0(MTti-^5DC0
l>— 'CNrtliOCO'OCOOO COiOrfii-^'CC^CDr
>oooooo2rtS«ooog,rtOog^ooo
'^'^'T^rQr^r^ C^^i^iT^rQ ^k^ r^ ^^ P P --d "73 ^3
'^g'
0:iCDiCi-HC^»0C:>O^^I>- 0000'— Ht^.— iiOCOOOOOCDlCCOOr-tCMCOTitiOOC
00050»— IpH.— (r-H(MC<ltM COCDt-^t^OOQOOO'-HCOCO'r+^LO'^^COCDCO^C
ooooo:>CT>o:)C3CTi05aio:) o:)a>ai050^ciooooooooooooo<
1868.] PUBLIC DOCUMENT— No. 23. 39
•^ *o o o o '^ 'o
<u o <u o
?►
in
g^g g g-o g o o g-^ g-o o o o o o ^ g-o ^ o o o g-o o o o S o o g-^ o o o«
otugo g ^fl5 s^ a ^ s =■ 3 <«
n3 "^ '^ '^ IS
<p a> (DO o
w be CO bo to bOco bD CO bDm
•sS'Soogoo--© ooooooooooo<2'S3":3 0<30ooooo5'§oo
2^ 5T3'a''^T3'T3 gT3 i3T3'd'Ca'a'!3T3'a'a'C^ g^ gT3'S'T3'T3'0'a'0-i3'^ gT3T3^
i.2 § .2 § .li.sg .§1 .S
pjOPj O P3 QPJQpj ppj Q
MtOOTCocooacocOMEO COTOWCO «)«a(mcc(CtctooocD_,_,^ ' m tn 02 m «3 K) w~m
o^ScoccoSS^oa a aasaaaaaaaaas aaaaa^aasa a a-S^aa
.-I '"''"''"'•* |>. ^ 05 Oi 00 00 00 00 t- 1^ t^ lO U5 >i5 Tit (M CO o> ■-< 1-1 rH i-H CO ,_, ,_, ,— i CO t-H ^ O5 Cq
I— I "^ I— I rH I— I i-H C<l
KJCQCQWEOCOCQajOQCO WaJCOCOCOtOajCOCOCOcOtOCOt/iWCOCOCOCOWtoCOaicotOtBOTW
■^(MCOCOCOCOCOCOCOCO COCOCOCOCOCOCOCQCOCOCOCOCOcciCOCOCOCOCO<MCSl(NlMO<l(N<NC<lC^
W -^ ' 4^ ~t^ Ui *^ ■*-»CO+JD0'*-> -*J -t^
<u t» ori'TS ^ o^'d a> ^ ^-^131313 a> ^ s>^ a> t»2'd'T3'T3T3 o) i''t3T3'T3'T3T3'T3T3 (u ^
.£;2.5 -gS-g > -go-g .&•§ o-g.g; o-g .>;-g .fc-g
pLiHP-t PhCQP-1 P-t PhHPh CLipLiHPMP-iHP-i Ph^i PM P-<
^a"^ ji>g;.i| i^ ^1 ^a a 5i.^ a ^^ a^ ^ gi.a'^ ^-^^-^ I ?i.a'^ ^'^'^ a a a
-IC0-*>O«DiO(M(NC£HO<MC0C0lO -WCO H«f-I «3CO05(M-*<MCDr-ICO
CO <M tH — i<>) tH
13
oT S . 5 . S . S . .2 a . .2 a S3
Z^fc<u6:^*^E:^""& o^3^^t» >>o <u 2 6;j3^° <" ^^^ fe ^-^ ^ •" fe S "S «
^ 2 g'S'^'S 2'3 g-^ o.'S'^ 8^13 S-'^ g-g^o gis-^ g'P-S'ri oeu'^'B^o S ag'g'
Id i3 'd 13 13 Ot;jO Tiii ^^-d
5i <u.2_<"_.2^ a).. .2<u 2i aj Pojoiaj Po <uo<iJo)P?i
■t^oO--'CO'rt°C° — <oooE^.— oo'2o^oorS-r|,Zoo-Sooo'2— '■r:---<o"S
C ^ t3 be fc, -O SC-d t. -d tDi3 ri'Ti t^ bti3 13 !- 13 SCiS i3 bO fa bCO i3 WJT3 13 -d S W5 S bCia "
^ bog: eg i^>>^ CO .gita a c« ^tgj^co ^!g S ia ^ ce g ^
dJ QJ O) 03 OJ Oj QJ ^ ^ C3
(tf -^ rt fll Kl n^ ^ fli ctf .. Cj -^ c3 -J rt -. ci -^
do^ogo^giJa oiJgo^g^ogoo^oooooodo^oodooo^
g'Oca'dgiStagcBg 'dc3gi3c3gcai3gi3i3d'di3i3i3i3l3g'dcsi3i3gi3'Oi3rt
pq a &^ gpH^pM g[i< ^fag fa g fag fa g_
C0O«0'>*<C0C0iraiQ00O r-(COCO"O^Ot~(MOO«30<MC005t--'<*<00(MCO-i<t— (COt^lOOiO
«3U3?0<NTt<CS-*lN«Ot-- <M-'*tCO-*<M!N<NCO-*POTtt-*CD(M;Dr-(C^I>.CO(MCO(N-*CO<NCSOrJ<
rHCOGOCJ-— iCiOlcOOCO «!.— lOcO lM-*W(35-*<OOnHt-.iol>-'OCT>'*'— lt-'<*<'Or-lTt<(N<N00C5CO
(Mrt^-HC-J<MCJ(M ,-1 .-((MIMlMiri r-KMC^rtrH .-I (M(M.-(<M <N
o-tioooooogo2dooo-°og^oo^oclo£Poo'S.o-HoSo^o°o°
c."T3T3-oi3l3l3i;^l3 rt'dl3'd,<"-c)i-H ^^-d 13whi3 dT3 5l3l3 4'l3J^l3h2l3^l3i3'dT3
CO'—' I— 1_ 1-5 fa rr,<i <:j i-; < (g O |g^ l-l
O -^ CI CO O CO CO h-lC 05 COiO Ci CO ■^ CO CO r-J IC t^iO OOeO r^<-JT*<Q0C0C0>-H(MC0l-->0O-*t--#
Oi— li— Ir— lr-ll>JCOCO-*T}< COCOCOt^OOCOCiOlcM'MCOCOIO'OOiClCXlOi— l-<*l-*10COf~-t— 0OO0C3>
j-lr-(^^rH.-<.-(-H^,-H — irt— <.-(-HrH^lM(MlM(M(MIM<MC<ICM(MCOCOeOCOCOCOCOCOCOCOCO
40
LUNATIC HOSPITAL AT WORCESTER. [Oct.
a ph
to .a
o-i->
J? t» o
S-vS -Stj
g'o g, S; g ^^a ^5'> o o ^ o
br n..Rr^..R
i^5 o:^.
§ S
OhS
^5
o g<^ o o o
^5
300000
a
Pi
J.S § .2.2.2 o
aP5 Q (^
rt
sassgssaasa
2s sag sgaa
-^ .i:3 .^ ri= ^ .ri ^
+J +j .4.J +J +:. +J 4J
aassaaa
Ti<Ti<'^tOO'— 'COCOcOOOi— IcOCOtHOOCO
^ asa
a
00 i-H
«3 CQ t/3
rH ;-l U.
C<I<M(M!N(Mr-lr-ICNr-l(M(Nt-lT-lr-i(
1 CI IM <M 1-1 cq (M
(NC<I(NCM'-li-lC5C^
0) H S
S O o
o o
O t«
t3
HP-i
I n ;3 n
) „ S-.0
O O o O 01
jTSnSrjJ^ {J. (Ilr;^ O
ai o
S20
c 5
P-(
F-ifLf
M'^ o oM g*^ o o o
&»o .feo .&«io
"S s 1=1
O tS o
Ti a>^ 0)13 'O cs 3 01 0^^ <"
«o°iSnit«bS<5«o°oSS°^orf
£c2''io>o)<U!-ffS¥^^'^o>(uS'c<ii
-^CqCSCOMCOCOOi-HkOlOlOCOOOCOOi-Ht^t— eOrHt^tOOCOi-IMi-HCOlM
g<! —I tM ^
a
a
» ^;
ao 2
m 0
■-2 !; fe o '3
CS O fl r- -i
. s _r
s^^'
HP
^ ? S S 0) «
:3 s H o) (,(, o)
^ ■^ .2 -^ p -^
Cu M g H t3 M P.J O Q P
a a>
pp
. .,oo.-5o'r^o-r,i;-r;rSoor-5-r;o^oooooooo-r2oorSoo
fcX) ^< 13 T3 &D-C S 60-73 n fcXJ S fcC'^ a3 60 n -^ MtS 'Cd'TS'Cd'Cd Sh-^tS 60^ 13
OjO)
O0c|0,iifj^c|^oofl^cl,-i;ooco,j;ooc!^do
OOlOOTt<(MtDC<l(MC5CO<MC5COl.'3lO<:300C5;OOOCOT;HCOO<M.— IC<5COiO>-ilO
(NCO'X>U5'*C^'OCOCacO-*CO.--ICO'*(NOlOC<ICOt>.'5(<'*C^<NiO«30tr^COCOC<)CO
l-*t^CT5COO«3l>-05C3C<l'Ocr>C730i— l<MC<H>.iOCai— I
o O O l=l<
. 0'°00So,cs000000S0000000000'20=3- - - ■•
( "73 [^ -d Ti g ^g T3T3'T3T3'T3'd^T3l3'a'T3T3'aT3'T3n3i3^rd_^'i3'T3'«o
-t^I>«>.t^t^t-.t>.t^t^«;^t^t^t>.t^t>-t>.I>.t>.l>-t>.t-t:^b-I>.l>.t^l^t-t^l>-l>'
1868.] PUBLIC document—No. 23. 41
•0
0
0 0
•c
a
<o
0
Ph
u
-« 'gi3 13 gns S'tf'S'^ Sl3 'S'^ "SATiS -*
gl3i3^g;gl3l3l35l3l3l3'OSbHo>o-oSo l3l3p:o'^>noSl3l3l3o'0
hi o^^ S^'-' •-"n--^!-io'-i"'"'-i onoMti"^ i;
ft o 0. J2 ft -i-> ft*> fttift-wft uft O0 ft*' ft
-CU 1313 13 1313 13 13
ic bnoobDooGObntfibOco bc orbooobD ootJD ^ tD
.Soo«o--*o-3 -Sci-S^-SoootSooo-ats --(Soooo •" 500 -2 05
s "a" a^ia^a^a " a^ a^ ^a^ a s
C .2 ttj .2 oj .2i a> 5£ o) .2 a> .2 o ,2 qj .2 .2 oj .2 o; .2
pej Q PjQ tfQgjQtfOPi Q PjQ pjQ ppjQ Pj Q
^[^o^s 2^ aa aset^^ a aaa acot^a a a«5 a aooa^, a aa aaa a
\Sc
-rt^-tTi (H'Cjr-i '^M'TS J^ '^H'TS— ".— „^,^
•?5;»-' ^^/-^ f^O)*^ ,« T^^^ 0;-s .,^(D/-v
S ojsj aji3^ 0^13 <u >■ iui32i3 ai«^ a)^i3i3 > ^Ti o^ >_gi3i3i3 £.a>i3i3i3'ai3
o.S o.S o.S o •- S-- ° .S o.S o go fto S ® 2 o
2 months
4 years
1 month
12 years
2 weeks
8 months
3 years
1 month
4 months
IJ years
Unknown
4 months
I 1 week
7 do
20 years
II do
3 months
22 years
2 weeks
6 montlis
2 years
20 do
3 weeks
3 do
29 years
8 months
5 years
1 week
2 years
3 months
6 years
6 months
1 week
18 months
3 years
1 week
1 do
Unknown
Puerperal, .
Masturbation,
do
Paralysis,
Unknown, .
Ill health, .
Paraylsis,
Unknown, .
Masturbation,
Paralysis,
Epilepsy,
111 health, .
do
Unknown,
do
Turn of life, .
Intemperance,
Unknown, .
Ill health, .
Unknown,
do
Epilepsy,
Unknown, .
do .
Masturbation,
do
Domestic afflictior
111 health, .
Masturbation,
111 health, .
Masturbation,
Unknown, .
Intemperance,
Gestation,
111 health, .
Intemperance,
III health, .
Unknown, .
Married
Single
Married
do
Single
Married
do
Single
do
Married
Single
do
do
Married
Widow
Married
do
"Widow
Single
do
do
do
Married
do
Single
Married
do
do
Single
do
do
do
do
Married
Single
do
Married
do
O 0) <u v <u <u
fl^ooooos^ilii'iij'iooooooo^'i^
Sc8l3l3l3l3l3S=3gBSrtgl3l3l3l3l3l3l3rt|rt
odoo^ooooao^oo
13 gl3l3 rtl3l3l3l3 gl3 CS1313
N^<N-«t<«300CO^r-lC<3COCOCO-<tico«5-*t^e»3(MCCilMC<l>0
>0 05<MOt~USOOOM>C05>0'0
,-l«D(NeOb»Oi05<M<NtOOO-H>00>-lr-l«or^O(M(M(N-*CD
f-li-Hr-li-l ,-l,-l.-lrt i-H(MC4(M »H-^^C<IC5llM
ftooooooooo*^goocooSoooooo
4; 13 1313 1313 13 13 13 13 i?.S 13 13 13 13 13^13 13 13 13 "d 13
^ .
2aoooooo-°oooooo
t«l3'dl3l3l3l3r"l3l3T3l3l3l3
»OtC^lDCO^CDCDCD^CO'^CDCD<OCD^^CDCOCDCDCOCO
(NeoiceD-t<'0«D(M«ot--ooo-<*ii;p
a300000005C»0>OOOO(MlNc5
42
LUNATIC HOSPITAL AT WORCESTER.
[Oct.
« *
"5 "rf oj .
s ~
■a'S T30000 o
O QJ
<i> o a> ra
K c^
CO
>.
(A go >.
^1
TS t3 13 •T3 nj ,2 "^
S^ *-■
-X o> •-< .S. o t3 ■—
'3 £
00 M
U M O O S «5
tB ffi CO OS W OD
'^ ^ n3 '^ '^ "^ *^
<B
<D Qj a> dj a) Qj GJ
t» t> P> (> t' >• >.
rt
^
0>'HO>-C^O^^S-Ot>O^Ot>0^'T3d'T3'T3o^^^H0^^^2^
^
^< O •'^ !- O ■" H ■'-'>< O >H "^ Vi o s- o "" >- •'-' S-. --I
Oia -t^ e^u *^ iHc -t^ao ft+s ftgeuo-w p< -tjci. •«
|_PHZhHp52. HH g HH W l-H <i 1-H M HH W !? t-l <^ hH 2<
■^ ti
'^'Ti'^r^'TS n3 'C'^ '73'^
(UOOojO) 0) CBOJ Q>Q>
M £
oitiDa! MmMmbCto bD wbC tobCmbC w bDMhDm
b i^ c
S'-fl brtiss^^fl b Ob a >- a >-' c j-esbc
S S'S
.S 03 .S o =* -t! "* --^ t« -2 O C3 O O -3 =* O O O O •" cj .a 03 O o -5 O tS ■- =* -5 O
^ O 03
5.i3 Sts-^ 5-5 '^-Q 5'^'^'«'^ S'^'^'Cds S-^ S-^'^TS Sis-a 2-^ Sii
.1 1
S"S ssggga g s ?^ sgss s gaga
« M
q; .22 0) .S Qj ---^ (D .2 <u .22 OJ .lii oj.i!; qj.S a> .S2 o .^^ oj
Ci3PP5 QXPoiQP^ P PhP finPOiP C5 Pp^Ppi
cCMcowoOMWHJtnmMccuDOiccm ma; cBccajcococoajc/jinaJM
^ t->^j3 >>J3 >^^ >.j3^^ >»>^^ >» >,^^^ >,Si t^^Ji t^^ i~,jS^
+Jn3*J*iT3+JPCi+JT3+J^<Jrara+Jr0 ,^^^^r;3^T3*j+Jrj3.gr^+a^
g -3
SooSSusSeoSoiSSScvicoSoo aoSaarjiSi-ig&cciS-^as
o. "
a s
t^ OiX> CD '"' CO '"' lO lO (M '^ '^ lO '"' <M Tl< r-< ^ CO '"' -"^ ■* TiC-^rJ^Tti
05 CCCC DOCOcCmOQCC Wtfl CO
^t^^pH^rHrH,-lj-H,-lrHr-lt-CO^'OCOCD^O.-lr-4^a>rtrHrHTH^THOT-<rt
*i4j to-4-> 03+^+^ -*^in .-^^ +* «
>Hrrt>< -MiH 'Oni-I'^fr- 131-1 IhTJ^tS blTJ !r!
S^
§§§ l§ gfoSl §° i§|§ °§ I
"W^oog^ooWi^W^oooooW^oiW^Wooo^Woi
_g CU^'O'^ ^^ISTS OJ > S <ufJ'd'aTST3'« ©^13 > aj£ Q)'^13132 o-C >
■o>-2 So .&so-^« -^o s-^=-^ o- s
pq o
PLidilii HPh Ph Eh flj P-1 Ph PhPh HFuP-iP-' P-iP-i H
s s
OO CO CO
■5"^ S S X "^ ai '" a,
•2£S
111
oSol'SloSoioooooo'^ilogpooo'Sgogl'Slo
S2'tiga;g'§2'«S'OT3'0'n':3'«a;Og'«og'«'aT3^S'T3§gajS't3
s.§s
ft "§
■-HCOOOCOC<l>CiC<100'005-<tlC<IlOC<10i--lrHlO(?Ii-IC<ia500COi--IOOCOCOM-*COTtl
^ ^--l(M<N -H ^ IM i-lrH rH CD
oi
oT a o oT o
s
c3
O
1
OS
owlifi oa-T3oc:>^EEo
ppfSpS PpSa^iap^gpPPhSSPPh^ Sp^Sppohp^hPO
1— t o
tS ^-n t3 t3 'rt . tJ 13 13 t3 5-
« ^ .2 ^ ® ^ .S a' .2 a^ .2 <^ .2 OJ S .2 _ oi .£ ^ _ - .2 ^ .2 ^ ^
5'g
"bD-S E '§'§'§ -O -5 "bOrS S '3j ^3 'be S "bD fc; '5ct3 '§ £ '^ "W) IH ■« 'bC'd 13 S 'SD f^l "So-a
o
o
a> a> Oj a> (0 <a ©oj <D(D
^i^oodOO^Siii^i^oooS^ooogiJo|oo^|^a
Age
when
admit-
ted.
Ot~*lOC300CDtCCDOOOt^t>"CO<3^0COC^CDt^C^CDOlOCOO^l-^l^QOlOiOCZ3COiO
^COCOTttT(<«5»OCOe<3«5inCO-*<NlOlOT(<C<)-*lOCOlO^COCOlCTlH>>.-*COTi<t,00
OO^CDKlt— t^i-H^rtOOOJOOOlOCDl^OlM<Mt-000 00000-*CDIr^t^og^a5
Time
Admis
rS ^ "^ '^ '^ '^ 5''^ rsi3ra'T3n3i3i3n3l3gl3l3i3'dl3l3l3i3'xJ-aT3i3i3i3'T3
Of-noocot^co-^cDOi— KMooO"— KMco'Ot^O"— iiTO'^'C'CDOi-ieo-^iocoooas
1 6
coo5eo-*^-*>o'C>r3cocococo«>-ir^t-j^i^t^ooooQoooaoco050i(330505g5atg5
II 1
ti^i^^^lS^.t-^^^~l:^l^t^^^^^-^~^~t~t^^^t~t-^~l:^t~c^^^-^:-t~t^£-t--l>-^-
t>.t»t~t~-t^t-l>>t»t~-l>-t--t~-t~r^t^t-'t--t-l:^t^l>'l:^t^t^t— t^tX^t^l^t^-c^r^
1868.]
PUBLIC DOCUMENT— No. 23.
43
^ ^
■ ^
cS S
<s OJ
■ .2 !B
.2 rs
'O O O rj3
t3 '3
•§ 1
Pe
ieidal
0) o
0^ W
reditary,
do
do
do
do
cidal.
Horn
reditary.
"3
M
-d.g-d
V •go
W 02 W
'3
a2
T3 T3
T3 T3
<a (U
gj 0)
— >• _ >■
> >-
-d 2 -« oj-d 2'2
So>.o5'ofe>oooog"SSg-f.S^o'3"oQ3SoSoo
O i!'" O'-' OcjC-"j<Oi;'3>; 0>h O
^•:: ag a";: g
o &i*j 50. oi;o+^o.oP- gO" "P< 0
« »5 IZ C^M P^PhP^^^O^^S Ph£ P^^§ OS
»-H << 1— 1 Ph h- 1 ^PS
TS TilS -OTS TStSiS
"d tS "S
Q? aja> Qja; o^qja)
CD S ""
bO coMaitD bCtnfcEai SCoctiJDaiSC
m bo 6C 05 6D
!3 Oi3Ci3 b-bC !3i=*3C'2
fl M tTc 52
"Sooo-soci.Soioooc cS. 2^0-30 tS.rtoS.-ic«ooo
O'-'Oftrt cd'^rto
.2 g .2g.2 .2.2 £.2 g .2.2 5.2^.2 » .2.2.2^.2
p p3 OasQ POe^Q P^ QPP5PPSQ
P5 PPQP^P
eoco comtoiEM vimmrr. a.mminxr. inKnmxnmmxr. ai xco
O} 05 CO 05 05 00
>i >> >^.£: ,13 >^J3 '''^^ ^ >^ >^-^ ^ >^J= -^ ^ ^--fi >>J3 >-> **> >^ JS JS J3 J3 >.^ >. >. 1
tStJ ''^■S'S''''a T3 xi -a 'd -73 -d -g TS TS ■" « TJ -« -g -^ +j -d nsxi
"rt 'ti a +i -o *J 'd 'd
■«j<?o oSSioS ao«--coc<ic<it~-SoocoSSc>coS— So oo
ssa aosScous
^ "^coeo CO '"' ^'-l'-^C<l^ ^CMCN ^ ^<N'^!N ^ '^'^
N<N(M ^ ^=^=^
wmKOj M mMtoMKcoM !E!c mtc IB romtnto
W Oi m m m
J3..c3,5,r3 ^ -^ -^ :S ■S ■S ■^ -^ -^-^ -^-^ -=! ,aj3,C,Cj3 Si. j= ii ^
^.^j+J-*j +:>,.j4J+J*J+J+J+J+J+j *J4.a ,^,*j-f_>.M+J
s s s s ^^s ^asssass^as ^^s a ^a £;s a a a a ^^^.a ^"a ^'a a
CCOTHlC-HrtCS'-IOCNCOGOeOOCOrtCOTttrHrteO^.-lTHrHlOO^lNOOrHrH^OO.-KMrHrtlTO
,-1 r-H ^ ,-t
*> 05 *J> to *> ai *j
*^ CO
fcl I3i<*<t!j3 rj3M>-i
TJ ^ Jh
I m li III
So I)
r^ CO
P^OOOOOOOfl)
"'d'd'a oj (►i^'d >'d®T3T3'd'd'd'd'd'a'd'd'd oj-d >£-aT3'd
ft) ^ 'd ^d '^ Td "^ 'd 'd ^
rt tjOls O g -g Ols
.So ®
2 -2^2 ^2 . -S ,Sl
pm p.h^ ho. ^ HPu
PmPli H
w 05 ,„ to m tn to
en
weeks ^
month
week
month
do
years
month
month:
years
week
month
years
month
year
years
month
do
weeks
years
month
do
year
weeks
1 years
do
weeks
years
week
do
X! „
2i<2d„S2„.^-«„
S rt S o ° !3 o a> 3^ o
tDTti,-H<MC50-HO'O^CO-l'0<l-< -CfC^) (M>O-*C<l<M^C0rtt~(MTj<.-Hrt
o.-^T^^^^ooto«5^|^^co
^- ^. . . . .^.
i-a---a-a--i---i'i
. . . oT . ...
of life
alth,
)eral,
lown,
0
0
iperan
alth,
jrbatio
alth,
psy,
alth,
irbatio
ge.
arbatio
0
psy,
1 disea
town,
alth,
iperan
V to he
alth,
lown,
)eral,
alth,
lown,
0
0) d J?
<2 . „•• O .2 ^ i3 >-.
OcjOtirtr>,Oc«OCL
_,(urri-T3'rtca)ia)a)iP^3i;-5<u~>-:a' ,,c>-a>'-C'"'='t3T3<u^ci!C— "-.lUiaQj
2 o)a> <u^oP(i)P(U__P„<»_a>_5J<D SJ
.» '^
^ <u 2 OJ
£'T3'd'dT3 bcS-d 6C-C tCTj fet-rr tic-d'ci-3'a fcl-a ex-d £: bCTS-d'O u
oooor-S"r;o.--;oo
-d-d-d-d bcS'd M-d-d
<A 0c3C^C;rCr:fl j-rtCrtC cs
^ g rt d
^ MSc^^wt^K^cc ^ScSSic S
PcZS (B
4) (uooov a> oi
.2
iooiJo|«a<='2o2o5^oSooo,2o|ooo,2io
g'O'a rt^ g rt g-d rt-B 5 ca £ rt-d g-d'd'd ca-d g-O'd-d « g-d
fa. ^ CviSfe g PliSChS Ct, S fe gptH
oooo^Sodo^o
TS-d^-d-d os'd g-d es-d
S (S s
e«0(NOSO>(ti«OC»I^CO(MIMOS-HC<3--<-*i'<1<-«0000'*<Oh-(Mil5i-(COe<100>OOC^l-.-IO'*(MeO
•.1^ocOTJl^-c^^TJ^^3(^1co(^1^/s-^ClOl^^l^1•-lcol0^oc<3c<3^~oe<3CNTO>-l^q.^J^.,^.*^-(^^■^^l>0(^lc<^(^^
rtCoOOOOOOOOOOO'—OOOOOOOOOOOOOO
ooooSPooooo
M 3 03 -d -d "d "d -d "d t3 TS -d 'd 't: = t; -d "d 'd 'd "d -a -a -d -d -d "d "d -d ts "d "d tS :2 ts "d 'd -d "d
•»ti>c r^oi c>o -t< to t^oo o cijCi o c-i t^Ci co -t< >o to r— oc 05 (Ki m< i(3 «o t~-QO oi o — < lO i^co o .-i iM .*
o o o ^- -^ '-^ ^^ ^- ^^ "M OI rM CO cc cc ro -t* -.** ..^ -^ Tt< -^ •+< to »o »o "o to »o
cococoooooccoooooooocccooococoaooOGOcooocooooooOQOoocooDoo
O CD CO CD to to l^ b- t-^ r^
CO OO QO 00 00 CO 00 CO OO 00
44 LUNATIC HOSPITAL AT WORCESTER. [Oct.
it
B 1
2 TS
2 2
=s ,2
Periodical,
do
do
Suicidal.
Hereditary and do
Suicidal.
Hereditary.
Homicidal.
do
do
do
Periodical.
1
1
Improved
do
Not improved
do
Improved
do
Not improved
do
Improved
Recovered
Improved
do
do
Recovered
Improved
Recovered
do
Exhaustion
Not improved
do
Recovered
Not improved
Improved
Not improved
Improved
do
Not improved
Improved
do
do
Recovered
Improved
Recovered
? 1
.COS
1 g
nS Ti T3 T3 TSTSTStJ 'O
tSO-3OC3''3OO03o-^Ot*OOOO c«-2C«---oi.2tSo-S 00*000
.2 § .2 o .2 S .2 .S .2 £ .2 § .2 § .2 § .2
n P^ PP^ Q P^ O QPa^QP^Qp^Q Pi Q
4J
T3T3'i3t3'T3«'t3-^ :^r^ -gt^TS-TS -o 'T3'T3'73'a'«'«T3'a ts-cca
^1 C<J ^ ,_, C^ ^ ^ ^ C^ .—(._( ^ f-H C<l (M ^H ,-H 1— < (M C^ "-I C^C^
s s ^^.s ^^^s a ^^s a s s a s s ^s ?>s ^a s ^^&.a s s a
(MTj<rt«C<5rtt-l^e>3lOF-J^OOt^Oi-H.-lr1CO'^t~>-l^-'-1 lO -1 ^ ^ >-l "S t^ OO >0
Probate Court
do
Board of S. C.
Probate Court
Private Bond
do
Probate Court
do
The Overseers
Private Bond
Probate Court
do
do
do
do
do
do
do
Private Bond
The Overseers
Board of S. C.
Probate Court
Private Bond
Probate Court
Private Bond
Probate Court
do
do
do
do
do
The Overseers
Probate Court
.2 ".2
03
m OD » CO ta
o S o o'o o o !3 S'^'S o g'« !3 o'o ooSSSoSiacSoooajtto
.^ S ^ t^B ^ ^ a^^ ^ p^s ;^ c p^ a p (...
,S(MCCieOC01M<N-*COeO--rHlot-^,-l<N(M«i-*'^'<*<C«SCOC<l HNO 05 ■* 03 (N CO ■*
l_) rt ,-1 f-l fH
3
3!
Q
•a
o
o.
c.
3
Unknown, .
do . . .
Intemperance,
Turn of life,
Disappointmentinlove,
Puerperal,
Turn of life.
Intemperance,
do
111 health, .
Intemperance,
Unknown, .
Ill health, . . .
Sun stroke, . _ .
Domestic affliction,
do . . .
Ill health, .
Spiritualism,
Domestic affliction,
III health, .
Unknown, .
Intemperance,
Old age.
Unknown, .
Masturbation,
Intemperance,
111 health, . , .
Masturbation,
Puerperal, .
Epilepsy,
Intemperance,
Unknown, .
Domestic trouble,
_ o
11
o
Single
do
Married
Single
Married
Widow
Married
Single
Married
do
do
Single
do
Widow
Married
do
Single
Widow
Married
Single
Married
Single
do
Widower
Married
do
do
Single
Married
do
do
><
ijl^liilo^ol^ioooo o^slo^o o|^oo|oJ2ogo
§fe§Pi§6i g PuSfe §Pl g feS fiH S (ic
Age
when
admit-
ted.
OCfl-'^ih^TtiSOCO-'^OiOUSOOOOMOOiaC^IOOODCOitO'-i'gOJ-^OSC^NOCOO
^(MS5^ccw;rococ^coeo<M-HTt<-*io-*'Oso^(Mt-coc^cou5r-HC>5(NioiMe»»
SSfoooooooooooooo-oooocoooooo-goooooo
5'T3T3'«'a'0'd'tfT3T3'0'T3'T3'B®'3T3'd'«'r!'«T3'«t3'«'«^T3'C'T3'T3'a't3
1
£co Sec OO ro OO 00 <» 00 OO 00 CO «: a; OT CO CO CO CO OO CO » 05 o Oi 05 05 Oi 05 05 OT
1868.]
PUBLIC DOCUMENT— No. 23< 45
is CO "g
•era
.- ^ -3.1;
0_'0_ O _ O _ "d _ O'O _ TS O .^ T3 T3 O 'O
*»p,oei, ■« o, .2+jei.o p. ^t)::5p-o -mp. o&.o+;o
ocufl o d aodiu fi }^ <o aa d) o a oidujou
60 ai6Ca5t!D«6C aobC bC6D cn6BtDbo«W)
2 S.2 S 2 S 2 2 §.2 4>.2 S.2 S .2 £.2 S.2
Q gjQpgQPJ Q QpjQ OQQQ pj Q pjQOJQ
ooascooDOjajaiaiajQOcQcomccwtnooaaocBcoaQajtna: «i«a3cocnco«wwt»cocc
T3n3<^T3'T3'T3'T3'T3'^'d*T3'^d'0'T3'UT3'^'T3'a'd'T3'^'T3'd^ Ti'^'^'^'tS'd^'d^'O'^^
30iooo<Ncooooco»0'^>o050it^co>c-^eoco;oiMosa505<M 50oooiote'C«oco>nc5Coe<o
,_,(M,_( r-l— 1 ..J (M (M N (M Cq -^ (N Cv> IM tH (N T-( <M IM rH CM r-l ^ rH IM C<l
DO (ficQ «J caw oo OTcow tnmaa? co co oohtco ootn czi co
s ssas sea s asaaaass aaasaaaa aass a
r— (N i-H i-H —I i-H ,-1 rH O •*•«*< lO "-I l^ t^ «l •>!< iH «5 1-1 (M r-l t~ O O ■* 05 i-l OS eC>
^ ■-! iHrH F-c iH i-l
•..» CQ-**CQ +JOT4J -M a3-*-»+^ ■*■» .t^5° .
o oS-^^S? oo^gog o ^oogo go go «S
* 13'T3 13
o o o o o o a) '
o .S; 2 o- o » .Ej-S «.£;•§ .5 "o «.£;■§.£;'§ .>:o .£;o «.£:
CO cc m CO rtj CO
«>S§0'2«§«Sa;SggSg'S'§S'oOrtgoogo^S«2'§aj22»gO^u
s a a ^ ^& a & >,& ^ a ^^ ^ -Saa^^aa^^a ^^^ &si.a&sa ^
i-l rH C^ •^J< -e<CO ■■t (N CC Cv) i-H (M HNSO CqOC^r->--H«DlMCOCOi-HCOrHr-HlNrHC<)Oe<Si-HeOrHCOi-Hi-Hr-i
• a • • fl „
O O 0)
2E £-S
- " fli -z^ _r aT . oT.S .ttJ.Sdoj.. ^
rt2'o'do0^g'og,'5o~.2SS'rt2-^2 a« S-p,© o oH^ 0-5 ^ £, = '5 >.MO
aa-SSpcBacg-a;^ Qj-fccS a2iajj='asoEoe.o_<i- c,= 2S^'d<^^=*s
.^ 'd 03 na "d T) ^"O 'd TSSfS
rH o o'C'-H o o o c'S'-H'SrS o ©-r:^--^ O'C o o o o o o'C o OrS o o-CrS'C o'C'-S
tcd -p £ tm-p -a T! T3 C t>c C M-a ts t bc C tea CtS'P'CO'P'P CtS'O tfTS -o C fcc C •p C to
R^rtp cspcup jjpoJprt j-d B rfprt^t«B
to gSia Sci^Sco ^cJiStg ^ pg cQ g^S^^ig
BOOOOOiJoP.SodO^OOOHO^OOP^OPOOOOO©^OOP^OO
gTS'O'p'a'e ca-e g d^s g-p cststS'P gia cs'd'p g aTS g -d ts -p -p -p "cf ss-p-p g rt-Pt)
^ ;g fag &< a fa a ^s &< g ^a
-.("©OOtD'CC^— 'O'»HtD«3rHO05C<l'.HlCO05«~->OOC»3«0«5'O<M05<MPl000>O05-*N00rH
C<-«<-^T»<c<3e5elCO«)«3C<0-<J<'*t>-IMMCO-<»<C^iOCOrHCOe<lTt<-<J<(NU5<NC<3COrHr-i-*(MCCTtit-N
00000-«f<-.*<CJCS-.H(;ocO-H — W<M''*<5Dt^t~000005P>OS05r-irHCOOlMD3>OC^COCD«DI-~-030»0
rH rH -H rH .^ eq IM (N CO rH rH ^ (M (M <M iM --
*;ooceooooooo00oooooooooooooocooyooooooo
^•p'p'd'P'p'P'p-p'tJ'aHr'P'P'P'P'P'P'd'P'Ti'tJ'p'P'PTS'a'p'd'p'pQ'a'p-P'P'P'p'P
O ^ (M CO ■H<~»C '-D>i(» 3:! O — C^ CO -f'O CO r~ CO 05 O -- (M CO -f "C CO 1^ OCToi O ^"iM «) rt< W5 <D>^aO^
----r-r-r-^ — — ,^ — — <(vj(M(M<>)<MCN(>](M<MlMCOCOCOCOCOCOCOCOCOCO'»*<-t<-^-*-H-ti-<f<^T^
0>0>CSOO^O^OC5C5C;p^0505P^05P^05050^P50>OSPiP5P5P5CS050iOSOi05PiP3C^OiOSCT)CJ5
46
LUNATIC HOSPITAL AT WORCESTER.
[Oct.
s r
■a .3
fl M
■- fl.S
MRS
V o V
. . aJ « aJ Kr^ H
(-1 05 >-l -^
0«0-ti>OH>.'o
P^ £p^h3
P^eSZhH
s gs Sa gi-S
■fj U .M r^ 4<> o
TJ
bD
0 *-• c M M --^
QSQ
0) .2
Ol
tfQ P^ Q
••- tSOO -a^^OO'SO tSOO
§ 2 .2 S.2 S .2.3
p^ b QPhP 03 QQ
^
W
P3
P
g<g.2
s.sa
;H-.*CD (MCq<MOr-loo>OC005lM0500'-< OOiOOTtnOCOTHlOTHCCt---*^ tJitH
Oi^'-^r:<>^
aasaasaaaaaaaasa
O5;DlOC0iOO5«D-*05O5-*i-lf0C<l<MO5
00 10 O TtliO CO tH 10 tH CC t-- ■* ^ t(i rH
M cv) (M i?q o5 I— I r-i (M rH >-< — I oq 1—1
atEOcocco) xn m ^ m VI cowcn
jari3raxi.fl .d .^ ^ j3 .g XI js .d .iS ^
aaaaa aaaaaaasaa
<M-*ioc<>oo i-H t^ 00 00 -* 10 i-H (^q c<) -"^i
o o
fllp^
a) 3
'O
.1 tS n
5 O O
a 3
o o o o o
n S ^
P-iOSP-l
'TJ-d'C (ui^ (ui^ <D_g (B'd^'d'S'd o
.So
.S o.S o.S o.S
^ ^ ^ -^ '^ 'r^ y-K
CL< Ph P-l Ph P-l P-l P-(
ajoraoSo=*S
fl tH (II '
g,^ a a ^"^ a I
'-H00CqcOCOCO'-<C<H^«5CDi-l«5fOi-ieO
(M
^ ^ ^ a ^ ^ 5: >. a ^ a e= ^ >, ^ a
, eS 2 fl nS JH
J3 2 ^-° g
>i^ ^-S 5 >> °
^S ' 5 fl § 3 ^ S.| o g.>.ft>.5
J3 m <u,iS o) 2:73 E^ S S 3 ::3 tf <»
OSStS P S trl pq cfi ij ^ e5 W M S
o^jj oj.a 2 a
cc p p >ll O 0- Q
<u d.d,i<
1-H M I IK-.
I— IK-ll— I -J
S 13 PIS
_ o
31
o.-ioo-rio^o^oo-r;'-=o"C-5 00000 •go-^-Co-Co^'CO.^
-d 60t3 is n t3 M'd SDtS 'd 2 bCiJ KbC 'T3T3'tfi3'OS'd6cC'dC'T36cG'«t>0
r" C 03 C .--^ d rf d c« d cJ d 03 .•'- n3 ;-■ d ea a
j^M ra H;:r;M ron raw
fl o o o^ o o d^ fl^ 000 s3^
J "^ "^ r^ C3 n^ -^
;^S
o 1^ d^ o o o o dii d.2o 00
-d g t« g cSTS'd'd'd g as § nj'd'a'a
elh S fe § fa!gp^g
foc<iTt<oooii>jeooT(<-*-5*<oooooro
t--.«DCS»i-IC<3-!*<IM(>-03lOC<5l:^03(MCO!M
ES
-H COI>.00 o
CO 5j
O CO CO -.tl t~ 1~- CO 00 I— ( -H ^J Tj< rr <D to t— 00 00 <35 ■— I T*no 00 O t— I 1— I -*
CI <N IM (M IM (M C<IC<I CO CO CO rH r-l ■-! r-i ly) C<I C<1 IM
00
^ .
ooooo2f3ooooooooooooooo
'^ '^ "d 'd tS o3 'd 'x3 'd 'd 'd 'd 'd "d 'd "d 'd 'd "d 'd 'd
lOCDr^COCJO— KMCOTXiCtOt^ODOJO
OiO-^c5eo-*i0 5Dt--oodo — (Mcoti
TtiiotO»CiO*OiO»OiO»0'0«DtOC£!)cr)CO
1868,] PUBLIC DOCUMENT— No. 23. 47
'O'O'^ r^ t3'^ n3 (^ t3 '^•^
wbObOMtiD wbD mfcCtiC tobDoo bcto bn MbowbDoj
"SS 5 '3 5°oo"3 5oo'3 5 5oo'S5<="SOo3-5oootsoo--c3'3ea.n
g.2.2.2g.2.2 53.2 S.2.2.2 §.2 S .2 g .2 S.2S.2i
•^ '^ 'd T3 ^3 'd 'd ^.^ 'O 'd 'd "^ 'tf "^ "d "d 'd "^ T5 '^ "^
00O51— t— OODCO'-Hi— IOO<NCO (MMOO OOstOoiON ocofMooouieoos-^noeo 05
(Mrt M — ■ r-1 (MrHr-l^ .-( (M <M CN rH CO r-l tN <N Cq <M tN -H iH ^
U) Mcflwco WW cccccococn'/) co cotawwcooj ddcomcom cowcomoo
■^•^-^■S-a-^ -g ■£ -^ '5 -^ ■^ -^ ■£ ■S -^ -^ -^ '^•^■5'5'5'^ -^•='-=='5'£ ^.=!M^^
sssssa sssasliaalas asaaaa aaaaa aaeaa
00 ■— I lO us 00 (M CO ■* I— I t>. CO >0 CO t^ CO r-i I— I CO t- Jt^ CO t— t— «D CO «0 <D CO "S CD (M CO CO 5D
g <= S c
O o ° o
omopq
Srt^ S •- 0) o ^<u o <u <o • . • • S
SS s: -n3Q,ot,o ihO o - S
M^ _;;|.2.H:S „r° >^-C ° °-2 ^g-S g I o 2 o5 ^g:S ^5-2:3 g:S ^ o~-"
g
u tSjS bL'0 CtStStS C b!j u '^ Ti Ti tS CtS Mt3 t3 S tS t3 btrd 'O'd'O kHTS-O E'dTS Mt3 C 13
(SCOSC "^ ►C'^S'" "Cl^.E "'SS '^S '"S^ "*
'2oooooaoojgf3ooooo^oooooflo^oa,f2oooodoo,2flo^
S f-^ Sfa S fe a [ihS fa Sfa s
COOOC<ICSOi-HOupcOOOt^CO>Ot->-i I C<lOC0O«5IMOeD00rH0000t~O.*O-*.*Ot^^C0-<i<
SOOOOOO^OCOOOOOOOOOOOOOOOrtOOOOOOOOOOOOO
c< 'rt "^ 'd 'd "^ n^ ^ n3 'd 'd .^ '^ 'd '^ 'C "^C "^ "O "d ".rf 'd 'd "T^ "d ^M "TS 13 'd "^ '^ 'O "^ "^ '^ 'C '^ '^ T3
1-5 ta _*?_ ^
■— cC-ltO-t<>OCCt~C0050i-H(>lCO-tl'CCDt--<Z)050-JC<lCOr)<lOcbt-00<350'— l(>acOTt<U5CDt^00c3>
COCCCOCOCOCOV^CO<X)Oi05C50305030505Ci05'000000000<Oi— Ir-liH^^i— li— Ir-Hi— (i-(>— I
0iC503CiSiC7105aj03C505050iC»050>05a>C5OOOOOC:*OOOOOOOO©OOOOO
t--t~.t^t-t^r-t-t^t^«:^t^(^t>.t>-J^t-»t-.t~t^OOOO<»COOOOOCOOOOCOO<»00 00 00 00 00 00 000000
48
LUNATIC HOSPITAL AT WORCESTER.
[Oct.
^
w
P5
Suicidal. Homicidal.
Hereditary. Periodical.
Suicidal and Homicidal.
Hereditary.
do
do do
Periodical,
do
do
do
do
io
Homicidal.
Hereditary and Suicidal,
do
do
Hereditary and Periodi'l.
do
do
do
Homicidal.
3
as
ce
1 ^
Recovered
Improved
Paralysis
Improved
do
Recovered
Improved
do
Not improved
Improved
Not improved
Improved
Not improved
Improved
Recovered
Improved
Not improved
Improved
do
do
Not improved
do
Improved
Not improved
Epilepsy
Improved
do
do
Exhaustion
Recovered
Improved
Recovered
Not improved
Discharged
or
Kemaining.
"O T3 tS 'd n3
00 oa a> be to tX) oo tiD m » to to
5 '3 ■5°2"3°<=='05"S®50*M = '=°°='©© 'SO© ni©0-3
.Sg.sS .2 £ .2 S .2 § .2 S .2.2 1
QeiQP^ QP5 Pb3 C p5 GP5 CO C3
Time spent
in
Hospital.
mcficowmGa co tocQccwtcaitBcCOTccMaooDaiMQOw cote
■ri 'B 13 "d t; -o 'o "o "B ts -o ts "d ■© 13 T3 13 "d TS "CO "d -a 13 is-xJ
IM — 1 (M <M (M ^ (M (M IM ©J <M C^ (M ^ S S r-l r-i .-1 i! ^
s s saggs s s saas s £ ss as sis s Is s as s
50 CO «0 W CO «0 CO « O -^ CO US Tft Cq i© U5 >0 «5 "O •© >0 U5 CO U5 lO U3 -* IM «a
1
si
II
! ^i
Probate Court
do
Private Bond
Probate Court
do
do
do
do
do
do
do
do
do
do
do
do
Private Bond
Probate Court
do
do
do
The Overseers
Probate Court
do
do
Private Bond
do
do
The Overseers
Probate Court
Private Bond
do
Probate Court
JJuration
Supposed Cause. before
admission.
to 10 to „ to a>
.„<»"„ ■5.,5 5.^to S m S
a 0,13 go* 4,131313 jjaj-rtpgSS S 13 § S » S •« 2 "d i3 i3 w-d-d g
^^■^(Mr-llNNC^tM -WCO ■«*<COeOC>S.-lCOIN^rtCOC(MOO'*<CO<35PSCOi-l.-^^eO
Intemperance,
111 health, .
Tumor of the eye,
Intemperance,
Epilepsy,
111 health, . . .
Epilepsy,
Unknown, .
do . . .
Paralysis,
111 health, .
do . . .
Domestic affliction,
111 health, .
Intemperance,
III health, .
Domestic trouble,
Puerperal,
Unknown, .
do . . .
Injury to head, .
Unknown, .
do . . .
Epilepsy,
do . . .
Unknown, .
Domestic affliction,
111 health, .
Old age, . ' .
Unknown, .
do . . .
Disappointment in love,
Paralysis,
_ S
'dgjl3l3 13 T3 -d^lSTS
.2„„^a>g<u.2a).2^„„„^«„.2„^cu^Qj «S ^ djo
J^OO Or-i o— C^S © © © O ©-I ©G O ©.^•.'-.^ o C'C © © ©T" ©.-S-r-
M 13 -d -d t>Ci3 6cS bcCis'd'dTS'd M13 G 13 13 m 3 sctj 13 S-di3'd t|i3 boC
kH S.SS9j5Sk2 SiS GeSC r!;-; cjpo!
>4
.2|.£©| © © © ©ij| ©ii'lii|^|ii1ii©o©|oocc©^oc
^ S =2'^ S;'d'd'di3 rt §13^ S d £^ g cS £ OS 13 1313 gi3 13-0 13^3 cS'dlS
Age
when
admit-
ted.
S253'595'^0°^''5*^"*'*'*"5<000-^<JMO>0>©OIOW5(»050510i-IOC<5tHCO
ec-*>©co(^^Tt^rj^co(^^T^Tt<.*-*^cocc■coT*^<^^^TJ.coTt^■*c»3TOobl©co^-^«5MS
i :l
1 2s
1 ^^
CO . ZZ
_iSc©©©©a.^°'-^°o©©©©©©©©©©©©o©©oc©©o
g -d T! 13 13 'd .^13 I3l3l3'd13l3l3'd'dl3l3'd1313'd'd'd'd'd1313l3l3l3l3
6
1?!
O^^C<lC0'.^i0C0t--.000iO.-(C<lcC-^^0C0l^00C5O'— 'C^ICO-^mcDl^CSOCS^iO^^tM
00 0000 000000000 0000 ©00 ooooooooco 00
1868.] PUBLIC DOCUMENT— No. 23. 49
co■>Tl•*«5co«3eooSl-^col^•*(^^eo^~TfllOl-HTJ^^--TtlC^ooooTflt--u3(NC<^T)^u3•ti^»Ol^^coTl^<^^■*
a
o
S o
O O O O O o o
w
.2 '«
-c 'O -ts-a -« "« 13
>. t^ >, ■
.Ph .
CO ■ ni T C3
13 'CO i3 13 ° Ji
o u S
>- 2 >^ .2 !-
■3^3
W ccS cert
TS
13 tJ T3
TJ 'TS tj ts
a>
<U D ,0)
0) 0) <U (U
^
t* > >
> i3 (- l> >
^ 2
13 S-ci S-a 2
-ajii3Si3 5 '3.Sl353S!^l3t,S '« iH
C .g O .S o 13.C-3
ot>oBo'^^^^t-£Po;3oS:ocoC[>i3o^~c:i3
^ .^
P.O 0-« ft S-ri l=^J= l=^S i^--^ P-*^ o &. -w
P, -w
a.« PL.+J c -w
1 1
a°e°s ^
13
r^ 13
13 'O "^ 'O 13 'O
V
V <L>
Q^ QJ QJ QJ 0^ 4)
00 bC n
60 oo fcC«
fcfitn bDm m6omS)Dco6D«CaO«
C ^ S
t. C >- 0
>3C bCCi-iCbCbf^!3l3
•S cs .S o
es — o o cJ — o o
c3o~oooooo« •!- .«cSo.r-ci.i3c30"-;t3— !00
g'^|'«'g^^'«|s'^'^'g'^g'^'«'^^'^'^|^a-d|'g^||§|'°||a'°'* 1
V .- <u
:2 (u .- o
rtQtf
fiP5 CPi
P P5 PQDiQPiQ PiQoiQ DiPoS
» <c n
cn w CO to CO CO CO
ai(Ccr««3cotn7:cQajc»cccoaicoa)aj«J00coM cotnmw
>.»-.i-.
&-.>>>-»>»>. t^ >-.
>,>,B-,>,>.>,&-,>>>>5->>,&-,>>»-> >&-,>->>, ^, >>S>^ P~.>>>.>1
-a -13 -a -o T3 T3 13 "13 -a -a 'a -a T! 'd 13 't! ^3 "ts -o 'o '^ ts 'a "-a 'T3 -a T) 13 TS 13 'o TS'a'ai^
C5Ct>.cr><MC<lC-50O O000t^-*TJ<COCO.— iO05Cr5C050'*iQ0C<5'OO'Xl;0«5l0M C50?0?C9 1
»-.( >— *
C^ --H (M C^l
.-.C<IC<I(MiMCs| — •-Hi-l -^(M.— Ir-i— 1 (M ,-HOlcqcN
1 X » m
« tn K CO ' OT CO CO
MKlCOtOmMKKW tOCO OT COM OOmtOCO WmM
j: J3-C J j= j= ^ ^ j= j= -c^^ j3 j= j3^ ,i2 ^ ja rC ^ ^^^43 ^j3-c^ rfl^js 1
»J^*^*J*J — ^*J*J -U*J *J<J — +J *--jj4-.^ *J+J+J
s e s s s s s s s s s s £ a s s s s s a aa aaag sasa asa
CQ lO >0 •* IC <C lO --I ic •* ■* (M (N ■>*< -* ■* ^ Tj< Ttl -*l CO -^ ■* i-i CO ■* ->ti T)< C<l ■<;(< CO CO CO
*> •"
■*J 4J ■»-» CO
-M M*J , ■*^ .*-> ,*J .-W
►.-a i: "«
*-• "^ fc- rrt J-t i_,
M t->H tS^ -^fH *T5Ml3tH
S p S 0
2 c 3 c 5 0)
P S^S (35 Pl3 j33Cl3
o c ° o
,° o ° o ,° 3?
o ,'"o OO 0° oooo
OpOpq
„0f§0^0£
o" o o o o ^" o o o«^^ o o o o«^ o o oM^M"
*i a>2 n'oS 0)^ ojS >'d'0£i3irT3T3 >^'tSi3'0 oj^Jis'O'd'O a)_gt3i3i3 <u^ (d Si 1
rt rt e! 15
OS t; =a -S rt o
c* Oc3 rt^ cd^ rf*^(rfOj
o .- o .S
•si-gl-g-
o ^ o .So. .So .S o.S o
h t< IH s-c
M t. i- t, •- ,j3
IH -Cl-C I-CJ-I --iH >-l-,t.M
P-PuO-Cl,
a-E-a-D-PLnH
a, Hi^ P-<CL< 0.4P-I i^hOhPhO^
in
C/l c/j
o) » M tn « ^ to
5-a
■^ -== r/)j3
,^.x3^ .i^J^C ^.C
c c '- 2
O O ^ ^
^ca'fl2??'"^^S?c<"^!3i's?^<i'i'fl<"2fli'2'"^2^2!<i'fl<"^
•0THrte0O-<l<i-lOC<l-^t^C0C<IIMC0C0C<15CO>0(Ni-lrt00CDr-lC0c0C0iJ^O(N(Mr-iC0l>.e<)C0 1
l-H
(N
rH -H K^ _ ._,
....
... a ... .
a
o
_o.
'■i^ r-
'^
• .
• . aT . . r- J> . a> . • . . oT'S . oj • . — >-> . . . .
m- C o ^ C ,_ C
l-sl-S
•^ fe 'z: ±; ^ o ^
"r — C <!' O C i. • C
5e5
s-,cgca;c2^_£ra£'(DrtS-SCcajrt2iS<"r-i''^
.i-.^ a^..^.^ 'i^'K^ r; !u. Sj3^ <u c-^ a^-^ S c o.c £r=.^
c 3 a
Pc-P
feQ-PQ = DH5pfePJ:P?:;<SKH>i:OQ- = OMOPet5--r-aWP5HHP> 1
T3 -a
-« -«
O t3 t^ o.^ r,3 "^ !»
4) «, <U
QJ <U QJ a> QJ
•C-='C o
o o — ■r'^-c o —
o o o^T^- o 0.-5 o o"n o o'r— '•r' o o o o^- o"C— ■ o
H tjDi,T3'ai3 brt. tfjC'O Wj-a -dS sd n bC'd i3 tt-a ts tnTSia E ti0CT3'^i3i3 sctj ih &ct3 I
O (3 rs
C cS C « C
j-Crts J-C jr^^ J-rtReS g "'SS
2icS
mS J»S in
p-'cc^cc ^c2 ^S ^SioS 00 S^A^
0^
a. <u
4>Q>0 a, Q)QJ QJOtO
®B«oooaiJoflooooiJa^|iigo^aoo^ooSiiso.SaiJi4Ja 1
rtgcsi3i3'aS«'aS'0'aT3'«^St3S!<3r.'«rtS'^'ae«i3'dS(3Si3K!Ss3SniS 1
gp^S
fj-2 Pk
SfagfaStx, Sen S feS&4 SPmSPhSEh
oo---*<>oC305cao(M-*T(<iot^oooj05— 'C^cococoiooooo03to<x>cDCD<:Dr^i35'-H'-<(jci<NO>
e^NMCNCSC-lC-^CSCO .-<F-<.-(r-.i-Ci-<t-lfHi-l(Me<lC<IC^(N(»(N
OOOOOcsOOOOOOO
CO-^»050t^OOOiC5r-iC^COT^»OCDt^C03iO-HW:OTlHiOCOt^0035^^-C^lcO'4^»OCOt^GOOTO
OOC5O0O<^5O^>OCI>C3C3O^>C5C~'Cr»C0OO<r~iOC^OOC^=^OC^C5C-:>CDOC3OOCZ>
«OOO00OO0O0000O000COO00O000OO000O0OO0OOO00000OC»0OO00O0O0OOO0O0OO00OCOa3QO0O
50
LUNATIC HOSPITAL AT WORCESTER.
[Oct.
i
;>
pq
"S ■§ '3
"3 eS
"2 12 -2
•a «3
"o O O o '^ o
1 =
a V
c^ 1 "g
W fr(
-g W f^ ^
^
>. ■ >> >»
■3 1
editar
lidal.
editar
do
do
do
do
do
do
idal.
editar
do
3 *
»H 5: »-i ^ J-i
cc H
(U(Uii>Sa> 0) a> <u(u
Cj
>^ > t».2>^t> > >>
^
••-' O '^ ^ "-■ P- C« Sh "^ J- O "^ *-< '^ rH '^ ^ ■■-*
-no-"p4 +»odP<-wp»o*jaH -up, -w p,«
odjofl oftSa da <u oa o a o ao
■s ">
rO r^ rrj n3 "^ '^
<u <u o <u a> <u ■
to 9
&Dm6C«i m ftD^Mco bOwbDm
g a
j-'W'^a c ;-ta*-'a.'^a*^a
'g'^g'Sg'^'^Ts'^g'^'^'^'^-g'^g'^'Sl'^'^'og'^ol'^''^'^'^'*
5 M
.^ OJ .« CL* .^ OJ 52 Q^ '^ 'l^ .J2 QJ .1-1 <U
P KOP^ P M Q p^ Ppc5 PC4 PCS
ffjmmtBcocDKtoceaimmaiM totcmmcooimmaJcD m
a rJ
t3 'd t3 -O 13 t3 'S '^ nS tS 'O 'd 'O t3 'v3 TS TJ 'O TS t3 T3 tS '■d •« '^
iOO-Ma)lOiOlO>OTt<o:>(M.— i-HO l>.t^t^«5lO'*-*!M(?5>0 o
p. -w
tMCqi-ir-(rHrHi-l,-|,-H,-l^ <M M
"c'a
cnwcn ccMM wi/jwodmcooj cowroaaww wto comOTrowoo
^^^^,a.a^ '^'^'^'^'^'^'^•^5-5'5'5'£'5'5'55'S'£'£'£'£'S'5
ssssgss s a s s s s a ga s g a aaa s s s s ss E sa
(MC-leo-.HCOcoco c^cococococo(Nr-icococscococOr-iesco.-icocococ<3CO(N
4J *S .+J m*J+i-M4J,'-lJ
^1 rH!-i Of-" ;-l!-ir53^H KtSl-OiHrrt
p a ^ . ^ S^Sf^ Paf=.ga
o 50 ,n° S^Oo^-^doOr/jOg
?:a
>>a
Mg
t! Em- oS va!-iS!HatH!-i>HOt,s
CLi eucw (Q0-, H p-iPhPl, cocuPhPhM eu (l,
a d
o © o
5^1
3 years
1 week
1 year
1^ years
7 years
6 months
3 do
1 week
2 weeks
9 months
8 years
14 do
1 week
1 do
1 do
1 do
3 months
1 month
1 year
5 months
2 do
6 years
Unknown
6 months
3 years
1 month
1 do
Unknown
10 months
6 weeks
1 month
6 years
fi •§
© •
0
a ■
1
■J2
acco
on,
"e, .
on,
tice,
men
ace,
nee,
ion,
e, .
ion.
o
p.
a
111 health.
Use of tob
Masturbati
Paralys-is,
Turn of lif
Unknown,
Masturbati
Intempera]
Puerperal,
Old age.
Disappoint
Unknown,
Intempera:
Unknown,
Intempera:
do
Unknown,
Puerperal,
Masturbati
iUnknown,
1 do
do
do
Turn of lif
do
Masturbat:
Unknown,
do
do
do
do
do
a
'>S
o'S
^ a
o
a
(UC> OJ Qi) 0 Q> QJ ^
i
g^o|oo^oaoo^og«ooa^go«o|o»oaooo4J
a csns £t3t3 cS-a S'^'O cS'W g cSriTJ g rf gT3 OS'S g^j jg-ci gn^nSTid
[£g Ph § P^ S Pi^S Pi4§El4 g fe g Eh ^
Age
when
admit-
ted.
OOOOt^':DOi'--'<NOlOOCS)COTflCOeOl.'MMCOr-irH«Oi-l(MC»30C<100-^iraCD«5C3
<>^C<lMCD-i*eOC<lu7)C<IC0 50TOT»<<NC<)C<IC<IC^CO«DiOC<ICO-<*(rJ4(N-*CCl^C-)COffO
•
00— '(Mcoco«5<r)t^r^oocno=>oo-*^^iocot~r~o>050i-ii-ii-(i-it-ic<i
00
2^0000000000000000000000 OOOrJOOOOO
°'°
^^
a'T3T3T3'T3T3'T3T3'T3'T3'Ui3'!3'd'T3'T3'T3'^'a'aiT3i3n3n3T3T3 aTS'TS'TS'OTS
H5 '-5
•— NCOTr>CCDt^00030i— IC<ieO-*lCOt^OOa50'-l(NCO-<tl'0«Dt^00050^£3
6
050>050iCT>0305OCD<:3OOOOOOOOC>i-Hi-'i-(.-lr- li-HfHf-li-Hi-JC^^CJ
^
§§§SS§§§§woo5roSSooooSSSSSooSoooooooooooooooo
1868.] PUBLIC DOCUMENT— No. 23. 51
"3 "Je
riod.
ical.
dal.
ical.
'o '^ o
0 S"" 000 •"■T3 0
•g .2'*
-a plj .2 "S -WTS.S 0 "^
OQ g
t3 Cli
g
1
'3^
• 00 0 Orrt^O 00
■13-d 'O n3 S StS t3 -O
0 1-1
•n IS
tS -d -tS tS
« <u
0) O 0) 0)
? >
^ > > > _
o_'d o
QJ 13 Si 13 01 t< ~ O)'^ 1-13 n 13 ffl^ 0)
> a > S o c o
53ooo^oog'oooo£og^gj;a;g-Siog'ogoooSSJg
•^•^ u c '^
0 i^ "" -rt 0 — ' 'r; 0 Ji "" Si •'■' M 0 b 0
(2.4^ &C> -k^
0 D. ■" co-uE^^oP^-wC-wa, oP-t>
e o cj <o o
(U g 0 <3<uoS<"poSOQ odOJ
■TS Ti
rri "TS ■ "^ t3 "^ "TS
0) a>
c> 0 a> a> o) 0)
be m W) m
Cin m CiCa) bJD m bC w faO w bD
I- d b a
^ (=1 bc:^c bd'S'^b
cs-S o ti 0-5 o
ffJoOO*^ 000000000^ "-lOr3"^OOOOOOC0'^O™-'^<^
"2 fl'^'S'^ gT3,g'«T3'!3 |t3t3'^'^'t:J'^'t3'«-^^ S'^'o p'^'^'^'^'^^ -^ S'^'o ""o
.2 CD .2 S ~ '" '" "■ ^
,'^ <u .;ii (u ,w OJ .z; <D .-i Qj — 1
02i O P3
Q C^ Pci Q25 pai OPhQ
M m w to «3 m CD
t-. >. >^ ■■>-. t-> >. t^
>-,>,>i>^>-.>^>>t-,>^6-.>,>->>^>-.>>>,S^>.>->>vt^>>P-.>,>,>.>.>N>^>-.
13 -CO tS -o TS tS
rai3'T3TSl3-d'S'd'T3'aT3lST3T3l3T3l3l3l3l3T;i3'Cl3l3'-3i3'di3T3
02 CO CO C-l IM CO to
cocici— 'oo^:^t~^(M<M^q(^^'-|^^ooooco^oo^!^^'t^>olo^c5CDoo^-
IM (N (M •-< — 1 cq IN
c^l rt — 1 (N i-H -J r-< 1-1 T-i i-i ^ — ( i-i -H th n-( (M <M IM r-l ,-( l-H i-H
«j 05 w M tn M «
'/! oiKTimwmmWOTm tow w ta m w m
^ ^ ^ ^ ^ JZ ^
^^X!-CXl.C^^^jr^X)^^>d^j3 j3'^ x:-d,J3j3j3^j3^^j3^
as s as sa
ssasasasasasssasasissassssassa
c<^c<^c^c<^!Ncqc<^(^^'Hl-^•-^c<^c<IC<^c^c^Ic^c<^c<^c<^<^5.-Hc<^cN■-Hc<lc^l^^(^^<^^l-Hr-^rHl-^■-^^ jj
GO -j-a
.(-» -k» .1^ W -»:> -^ -w
U U '^
t-i-at-i tJ'-'ir!'-' i3ii 'Ci<
S S (3
s^flS flSa^P c5 S!='
goo
OoO 00^° 0° o<=
OcaO :So "0 (So (§0
~^'-i~'ooooo'^„oo„, oo'-'„, oooo'^~;oooooooo
^0*^ o« o o
>■ 13 ^'3 oj'dTS
5 o«Ji3i3'Oi3T3 (U^'tS >^'t3i3 05^13131313 a)«^'t3i3i3i3'd'T3i3'a
o t« H
0 .2 0 .S 0 2 0 .So .So
s ° •-
JS n 1-,
H 1-1 )H 1^ •_! J= U 5-1 IH M =1
H CL, P-i
O.1O-1OH CU Ph HO-i p.<CU P-iPh
^ .d ? J
'3'39"Scii:oi;oaj!oo'Si;ooi='oSaoo'3i;o'3i;S°
1 li a m.| 1-" s I"-" 1 ll 1 a ^ 1 1.-^-^ ^ ^ 1 E.i|
CO^CVI.-J(M^(Nj2-*COOOCO(M.-IO(NrHrH(MCO-*ll3C5rHOOt^ — -e(I^- l-j
years
mont
year
mont
do
mont
»0 IM ^ CO O j5 CO
■ ■ * y ■ ■ ■
t>^ o
& . ""■...
*
c • « a "
• H
H o.S
0
in the a
atiou,
c troubl
ntment
n, .
ntion,
. qT <u • oT 2 . . . . "^ . . «■ rt~ aT
g - - .3 oT? -0: - - ^ . 0 .a.2 fl
.2 S g = • g 0 0.2 1 -S-g IHI f 0 0 «-2 g o^'&i oTS |.g 1
"^ e<o'« .0'*'^ So s-i: g-oi! J? 0'^'^^ M o'^'S S.-S 600 g-i: e<
ac ^ c .^saMaflMg-s oc ^ a^a ^sb b
m ^ -r O ? ^ ^
a- b M o-o^ hi
■c 5 s S c 2
S w g rt^ M
tjfl Sc Sa-s2-"fl3dC ofl ^csSS-SjS'S
tH I-,
T3 tS
13 T3 'C.iSiSgJ'BO 13 13 13 ^
2 « 2 »
CO (a OJ a>oj&o>5,a>Pa,a)!Sa) 0 a,«aj a> ojfe
C — ■ 'S -3 o o o
OT!^- 0 0 -n Ori<"C OT^,-STf e^^-r; 0^ 0 •.-! 0 o— .'r"^- OT! 0 0 --S 0
C tc -^ 6CTS -« ts Ti c 6D-a -a C-a tci^'d C tOiZis sct^TS M^j 5 ra t3 ho ii: 6r,T3 c ts ts tt-o 1 i
c3 c a a
ess (s a^L'^rtat^^rtrt^r^a ci i^rfo ca pj^
SSSco
Sco § KS!?Sc«S^coSi:i^t» !3 c«2c» S c»&
Oi
<L) <1> OJ Qj (U 0 <U
^ 0 o| c^ 0 0 0 0 1 0 oiJ a^i^ oooog.<yooo|oooo^oflo»|
3 fa s
fa SfaSfaS faS fa S fa Sfa
Oi-t<oocior-coccieo>o-*(Mioo-*ocoocoiwi>oeai-iCi'Ot^o>o«o-^«o-*e<3coo"0<M
COC<IMM.-<a5C<INCOCO(^C-1COCO«>t~t^e<3CO(Nl^eO«)«3C<Il?q>OCO-*T(<>OC<3CQt~-CNC<30aT*<
W CO C<3 CO cc -* 0
Ot>.t^00.-^-*'0>000CSC5OO— <r-i.-HC<)lM-*rt<r— oiol^t^^-^COCOTtlm
,.Jr-l^.-l^CvlC4IMC<)C')C4(NtMIN(N(M<N(NCO .-irtrtr-l^^
^" 0 0 0 0 0 0
fcD
OOOOOOOOOOOOOOOOOOOOOOOrt^OOOOOOO
i3i3'd-c!'a'Ol3i3'Oi3'di3'T3i3i3-ai3'«l3'T;i3'T3T3ii313i3T3i3T3't3
^ -a n Ti 'C -a -a
c<5-*ic'Sr^oociO'-<c<ico-*io'^t^cocio— ^c<ico^<oi^r^coaio--c<ico-t<>ocD>^a3CTic^ 11
CQC^IMC^lC'IC-lC^COeOCOCOCO CO CO coco CO ■*-r»<^-.J(TtlM<-ft<T(<-*-*>0lO>0>0'0>O-0'0>O»OCD II
►-I.-" — — '.-<.-l.-ir-l---Ji— 1.— l^J^-r-l--.— l.-1-Ji-J-^--— '1— li-Hi— 1— 'T— l-J-^1— 1
OOOOCOCOCOCOTOKJCOCOCOCWOOOOCOOOOOOOaJOOOOOCOOOOCOOOCOOOOOOOOOCOOOOOajOOOOOQ '■
52
LUNATIC HOSPITAL AT WORCESTER. [Oct.
•a -i
cal.
ial.
S .2
'dooooooooo *3
a •§
O'd'O'Ta'O'd'd-O'tfTJ -g
•a 6
O o
<B O
w (S
^ w
b
•
- s
<s S
■^ 'm -a ♦
^nars a, t3 -d TS "d 13 TJ
•g ffi
u (^ u
00 n
M cc W
i
tj 'O'd'ci'TS ns TS'O'a
o ojoajcu 0) tua><u
c3
_> >i»^>i3P> > >_^ >
-H
-gg ^ g-d g-dg^S-d-S-d g-d g-dg'S g
" S-d-d 5'ti'd SS'dESaSsgdS'dg g-dTS-d-d S g S "'d S-d
^
o— !-< •'^ !h — >-•" i^— • t. c« •; •" g ■" g— ■ o •-*
o *^ fi, ■,*^ a -w c*j &-i^ PLjs o. -MP, *^ p,« u «
<uo d;**OG ocodoflxs Ofl opo<u o
"S ti
'S "^
a a
0) 1
6D2 « 60 «
rtK.S
i; 13 ^ CI S
j3 o OS
S'SOOOOOOOOOOOOOO •2 0000000000 ©---o
1 i
rg g'd'd'd'd'd'd'd'd'd'd'd'd'd'd^ g -d -d -d ts -d -S 'd tS -d -d .a •§ gna
.2| . ■ .si . g
Q P^
OD^ QP^ O 03
wwtetemmmoom^ mmmtnmmwtDmaimtomioaimm ojmib
>,>,>.>,>,>,>,>, ,>, >> t>.>v>.>.>,!>,;^;^>.>,>.>,>^"i>,>.>. >.£,£.
fi _;
■d -d -d 'd -d ins n3 -d 'd ts ns -d -d -a -d t3 -o 'd 'a -o -d x! -d -o -a -o -o -d -d
S S
coccoooir~>o-*eo'^ en 05 oo oo co -lo o o to «o lo eo m c<j os oo iomn
& ■*-»
^rHrHi-HrH <N (NN <N (N .-H M (N <M r-1 i-l .-1 i-l r-1 rt
.5 H
.^^.dj343.i2.dj3^-S^ "u
+J*3+i^+J+J4J+i*J*J+J (U
ssaasssassa t
-4JCO-»JttJ*J-»->4J .-*J -W .M
SSS SS'^S'^dd ""^3 "^"^
la
^1
?J«of ooi^ol^ol^Mof ooocooool=?ool5
2 > (U'd^'d'd >5'd 0)5^3 4)^ Qj'd^'d'd'd'd'd'd'd'd oj^-d-d «»
o 2 ■- o - s o .£ o .5: o .£ o .So .to
ttg
i^^ u u j::ui:uuui-in C u CS
CuHIl* P-i HPh CuPh P^iPhOh Ph O-CU OhOi
:: — ^H rzlLZi lT . — ^^ ^
O! . 00 to 05 (0
C5 C
1 week
15 years
2o do
11 do
1 year
6 month
Unknown
22 years
8 do
2 month
2 do
10 years
3 month
3 weeks
5 years
1 year
1 week
2 month
1 week
1 do
10 years
10 do
1 year
1 week
8 month
2 do
2 weeks
I week
1 do
1 do
i year
3 years
«5
d
o> . . .
-g <u
o
©*,._r,o.m • ..a) ft>^.'7la3d.n3
o
p.
o.
S^ ^ o^ ^ S >;S o g o o o o^ „'| S'S 1 o o g S^ 1 S £.2 .«-
0,1; s-dt; 5 cuj? cd g-dns'd'd 2 yg 0.-3 5'^'* S 0.=^ S 0 ».« ?„
CO
Inte
Masi
Unk
Mas-
Unk
Inte
Epil
Inte
Unk
Spir
Old
lUnk
Inte
Illh
Unk
Inte
Mas
Unk
Relij
Inte
Dom
Old;
Inju:
rSre ^ T3 'dg^'d ^"d TS 'd-d
"P-S
•C^-r-rS 0 orS o-r o--='S 0 o^-ji 0 0 0 o-^-S o-j:-- oC-S'S o o o
n 6c S: M-d -d ac-d tt-d fccS-d-d boS'TS'd'd'd S bc-d G M-d i- to >< -d -c -d
3'§
o
o
o5j3o3S kT's^ ts cts^i'^cci jr; =*c t*a t>j-irt
§!»§;» ^'S g SS^^EcS ^ Sec Sec S(»§
QJOJ Q30<D(1> (DQjiij
»<
M
^o|o.2S.2oooa.2o|^|^§oo»ooiiJo|i>o3i>o
^'^ §-« <« g^-d-d-d g rt-d g^ g c« s-dTS^TS-d grt-d g cs-d g rf-d
sfl^
lMi:Ci-Ht^(MlCO-^OCS>l~-00<-HlOiO.-lCDCM-*lO-<*>0<MCD>OOOr~eO(NIC<IO
^11-
CO-*»-»CO(M'*^C<l-#-.*CClO-*r--TtlC<3t^<M-^'^lOMrHCOCOC<liOrH'<*<e<lt^T*<
■S'S
0505M(MC<l>OI-~l3>— lrHe<C<IC<3eO-*lOt^i-lr-l^lOlOt0000005IMCOCDOOOOOS
..^i-ISq(NlM(M<MCNCC >-l-<.-H.-c^rtr^rHrtC<H<llM<NCJ<M
11
rH^OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO
llj'd'd'd'd'd'd'd'd (i^'d'd'd'T^'d'd'd'd'Ti'd'd'd'd'd'd'd'd'd'd'd'^'d
•< . CO
^^
nH(MCO-*lOCO«^OOOiO^(MCO-*iOtOt— 00050r-cC<I«>-*ir>'mt— ooroci.-<(N
o"
!Ot0^t£>«0«!»?DtDtDI>-I>.t>-t~t^t^t^r--t— t^OOOOOOOOOOOOOOOOOOOOr50505
!«
00 00 000000 WW OO09OPOO 0000 00 00 eCOO 0000 00 0000 00 CO 00 00 000000 0000 0*
1868.]
PUBLIC DOCUMENT— No. 23.
58
^ o o o o ^
O T3 'O 'O 'O ts
tC CO QO
t-, >, B-, >, X i>,
"O TT "C "C T3 "O
O o O
„ '^ o o „ o
■?.> ■§
Dli
g o o p o g
o • • ga •
.2 C.2
J; C 4/ D. 1- O
5 c P-E2 rt
K je r; Q- a Ji!
« G 3 -^ t* C
^ m fe "u (B
o •— 07;— o
^-1 ^^ r^ ts. o c*s
>0 •^ •<l< ■* CM M
CS CI C^ C O C3
CO ■»J' 10 «D r^ -«
0)0 0 0)0^0^
00 CO CO 00 00 00
54 LUNATIC HOSPITAL AT WORCESTER. [Oct.
In former reports, I have faintly sketched what seemed to
me desirable in order to fulfil the important indication in the
arrangements for the care and control of persons afflicted with
mental disease.
The attention which you have given to the matter has led
me to investigate and study the subject faithfully, and to
inquire what modifications and improvements, if any, can be
made in our present system.
The minds of medical men in all countries are now directed
to the same subject, and are contemplating similar measures to
tliose so feebly set forth in the annual reports of your hospital.
In England, asylums which were regarded twelve years ago
as models, are now being enlarged and improved by wide de-
partures from the original plans. New asylums are being
built upon improved plans. And while this change is going on
in existing hospitals, new plans are submitted and approved,
embodying entirely new principles of arrangement. On the
Continent, the same questions occupy the minds of thinking
men.
If we consider that human nature is the same everywhere ;
that man is, all the world over, subject to the same impulses, and
governed by the same motives ; and that when insane, insanity
assumes the same forms, and is successfully treated on the
same general principles in all countries, we certainly ought to
take as great an interest in the consideration of this subject as
is taken by the humane of other countries.
Our system finds its weakness mainly in the meagre, advan-
tage we have at our command to classify, employ and occupy
the minds and the bodies of our patients. It overlooks, to a
great extent, the important fact that inactivity is incompatible
with bodily vigor, and that exercise of all the faculties, bodily
and mental, is the best method of preserving health, as well as
of regaining it when lost. This law is laid deep in our organ-
ization, and cannot be violated with impunity. Any system of
treatment not based upon it, or in any way ignoring it, must of
necessity prove worse than useless.
If we look carefully at our own management, we shall find
that our patients are and must be left too much to their own
choice, whether to work or to be idle. No encouragement is
held out, no inducement is offered to persuade them to labor.
1868.] PUBLIC DOCUMENT— No. 23. 56
They know almost at once that occupation is not the rule of
the institution, and they act precisely as sane men and women
would do under similar circumstances. Men are not apt to
labor without some adequate motive. The insane will not
labor for the benefit of their health, because they do not believe
themselves diseased.
What we need most of all is a systematic arrangement and
control which puts every one to some occupation. It is not to
be expected that the work of any large proportion of the insane
will be remunerative. The object will be gained when the
faculties, mental and physical, are employed. This woman
whose vagaries have controlled all her actions for many years,
may not be persuaded to engage in the useful labors of her
early life. She will, however, carefully undertake any useless
fancy work, and thus employed, be relieved from the thraldom
of delusion. This man who refuses to assist the mechanic in
any light labor, will enslave himself for years in the pursuit of
perpetual motion. This young clerk who cannot confine him-
self to the duty of an accurate copyist, is employed many
weary hours in the equally laborious task of balancing imagi-
nary accounts. To turn this waste of labor into healthy and
useful channels, is a work next in importance to that of arous-
ing the dormant energies of the demented and fatuous. How
can we accomplish these desirable purposes ? We may lay the
subject before the whole corps of assistants. If, happily, they
are persuaded, and are willing to devote themselves to the
duty, where are the means by which they can accomplish the
results ? We may argue the advantages of occupation with
the patients, but can we make it clear to such minds that labor
is essential to recovery, and as such is a sufficient inducement
to command their attention ?
If a strong, active, convalescent mechanic is induced to labor,
can we regularly pay him for his work ? If we remunerate
one, can we all ? If a delicate lady is directed to occupy her-
self in music and drawing, in addition to the ordinary occupa-
tion of needle-work, can we assure her of a speedy return to
society and friends ? If we advise a gentleman to keep up his
habits of reading, writing and conversation, can we afford
accommodation for his library ? Can any number of such
visit the public library ? When all these obstacles are over-
56 LUNATIC HOSPITAL AT WORCESTER. [Oct.
come, we shall find that we have no convenient rooms, no suffi-
cient accommodations by which any number of our patients
can gratify their own healthy tastes and feelings.
With the common laboring men and women, the difficulties
are more readily met and overcome, though no hospital or
asylum in this country has yet provided the means necessary
for this class.
It is to be supposed that if all laborers were promised fair
wages for their work, and regularly paid, a much larger pro-
portion would be induced to engage in profitable employment.
When the plan had proved successful, the wages of the patients
might be kept, by the treasurer of the institution, on deposit
for their benefit and use.
In Great Britain, an extra allowance of some luxury, such
as beer or tobacco, has a powerful effect, not only in producing
quiet and good conduct, but in promoting habits of industry;
and under the influence of such motives, many who would
otherwise be idle and listless, perhaps noisy and destructive,
engage regularly in useful labor.
In regard to females, sewing and knitting, embroidery and
fancy work furnish a ready resource. So also do the various
departments of domestic labor. But they should have also
the stimulant of remuneration. Labor, at present, is almost
entirely compulsory, inasmuch as it is not, and cannot be, to
any great extent, remunerative to the laborer. If we pay for
it, there is the nice question of how much. Many of the
insane, all of the demented, must be re-taught to labor, and at
considerable expense ; and it must not be excessive, but grad-
uated according to the strength and condition of every patient.
It requires a large judgment and a nice discrimination to
provide occupation for that growing class of active, intelligent
minds which, for various reasons, find an asylum in our hospi-
tals for the insane. How can we, for such patients, fill up all
the hours of the day with recreation, amusement and exercise ?
How can we gratify their intelligent wants ? How can we
answer their just demands ?
The establishment of hospitals for the insane was at the first
an effort of philanthropy to redeem from jails and poor-houses,
from cages and out-houses, the forlorn, the friendless and hope-
less ; and now, having fulfilled their first mission so well, we
1868.] PUBLIC DOCUMENT— No. 23. 57
seem to have forgotten that there is yet the higher office to
prevent and turn aside this great current of human suffering
from another and more hopeful class.
I know of no way by which this can be accomplished but by
the adoption and execution of some such plan as we have con-
sidered on other occasions. What has been attempted else-
where can be accomplished here. We need a different class of
houses, and more land. We need arrangements which will
dispense, for the most part, with the necessity of locks, bolts
and bars ; with camisoles and belts ; and, if possible, with
drugs, medicines and sleeping draughts. We need all the
arrangements for the highest comfort, the most perfect cleanli-
ness, ventilation and warmth. We need everything calculated
to promote the best hygienic condition of the insane. And
above all, we need such arrangements and such means as will
serve to give occupation to every mind and every body placed
under the care of the asylum.
During the last summer it was my good fortune to visit many
institutions for the insane in foreign countries. Among other
places visited was the town of Gheel, in Belgium, where the
cottage system, so called, has perhaps reached its highest
state of developement.
The early history of this community, so far as it relates to
the insane, is very obscure, and much of it is lost in tradition.
It is supposed to be quite certain, liowever, that a church was
built and dedicated to St. Martin as early as the seventh
century where the town of Gheel now stands. To the little
colony of Christians gathered about the church so recently
built, the Irish princess Dymphna, accompanied by a priest
named Gerbernus, fled from the rage of a cruel and wicked
father. By their acts of charity and Christian benevolence, as
well as by their quiet and pious conduct, they seemed to have
gained the love and esteem of the few inhabitants of Gheel.
But being pursued in their flight by the unnatural father, and
discovered in their retreat, Dymphna was slain by her incestu-
ous parent, while the good priest who had protected her, fell at
the hands of his followers. It is related that some insane per-
sons who witnessed this unnatural deed were so shocked by its
horror as to recover at once their lost senses. Dymphna and
58 LUNATIC HOSPITAL AT WORCESTER. [Oct.
Gerbernus were buried side by side, and soon a little chapel
rose near their graves.
In the meantime Dymphna was canonized, and hither to the
chapel of St. Dymphna came the insane from all the country
round about to bow at her shrine, and pray for the intercession
of the blessed Saint that they might be healed of their infirmi-
ties. As the fame and influence of the Saint increased, a new
and massive church was erected at great expense of toil and
money. So great was the faith in the miraculous power of the
Saint, that quarrels took place between rival towns for the pos-
session of her bones, and the Gheelans, almost by divine assist-
ance, were enabled to retain and remove them to the prepared
shrine in their new church.
It is quite easy to understand how a thousand years ago the
rude inhabitants of the little hamlet of Gheel were wrought
upon by a belief in this supernatural agency. We, ourselves,
in the days of spiritual manifestations and clairvoyant insight
know how readily any absurd doctrine may obtain credence for
peculiar medical efficacy. As a matter of fact in our every
day experience we also know how frequently a removal from
home and a change of scene is followed by an improvement in
the condition of the insane mind.
The practice of bringing the insane to the shrine of the
Saint increased as the knowledge of her miraculous power
became more widely known ; so that early in the history of
Gheel the inhabitants became accustomed to the presence of
lunatics among them, and also the care of providing" for their
welfare. Living in the midst of a most barren and desolate
tract of country, the Gheelans were of necessity industrious,
and as we have already seen, they were filled with religious
fervor. These two important traits rendered them peculiarly
well fitted for the duty of providing for and taking care of the
insane ; the duty being enforced by all the dictates of worldly
interest as well as Christian charity. The insane were regarded
with feelings of religious awe, and it was deemed the highest
Christian duty to make every effort and suffer every sacrifice
for their care. These feelings were handed down from genera-
tion to generation, and enjoined by father upon son, till at last,
instead of a hamlet with a rude chapel and a few demented
wanderers, Gheel comes to be an important community, accept-
1868.] PUBLIC DOCUMENT— No. 23, 59
ing a labor and devoting itself religiously to a duty which has
no parallel in history ; choosing cheerfully and hopefully a state
of things which no other community could be persuaded to
tolerate for a day. It is this religious feeling in regard to the
lunatics, which has been and still is, more than anything else,
their safety in the colony, and makes Gheel better adapted than
any other place for this peculiar plan of treatment called the
cottage plan. The religious fervor in behalf of the insane
seemed to be the distinguishing trait of the Gheelan mind and
habit. Insanity was supposed to be due to supernatural causes.
The doctrines of the Church were such as to encourage this
idea, consequently spiritual aid was regarded as the most effi-
cient means of relief. Who then so likely to intercede for
divine favor as the blessed Saint Dymphna ?
The patient for whom the direct intercession of the Saint
was desired, was placed in appropriate apartments adjoining
the church under the care of persons retained for this purpose.
These apartments consisted of two large and two smaller rooms
or cells furnished with heavy oaken benches and iron rings to
which furious patients might be fastened while awaiting their
turn. Hither a priest would come daily to say mass and read
prayers. If the patient was sufficiently tranquil an offering
was performed daily for nine days in succession. The patient,
preceded by priests and surrounded by assistants, chanting the
praise of Saint Dymphna, marched in procession three times
round the church. Each time as the procession passed through
the chancel a halt was made at the tomb of the Saint, which is
placed upon columns about four feet high, forming a sort of
portico of gothic architecture. The procession kneeled and the
lunatic dragged himself, or was dragged under this portico con-
taining the remains of the Saint. They then exorcised him
and conducted him back to the adjoining apartments. If the
patient was too furious to be easily managed, a person from the
country has been known to perform his part. While making
the three circuits the friends and relatives remained in the
interior of the church praying to the Saint for help. When
nine days of such labor had passed the patient was generally
freed from his restraint and restored to his family.
It is certain, says the very able and accomplished superinten-
dent, M. Bulkens, in one of his reports to the Belgian Liinacy
60 LUNATIC HOSPITAL AT WORCESTER. [Oct.
Commissioners, that cures were effected in this way. For-
tunately, however, for the insane, a belief in the miraculous
power and direct intervention of the Saint has nearly passed
away, and few, if any are now found willing to put their insane
relatives through this ordeal.
Such in brief is the story generally told and believed in
regard to the origin and growth of Gheel. It begins in fable
and ends with the condition and prospects of the colony at the
present day. Commencing with some accidental circumstance
happening to a few religious fanatics eleven centuries ago, it
reaches forward to an important community of eleven thousand
people, among whom are living in comparative comfort and
freedom, and in the enjoyment of unusual social privileges,
about eleven hundred lunatics. No doubt there have been
great cruelties practised at Gheel, and probably bad results
were produced by so strange a mixture of medicine and relig-
ious fanaticism. But this was in no way peculiar to the habits
or customs of Gheel.
It can be shown that severer customs prevailed in other parts
of Europe, and that the system pursued at Gheel tended in a
great degree to remove the restraint and ameliorate the condi-
tion of the insane. For as early as 1676 a municipal order was
promulgated forbidding the keepers of lunatics to allow them
to go abroad unrestrained, making the keepers responsible for
damages done by lunatics, and imposing a fine for violation of
the order ; thus showing that the keepers were, in their
humane tendencies, in advance of the public opinion of their
day. Still, so much freedom continued to be enjoyed by the
patients, that in 1747 another municipal interference was con-
sidered necessary to check the growing evil of permitting the
insane the enjoyment of free air and exercise. But it is
remarkable in this case that public opinion had taken a wide
step in advance, and the magistrates in their municipal order
enforced by fine, recognized the superiority of a careful per-
sonal supervision to the promiscuous employment of chains and
fetters. Again, so soon as 1754 another enactment was passed,
in which the magistrates complain that the lunatics are so free
that one can no longer distinguish between the patients and
citizens, and when the keeper is admonished, he always replies,
" My insane boarder is not dangerous. He does no harm to any
1868.] PUBLIC DOCUMENT— No. 23. 61
one. He is quiet and well-behaved." All the facts go to show
that the management and treatment of the insane was at that
time in Gheel far in advance of the spirit of the age, while
doubtless they suffered much, which, to us to-day, would seem
but little short of downright cruelty.
In 1821, Esquirol visited this colony, and wrote nearly as
follows : " The greater part of these unfortunates are fed like
the peasantry of the country. In the town the dietary is bet-
ter, and generally it is the same as that of the persons with
whom they live. The lunatics, male and female, wander freely
in the streets or in the country, without any one appearing to
be watching them, even when they have trammels on their feet.
If they try to escape, straps are used. If they are furious, they
are chained by the hands and feet when they do not go out of
doors, at least when they are lodged on a sequestered farm. In
spite of these means of restraint, it happens often that they
wander or escape, but the police of the surrounding districts
stop them at eight or nine miles distance, and bring them
back."
Following Esquirol, Guislain and Moreau addressed them-
selves to the French, Parigot and Bulkens to the Belgians, and
Rollin and Droste to the Germans, giving to continental inquirers
all the facts concerning Gheel and its system. In 1828, Sir
Andrew Haliday, in his general view of lunatic asylums, gives
his opinion of the system in the following remarks : " If the
governors of St. Luke's were to form such an establishment
upon some of the heaths or commons that are at no great dis-
tance from the metropolis, they would more effectually, I
imagine, fulfil the intentions of the supporters and contributors
to this institution, than by transferring their supposed incura-
bles, after a twelvemonth's trial, to the white and red houses at
Bethnal Green, as very uniformly has hitherto been their prac-
tice for a number of years, and that such an establishment
might be formed at a very small expense must be apparent to
all who will give themselves the trouble to think on the subject.
" The renting of a considerable portion of any such heath or
common would not be any great charge to the funds of the
establishment, nor could the building of the cottages cost much,
and such an arrangement might be made the means of keeping
many poor but well-ordered families from the work-house, and
62 LUNATIC HOSPITAL AT WORCESTER. [Oct.
of rendering them useful and industrious members of society.
The average expense at St. Luke's was, some years ago, forty-
six pounds eighteen shillings and threepence. He might be
maintained at one-third of the expense at an establishment
similar to that at Gheel, and have almost a certain prospect of
being cured while the disease is yet curable."
Since that day. Doctors Gumming, Webster, Browne and
Coxe have all published favorable notices of the cottage
system. More recently. Doctors Stevens and Sibbald have
recorded their observations respecting the working of the
system.
According to all the published accounts of Gheel, and par-
ticularly that of Dr. Sibbald, it seems that up to about this
period of time no efl&cient system of general superintendence
had been established, without which it would be strange if
gross abuses and crimes injurious to the patients were not fre-
quently practised. And without doubt, during the long ages
the colony had existed, scenes of great cruelty had been suf-
fered. Slight responsibility attached to the keepers, except so
far as the dictates of their religion, and motives of worldly
interest guided and directed them in the care of the insane.
These could hardly have been sufficient to repress abuse or
encourage kindness, much less to reclaim, organize and bring
under general superintendence this strange moral waste.
Guislain made Gheel the subject of a most searching exami-
nation, and in consequence of the numerous abuses found to
exist, condemed the whole system. Another inquiry followed,
which also resulted in exposure and condemnation of flagrant
abuses, but at the same time in recommendation of the system,
and suggested an organized medical superintendence, under
the control of the state. Consequently, in 1850 or 1851,
M. Parigot was appointed resident medical superintendent, and
from that time, a most remarkable change took place in the con-
dition of the insane. The law which inaugurated this state of
things creates a superintending body called the general com.
mission, consisting of the governor of the province for its pres-
ident, the provincial attorney, the commissary, the burgomas-
ter, the dean, the medical inspector, and four members taken
from the citizens of Gheel. These hold office for two years,
and go out by rotation. This commission appoints annually a
1868.] PUBLIC DOCUMENT— No. 23. 63
committee of five inhabitants, whose office it is to control the
general administration and finances. The medical administra-
tion is lodged with the resident medical superintendent, who is
appointed by the minister of justice. He writes the reports,
grants certificates of cure, and superintends all the affairs of
the colony, residing at the infirmary or asylum proper. Under
him are four medical assistants, each residing in and visiting
all the patients of his own district at least once in a week, and
oftener when necessary, or when requested. They report
quarterly to the resident medical superintendent, which, accom-
panied by his comments thereupon, are sent to the superior
commissioner. Patients may also be placed under the care of
private practitioners, who agree to submit to the same regula-
tions as are laid down for the assistant-physicians. Then
comes a corps of civilian inspectors, one for each district, who
go from house to house, noting the condition, wants and pros-
pects of every patient, and making regular reports to the
superintendent.
A list is kept of those whose characters and dwellings are
considered by the authorities as sufiicient to qualify them as
nurses, and includes the names of those at present under their
care.
The insane of different sexes are not allowed to board with
the same nurse, unless with the special sanction of the superior
commission. Each lunatic is placed specially under the charge
of the cottager with whom he boards, who is responsible for
any injury done by the patient, and, except in case of emer-
gency or extreme violence, he must not use any measure of
restraint, such as the employment of straps, the belt, or the
camisole, nor must he place the patient in seclusion without
first having received authority for so doing from the assistant
physician of the district in which he is located, and the physi-
cian must report directly to the superintendent.
Every nurse who violates these rules, who abuses a patient,
or who neglects to obey the orders of the superior commission,
or the committee, or the physicians, shall be deprived of his
license to receive and take care of lunatics. I was informed
that several householders had been so deprived of their licenses
on account of their violation of regulations, or for neglect or
abuse of patients. On the other hand, prizes and rewards are
64 LUNATIC HOSPITAL AT WORCESTER. [Oct.
awarded to such nurses as distinguish themselves by their
humanity and devotion to the welfare of their patients. A
chaplain is connected with the establishment, for the comfort
and benefit of the lunatics.
Quiet patients also attend the public services in the various
churches of the commune, unattended by their nurses. Those
known to be excitable are accompanied by attendants. The
local committee is authorized to fix the dietary, and also the
hours of meals. The committee also appoint, when necessary,
head attendants, to assist the assistant-physicians o Quiet and
orderly patients are permitted to visit, unattended, public
houses, places of amusement and refreshment, but the sale of
drugs and spirituous liquors to all lunatics, is strictly forbidden.
All the details as to clothing, bedding, furniture, &c., are
under the direction of the local committee, with the concur-
rence of the superintendent. Unsuitable patients ai^e excluded
by law, and all classes of insane persons may be placed in the
commune, except those who require continual restraint or
coercion, those who are suicidal, homicidal or incendiaries,
and those whose escapes shall have been frequent, or whose
malady is of such a character as to offend the public peace or
decency.
We are now at Gheel. We know its geography, we have
heard its traditions, we have glanced at its history. Let us
look at it as it is, and consider briefly its working. The gen-
eral appearance of the town is quite as good, perhaps better,
than other towns of equal size in its neighborhood, and pro-
duces, on the whole, a favorable impression on the mind of the
visitor. The streets are quiet, but cheerful ; the houses tolera-
bly comfortable, though rude in finish, and very plainly fur-
nished ; the gardens are neat and well cultivated ; the people
are well clothed, and they seemed to be well fed. They are
industrious, and occupied chiefly in cultivating the soil; the
manufactures being confined entirely to the needs of the dis-
trict, except perhaps small quantities of lace, in the making of
which a few women are employed. Some agricultural and
dairy products are supplied to the Antwerp market.
On the whole, the remembrance of the town is more pleasing
than that of many Irish towns of the same size, and the general
feeling in regard to its comforts is much the same as that in
1868.] PUBLIC DOCUMENT— No. 23. 65
regard to aii English or Scotch village, consisting chiefly of
peasantry. The hamlets and houses outside the town had the
same general character with those in the town, except that they
were of ruder construction, less commodious and less tidy.
There are in the community about eleven hundred lunatics ; a
casual observer, a stranger, would pass a day in the village
without detecting any marked signs of mental disease in the
persons wandering about the streets. There is certainly less
peculiar conduct which might be attributed to mental aberra-
tion than is witnessed in any second-rate Italian town.
In passing about the town, both alone and with Dr. Bulkens,
I visited any and every house I desired, and I ought to state
here my belief in the entire honesty and sincerity of the
enlightened superintendent. Dr. Bulkens.
Judging from what I saw, the insane in the commune of
Gheel are kindly and well cared for. That abuses do exist the
Doctor frankly admits. The abuses, if any, are not the result
of the system pursued so much as the want of a sufficient
number of intelligent medical assistants to carry out the plan
adopted.
The patients were in the enjoyment of a good degree of bodily
health, were plainly but decently clad, and I believe they were
provided with a sufficient quantity of wholesome, nutritious
food. I was informed that the laws regulating the manage-
ment of the insane, allow seventeen ounces of bread and five
ounces of meat to each man, and fourteen ounces of bread
and four ounces of meat to each woman per day ; vegetables
■were being freely used also. They w^ere generally cleanly in
their persons, though not particularly neat or tidy in their
habits. The free air and the unrestrained exercise of tlie pow-
ers of locomotion of so large a number of the insane add
greatly to the health, quiet and general comfort of the whole.
The sleeping accommodations of many of the patients were
such as would not be satisfactory in a well-ordered lunatic
asylum ; the rooms being small, often smaller than our single
rooms, never so well lighted, sometimes in lofts or attics, and
occasionally, for patients of filthy habits or those who are
noisy, in out-ho.uses, as is sometimes practised at almshouses
in towns of our own country. The beds of cleanly patients
were neat and of the same quality as those of the family.
Q6 LUNATIC HOSPITAL AT WORCESTER. [Oct.
There is generally no accommodation for bathiug, and little
for general toilet purposes.
At some of the houses where are placed patients belonging
to wealthy families, the apartments were cheerful, agreeable
and commodious, and were furnished with some degree of taste
and elegance ; some of them contained pianos and other musi-
cal instruments, and many of them books and pictures.
Patients from the families of the laboring classes were in
considerable numbers engaged at some useful labor ; but those
from families of the wealthy were not employed, except as
influenced by their pleasure or the character of their delusions.
More than one-half, perhaps five-eighths, of the whole num-
ber of patients follow some occupation, though with but little
attempt at any regularity or organization.
Some of both sexes were assisting the families with which
they boarded in the various household duties, as cooks, nurses
and companions for children. Some were laboring as shoe-
makers, tailors, blacksmiths and wheelwrights. Many of both
sexes were employed in the fields, at the usual farm labors.
They all or nearly all enjoy the fruits of their own labor. Those
who are able to make any contract to perform a piece of work,
or to hire themselves out for a day or week, receive their wages
and make such use of them as they please.
One man was shown me who had purchased four cows from
his earnings, and rented them to the villagers. Others were
pointed out who owned goats or donkeys. One whom I saw
had taken a contract to paint or color a house, and was about
commencing his work.
I was informed that many who were able to work performed
labor only at irregular intervals, working a few days and earn-
ing a little money, and then idling about until they had ex-
pended their earnings.
A large majority of the patients are paupers, but the amount
of their earnings is never withheld and credited to the depart-
ment from which they come, or to iheir families in payment
for their support. Government wisely regulates this, the object
being to induce habits of labor, thereby hoping to promote
recovery.
There is exercised by the patients great apparent freedom of
action and choice of pleasure. They seem to move when and
1868.] PUBLIC DOCUMENT— No. 23. 67
where they please, with no one to watch their steps, They
may work or play, but if they work they receive direct gain in
shape of wages for their labor. They may go in and out as
any other members of the family do. They may be and are to
a certain extent interested in all the details of social life.
Though not in their own homes they have a home, live in a
family and are members of society, useless it may be, but still
they are identified as a part of the community.
There seems to be a general feeling of contentment among
the insane which is not found in any asylum. In very few
cases indeed did there seem to be any disposition to escape.
But little actual restraint is suffered by the patients ; more
perhaps, however, than in the best regulated asylums in Eng-
land or America. But at Gheel restraint is only an interfer-
ence with certain dangerous muscular efforts. If a patient
strikes he wears a leather belt to which his arms are loosely
strapped. If he tears his clothes or undresses himself he wears
the camisole. If he attempts frequently to escape he wears
anklets fastened together by a chain. Sometimes both anklets
and wristlets are worn ; generally, however, the patient still
enjoys free air, and moves about as well as he can where
he likes.
Tiie most unpleasant forms of restraint which I saw were
those cases of excited epileptics, who, during excitement, wore
the camisole, and were also fastened to the bed, and must, from
the nature of the case, be left alone a large part of the time.
The condition of such, as soon as reported, is improved by
admission to the asylum proper.
I am not able to state accurately the amount of restraint,
but believe it to be a much larger percentage and of severer
character than has been suffered in your own hospital at any
time during the last twelve years. I believe also that restraint
is going out of use at Gheel, and that if Dr. Bulkcns were well
supported by able medical assistants, mechanical restraint would
soon lose itself in ordinary seclusion in comfortable rooms and
private gardens. That you may not consider me a careless or
superficial observer, I will briefliy show how other alienists have
seen the Commune of Gheel. In 1851 Dr. Earle writes : " The
accommodations are of various grades ; at some houses which I
visited the apartments were very agreeable and commodious,
68 LUNATIC HOSPITAL AT WORCESTER. [Oct.
but ill none were they furnished in a style nearly so elegant as
that of many of the private institutions for tlie insane in
Belgium, France, England and America. But at Gheel much
the greater proportion of the patients are supported at the
expense of the public, and about fifty cents a week is paid for
the board and care of each of these. No very great extent of
luxury, either in furniture or food, can be supplied at the rate
of seven cejits a day. Consequently many of tliese are placed
in garrets, lofts, outhouses and other out of the way nooks and
corners, where their accommodations can hardly be accurately
described by that expressive word, comfortable. They appear
however, to be decently clothed and sufficiently well-fed, arid of
all that I saw in the numerous houses which I visited in Gheel
and the surrounding country, I have no recollection of hearing
a word of complaint in these respects. On the contrary, one
woman at a large farm-house a mile or two out of town, was
sorely troubled because there was too much food, too much
clothing, in short too much of everything in the world." Again
he says, " Within the town I saw but one patient in the streets
upon whom there was any restraining apparatus. His waist
was encircled with an iron belt to which his hands were secured
by wristlets. In the suburbs and around the farm-houses how-
ever there were several who were fettered with iron, the chain
between the ancles being about eight inches in length. In
some cases the rings around the ancles had abraded the skin
and occasioned bad ulcers."
In 1860 Dr. Sibbald writes : " One of the agreeable features
of the place is the general contentment manifested by the
insane. In very few cases, indeed, did they complain of the
injustice of their detention, though questioned on the subject.
The comparative liberty of free air was evidently valued by
them as a great privilege, more especially among those who had
been previously residents in asylums. In one case, that of a
young man who had been confined in Guislain's Asylum at
Ghent, I was particularly struck with this. He was one of
those subjected to mechanical restraint. He had a leather belt
around his waist to which his arms were loosely strapped to
prevent him from tearing his clothes. I asked him whether he did
not find this restraint very irksome, to which he replied in the
affirmative. I then asked him why he was thus strapped and
1868.] PUBLIC DOCUMENT— No. 23. 69
received a very simple, straightforward answer, giving the true
reason. In my next inquir^v I asked whether he had worn
those things at Ghent? and he answered no. Then said I,
would you not rather live there ? they were kind to you were
they not ? Yes, replied he, but I prefer to walk about as I like."
Again he says, " The greater number were restrained by anklets
fastened together by a chain, which as well as the anklets is
bound iu leather to prevent the unpleasant appearance and
jingling of the chain, and to avoid the anklets hurting the
wearer, others wore a belt to which their arms were strapped,
as in the case of the young man whom I have described above,
some wore both belt and anklets."
Again he says, " As far as I could judge from the histories of
the cases which I saw, I formed the opinion that two classes of
cases, more than any other, derive benefit from this system.
One class comprises the milder forms of acute mania, many of
which may be successfully treated, though, at first sight, it
might appear that their excitement would require that they
should be more closely confined as a protection to themselves
and others. The other class consists of partially demented
eases who have, either through old age or from other causes,
fallen into a second childhood. When such a patient is of the
male sex he receives much more suitable care and attention
from a kindly cottar's wife than is possible even from a con-
scientious and experienced male attendant ; and when there are
children in the family, the evident happiness which results
from their playful intimacy with their broken-minded friend,
either male or female, lights up as nothing else can do, the
clouded remnant of their mental life." And again he says,
" From what I saw I have every reason to believe in the thoroughly
trustworthy nature of the reports of Dr. Bulkens. The
patients appeared generally to be in good health, and as far as
short residence can determine, they are well cared for. One
thing which in such a place must speak strongly as to the char-
acter of the administration, is the fact that tlie worthy medical
inspector appears to be a favorite with his patients,"
In 1867 Dr. Howe writes : " Tliis establishment flourishes
mainly, I think, in virtue of three great advantages for the
treatment of insane persons, which were not and are not found
in an equal degree at any public hospital in the world.
70 LUNATIC HOSPITAL AT WORCESTER. [Oct.
"First, employment at domestic and agricultural work in com-
pany with sane persons, and mostly in the open air. This pro-
motes bodily and mental health, or at least retards the progress
of disease.
" Second, social and family relationship with sane persons.
This keeps alive and active the unperverted sentiments and
affections, and helps to restore the mental and moral balance.
" Third, the greatest possible amount of personal freedom.
This not only promotes bodily health, but, by preserving self-
respect, promotes mental health." He says " the history of
Gheel, from the twelfth to the nineteenth century, may be
regarded as a severe test of human virtue and goodness. Tens of
thousand^ of helpless lunatics were thrown upon the hands of sim-
ple peasantry, whose control over them was only partially iViodified
by priests and magistrates. Whoever studies carefully the
condition of lunatics during these centuries, will conclude that,
upon the whole, these unfortunates had more of human enjoy-
ment, and less of suffering, than in other countries where peo-
ple not only thought, with John, that they were possessed of
devils, but with Jeremiah, that they should be put in prison
and in the stocks. Upon the whole, human virtue stood the. test
bravely at Gheel." Again he writes, " Here at Gheel one can-
not but rejoice at seeing how large a proportion of the lunatics
have entire freedom, and indulge the hope that, by some happy
reform, thousands who are now needlessly imprisoned in otlier
lunatic asylums, may have theirs also, and that to the sad loss
of reason may not needlessly be added the loss of liberty also."
I visited also the French colony, Fitz James, about fifty miles
north of Paris, in the department of Oise. The little town of
Clermont is situated in the midst of a fertile and beautiful
agricultural region, and, from the eminence on the slope of
which it stands, commands an extensive prospect. The original
asylum, established by the father of the present managers,
which has grown from a very small beginning in a private
house to a large and prosperous institution, is situated on the
border of this village. In 1849 the original proprietor died,
when his sons, the present proprietors, assumed the manage
ment, and reorganized the institution. The degree of pros-
perity was such that, as early as 1856, it was thought advisable
to procure more land than was at that time occupied, and try
1868.] PUBLIC DOCUMENT— No. 23. 71
the effect of a greater amount of out-of-door labor for those
whose habits and proclivities would allow of their being em-
ployed. Accordingly, an estate of about five hundred acres of
land was purchased in the immediate neighborhood in order to
carry out the plan. Upon the estate was a mansion-house and
such other buildings as would constitute a gentleman's country
residence. Other i)lain buildings of rather rude construction
were erected, and soon forty able-bodied, quiet male patients,
supported at the expense of the departments, were transferred
from the original asylum proper to the colony, and put to work.
These were all chronic cases, and had, for various periods of
time, performed the out-of-door labor on the ninety acres of land
cultivated in connection witli the asylum proper at Clermont.
The results were so satisfactory, that Dr. Labitte soon erected
other and more extensive buildings for the accommodation of a
larger and increasing number of patients of both sexes.
Alterations and additions continued to be demanded until
the institution may now be considered quite complete of
its kind. It has four distinct departments, with convenient
out-buildings, stables, and such other fixtures as a large and
well cultivated farm requires. During the seven or eight years
since which this system has been inaugurated, the profits of the
institution have been so large that the improvements necessary
have been made and paid for from the annual income. This
colony is simply an appendage to the asylum at Clermont, from
which patients may be transferred, when thought desirable by
the proprietor, and sent back to the asylum again if necessary.
Tlie four sections to which I referred are : first, one devoted
to male patients, who pay liberally for their support, and whose
friends prefer placing them here rather than at Clermont. The
accommodations are such as may be found in an old country
house. Twenty-three male patients, with their attendants, have
rooms in this old mansion house, in which are also apartments
for the medical officers and their servants. Second, a corres-
ponding establishment at a little distance for female pay pa-
tients. These two sections are comfortable, though not
furnished with any degree of taste or elegance. That of the
males in the mansion-house could hardly be said to have been
neat or tidy. Third, one for female paupers, situated at a little
distance from the female pay patients, and at a greater distance
and in the rear of the section for male pay patients. This sec-
72 LUNATIC HOSPITAL AT WORCESTER. [Oct.
tioii is devoted cbiefly to laundry operations, and the washing
for both asylums is performed here. Fourth, one for the labor-
ers on the farm, where they live in small, rude dwellings, called
cottages. These cottages are not models for comfort or conve-
nience, nor are they patterns of good taste and cleanliness.
There are other buildings occupied by patients, but of the same
general character as those of the third and fourth sections.
The mansion-bouse is of two stories, and so divided as to
accommodate twenty-three patients and the medical officer and
manager, with his family and the necessary servants and at-
tendants. It has also, beside parlors and sitting-room, a biUiard
room. It is quite pleasantly situated in a wide lawn, is sur-
rounded by trees, and has a creek flowing in front.
The section allotted to the female pay patients is also an old
country house, of two stories, divided in the usual manner, and
has the usual conveniences of a country hovise. It is well sit-
uated in a fine lawn, and gives one, on the whole, a pleasing
remembrance. Of the comforts and conveniences of the depart-
ments for pauper patients, little can be said. They are desti-
tute of all proper means of lighting, warming and ventilation.
They have no conveniences for bathing, and but little attempt
is made to preserve habits of common decency. The laundry
is quite spacious, well arranged and convenient, and a large
amount of useful labor is here performed.
The farm buildings are convenient, and arranged with care
and skill, and speak of the thrift and enterprise of the place much
more plainly than do the buildings for other purposes. The
stables were well filled with a fine stock of oxen and horses,
and a large herd of cows were feeding on the lawn. An exten-
sive piggery was filled with choice breeds, and more than one
thousand rabbits were kept in boxes, where they were bred for
the table and market. There were also butchers' stalls, sheds
for carriages and farming implements, and a mill, with steam
power ; and also, on the creek, in front of the male department,
a small, showy building, which contains hydraulic apparatus for
lifting water to such parts of the establishment as it may be
desired. Besides these, there were store-houses and cellars and
cider and wine vaults.
The hospital, or asylum proper, of which I have spoken, is
known as the Clermont Asylum, and the colony of Fitz James
1868.] PUBLIC DOCUMENT— No. 23. 78
is only an appendage to this, in which are lodged in detached
buildings, not cottages or houses, the quiet and industrious pa-
tients. Nor are these accommodations based upon the model
of any family arrangements. They more nearly correspond
to military barracks in second-rate villages.
Dr. Gustave Labitte is the medical director and superin-
tendent of the affairs of both establishments, and a brother,
Alexander Labitte, has charge of the general administration
and direct oversight at the colony where he resides. A med-
ical assistant is employed at each institution. At the asylum
proper each division or class has its appropriate airing court,
beyond which the patients seldom go. Here, as at the colony,
the accommodations for the pay patients are fair, while that of
the paupers are bare, uncomfortable and coarse in the extreme.
Eooms used as day-rooms contained no furniture but the
plainest of wooden benches and heavy tables, not clean, on
which tlieir meals were served. Their food was plain, but
appeared to be sufficient in quantity and fair in quality. No
great order or regularity was observed in dispensing the food,
and on the whole the meal was unsatisfactory. Refractory
patients could not be well supplied. Feeble patients were not
properly attended, and deluded ones were suffered to absent
tliemselves without an effort on the part of tlie attendants to
satisfy their wants.
In this asylum, consisting mainly of three separate ranges
of buildings, each with its appropriate grounds and enclosures,
there appeared to be an unusual amount of severe restraint of
various kinds, which, added to the number of those who were
suffering from bruises of varying degrees of severity, leaves on
the mind of the visitor painful recollections.
There seemed to be everywhere an utter want of authority,
and almost complete absence of any executive power in tlie
internal management of the establishment.
At the colony, which is used as a sort of penal establishment
for the strong and healthy and docile who quietly submit to
the direction of taskmasters, the condition is better only as
the patients are of a class who can labor witli profit and con-
sequently enjoy freedom from restraint and the cheerful and
healthy influences of out-of-door labor.
Tlie medical end which should be kept in view seems to have
10
74 LUNATIC HOSPITAL AT WORCESTER. [Oct.
been lost sight of. The patients are not surrounded with any
of the customs or habits of social life. I observed no marked
attempt to introduce among them reciprocal relations, or to
inspii-e them with sentiments of personal consideration. And
I looked in vain for those conditions of social and domestic
life of which the family is and must remain the model.
That the patients perform a large amount of useful labor no
one can for a moment doubt. The general thrift and pecu-
niary prosperity of the place sufficiently prove this. Since its
establishment, about six hundred acres of land, in a depart-
ment where land is expensive, have been purchased out of the
net proceeds of the establishment, besides the cost of the build-
ings, fixtures, stock, farming implements and improvements.
Here may be seen the best mowing and reaping machines ; the
most approved ploughs, harrows, drills, cultivators ; the most
successful methods of raising and fattening improved breeds of
cattle, sheep and swine. Here, too, are the finest horses, the
best cows, and sleekest oxen to bo found in the country, with
prize sheep and swine. The buildings, courts, stables and out-
houses, all prove how profitable to the proprietors has been the
experiment.
Tlie departments which send their poor insane to this colony,
are not essentially different in their habits of feeling in regard
to the insane from other localities, and consequently appreciate
the pecuniary advantages of such a system. Although patients
may not recover, the cost of maintenance may be lessened, and
habits of obedience acquired may continue when returned to
the local authorities. Such, in brief, are my impressions of
Clermont. I know they differ widely from those of some other
observers who have the same general hopes in regard to the
insane, and the same or similar opinions in relation to their
management with myself.
Of the French asylums for the insane, you will permit me to
make a passing remark of one or two. In Paris, the asylum
of St. Anne is perhaps the best It has, architecturally, every
advantage over others. Here are found all the accommoda-
tions for classification, all the arrangements for care and
custody, and all the fixtures for treatment which skill and
ingenuity can devise and money procure.
The buildings are neat, plain and substantial, and consist
mainly of a separate block for reception and observation of
1868.] PUBLIC DOCUMENT— No. 23. 75
patients on admission, with rooms for medical offices and for a
few convalescents. Opposite to this is a square with a block
or pavilion occupying each corner and the middle of each side,
with domestic offices and rooms for assistants in a centre block.
These blocks are all connected by a covered walk, which
divides the blocks and their appropriate courts from each
other. The ranges of apartments on the right of the entrance
are occupied by males, and those on the left by females.
Day-rooms, dining-rooms, bath-rooms, and rooms for refractory
patients are on the first floor, and the sleeping accommodations
in associated dormitories are on the second floor. The domes-
tic arrangements, kitchens and laundry are perfect, contain-
ing the most expensive machinery of the latest pattern and
improvement. There are large cellars, store-rooms and wine-
vaults, filled with everything the market could supply. The
sewing-rooms, linen and clothing stores are large, abundantly
supplied, and were models of neatness and good order. The
dietary was good, and seemed to be abundant. The medical
stores appeared to be on a scale of the most lavish expendi-
ture ; supplies of all kinds were plentifnl almost to waste-
fulness.
The apartments of tlie patients were very plainly but cleanly
furnished. The bedding was good, and the sleeping-rooms
light and airy. The rooms for excited patients open into
separate airing courts. These rooms are of solid masonry,
quite dark, often damp, and must at times be cold. Some of
tliem, however, are very expensively padded, and did not
appear to have ever been used. Many of the unpadded rooms
were occupied, and in every case, I believe, the patient was
also in the camisole. Here may be seen the most elaborate
arrangements for the application of water as a remedial agent,
and for the general purposes of bathing. In a large room
devoted entirely to this use are contrivances quite extraor-
dinary— ^jets of water of all sizes, from the finest stream to
the most powerful douche, heavy enough to fell a strong man ;
baths of every conceivable form — plunge baths, sitting baths,
foot baths, head baths and shower baths ; baths in every
direction — perpendicular, horizontal and upright. Tlien there
was a sort of platform from which an attendant could control
not only all other fixtures in the room, but also a powerful
douche from flexible hose. Besides these, there was a coil of
76 LUNATIC HOSPITAL AT WORCESTER. [Oct.
iron pipe enclosing a space four feet in diameter and more than
six feet liigh, so arranged that a man could step inside. The
pipe was punctured with small holes on the inside, so that
when a patient was placed upright in the centre and the stop
was turned the water came rushing with great power from a
thousand jets and struck upon every inch of his body in con-
tinued streams with immense force. In an adjoining room
there was apparatus for vapor baths, and in another a score of
ordinary bathing tubs with covers so fixed as to enclose the
patient's body in the tub, leaving his head above the lid or
cover.
The patients were employed in the laundry, kitchens and
sewing-rooms, and in and about the airing courts much as at
other hospitals for the insane the world over. There seemed
to be no general system of occupation, and no provision for any
considerable amount of recreation or amusement, and little or
no room for outside exercises.
The hospital at Charenton, a short distance from Paris, is
now being completed according to the original plan, only one-
half of which has ever been constructed. The building is
situated on the brow of a hill and overlooks a beautiful country.
It is neat, plain, but rather showy in its exterior, consisting of
a centre building and chapel at a little distance in the rear.
From these two buildings proceed parallel wings or ranges of
apartments. The centre and chapel are united by a range of
apartments from front to rear, so that the centre group of apart-
ments enclose four sides of a square ; in the centre of this
is a statue of Esquirol. Each of the two parallel wings has
four sm.all projecting wings, so as to form three sides of four
courts in front of each parallel wing, the fourth side being
enclosed by a simple erection or covered walk. The four
divisions, consisting of the front wing and two of those' in the
rear wing, are assigned to men. And the two remaining
divisions to the women.
In the male division there seemed to be an unusual amount
of excitement and in a portion of it considerable violence, and
many patients were in camisoles, muffs and wristbands with
belts. Quite a large number were also in seclusion. No more
than one division of the males were quiet, and in any degree as
comfortable as in ordinary American asylums. The female
patients appeared to be much more calm, and in every way
1868.] PUBLIC DOCUMENT— No. 23. 77
better managed. They were more tidily dressed, their apart-
ments were more cleanly and better furnished, and many of
them were employed in sewing, knitting and other light work.
They also assisted to a small extent in the domestic offices.
There seemed to be little or no occupation for the men, and but
little recreation for either sex.
The dining and sleeping accommodations are much like those
of St. Anne, comfortable but no more. The food was good and
sufficient, and a liberal allowance of light wine is given to the
patients. Here too, much reliance is placed upon baths ; they
are used in all their forms, simple and medicated. Cold water is
employed in the neuroses, as headache, sleeplessness, hypochon-
dria, hysteria and general atony. Long continued tepid baths
are employed as a remedy for the excitement of acute mania,
and one may see scores of patients locked into bathing tubs
two, four, six, and even eight hours at a time.
In the French asylums there is much to leave on the mind
unpleasant impressions, and one's recollection is often painful.
The manner and bearing of both physician and nurses seem
not to be sincere and honest. There is a want of confidence
and a restless suspicion on the part of both which must lead to
great discomfort and frequent excitement. In the management
of the insane, there did not seem to be a sufficient attempt to
awaken their sense of honor and confidence in their own
strength to recover their habits of self-control. ' There was
entire absence of any teaching by example the value of moral
power and religious confidence. There was no endeavor to
excite motives of hope or fear. No influence tending to fix
their attention on any particular subjects, or to lead them to
engage in any variety of occupation, amusement or intercourse.
The same general remarks may be applied to the asylums in
Switzerland and Germany if we except the asylum near Neu-
chatel, in Switzerland, which though small, is quite perfect in
all its appointments. It is beautifully situated in a liighly cul-
tivated region on the shores of the lake, commanding views of
the distaint mountains, &c. The buildings enclose a square,
are two stories high, and contain on the lower floor dining-
rooms, sitting-rooms and libraries, and also a range of unoccu-
pied rooms for excited patients. On the second floor are the
dormitories and single bed-rooms. Here the conduct of the
physician and nurses was different. I found Dr. Borell and
78 LUNATIC HOSPITAL AT WORCESTER. [Oct.
liis family enjoying coffee, newspapers, books and music, with
quite a group of his patients about him, all familiar, cheerful
and happy. There was no appearance of suspicion ; no fear or
dread of returning to the wards and apartments devoted to
patients. The whole household seemed to be one family, moved
by the same impulse, having the same motives, enjoying the
same pleasures and entertaining the same hopes. There was
here no seclusion and no restraint. The Doctor was just com-
pleting a house for a few patients who could enjoy still larger
liberties. This hospital was built and endowed for the poor of
the district who pay only a nominal price. It may also receive
the wealthy at higher rates, but must always accommodate the
poor of its own neighborhood.
The asylums at Geneva and Berne are both well situated,
pleasantly arranged, and the patients seemed to enjoy a fair
degree of comfort. There appeared to be no striking evidence
of tact or skill in the management of either. There was a lack
of tidiness and order, and want of discipline and control in the
care of the patients, and in the administration of the general
affairs of the asylums.
The asylum at Frankfort, which is located near the city in
the midst of a beautiful and growing suburb, is a pleasant
building of modern plan and construction. The main wings
are built on three sides of a square, and the patients' rooms are
generally arranged on the back side of the wing and the cor-
rider is open to the front. The day accommodations are
mostly on the lower floor, and the sleeping-rooms are- above.
The patients are kindly but carelessly provided for. They are
untidy and unclean, and the house in all its parts is slovenly
and dirty.
In striking contrast with this is the asylum at Heppenheira,
recently constructed upon an improved plan, and as yet occu-
pied only in part. The building, consisting of centre, lateral
and projecting wings, is plain, substantial and showy. Situated
in the midst of a beautiful and healthy agricultural region,
everything is charmingly neat and scrupulously clean. The
patients are tidy, cheerful and social. There was perfect disci-
pline in the control of the house, and great order observed in
all the arrangements and details of management. There was
more than usual attention given to the subjects of recreation,
amusement and labor. The patients were well and cleanly
1868.] PUBLIC DOCUMENT— No. 23. 79
clad, the tables were bountifully spread. The beds were clean
and comfortable, the house was roomy, airy and light. The
furniture of the establishment was mostly made by the patients,
who perform a large amount of useful labor.
In the continental asylums the apartments assigned to
patients have not that finished aspect of comfort which is
found almost universally in American institutions. Yet com-
pared with the prevailing customs and habits of the people
they are probably as comfortably furnished as our own, and
answer the wants of the people of those countries as well as
our own hospitals answer the wants of our own people. In the
more recent ones, the domestic offices, laundry, kitchen and
store-rooms are well appointed and quite perfect. Their facili-
ties for distributing supplies are however inferior. In the
treatment of patients, mechanical appliances for the purpose of
bodily restraint are more extensively used than in any asylums
known to me on this side of the Atlantic. And I dare not
write how extensively I have seen such means of restraint in
actual use. I have doubtless seen much that was not usual
and customary. But sometimes it was difficult to see all I
desired, and frequently some departments were very reluctantly
shown. This is especially true of Parisian asylums.
In England the public institutions for the insane are of two
kinds — hospitals for the middling and upper classes, and county
asylums for the paupers. In some of tliese, patients from
well-to-do families may be found who refund to the parish from
which they come the expense of support. In Scotland, gen-
erally, and in a few only of English asylums, both classes are
admitted into the same institution, but commonly separate
buildings are provided for the two classes. There are also
hospitals founded like Bethlehem and St. Luke's, where curable
cases are admitted of persons in good social position, who have
become reduced ; and tliere are likewise many private asylums
accommodating from three or four to seventy-five or one hun-
dred patients. Tiiese may be and formerly were extensively
owned and managed by non-professional persons who employed
a physician to visit them. Some of them are now managed
by the first alienists in the country, and a remarkably
good feeling and understanding exists generally between them
and the public hospitals and asylums. All these institutions,
whether public or private, are under the inspection and control
80 LUNATIC HOSPITAL AT WORCESTER. [Oct.
of the commissioners of lunacy. The private establishments
differ but little from private houses ; none of them having been
constructed for the purpose. They nearly all have fine sur-
roundings, large and beautiful grounds laid out in vs^alks,
lav/ns, croquet and bowling plats, tennis courts, and facilities
for every amusement and recreation. In the house there are
libraries, billiard and smoking rooms and reading rooms on the
lower floor, and sleeping and dining rooms above. In these
houses many of tlie rich keep their own servants, horses and
carriages.
There is, I believe, in no case any provision for manual labor,
except in such private asylums as are occupied by ladies, wliere
the light occupations sought by ladies in their homes are read-
ily available.
In the public asylums of England, what is termed the iion-
restraint system prevails, and is, I believe, generally honestly
and faithfully carried out.
Cases of fury and violence, though by no means so common
as with us, nevertheless do occur, and are often controlled by
the administration of drugs, such as opium, nitrate of potash,
digitalis and antimony. Seclusion in padded rooms is much
resorted to, and in some asylums packing in wet sheets is sup-
posed to exert a powerful controlling influence. Shower-baths
are often ordered, both for their remedial effect and as a correc-
tion for misconduct.
Some alienists admitted frankly that the non-restraint system
might be carried too far, and that in some cases it seemed to bo
for the best interests of the patient that some restraint be ap-
plied, but, on the whole, it was thought best to risk the little
suffering that might result for want of restraint, rather than that
multitudes should be unnecessarily deprived of their liberty.
As it is in America, so it is in England. The very poor have
better opportunities for curative treatment than the middling,
well-to-do class ; for, when attacked, they are taken to the asy-
lum, and are placed under such restrictions as will at least
detain them during the acute and curable stage of disease.
The wealthy can remain at home, can travel with servants, or
can seek admission in a private asylum, where weeks must
elapse before a vacant room can be obtained.
Ten years ago the county asylum of England was on the corri-
dor plan, with single rooms upon one side of the corridor only,
1868.] PUBLIC DOCUMENT— No. 23. 81
and large associated dormitories for about two-thirds of tlie pa-
tients, and day-rooms for self-seclusion of a few upon each floor
of the establishment ; the dining rooms being generally in
some projecting portion of each corridor ; bath rooms, water
closets, padded rooms, clothes rooms, and all other appoint-
ments on each ward, with airing courts, and outside entrances
corresponding to each ward. Then the chapel, recreation
room, kitchens, laundry and general stores, in connection with
the centre building, where the medical officers had their apart-
ments. Then there were farm buildings and the bailiff's cottage
at some distance. Of this plan the Derby and Essex County
asylums were ten years ago the best examples. They have
retained all they then had, and have both been enlarged and
improved by slight departures from the original plans.
But hospital architecture has made large strides in England,
so that if we were to-day to make comparisons, where all are so
good, our preferences would be strongly in favor of the asylums
in Sussex, at Haywards Heath and at Worcester. These two
seem to be in advance of all other county asylums which I saw,
and it would be difficult to say which is best or which is best
managed. They each consist of twelve wards, and accommo-
date seven hundred patients. The construction is similar to
other asylums in many respects, but the appointments are more
complete. Corridors, with single rooms for a small portion of
the patients, opening on one side, with large day-rooms in each
story, and corresponding airing courts, and, as is usual in all
the recently built institutions, a corridor of communication
passing along the whole length of the wings, by which any
ward may be entered without passing through any other ward.
On the front of the first lateral wings are large showy one-story
projections for dining-rooms, which communicate with all the
wards by means of the corridor of communication. These
rooms will each seat about three hundred and fifty persons, so
that all able-bodied patients of the same sex sit at the same
table. The laundry wing leads directly from the female side
of the house, and the approaches of the stables and gardens-are
from the male side. The recreation rooms are near the centre,
and the chapel is outside.
The hospital at Northampton and the asylum at Glasgow can
be compared with our own institutions, inasmuch as they each
11
82 LUNATIC HOSPITAL AT WORCESTER. [Oct.
have both paupers and pay patients under the same roof, and
in many respects are much hke American asylums. In these
the apartments for paupers are not as well furnished and as
well kept, the patients are not as well fed and cared for as in
your own asylum, while the apartments for the pay patients are
better supplied, their surroundings are more tasty and com-
fortable, and, on the whole, they are better cared for than the
corresponding class can be in your own hospital. The average
price of board for paupers in English asylums is not materially
less than is paid here, and the usual price for patients belonging
to a class of well-to-do tradesmen, is from thirty to fifty pounds
sterling.
In asylums in England and Scotland of a still more recent
date, the day-rooms and all accommodations are on the first
jQoor, and all the sleeping accommodations in large dormitories,
with a few single rooms, are on the second floor, except the
infirmary wards, which are usually, though not always, on the
first floor.
Alterations now going on in some of the older asylums will
convert them into blocks or pavilions, connected with each other
by covered walks, each block or pavilion having day accommo-
dations on the first floor, and sleeping rooms above assigned to
particular classes of patients, and these classes generally taking
their meals in one large dining hall.
Many asylums of all classes have detached buildings or cot-
tages, for the accommodation of a few patients who cannot well
be classed in the asylum proper, and great advantage is found
to result from this plan.
In Ireland, the asylums were found to be quite as good as in
England or Scotland, though of poorer construction, and labor-
ing under other great disadvantages. The institutions were
generally on the corridor plan, with rooms on one side only,
and central dining-rooms. The kitchens, laundry and store-
houses were all well constructed, and the patients seemed to be
kindly and well cared for.
In most of the particulars of moral treatment, the Englisli
asylums are fully equal to those of the United States. In the
most important of all, if reference be had to curative treat-
ment, or the quietude, order and hygienic condition of the
patients, — that of occupation for the inmates, — they are supe-
1868.] PUBLIC DOCUMENT—Xo. 23. 83
rior. Their superiority lies not in the more ardent wish or tlie
greater efforts for the welfare of their patients, for in these
respects none excel American superintendents,. but in the edu-
cation of the people, and the nature of their political govern-
ments, and also the social restraints under which they live.
Obedience to authority becomes by education a habit and prin-
ciple of life. The English peasant and mechanic have an
ingrained belief that they are not only born to labor, but to
obey authority, and they readily and without question do, as
they are bid. Very different are they, and all the continental
peasantry, from the American, who looks upon labor as some-
what menial, or, at any rate, regards it as his capital, upon
which he has a right to fix his price.
As to correctional means, in the strict sense of the term,
there are none in any good institution, and if strong measures
are necessary, they must over bear at the same time more or
less of a medical or therapeutical character, and correspond
precisely to the mental peculiarity of the patient, whereby
their particular healing aim is not lost. Therefore alienists
direct the most reasonable mode, not excepting the most extended
douche, the deprivation of nourishment, and the like, seeking
out for each individual case the most suitable measure, which
often requires the deepest meditation.
Their argument is that the insane are diseased, and that their
malady is not only curable, but, like all other maladies, curable
in proportion to the promptness with which the treatment fol-
lows the attack, and that there should be no obstacle in the way
of receiving treatment. That some restraint is considered
necessary by them for the violent and demonstrative, is man-
ifested by their tenacity for the shower bath, the packing sheet,
and nauseating doses of antimony. That a large amount
of personal freedom is best for the many, is shown in their so
pertinaciously following the system inaugurated by Dr. Con-
nolly at a time when one could hardly think of institutions for
the insane without chains, scourges and bands of iron. But,
thanks to the humane spirit of the age, which has at last forced
its way like a loving genius into the cells of human beings who
had sunk to a condition lower than the brutes, and removed
from most of them those unhappy conditions which a harder
and colder age had made a necessity.
84 LUNATIC HOSPITAL AT WORCESTER. [Oct.
For any success which has attended the labors in this hos-
pital during the year past, great credit is due to Joseph Draper,
M. D., Assistant-Physician, and D. W. Bemis, Esq., Steward and
Treasurer, who have performed all their duties, and executed
all plans faithfully and scrupulously.
Alfred E. Walker, M. D., who acted as Assistant-Physician
during a part of the year, leaves to engage in other duties, with
the kind wishes of all who came in contact with him.
fhe Supervisors, Marshall S, Greene, Miss Evans, and Miss
P»utte , have done much to promote the welfare of the
patients by the kindness and faithfulness in which they per-
formed all their duties. The attendants generally are to be
commended for their thorough devotion to the best interests of
those committed to their care.
Our thanks are due to Miss Dix for the kind interest she has
manifested in the welfare of the institution.
I desire to express my sense of obligation to the many friends
who have contributed to the welfare of our patients by their
frequent concerts in sacred music.
We are also under obligations to many friends for especial
favors, among whom may be mentioned Dr. R. W. Hooper,
William Knowlton, Esq., Professor Bushee, Professor Harring-
ton, Mr. Brainard, and others.
To the publishers and proprietors of newspapers and period-
icals in the city and throughout the Commonwealtb, who have
sent to us their daily, weekly aud monthly issues, we are
greatly indebted.
To you, gentlemen, for the personal kindness, the cordial
support, and the sympathy enjoyed at all times from each indi-
vidual member of your board, permit me to renew the expres-
sion of my grateful sense of obligation.
With renewed vigor wo commence the labors of the new
year, trusting that we may be able to devote ourselves wholly
and entirely to the development of the highest and best possi-
bilities of our calling.
MERRICK BEMIS.
Worcester Lunatic Hospital, |
Worcester, Mass., Oct. 1, 1868. ^
METEOROLOGICAL OBSERVATIONS
THE STATE LUNATIC HOSPITAL, WORCESTER, MASS.,
186r-8.
Latitude, 42° 16' 17" iV". ; Longitude 71" 48' 13" W.
Elevation, 528 feet.
"Explanation. — The force of the -wind is estimated upon a scale of 10 and indicated by figure
afiSxed to the letters denoting the direction. When no number is afBxed, 1 is meant.
86
LUNATIC HOSPITAL AT WORCESTER.
[Oct.
Ice formed ^ of an inch.
Aurora Borealis.
Hain.
Cloudless frost.
Frost.
Rain.
Frost.
Slight rain.
Hazy-fine weather.
Thunder-shower in eve.-
Aurora Borealis in even.
Heavy frost, smoky.
" smoky.
Rainy.
o
"A
m
O
"A
<
<
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
'
Indies
Rain &
Melted
Snow.
1 1 1 1 1 ^. 1 1 1 1 1 1 ^ 1 1 1 1 1 1 1 1 1 o 1 1 1 1 1 1 oo I
05
CO
i i is
1 1 1 1 1 • 1 1 1 1 1 I J 1 1 1 1 1 t 1 1 1 ■ 1 1 t 1 1 1 ^- 1
0
s
o to
as in
fiii^iiiiijjiiiiiiiiiij^^iiiiii^ii
-•« t^ CO tr^
o
o
c
S
o
p
rn
ft
C
>
o
o
II
0<N0500000lOCiOOOOCOOi-IOOOOOOOCOOOOC-;00>-<
—I-H i-l ^ f-H p-H r-l tH — 1 i-H
Tl5
-HOOlOOOOCMO— ICDCOOOt^i-lO— leOtNMCOOOrtO— It^OOOOOO
>c
O^OOOONO— HOCOOOOOtNOOOOTHOOCOtMIr^r-HOOOOTO
-*
H
o
BS
O
•6
c
c3
o
O
CI
c-looo— icoco-*cooco-*i^ooTOio— iio05(M^o^iocD(X>coc3ajo:>(Mc<:)
a>i>-Tticv30Tt<oc^c<icoioa30iOTt<ot^oc^<M'-'ooio(Ncooc\ii^ooeoao
--<c>co<aDrHu^':Di^c^Oi-H^cocoeocoeoc-j':t;t^ocor-^oot^ot^<D--iOr-i
05
(M
c;iOr-(OCsra'Ocqcoo—;--ic^(>j(N^-*c<iTi<<oorooc<or--ooococ20
0:
ci
CnoOCOiCOt^i-IC^lMXl^— iCO^t--(Nt^COC5n<(MOiOCOiO — cot^-*cooo
CT— lOio-^ic^or^-ioo-Hi— icqcocoioio<Mco<x>t^io»ooooot^cot--»ooo
CTiC3^CiC^CiC^C^C!7i05C75C^C^a^CiC^OOGiOdC5CiC^CiC^(^CiCriC^O^Oi
c^^:Nc<^c<lc<lC^^c<^(^^c^lc^l(^5c^^<^5c<^(^qc-lc<lc<lC^c<^<^l(^lC<l(^5(^l(^5(^^c^(^^(^5c<I
C<1
■A
H
o
B
C3
CiO>t~t~'C'a)iot-~^co<Mcococ<M>-it^-*o5C5ic>i-(^ocoi^cr50oo505(M
lO
— iOi:<IC2eOiOC<ICD(M^'-ll--OOCOOOOt^lMCOCOCDC5C5l--^>Ot^l-^CRii-l— (
0
00
"3
JO sAua
fl
•s
s
8SBt
uoo
Pk © ^ ®
PUBLIC DOCUMENT— No. 23.
87
a:
Cloudy.
Hazy A.M.; fair P.M.
Cloudy and rainy.-
Cloudy.
Fair weather.
Fair weather.
Cloudy ; s'wflakes, A.M.
Cloudy.
Cloudy and rainy.
Cloudy and rainy.
Cloudy.
Cloudy; snowfl'kes.P.M,
Cloudy and blustering.
Cloudy.
Cl'dy with snow squalls.
Cl'dy with snow.
Fair A.M.; snow sq.P.M,
Fair weather.
Coldest dayof the season.
Cloudy and squally. .
Wild geese migrate.
Cloudy and rainy.
Cloudy and rainy.
Cloudy and rainy.
Cloudy slight aurora.
Rain A.M. ; fair P.M.
Fair weather.
Cloudy and rainy.
Drizzly.
Fair weather.
o
tzi
m
a
<
!z;
1 i
1 1 1 1 1 1 1 1 1 1 r 1 ^- 1 1 1 '^- 1 1 1 1 1 1 1 1 1 1 1 1 1
ci
Inches
Mcltod
.Snow.
1 1 1 ■-: 1 I 1 1 1 CO O 1 CO I 1 .- O I 1 1 1 1 o o 1 o 1 I I o
4 a. m.
10 a. m
1 a. m.
3 a. m.
11 a. m.
9 p. m.
7 p.m.
10 p. m.
10^ a.m.
2 a. m.
c
0
a
a aaa aa aaaa
r^^ OOO^O COCO COCiClO
CO
a3
O
S
c
o
1
5
'-n'ta oaoJ^co cc^iz; ^ !» cc (2; aj aj en aj ^ ccm oJt/jfeooSs
50
<
03
O
£
>■
o
o
J
C^O 000-*OOOOOCOC00050f-IOOOOC300eONOOO
0000(MCOOOOOTj(Ttl005C5'OeOr-ICOOOOr-IOOOOO^OOCO
CO
—IrHCJl^^-INOOOOOOOCJIMOO-^OT-IOOOOOOOOCOrHO
,-1 ,-H _| ^ r-l -H — 1 ,_| ._, r-( ^ — 1 rH ^
CD
'■A.
Cm
a
o
5
o
■c
K
5
o
C2>-liMCOC5(MrOt^i^OCO'Mi-l(-^COOOC5C<l(MlO(MCO-H-)<OCOOOOt—
t--.r-(oooooiOT»<r-<oc5>ooooc5r-i<:soo-Tt<co— (loiMCJOMOoco
-H 0 .— ..S< 0 >0 =D -:)< -*• CO (>] c» 0 0 >0 —■ 0> 0-1 «0 CO CO CO lO tr> T)< OQ .^ -"^ 00 c^
r;cicicic5c;cic^cic^(ricofficocj(^coc50ocjcicicicic5cit:r!coci
:M <M C<I <M IM C-l !M (M (M (M C5 OI (M (M <M 'M IM IM (M <M CQ !M <N (M (M C-1 CM C5 !M CJ
CO
CD
CO
CO
CI
^-'^coco^^^cO'MCOC:»0'MCOCCCO|-^coi^fM??*030CC)^^,— 'OtMOOOr-l
— lC5CDCO^-t<l-~l^(MC:'OC5r^O'M^C030;0>C>f^<MlMCOCO-)<-#COOOiO
co^~(^^.-^coTl^cOT^1COT^^coa:cocolOc:_OT-^^Tt^l0^3<o>ow^<^l':^;coot!C5
cicocicric3 0cio(TJcicjJco30ccc30cic;mC5cic>ocic2^05C5CJcd
!M IM C^l (M M C^ <M C-l CI 0 W rM IM (M <M (M (M (M <M <M OI <M C<1 Ol 'M C5 (M (M OQ IM
GO
•i
■^ -)<-*.,— loocooh-mcof-cococococO'-icocj CM— ico-*t^r-~coooo
'X)r^rOCO(MO-.*<C5-H-t<--OC5^'-IOOiOCOCOCO!MOt~-OO^COOCOC5TtH
CO C; CI 0 CD 'O t~ 'O Ti. -1< -1< 0 :» C3 Tj; C>1 rH .-< T*i CD (>) C- lO lO !D TO Tj< CO CO t^
(M (M CI CI CI CI CJ 0 CJ CI CI CI CI CI CI C5 (N CI 01 0 Cq CI C CI CI CI CI C] CI CJ
CI
00
cc
CO
CI
o
K
H
1
'f5iOt-OCM^C0cmi(?OCSOC:5-H00r^C75C5O'MTO-HC1C0tDI^O03Cl-H
■*l0-*l0C0C0Oe0l0CD>O-9'C71C0CIC0(N— 1— ICOCOCOTt<Tj<-*-*-*COTtiCl
CO
CO
-*ilO-#-<*<c6cOCOCO>0>6rtiCOC<ICOC<ICOeOr-<i-l-*C»CO-*Ttf-*-<Stc6cOTit— (
CO
= SS^^5;^^SS§^S^;5^^i35JSE55?^:5SS^553S
CI
— (C0^00-HI-~O-^OCnO-HOClc»Ocat-CI'MCDtDC30C1C0CD>0lO00C1
-tiTfiTfnOTOCOC1COT»i«3«Srt<COOCICOOi-lr.HC»COCqcO-*TtiT^COCOCOCO
CO
•qjiiotu am
JO 8AB(J
^c,co-i.oot^coc.o^ci2;^22^2S§S?lS5^c^^^S§5g
a>
•8
JSBt
UOO
.1
^ 0 u •
88
LUNATIC HOSPITAL AT WORCESTER. [Oct.
° m
COIIIII IIICOI itOlliOII I^ICOII llll II I
g.JS'C ^
w«S«
o -s
S ITS TS
" c« oi ......
b> >-> P*> ;A >> >> >^ t^^
..S.'^ .'^ ..tIS.S '^S.'^S.-.
■5 '3 B 'S ^ "S "3 ^ '3 '3 '3 iJ S "3 £ "3 i5 2 '3 .2 2 '3 '=« "3
C5 , CTS . M
s a ass aasa
D, ' I I I _■ ' I I ; I I • I I J I I I • I • I I _• I I - I I '
CO -^fl
a a
a a
I I I I • I I I ^ I ^ I I • I I I I ^- I . I I . I I ^ I 1 I
■* CO CO
— lOlOCOOOCOOOOOOOOOOOOOOOOOOe^OOOOOONNO
i-IOlOOCOO^lOOr-llMOlOOO«SOCOOOOO©(MCOcr)OOOT)<(MCqoO
COOOiO'C'CCOO'-lOi
<>030000i-4(NOCO^CtO-*OOCOO— (OOO
„•
fij
CO
a
H
w
S
M
0
M
a
<1
C3
n
^
0
u
^ . CO CO (M CO O 5
QO r— ^^ C<1 CO T" c
-cococ-icoo— 'cooc<i-^co-«<io--o
) C^ Ci Ci Ci 05 Cj> c
iM (M CM (M c^(>ic<ic<ic<i(yi<>)c<ie<)c<ii>qc<i?qCToa(Nc<i<yic<ic<ie<ie<iC']c<ic-i cm 0-1
t--C50t:o-^-^o(MC
( o c-i i^ CO 01 'C — c
. -* CO >— I ^- CO O CO ■
(M IM C^ CM IM C<l C<1 e<l (
OCj^COCOC<I-J^J1^<
ncc»(OO^HccoiMr— Or- ic<i
^COOO — O-*0CC^lC0C0OOC0<Ml- He
)-*coiococ50co3qi
> C^ O^ CTl Oi.CO C3^ Ci Ci C
I ■— 1 >x;> i;d CJ (M <
I M (M'<M C<1C<1(MC<IC<IC<IC<IC<!'MC
) Ci O CJi Cj^
O^OiO^CTiCTSOOOCnC^CjiCj^C
(M <N <N (M (M CM <M CJ CI (M OA C
C0(Mt^tOCDC<l03!O-*(00i
(Me0-*lC0io-*'05i— liMCOC
c:j C5 Cji c
i CD C3i CO •
> -Tf r^ lo 1
S 05 coco ■
> 06 cj ai (
1 c<i (M c-5 (McaoJcMcyieviyicM c<i l^3 co c<i (M oq -m
50100^.— I-^<M— JiOC00CC0C0(~-OC5O'^0i00t^'— '»OOOCOlO-r«CiCOO-J^>
r^(^^c<^<^^(^^cocoT— I 1— 11— 1 1— ii— i(M(Mi— 1 >— iooco(M<nco"*-*'*coc5c<i
ici>oi^'C5coc<noco(Mcoco(Moi>-03c»ow5'^coocr50C<i;ooor— i^Oth
.— I C<I d I— I <M ■* C<1 I— ( I— I 1— ( I— I I— ( t— I rl C^ r-H C<l CO CO <N CO CO Ttl "C CO (M r-H C<|
Tunora 9m
JO S/T!a
•sasBqj
s,uooH
r<^c-^^c^coc^'^J^O(^^ooc^coTt^co^~oo505>ocDcDcn^-cs(^^coTHcooocNo
-1 (M (M (M r^ CM CO rH t-l i-H 1 1— I (N r-l >-l <M C<l CO i-l CO tH CO -* CM (M rH
I(^^CO■^10CD^-C»050l— ICqcO-rH>OCCt— C»(35Or-<<MC0-^i0C0b-.00C5O-J
. v.^-..^ o^ ^,-lrtrtrtr^I-l^H^-l,-ll-l<^I<^^tM(M(^^(^^(^^<Mc■^<Mcoco
P\
o
^
1868.]
PUBLIC DOCUMENT— No. 23.
89
n
^
c
en
V
o=^
r-^ .
c
II
S S
S'-^
a
y,
■a
<
^
1?5
S
K
j:
K
tt
flT3 =3 C =^ rt.c3^-a tS .^-a --^'a ^ « rt C3 CS r^ „n3 <* cS cj =S i^-O'^
S ^ "3 £ "3 '3 "3 ° ° '3 "5 ^ « ^ ? '3 '3 "3 'S = ? ° ? "3 'S ? S ^ ^ '
-a
5"°^
C3 03 to
S S-S'~'
: T3 o
_ 'H, S to M
t" S? ^ 5" C -73 t3
^ ,5 J5 -2 •" c c .
't3'^-a to S g'
CO||Tj<|||I|||||lrH|||||00|lll|||r-<ll
?3 O O -^00 CO
-l|l(M|||||l|I||ollll|-*l|"Ol|ll|Ol
• I I . I I I I I I I I I I (M I I I I I
-M (M
s a s
^ I ^ I I I I I ^ I t
s s a a a
^^r/^S^'^zj ;J5^"!5 tc^ OT ^ :o cc ^ ^' 02 ^' 15 ^" ^ ^'Z
^ ^>' 3 ^" ^- ^' s>>' ^- ^>V- a>> ^ ^ ^- s ^>>V- s pj H 3 ^>'
zi;?;;^:^^ ;z; ^ ^ ;^ c« ^' :5 m ^ ^' !?; ^' a:' s :s 2 2^ ^ ^" !^ !^" Z iz- 2!
oo5Tj<ooc^oaio<Mooo(»coootr5--'OoocoioTHooffi)Ooqo
3C0-HOOCtH0O30i-'OOC<>©O>Oi-l(MC<JOOOO00T(<OO00O>0i-H
C>00C5OC<IOOC3<;5OOOO<NO>0r-IOOOOOCO00C0OOOO(M
c^-ft^cocntz:c^c;
30 CO O —I (M I
c^ -f r^ CO trs ■
:d c: c-1 ^_ -t; •
M ?i ?i Si Si
•» M «C CO c-1
i^r~i^a3 CO
r; o ^ o ■*
■»' C5 ci <r3 ci c
-M c^i c-i c-i CI •;
• ^ >:^ ^ o -^ to
10 O CO CO C7
CO i^ ■— I C^l !M Tfi ^ iO CO c-1 c^ 10 r^ ■<*< '-f CO (M
C; Cs ■rj O C5
[ 1-^ c^ rw o t^ 10 o CO CO c7 ^H o t^ r-( r-- ^^ OS 'n
r^— 'dSt^coio-t^ i^-^^H-^»ocococicriC<JOtooo-ico
; !^ ci o o o ;
C^l C-) '.
O 1^ ■
-nt< CO (
1 oq C^l c-1 CQ C^l C^l !
) -+I CO CO CO C3i C5 •
1 t^Tt< l^C^I i-irr ]
I .-I ^ >0 t~; c^ --I ■
: CT^ C5 O CTi ^ ^ '
I c^i c-i c-1 c-1 c^ c<i c-1 c^i c^i c^i c-1 eg c<i
: C5 en •— I o i-<
I O O -Ci 'O 'Ci
' t^ -:*< cc r~ ■*
1 C-l Cvl c^i C^l CI
OOt^-r-HCOiOOC-lC^IOlOCO— lOGC
-M O c: <^ c-1 CI ~ ~ ""
C^l M O l—iq C^l
<T5tC5t^C50CriC^t75C^C5C^
O CO O t-^CD rH
-^ CO r-( CO C^l -+I
CI rt< •:*< C<1 •* CO
ri c:' ;C! oi m C2 <
c-i c-i c-i c-i d n c
C-l CO
< C^l CO
< 00 ti
CO>*-f<-MCOC:CDC-10-lC30C
>C^C^>32C30C^C5C5
■^ CO ^ lO (
Ci cri ci oj cci <
c-i c-i c-i CJ c-1 c-i c-i c-i c-i m c-i c^ c-i c-i c-i c-i c^i c^i c^i d ci e-i ci c<i c-i c-i c^i o^i c-i
C<IC0 01-^<Dcr>0«5^Jt^iOCOOCD'C'd>OC2COCOCOCOO— <C-1orrC-lCMOiCi
COCOCOC<I— li-ICOCOC^l ■-( — In- Ir-H— lr-Hr-1— (C-1C101C0C0C^101C~1Cvl(M(Mr-l
■Oh-COCCCSCOiCl-— t— OdOCOC505'^n^-*"OC<l>rjOCOC>?(^h~.C--1-^C-lCOi-l
COCOCOC-I— lO^COCdClrtC^i-l— li-H— «COC-1C^IC-1COC^1COCOCOC1C-1IMC<IC<1<MC-1
•Ot^lMOi'O— <CO--t-~>Ot^t^^C^l>OOOC3'rac35000S-*0-)C»0-<+l-JOCOO
(MCOCONr-li-HNCOC-l i-lr-l— I — lr-l(Mi-lr-ICOi-IC<li-IC<lC<l<Ni-l
•tijijoin «ii}
JO sAbq
— IC<IC0-*»«50t--0005O'-lC»1C0-i<i<5CDt-~0002O— IC-1CO^>OCDt^tZ)050-H
rHrt^rti-l — rHrHr-<rtC<IC-1C<lC<IC^1C<lC<lC-1CqC<lCOCO
•sosnq.j
e.uooKr
12
©
u
^ >s
90
LUNATIC HOSPITAL AT WORCESTER. [Oct.
<
Fair weather.
Hazy P. M. ; lunar halo
Cloudless. [9 P.M.
Cloudy A.M.; fair P. M.
Fair A.M. ; cloudy P.M.
Stormy and cloudy.
Fair weather.
Fair weather.
riainy.
Fair weather.
Cloudy.
Cloudless.
Fair weather.
Fair weather.
Fair weather.
Fair weather.
C'dy A.M.; stormy P.M.
Fair weather.
Fair weather; snowsq's.
Fair .weather.
Fair weather.
Fair weather.
Fair weather, cold't day.
Cloudy.
Hazy all day.
Cloudy all day.
C'dy A.M.; stormy P.M.
Stormy and cloudy.
Fair weather.
o
<
•
1 i
5 ^
1 1 1 1 r 1^ 1 1 1 1 1 1 1 1 r 1 1 o 1 1 1 1 1 1 1 1 1 o 1
to
Inches
Rain &
Melted
Snow.
1 1 1 1 1 O 1 I 1 ^_ 1 1 1 1 t 1 I '-I 1 1 1 1 1 1 1 1 1 M 1
CO
[ 1 1 1 1 . 1 1 1 . 1 1 1 1 1 1 1 • 1 1 1 1 1 1 1 1 !. I
CZ a TO ■ . C5
1^ .-1 TO Oi
0
1^ «
a a s s
IIIIj£^III^IIIIIIIf^lllllIlll -11
a
1— (
a3
*-i
o
■a
S
C
o
s
S
Pi"
p
o
O
>
o
o
o
1-1
A
3
oooootoo^OrH«*ioocoioc<>o.-iOi-i(rqooc<ic<)ooco^
CO
— IOO<rnCCOT}<OOC<HOOC2^lO<MOO<M(M(MO(MOlC005COi-l
Th
Or-IOCOCOOOOOOC50(MCO^C<IOrHCOOiO(MOC<)lOrJ<u'5oeO
CO
fa
H
!
o
o
ca
■i
-#t— rooocs^coiooici-ocicToiMco— iiotMcooooiraiMi^'OOoncoo
ioooc-io-!t<C300<ico;Dcoc-io-*a)--'OOcoc<i<>icoc<l-*c»coa)TOt~io
jO'j<oir-TOOioi^c:>0!iot^TOtqcoo^oococ<jcoh--ociCOcD^_aoc<i
(^^ (>a c<i M c<i M M c<] c<) M M c<i c^ c<i c<i c? w M c<) c<i (N (N CO M cq c<i i>] oi csi
CD
0
01
C3.-i-#t^O'100c=COOiOTOC:cOi-'3^lO— 1^'— lCOtMiOC5005^CDTO(M
— iTCOCiiOCOfMOOCOCICat-COCl^CiOCD^O^^eqoOCXKMIM^
C2>raCO'OCDOOCv200rHiOOOTj;lOTO>OC<)COi-HCOrt_OC50COt--TOQOO
c<lc^^cN(^l(^^c^1c<lc^(^1!^1o^(^lc<l(^^c<^c^^c^^<^l(^l(^1c^l:^^c<^co(^ll^^l^lc<lc^l
(M
lO CO T-H '^ 0 c^ 0 C^ '^ t^ 1^ 10 '-0 0 rH O-l •— ( CTi ^^ 1?^ 'rJH 10 >0 0 'O ^ W G^ Wf
05COCOt--t^OiOt^-*COOr-;CD'qiOU^'OC-3C<JCOr-10COOC2tX)lOC002
0:ic^cicTic:iG0c:.cic7ic^C3OCiOoaiCiC^0iC30^c^C2O0^CiOc0G0
<MC<)C<I(MC<lC<IC<ltMC<)C<l(MC<lC<l(MlM<M C<I(M CM C<l CM <M (M CO (M (M CI (M !M
10
ci
(M
o
c
t-.-icv500"*h-lMa)CiCOO»0>^COC2>o-#Ot^l^CDi-l(MloCiC^t^l-~CO
t-l(M 1-lrtCNrH ;Mr-c.-(C^C<lrH(M(MrHlMC<ICOCOi-l i-(i-ieq<MC<lrH
■m
00CCC001^^t-0C0t^CDOG^h-C-1^C0OO»0OG0-rHV0'^OCiC0CT;'+(TH
rHCMI"C^O<l CO T-ICOrHCOCTCO.— ICOO0(M i-li-IC-1 <MC<lrH
03
g
(M
t^oo-^iocit^ooo^t^iOTHoocootNcocafMoccom^ior^cir-ioo
C<)eO (NCNcOi-ii-ICMT-{i-(<MC0.-iCOCOeoCNCOTtl^i-l fSI(MCNCOC>0i-H
■i
t-Ol:^r-lC0-tir-1r-l-*IC0l0-*»0>0C2'0OCni:r!(Ml^O^t^C<IC0Or-C0
rH 1I<Mt-I (Mt-h rtT-<i-l<rM.-i<M,-ICOCO^I rtr-llMCNr^
•IIJUOUI 9in
JO s.i:t3a
—KNCO-^lOOtr^COCSO— iiMOO-*iOCDl^COOO^<MCOTHW?«Ot-.COC2
,_(,-Hi-HrHi— («— I^Hi— Jr-Hp-(C<I^C^CMC<lC<JSvJC<)C<IC<J
a
•s
s
3S131
noo
,1
A ©. u ®
1868.]
PUBLIC DOCUMENT— No. 23.
91
Driving N.ls. snow st'm.
Rain from S. W.
Blue birds and robin ap-
[peared.
Shower, Puss Willow in
Rain. [blossom.
Rain.
Aurora Borcalis, 9 P.M.
Hazy, P. M.
Furious snow storm.
Aurora Borealis, 9 P. M.
Aurora Borealis.
Clear.
Snow gone, except where
Frogs peep. [drifted.
o
'A
w
Q
<
iz;
<
1 i
■7! O
1 eg
1 ^ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 '^ 1 1 1 1 1 1 I 1 1 1
00
Inches
Kain &
Melted
Snow.
lollllllllIlSlollrolloollllllllll
00
u -3
s a s s a
ip^iiiiiiiiii^ij^^ii^iij^iiiiiiiiii
O C5 C^ OO' Ti<
m
c
c
a
<
S 3
o tc
a a sa s
j^llllllllllj£^ll|£^^llll^llllll|lll
-«H. CO r-H >-< (M
o
S
o
5
^
-^
a: 1 9
000©OOOOOC'-IC<MlO-HpC(M^Og^-lO.-lOr-IOO«30
c6
O
J
1
^OeOeOOOt^OMC5(N0500COiniOOC^©COO<NC<)r-(.-iOi-l.-IO>0-*
^
OOOr-HOCOOOOO«S«5'-lO-*C500COOOOGOi-HCieOr-IOO(N'*
-*
3
s
O
o
a
u
5
OS
ei
■A
<
ci
ci
CO
"*.
iiiilililiiilllliSiiiiiiiiilii
pa
o
i
'^^^oi^'<?,^t^^?^^^t^^^'^^^^^''^^^^^^^^^
CO
-<
2t,<>^«O^OC30;*J^j5;J-^5j.^COC.j^gCOOj;.C.^^j;^g30
CO
!:;'-SJ:j??S^?^^;S'^SS?§^SS^^S??^5??^SS??^S
o
s<,c.^<NjDoo=ogcoooj^^5;5;c.oc^^gg^g^^gjjo^5.^-
00
(>)
m
13
Bi
a
JO SACa
^c,co.*.ujot^coo.o--NC2^.«oj^22g?5g^S5J5;SSS5SS^E5
e
B38B
,UO0
IJ
P\ 0 ^ O ^
92
LUNATIC HOSPITAL AT WORCESTER.
[Oct.
CO
CO
CX)
<
I
o
H
!>
CO
pq
O
H^
<^
Q
1— I
o
o
o
o to
s.s
"^ o
s
^
02
rS-^
g rS
fl o
M S <u ITS
i* 5 .2 °
3 h5f> S
I ir^ I I I t I I
s s
1^1 I o I
s s s
s s
s s s s s s s
i-li00t~0^0 O OOC;OOOOC;<Mi-HOOlOO<M'-IOO
o coo lO
OOi— 10-^1— 10 (M COOC<IOOOOOOO'^'OOOOCO'-IO-^ O TOO <M
OOOi-l<MiOOO O OOO00OO00TOO<Ni-IOOO(MOOO O 0^00 o
)rHlOC<ICO 00 r-ICOlC(MCOJ
as r-i CO 00
C2 03 CO ■— '
> CO .-H (M ira t^ ■* -* »o _ i>
_. ^, ,^_. ^iOiG^G^O^^JiO^CjiOiOii^Oi'ut'OiG^ O 0:0^ CS
(M CM (M C-l (M C^ CJ CO CM C-J CI CM C<1 (M O-l C^l CM C<1 C-l (>) CN CI C<1 CT tM <M CT CM C<1 C<1
: lo o CO to
Jooco«^co-*^^cMOTOO— i— i ^lo co
)COt— CJOOOiC'— lC3CO^<M lO -*<M c^
___ _ _ _ _ __ _ _ _ _ _ iOiG^CTiO^CTiOiCJiOiOiOiG^ Cj5 c^ci c:>
C<l(M(M(MC<iC<lC<l (M <M(M<M<M(MC<l(MC<ICMC<IC<ICMC<ltMCOC<I^^C<l C<1 CM(M CM
a CO »c CM C'o »
CO Cji ci oi ci c
o wo 1^
1^^ lO <M CO
cocqro^^co-^co >— i t^oit— cioc^ioc
COt^i-OCOC35lOC» Oi C^COOt^OOCiCDCr
__- — . — j^ lOt^COi— tlOt^COC
^. CO cT>c^cii^c^Oi<y^o^dic^c _ , _ _ _ _ __ ____
CM C-I Ol CM CJ OQ C<l CM Cn) (M CM (M CM CslCMCMlMCMCqc<l<MCMC<ICvl CM CM <N CM (M CM
-H o CO r^ CO C3; '
O CDh- ^
1-C5 TO OO >0 IM CM (M
■*05-^COCOTOi— I CO OCDOt-IC»3-t|HOOC<I-*C0i0TOTO>>-'-<00-* 1>. ■•tioo >*
CO >0 -^ C>3 CN CO 03 CO CO C?< TO CM CO -^ CD CO CD -^ "2 -* «S CO CO lO TO lO ->3< lO lO CO
CO -^ CO CO o:; CM CO co (M <m cm -^ (N G<i -^ »o o -^ co -^ ^o -^ -^ co co co
CO
CJ2.-I
TO ^
O
1--
TO
^^ CN CO -^ lO ^ l>- CO O O »-H <M CO "^ iC "^D I>- 00 05 O •— ' C<1 CO "^ »J?' ?0
t— Ir-Hi—lr— (1— li— II— Ir- (I— li— tC<IC<lC^C<lCNC<IG^
oo a>
o
TO
P
0 U @
P\
<u
PUBLIC DOCUMENT— No. 23.
93
oo
g.g o
S c3 „ B
O cd
I I I I I I I I I I I r I I I I I I I I I I I I I I I I
1 I I I I I
I I I I I I I
f:. I I r I I I ;~^Z1 I I I I I I
I I I I c^ I I I
a a s s s a
p.' ' • c^ itt' »j ' ' ' • I c^
a a a a a a
M I 11^
i^(M Tj* ;z;
a a a
•-H t^Cl CO
^!sf4t>--^ ^ ^ '^^pqHw'w p4 w i^^- w Wf4 iw f4 i^h^p^^'^
^ i^; !z; aj z !zi!?q |zj Iz;
0302 CCCO
zilz^;?; m 'A "r-, ^ l5!^ ^" ^ 'A'^di'z, z d)^ 03 ^'d
000 t-=
©
0
000 000
0
0 t^oo
0
0000
0
0000 coo 00
CO
00 C5C<I t^
0
0
00 CO 10 CO >ft 0
0
0000 0
0
0 0 o>o
0
0 03 CO eq 0 0 ■*
j>l
05 0 0 (Mrt
0
0
00 cooo 0
0
0 lO 000
0
0 0 t^o
0
0000000 0
i~^
cocncooo -* 'O t— os^cocoo t-i Ci— icocs .— i cocoooci co r-<oq^-oooooo-j
H c^i o ci rt) CO
^- ko •^ CO CO I— (
O Ci C5 CTs O O
CO cocDcocoo*^ CO ^^l^coo o
< CO 10 cc t-co
Ci O C^ O CI O C5
CO T(< CO C-) 05
CTs G^ C^ 1^ f^
CO 10 IM O <
-* -ROCOCO (>) CO Til CO CO CO CO CO
C5 CTiC^C^O^ Cj5 C^dG^CiC^CTiO^
01 Ol IM 01 C<I CO <M CO C-l !M C-] 0 Oi S'l CM CI 01 !M CI M CI d CI d O O C] d CI f
c I a
t-- O Cl o >o •-'
•qiuoiu aiij
S.UOOH
-if C»C500-+ICO CO -^'OOO-H >0 CDCOdCO CI CO30»Od0CC0C5
CO CS CO C3 CO d C2 CO CI l^ Tt< O CO O i^ -^ CO ~ " ""
O — ; ^ CD CO -#
! ci C3 o ci
d 10 CO — 1
C3 OOcici Ci (7:0)050
o CO CO — I t^ ■
d d
oi C7>
O CTi C5 CTs C75 CTi
CI d d CJ CJ d d d d d d d d CI CI CI d d d d d d d '
IfT^CDOl f^ OO'"*-*-** d C5i— I-^OICD-HCO
idCOCD CO 'OOCTld C32 COOi— (OICC500
o o C75 C5 Ci
I CI CI d d d d Cl CI d CI d C] d CI d d C] d d C5 CI d d d CI d d d
•c— ICOC5CO t~ CI cTor^dood co roooso Oi cocooco — < ooioooo — co^
•i<-^'0>0'^ •* ■* ■^iO'i<T}<-<^io >0 lOCOiOiO -^ ■^'0»0'3< lO 10>0»OCOCDCDCO
'o-^cit^t^ t~- lo -^lod-^oo C5 ocot~-*< OS 05C3coas to d-^-^^eDocco-*
Tt<-*'l<-i'TjH -rjl -^ C0-"«"C-^>O"S< to UJlCOiO ■* ■"*<Tli>0'>*< •"!»< 'O'O'O'O'O'OCO
rtdco^'O CO h- O0050i-idco ■* loot^oo 05 oi-idco ■* iocot^ooo50>-;
,_l„^rt ,-1 rtrtr-li-l i-l dCldd d dddddCOCO
12
u
94
LUNATIC HOSPITAL AT WORCESTER. [Oct.
s ^
^MS»^
s a
o f)
02 1^" ^' c« od tn !^' ^"cci^l^il^!^ m ^z6 ^!^ !^co l^l^cc
I I I I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I
I I I I I I I —.^ I I I o I I I I I I I I I CO I I I I I I I I
0 sa s
p<rilllc4ici^lla,tlli<«lll>P'!llii>ll
-H -(« -(?) (N O -<^
-H 05 CO to •-I •-> '-'
a aa a a a a
d I I I I I rt d ' p, ' «i ' ' ' ' ' rt ' I ' i ' ' ' ' ' ' ' '
!^^'s; 02 d)^ i^i ?i !5 1^5 tc c« M c» 1^ l^'l^ ^*!z;
OS 50 00 (M © 05 O .-< 05 CO O O IC "-KM O O 05 —I CO O O 0> I <N CO «5 I O tO
l>.U1^000 O eOO(MOOC5i-<C<lCOTtl01~->-lOOTfHlOtNt^i— IIOIO-*
.-((NIMOCiO O O ODIM OO COIM O O O 00<M0 O OI<IO Ti<(MC<t(N CO
b- CD ■^ ^^ ^H CO CO r-< 00 o r— '
CO Tt( i;q t~7 "O CD
O^ C^ Oi 05 Ci o
CJ C5 CO
OOtMTjHCOOOCDCOt^ _-
"" ■ "~ »o ^ CO CO CO
0:> Gi Oi <y:> O^i
CD 'Ji (M TJH
O O C^ C3
-+I -"^ ■— I
N ^ ^
^- >-H CO
CO Tt< lo
CTl C^ CTj
>o ccc« CO •
O O 05 O S
C<I(MC<I(MC^(M (M <NC<1(N lyi <M (M OQ (M CI C<I CM C<1 (M (M (M <M (M (M C^ C<1 tM (M (M
OOlO ■* -H 05 CO
00 t— o> CO CO .—I
-> t-.CD T)H
i Hi lyi o>
< lO >0 IM ■*_
) CTj Oi O^ O^
) CO <M 'O '0 lO -* ^ (^ -
1 -*< C5 CD lO lO Cj5 'O CD '
■O -^ CO CO CO .
O Oi Cti o O^ c
) >C O 05t^ lO CO
_1 t^o o 0> CO o
IC0C0tJ<>O-*<M<N«OCD
<M Ca (M (M (M C<l (M (MC<l(MC<lC^C^C<lC<l<MlM(M(M(M(Mde<lIN<Me<lC<l(M<M(N
<M •* lO
CO t^c<i
I^ I— 1 1^
cdcdimco
OS OS C5 o^
)Oi-*TjHCOGOOOIMOOCDOOTt<iracD(M-*
)00t^T)<00CSCOO'-C0C<10SC0l-~I--— ii— ITt<
iO>OTiHCOCO(Mi— !■— iCOCOr^CO'^C^COiOCO
oscsosososososo^osososososcsosc
C5 (M <M <M (M <M (M e<)ejlMC<l(N(M(M(M(M(Mg^d(MCMC<l(M(M(M(MC-<e<i(M<M
coo CO 05 C50
CDCOiCOUSt^
(Mi.O-*io— 'OO •* ^O— lC5SSCCCDCOOS05(MCOCOOCDC005'*OSiOt~CO-*
COWJiCOCDCO >0 CD CD CD ■* lO CO CD CD CO CO tr- t^ t^ CD >0 CO "O CD CD 1^ CD CO CO
ob^t^cOrfcD CO o CO t-coco t— ono CO t~-CO IM t^'
t>. CO CO CD CO I>- ■" " " " ' " " ■■
COa5C<l'*(NlO CD cCCOI>-CD<MCD<MCCCD0OCDt— TjiCOOOt— o>
JO s.£Ba
rHIN CO -* lO CO t^ CO 05 O r-C N CO ■* ira CD t- 00 OS O —I C<I CO ■* >0 CO t^ OO OS o
s.uooj^
0
u
e
p\
1868.]
PUBLIC DOCUMENT— No. 23.
95
o
CO
li
Inches
Kain &
Melted
Snow.
O to
s^
■rH CO
HCl
I I I I I I I I I I I I I I I I I I I I I I I r I I I I I I I I I
S S
I I I I I I I ■ ■ I I
ss
ss
iia.Piiiiii^iiii
sasa a as a a
I I I -; r? I ^- ^ I 1 1 I I I r; I I I ^ ^ ' I I I ^ I I I I I ^ e I
eo«3 t>.o>
p<pi
>o CO
C8 g
c««5oQ|z;!zii»^ a3lz;^!z;daJ!^ cd^!2;aja3!z;!2;lzi ^ tc'coco
02 Z!z;o2^^o3l^*!2;a2o2'!5t3co!»!?!^t/j^!z;cc2i mcq
COCOOOO CO C5aiOIMO>lMOOOOi-l.-IO O OOt1<COOC<IOC3000 O C5
OlMCOrH lO COiOOO(MTj<<NC<3CO-*(N(NC<I C5 000>0-<*I000500000 lO 05
05lC>0<N 00 COeOOOO'0-#<Ma5(MTt<Oi-l CO 0005000COOOO o o
— ' O (
^ >c <
"O CO :
O >0 lO 'i*
N C3_C<LM_C2_ <N IM lyi C-^ IMJ
^^co —I O'OM^ooi
) c^ .-H — 1 C3 CD t^ o i~- lo i-ir^oo'O
<i~-.i~™co~ ~ — "
< CO CO Tl*
) O O 5D .— I lO
< ■* CJ CO -rt" CO
1 o c^ o o o
> O tH Tt< C-1 (M
O t^ O t — >0 <D C30 ■
! CO_ <M CO OJ
> C5 C5 C5 Cs
(M -.^i -<!< -^ Tt<
C5 C5 O C5 o^
IM (M C^ C-l <M IM IM oq (N <M IM (M <M
. _ , , -_ _- < O .— I ^f
'-.f CO iococ:)-^"i<cocococooqco-*co
^ d O^ <yi <T. <^
■M C<l fM O-l CI
; O O C5 O C5 O <
CO >o
jioot^-ot^coioeoo lo <N
)r-i'MTj<cooc:iTi<<£if^ CO CO
fj< <N CO CO (
o^ ^yi ^^ f^ f.
\ CI CI CI CI CI CI CI CJ CI d CI CI d cq CI d d CI CI d CJ CJ C? d
^-^ cij -jH I— t o »o '-^
CO oo oo
— < CD -)< I— I
V2 CO ira 'O
C5 05 c^ o
CO -^ >o ■
ci cj oi <
1 •* CO CI -* •*
> cr2 C5 ci ci C3
I >0 CO 1^ ■* d .-H CO
> o o oc t^crs CO CO
) •— I CO •* "*! ■* T*< -^
i 05 Cr^ C5 C5 C75
d d d d CI CI eg d CI CI d d CI d CI CI d d d d CI d d d CT d d d d d d
CO 'CO CI '-' ClOOdcOiOO'+lCOdCOt^— lift t-~ ^dl^t~C0OOCT>O<S -^ 'O
tot— t-oo CO CO CO t- CO t— CO CO 00 CO CO f- r- t~- t-- t— t— t— co co t- 1— co t— co t— t—
U1U0UI 3I[}
JO SAUQ
CO"!? COOl
00
t-
CCOO-HdCOCOdCO— 'OOd
cocococot-t-cocot-oocot^t-
s?=
■*.-(10-*O5OC000O5CD
COf-t-COCOt—CDCOCOCO
t-
^
t—
d CICO o
t-ODOOOJ
o
'O 'O t-O O CO .-1 00 00 CI CO C5 »o
t^t-t-«oooooc5cooooaot>.co
00
oo'(^(N■*^-colOc3l'OCD
t-t~oot-cot-t-t-r-r~
t—
o
00
o
00
O O'Ot—
CO CO t- t-
CO
T-(-JO>cdcocoC5c:;t— co-*co
t— ot-cocot-t--t>-t-t— t~coco
t—
t—t o CO "^ CO 00 o^ "~^ t"^ ^
t— t~t— cocococDcococo
CO
o
t—
00
CO
— idco-*
>o
COt-00050-HdCO-*'OCDt^CO
CT>
O-JdCO'toOCDr-COCTS
dddddddcidd
^
CO
c
8,aooi\[
©
\^
o
^
96
LUNATIC HOSPITAL AT WORCESTER. [Oct.
o
1 i
Inches
Rain &
Melted
Snow.
:sa
S"S
d ai
^i
>^^^
Pa),
■^ h^
<UTS
^ fl
C N
O S
f=.2
AA
^ M
OiH
HQ
I I I I I I I I I I I
I I I I I I I I I I I I t I I
s a s s s s
CO I— I ■* O t^
I I I I I I I I Ph I
sasssss a a
I I 1 -• I ^- I I ^- I d,^- -: I -• I 1 I I „• I I I I I I I I I _• I
^^1 Moi CO -<^CO CO -<«
aj !2< mm aj ^ xnmm mm mml^mmm
mmm'l^'i^'^'^m'^ m]^ mm'^ mm ^|z;^ «:" ^mmmm
mm'^'^^'^mmmm'A'i^mm mmm'/^'^^\^ m)^ mm)^
C50000tOC5^C<HOOCOOOi-IOOOOOOOaO^OO(MC<I^OOOOOO
t^iC0300COOO'0^0-*0:)(MrtifOCOTt<io0050tli-il^COClC5<MlOOOi
t— C<lt--OO00OOO<MO00Oi— I.— lOCOCOOOCOi— li— 1^1— l-*iOi— lOlCCM
3:: ci oi £
l--(OCOC3200t^r-l>-l
jcotcc^-^-^cot^-rj^
i-*eocO'*-*rorj<co
> O Gi Gi O^ G^ Cft O^ O^
o-^iOOiO-^coTt^-rt^r-- co'co Tti -^
C? Gi C3 CTi Gs
Gti Gi G5 G2 G>
yi'yi(yiC<l(Me<ICMC<l(N(>3'MC<lC<l(M oatMcaiMtMMtMcgfMC-lC^lCNCN OJ IM CM tM
CD CT- t-^GO
t^G5-*COCOCOCOOCNOlO>
(M >o CO CO G3 00 :
^^iO^dCi^Oi'^oxyi^
lO I-- 1^ GO CO
CO ^^ -* ■* CO
CD -^ CO "^ iO
Gl Gi C75 C^ G3
C<) CO 00 O CO c
-^ Ci TfH t^ ■<;*< t
Tti CO -r^ rf CO :
Gi CTi G5 G5 G^ (
c^ c<i c<i (^^ oj oj w M c<i c<i c<i c<i (>i !^l c-1 c-j (?i c-1 c-i o-i o] w O'l M ^ ■ri c<i c-1 iN (M OJ
^ 00 i-H "N
) — 1 O— '
^ Tti lO CD
J Gi G? O
i 1^ CO CX) CO t^CD '
05C<ilOOOO^^«0-*Cj5COO
t-- 1 — I to "
-* Tj< <M
o g:> Gi
c5 Tti CO Tti ic
Gi G5 Gi Gi G:
> Oi I~- CO c/D CD C
Gl CM t^ O t^ 1
lO o
CO CD
CTt! G5 Gi Gi CJ (
C-lCDCOCDCDlOCOO— It^— 'OOtHOi-icOCOCO^COCOCOOOC^ICO— 'O— lOO
l^-t-*t-^CDCDCOCOt>-l-^CDCOCDCOCOt^CDCDCOt^t^CDCOCOt^t>-t^iOCDls-t^cO
1— i05coa3a3(Moc<ico>CGi-Hi
iTfit^iMo<NGi'oi^>oc35G5r~oo50»--eqco
QOr-OOCDCOt^t— t— t^ir^cot— t~l— t— cot^t^J:^I^t^t^t>-r-l--00COl>.t^O0I>-
lououi aiij
JO S.fB(I
'c<icO'^«5CDi><icoo5<3'— l(McoT^<lccD^--ooo50-J!^^co■T^1>c>co^~a5G50-^
^P_i,_(,_,rti-Hr-lrtrt.-ilM(MC<l(M(MC^<M(MI^C<ICO0O
•sasBqj
S.UOOJJ
e
u
^
1868.]
PUBLIC DOCUMENT— No. 23.
97
m
3
5
Showery.
Showery.
Showery.
Showery.
Showery.
Fog and drizzle.
©
CO
a
<
5 ^
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 r 1 1 1 1
■
. . lo ^ h- CO lo tH C5 r^ >o CO o
1 1 I l-*i|oololooc;(MtMI 1 1 1 Icol Icol I.-1I0I 1
O
CD
CO
S S S £ e S £ £ £ £ £
t^HM-(^c<icococo o* CO 0^
c
ri
o
£
<
o w
£ ££££££ £ S£2
i-H CO ^'^ 00 CO -* -H ^ -«i 0?
0
1
5
5
o
£
S
•A
■i.
t-
03
O
o
1
S
■i
I-IOC50 0000 00VOCOOOOOO 000000500 05000 OS
CO
t^-*o50o-^t~r-iooooco-*n.4C;crico-*ooooooocoocococ;
CO
O^C5OO»0OO00OOOOC0C0OC0OOO-^rHO00OOOOOf-l
CD
CO
C<I
o
o
5
o
'■J
a
a
a
>0 CO "* — 1 'O 'O 'O (M >0 33 O CO 00 1^ o jn O lO O — 1 CO 'O O lO tH lO O CO CO I—
29.249
29.553
29.701
29.408
29.320
29.393
29.292
29.'44l
29.355
29.382
29.480
29.523
29.367
29.478
29.6)5
29.271
29.507
29.72')
29.730
29.414
29.427
29.470
29.336
29.600
29.320
29.432
29.416
29.340
29.341
29.440
CO
c-l
t— cioi-^ — cooofMco^^cocit^'-ociocioo— ''Mc;oo-t<cor:'co-+io"i
f-v:c;I-CO-i-— It- MCjCO-CCO-tCDl (<C0-t<O-t<— <CCOO'Ot-CMCO-t<
'M-ft^'OC^-^CO-f-+'C0-1i«;t)rtlt-^COC0lOt^i-CD-^^O'i^CD-:f'C0'^C0C0»C'
C^O:C2o6c3C>Oc:5ciciocrlo'ocjc^cicrjcscrfcia^cicj!7:f^oiciC5C>
Ol W (N c-l c-l C^l CM C-) C-J C-I c-l C>1 c-l c-l c-l c-l d c-l c-l c-l c-l -M c-l c-l c-l c-l c-l CI C^l c-l
CT!
c-l
o
3
K
1
a
a
COCOC^C<3C05DOOC-1COCCC^O<5-HC-1C5000C05f0050CCOeOC-10— 'OC-l«i
t~COC0C0«0CO5OC0COC0t--CDt>.eo«3«3-^-<l'«5US«S'O«S«3'O>0lOCD't:'O
o>
t--c-io>iMC-.icoror^>oco-*cD— <h-«^eo-*oo(MOio>-ioo.-i-+co— 'QO^oco
C0C0iOC3C0C0c0irac0CDl-C0t^iO»O>0-*-<J<'OCD-^'C»C'O'0>raiO>O-*i0
OOI--OClMOC<IC5COe<lCOC5t^«--CO»OCDOOeOCOb.l-~COCDCOCOCOOOOOOO
OOt^COCOr-t-t— <OCOt^t^COC^CDCDO««HOCOCD'0«3CO>0«J«OW5CO>0«3
CD
a
CT0'-'OW0C0--C5CDt~-O-*C-T0r— .-iOiO-t<C5COCOr-IOOC5l.OC<l-r*<
»~cocococooco«D«5cocoi^cocoira«i'*-*'*"ra-rt<-*<>ra>OTr'0-*'0'0-<j<
CO
•IIJUOUI 311}
JO sAna
B^UOOK
rHC<IC0rJ<«5Ol^00CiO-^C<IC0-<f<i0CDr^00 0SO— <Mco-);iocot-r2S2;S
rHr-li>--ti— l^^r-Hf— fi— 4i-Hi-HC-lC-lC-lC-lC-lC-lC-lC-lC-lC-lCO
c
0 u © («>
98
LUNATIC HOSPITAL AT WORCESTER. [Oct.
■a
^
Its
05
CO
as
■*
t^
o
CO
C5
«3
TH
CO
CO
CO
CO
CI
iH
tM
M
o
CO
EH
u
h
i
o
o
"«
i-(
CO
lO
o
1-1
r«(
.CO
,_^
CO
Pi
O
CO
+:
3
o
1— (
f—t
o
•o
Oi
05
o
o
o
,_,
ey
CO
■-I
rH
<
ij
o
^_l
T-H
o
CD
CO
CO
IM
IM
o
- 1- •
3
CO
rH
r-i
f-H
*->
o
o
o
(M
CO
-*
a
>Ci
'^
IM
3
CO
i-H
1-5
o
r-(
l:^
<M
!-|
CO
t^
CO
IM
05
CO
CO
l-l
^
'C
(M
s
eo
IM
t-
05
IM
o
t-l
o
CO
o.
IM
1-1
rH
<(
_q-
OS
IM
Oi
05
CO
t^
IM
o
1-1
O
o
»c
IM
r-H
T-t
a
tA
^
3
<N
t--
«>
(M
o
,—4
CO
o
rH
o
o
;h
(M
(M
^
i2
b
rt
IM
05
O
CO
^
t-
CO
o
O
o
o>
3
(M
tH
<M
3
a
i-s
S
rH
O
(M
-*
O
o
o
o
O
o
CO
CO
f-H
o
«
;^
1
o
o
CT>
t^
^
c~
00
CD
IM
^
03
CO
1-1
r— *
^
o
tz;
IM
Si
rt
t^
i-H
>o
<M
IM
CO
CO
rH
1
CN
•"I
'-'
r-l
rH
o
0
a
i
'a
PI
13
■fe
3
3
3
13
3
n
EH
r2
o
•3
!^
^
^
02
OQ
OJ
w
;^
m
03
02
05
OJ
m
02
03
m
m
03
<
>>
>>%
>-.
>-.
t»»
f*.
t>»
!>>
>^
P-.
>.
N
o3
ca
CS
oi
C3
oi
c«
CS
C3
c4
ci
^
■73
tj
tJ
13
-«
-B
'^
-«
13
IS
13
5|-
e«
t»4
<<-i
g_,
«M
C4-I
et-(
<+H
tw
«4_,
O
o
O
O
O
o
O
O
o
O
o
ir!
u
n
t->
M
^
^
h
;h
^4
h
m
<o
<u
a>
<1>
S
0)
v
<a
(D
ID
,o
-9
,Q
XI
XI
^
^
XI
Xi
,o
,=
a
a
a
a
a
a
s
a
a
a
a
3
p
3
s
3
3
3
^
3
3
^
^
^
^
^
2;
^
^
^
iz;
^
5 S
rt £
_>.«
s a
03 J?
?^ £"
•^ 13
1868.]
PUBLIC DOCUMENT— No. 23.
99
CO
J- 1-1
rX
o
1^ 00
00
00
t2
^
cq
i-l CO
lO
^.
CO CO
CO
■*.
tH
iS
'i"
<o -*
-*
o:s
Ci C7^
C3>
«a
«S lO
lO
id
1>1
(M
§1 <N
(M
Tti
t~-
s
>o
CO CO
O
5D lO
CO
CD to
«o'
CO
oo'
'
o.
oi
CJ OS
<3S
c^
(M <M
(M
cc
^
05
•* b-
O
t^
3
to
«3
CI
«5
1^
CO
CO CO
Jo
^
CO «5
>o
co'
1
3
CJJ
C5 0>
OS
<
(M
(M (M
(M
CO
CD <M
b-
oo
"3
00
50
O —1
00 .1^
CO
OS <M
CO Tj<
■*
?o
«i CD
CO
CO
1
1-5
t gj
OS
CO
-^ 1^
-*
00
a
1-1
o
—1 eo
U3
CD
^.
CO Tt<
»d
U5 lO
IC
o
CO
1
►?
oi
cri oj
OS
!N
<N (M
(M
2
C5 Tt<
CD
OS
b
•^
C5 <M
CO
lO
CO CO
CO
CO
1
C3
»o
lO >o
lO
cji
cj> ci
os'
t-^
t-l CO
t-l
00
^
(N
(M (M
<N
00
(M CO
rH
00
lO
"H
CO
CO O
Tl<
00 CO
CO Tt<
lO
lO TjJ
id
id
co'
■?
ci
CJ OS
OS
(N
CN (M
IM
t-
lo CO
(M
CO
CO lO
•*
S3
o
oo
O (M
CO
"^
^ ^
■*.
00
lO
cS
<N
th n
CO
ci
OS OS
<r>
■^
■^ CO
Tj5
N
00
s
<N
ax vx
<M
tj
^
t~- CO
U5
CO
lO
a
^
lO o
C5
(M
t-i cr>
liO
t^
a
(N T-l
r-(
>o
iq "O
>o
co'
T)< CO
CO
rH
oo'
C3
OS <y>
°j
(M
ox ox
(M
IJ^
^,
CD
ox o
T-X
»^
C3
OD
'O CI
1.^
CI
-T< t—
OO
, ,
c^
a
rH
(M I-l
M
-*
CO CO
CO
U5
>0 ITS
>d
CO
t^
c
C3
CS Cs'
cri
(N
r. Jn
(M
!N <M
Ol
^
•*
-H O
oo
t—
U5
O
CO N
CO
(M
t-, —1
CD
o
t--
S
CX (N
<M
■*
CO -*
T)<
lO
«S lo"
id
<N
■»j5
CJJ
erf CS
CTS
rH
<M
o\ ox
OX
c
»^
o
M
■^ CO
•o
CS
a
>o
e-i 1^
CO
OO
-K CO
CO
t— t
t--
CO
■^ CO
CO
CO
oo oo
00
<6
co" co'
CD
(N
^
>■
o
00
00 oo
00
M
C^ (M
C-l
S5
C
(M
o CS
t^
OS
O
•C
CO o
•^
OD -^
t-^
■^
lO >o
"O
■*.
CO -*
•^
■^
»d Tji
'di
CO
O
ci
C3S OS
OS
(M
(M tN
<M
^
s ^
4^
^
s i.
^
a
g a
>i
i
-^
t^
CI o
-<
0\ CS
<
pi p<
(M OS
'c3
I
•
^
o
o
a
CO
u
o
-<
u
a
o
•
*
.s
^
•<
s
.g
'c5
o
a
GO
a
s
^
o
I-l
o
;l
A
^
J
-
H
n
6
t-l
100
LUNATIC HOSPITAL AT WORCESTER.
[Oct.
cc
►5
0
•MOUg
saqouj
S2 2 ::; "^ '2 "5 2 r* '^' ^ '^ "^ <^' '^' "^ <^'> "^ <» =0 0° "^i '^ <^ ^ ^' ■* 06 •
(N CO
CO 1-^
OiO
CO
•IlIBJI
saqaux
a> t-^ 0 00 T)< laj CO lo 00 CO cjo ■* CO r-; CO C5 Ci c^ lO 0 CTi 0 cfi CO 10 ■— • t-i
c<^oo6^-^(^^Tl<oc6^cut^cOr-^o'c^c»cDCOl--^oco.--^^c^'i^•*0503
TjHT}iTfiC0-*C0iOC0C0iOTl<CCiCD>C>OTi<iO-*TtiTj<-!f(->5<io->}<C0-^>O
^ <M
oco
ocd
CO
0
•Along
saiioux
000000 lO lO >o 10 10
cococooocO'*io'ioodcoiOT)<oio — coczscocicocoor^iboditi-*
(M cq i-H 1— 1 (M c<i cq i-H r-i i-H i-i cq ■— 1 — 1 i-h rn
iC IM
O CO
incq
•W I-I
CO
.0
CO
=0
•urea
saipui
i>;coc^u3cocqc>C3--ir-icoi>.r--cooo^^«iocoiOTj<cor^t^o
-*iOC^Oq<Jc<i-*COCO-*tN-*COCOCD-*CDCO-*iOrtCqTlicOc4cO(>J
r^eo
CO t--
^ CO
o
«
s
>
0
'A
•AVOUg
S3H0UI
10 0 0 0 cr= CM 10
. . 1 ... 1 *^ 1 '^'^ .l"' "OiCDiit^ llllt^l
oiM '0-*>o t^ 10-* c^(Nc<i Tt<cqco\-;
IM ^
00 c»
CO
•urea
saqoui
t— COCOcr)t^30iC'tii-lTj<OOCOO(M'OCC<MO COCOiOt^-^CO^CJ
.-<coc£>o(~--ot--05,-H.-.coGqcocqooo— ICO ooocor^oocoiO"-!
^cocococD•*cor^^'(^q^C'O^OCTi>o(^^co^-^coT^^co'>OTJ^Tl^c<io^i(^^
rr, (M
CDC5
OJ CO
O
^
S3U0UI 1 ' ' ' ' ^- 1 ' ' ' 1 1 1 1 1 1 1 1
■*
-*'"•
a
0
f-
0
•urea
saqoui
-^COO"*"^O^t^iOiOlN."^OOCCr^>OCOGi^D|-^GO(MinOr-(t— Oi-
CO CO -^ CO T)H -; OD t- rr CO 0 00 C<1 0 f-H CO C^ 0 rt( rt< CO C<1 c» Ol iC CO t-; 1
CO '»ot-^■*(^i!^qlo'cdcot^co'co^ood<^^co'coc<i(^^cocor)^-^ 'c<ico
CDCT>
cjjco
o
1
u
xn
•niBa
saiiouj
r^oiocot^or^coo<MC5cocococc5 0-io cMr-iT+icoroooi^r^
cq lo (M_ CO -o CO —_ CO rr 05 lo CO oq lo c<j CO ci r^ 0 ^ .-1 to ci co r- oi co
•<j<coi-icoc<i 't-^cqMt^e^icoioio 'co-sJiorfico'cocqc^ii^i '-^i-^od
00 t^
COCO
o
0
<
•urea
saiioui
t-.-C<lCiC^COr*HOCrsOOlOt^CO.-H^OCO"^lO 'OCOO-^COrHOCOOih^
03 1-1 --; CO CO -* M ^ Cq 0 0 CO o- CO 0 rt t^ _ rt< l^ CJ3 CO 0> ^_ CO <M ti. 10
CCJ t-^ CJ CO cq (N •* CO Tji CO >-<■ i-I 0" ' ^' CO 10 -* lO iti CO Cq CO Co' Co' CO 0' CO
C0O3
TJH o
c<iio'
1-1
1-3
•urea
saipui
^coc750.-<^cocooiot~-(MasooocoococO"-ia>ot^cof^cocooo
a)a:coioc20DcorHcqi>-r-H^(Mco-<±icooc.-i(Mc>!Mt-(cococoi~coo
c<ir-;^ico(^qco•^Jlco■>-^■co(^icocd^do3C<^co■Tt^■--il^l«5cdoo^'co"coco■--i
t^03
i-J 00
03 CO
o
0
<<-
1-5
•urea
saqoui
<NC0l0(M^t^a>r-liCliOCDC0r-iiC)03-*-*COt^iOCO-*00 (MOIMOO
CjlOS'—O.-HCOCqcOCqcvIi-HiOOO'— iTfiTl<i-li--(co-<ti'*'-'^t^'*COo
Tti-<^r-(co(Mic»— (1— icococoi—ico-^i— 3coioiocd<Nt^(-^c^l-^cdcoco
CO CO
COM
o'eo
C3
h
^
^
■ui^a
saqoui
C0"^*C0t^C0tC'C<lfMC0OC0>O»OC0"^uDC0C0if^C0Ot^C0C0C0C0.— '
^Nt^coc^cotqa3>q'Olr-->--;^t--coio»Oi— icocoiocot^ococooco
cocoi-icoco«icococoi>^-^coi6cDi-HCOTiiTjHcoc^co.--ii-H"ioid>o-*c6
-rW 03
CO CO
IM
•AlOUg
saqoui
ic in '^
cd'o' ' ' 'iCr-icOCCCo'o' ' '«Si-5'co".-HlCrH' ' 'o
.oco
(M
■to
•urea
S81XDUX
-f<(MC0i0^-*t^<Mi0C0C0t^iMC5O-*t^THOC0-H-*C0c0— C5COCO
iocOi-HCOcqcocD'0 0'Oi>-c--ocqco_cor-.r-c3cot^coeqcDiooiO'-i
cdcico 'l-^l-^rtl-^r-I^ocdc£^'cdu:^cooo'^c<^l-i^d<^^lo>0(^i<^i(^ild
CO CI3
ooo
iM ■*
rH
■AiOUg
sai[Dui
0 10 >o >o 'oira
__io i>- c<it^.t~-t^_ _ui " lo
0' ^ co' co' 0' 1 00 CD co' 0' 00 co' CO 1 -* 0" « T}< co' 10 co' — < 0 1 >c N =0
<M (>J— lr-( (M rt rt rt rH rt COrH CM
uooo
t--<M
i^o'
00 ^
JO
•urea
S3l[0UI
CO-*c0003COa30'-Ot^OC<IOiOCOC730Ci— icoiO«COO(MOOO(M
T}<(MC<ico'>jcooooot-.co-^^_cOTtic<icococMi:^c<icoiot^OTt^rt-*co
coc<iidcococococo'-*co^cococo '.-JcJc^Jt^cvicicoiocOTfco-^tM'
CO 00
t-lco'
C3
0
Eh
•AVOUg
sauoux
0 00 0 OOiO 0 lO'OXOOiO
_ 10 lOiO _>0 lO'Or^ lO t~- 30 t-- lO »-
"O co' 0 C<i C3 0' l>^ co' CO <m' rA .-I f—' lO 00' C3 co' -* 06 0' ' 0' c^' to ' i-n oi 06
rH CO I-I C<) CO .-1 IM r-l rH .-1 r-l r-l <M ,-1 pH
lO t^
00 1.1
COrH
(M •-*
CO
•urea
saipui
cocoiOTti^ooo^oco.-icooc<ico>OTt<ot^t^o-<i<(M^cot^<Mco
CO-H'*i^COiOOCDCO<NOTtiOcO'*iCOC<l-^COt^COi*<Tfit--;C<l(>1-*nq
'^TairtC<ic4-*i-i>-HCO^(rJo6cD-*'i-H(Mr-icoc<ir-ic<icoi-H'coio-^i-i
"COS
oo
coco
CO
>5
pi
<
1-=
•AVOUg
saqoui
O O O O O O OOiOiOOO o
lo _ lo _ _ »o _ _ >o _ _ »q _ vo . <! «5. t^ 1^ "O /o _ lO
ioioc<icoc<icoio'^'c<iioc4t-^o"ir^cii^G5C»TiH'Tj<Q6coo'-*iocoH<i-^
(M r^ f-H i-H I-I rt I-I Cq (M (M rH CM Cv) i-l i-( i-l -Jl <M
o "^
co' Ti<
•urea
saqoui
OOiOiO-*ir-(MCDCOCOC3t^^^iM— lO00CDlC-nC0l^c:3r)1'^l:r!C0^-.
t^C0Or-lrHC3C0OC5t^OTt^O00I-lC0TflOt^C0C0-*O>0O'Oi-^<N
'*i-iio?3^'oi-*co ■.*eqidcoc4co''*-*ooic-^^"^-*^coc4iraco
t— 'O
C3 CO
t~leo
o
•kii
i
a
0
^
^
i-Tn CO ^'"O o ^Coo''o3'o'"rH■■c<f co"-H lo'co't^oD CjTo --""c^ vS STiS 5S J?r?S
^ _u ^ -(H -f, ^ ^ ^ .iti >0 lO i-O >0 >0 '-0 lO lO i^ 'O CO CO CO CO CD CD CD CO CO
oocoiMoocooocococooooocOQoajco'JOcocococococococoaococo^
1868.]
PUBLIC DOCUMENT— No. 23.
101
CO
•o
00
lCOOC^OTHC:l^l>-CCC<IOOO(MeOt-lOCit^OCO.— ltCOOiMCOTti^C<3
r-H ,-H tM(M COIN <M IM CO oq i-l rH (N <N rt .-1 <M i-H CS CO CO csl(M
cot^eo>ocoio050C5(McoTi«^oo-*coTt<eoi-^^«5ooo5^C5CjooocDf-i
rti-lr-1 (M r-l 1-H .-Hrt(N(M(M .-H (N (M <N <M (M rt (M (M
! QO
1 ■"*
iOrj<OrtCOCOCl -^lOC^IO CO C;(M OOlOC^KMCllOOTjtOSO Tj<
1-1 i-i 1— 1 (MC^C<I IM C^ CO i-H 1-1 r-( 1-1 (N <M 1-1 1—1 CO <M (N
§ <1i-,<!g<! S g <3 g <g <!5g>^g <
1 o
CO 00 — 1 O COiO O 50 »0 CO O CO tM 00 CO oo t^ CO CO t-~ CO ;0 00 rt> t- 00
g <^ g <^< g ^g ^^ g ^ g
1 CO
1 ■-'
cooDcotM CO o o m !M tH -ti CO c^^ coo « lo rococo ^ t^<N
C^i— li— 1 r-lC<JC<l C<»C<»C^^C<ICOi— I 1— 1
g <-, s 0 g <3 g»^<J g ►? g
1
1 oo
CD
(NCiCO 01 C2COC:coioco c;co:MTt< t^^^cDi-~CDcDcot--iom
1-1 C<l(Mrti-l(Ni-l rtr-i^rt^ >-iCs|(N.-ir-<(N OJ(M<M
g <! g<! g ►S-^ g < g^g ^
1846. 1847.
S <J g <CS<3g^?g
COTf<~^ (M>Crfr~OCOOCO coco (MCOOOt^iCO ^r^:-Clt^ I--t^a)
i-li-lC-JC^ C<|i-I 1-lr-l (Mr-I rtrtr-l lMC<li-l lM(N
S-5lg<J S-«jg^ g^
OD
^ <:g«d g-t3S <jg <3 g
00
rt (N<N (M rH rH ,-1 (N Oq rt M rH
s -< g «J g <Jg
i °°
>ct)< >'^cocr5C2>0'Oooc» oo<».— oio-^ooao (Mt}< cor-icn
OrH M C^ —1— 1 (M(MN(N(NOqc>1COlM ^S rSS
S <g <l g < g .§"
1
rtj. p,rt P.S c rt &, J^ P,
gg <;g<jg<j g <! g <t3
oo
T-t
o
00
1—11—1 COi— IC^IC-I C^C<I C^i— 11— iM 1— 11— t .—,1— 1,— ( (MfN C^
n p.« p.« o, rt p,«a,c3 S=Sp,
,* <« ,.-1 <: ^ <i3 g <g <j g >^g-<ij
■ ci
I TO
1 00
1— '1— '1— 'C^ C^ »-Hi— IrH C<Ii— t
2 < g<! g <1g <J g ^g -§^
6
a
CO
a
K
to
i "5"
H
ca
1 H
1 a" ; ■ ■ ■ • • •
to . - - 3 ^
111^111= yiiiiii-iiirsfiiii. Hi
13
102 LUNATIC HOSPITAL AT WORCESTER. [Oct.
»0 (M eOMS «5 r-l M O ■* 1-1 ■* t^ T-( ,-1 Ti< <N >-i I^ — "O -^ t^ -* «D ■f-l CD O 05 C5
(Mr-lC<li-l IM i-t l-HCO CO r-ICqCO Ci •-! •-< r-l r-l r-l d (M
IC"— 'CO?50COOCO-rJ400CNOCOCX>(MorilMOOCOt— C0050CO CO (M C<I (>5 O >o
(N IM rH t-l<M CN (M ■-< i-H <Nr-l(M <M i-iC<3r-li-llMi-lC<)>-l>-l<M
*- a '" !?
P. 3 P-^
B OS
1.^ »-^
i-l !M<M COr-l
S ^ % <
Cq r-H n-l (M (M rl
I.-H rt IM-
OOODiOCOCO CO CO tH CO
i-l(M IM rH i-l(Mi-H
O 00 O <M t—
I I
CO O t~- rj< CO as
P.J5 D<
<! §
rt CL Co
o -^
•-I "-H >-l <M i-l
p- =5 P<
^<3
CDOO (M O500
1-1 t-l C^
<1
COOS'* -^cococo coaococN coo
1-1 1-1 c^
iM r-i c^ cq
lO IC 1— ' t^oo
CO O <N CO ■* >"o ■
p. =s P,
-Jl g < s
■*+( t^^ <r) Tt« -^ii
rt CI.
I r-Hr-H (M
r-l OOi-t
g fa <! S
S-c ^ in
P-J2 P.
P. jS p<
iO(MtNCOCOiOC5COCOC<lCO— I
p- S c^ S
i-ICO (N<MM
cd rt Co rj^ C3 c^
(Nt— CO-M O QO CO CO 1*1 (N CO CO 1— I >0 ■*! t-- •* -h 03 C<I 00 CO CO CO O CO «5 >C
(C<(CO <M 1-. ■-( i-( <M(Nr-l <MCOi-l 1-1 1
*< g O
1^1
05»OiO<M(MTtlt^-*(Mi— it---*OCOCOOCDOOt~(M030COi— li*<COCOOCO
rH i-( r-l i-( 1-1 r-l — 1-1 1-1 Cq CO CN (N <M rH r-l <N 1-1 rH CO <M i-l
(M r-l i-l CO 1-1
^ §
§ ^
::: c
SH'
— ! P- "r " — < tS rC3
^gS
o o ft fl Ph C5 rt M W >-^ (-5
CM ^
CO -^
PhP4
CS.C.S
02 ?*^
1868.] PUBLIC DOCUMENT— No. 23. 103
APPENDIX.
FORMS CONCERNING ADDinSSION TO THE HOSPITAL.
PETITION.
[The applicant must answer in -writing the printed interrogations accompanying this
blank.]
To the Honorable the Judge of the Prolate Court, in and for the County
of
of on oath complains
that of , in said county
of , is an insane person, and a proper subject for the treatment
and custody of the "Worcester Lunatic Hospital.
Wherefore, h prays that said
may be committed to the said AVorc ester Lunatic Hospital according to law.
, ss. A. D. 18G .
Then the above named made oath that
the above complaint, by h subscribed, is true.
Before me, , Justice of the Peace.
I, the subscriber, one of the selectmen of
where said . resides, hereby acknowledge
that notice has been given^to me of the intention to present the foregoing
complaint and application.
A. D. 18G .
To the Honorable ike Judge of the Probate Court, in and for the County
of ••
The subscriber, having made application to your Honor for the commitment
of to the Worcester Lunatic Hospital, as a lunatic,
now presents the following statement, in ans\7er to interrogatories : —
What is the age of the lunatic ? Ans.
Birthplace ? Ans.
Civil condition of lunatic? Ans.
Occupation ? Ans.
Supposed cause of disease ? Ans.
Duration ? Ans.
Character — whether mild, violent or dangerous ? Ans.
104 LUNATIC HOSPITAL AT WORCESTER. [Oct.
Homicidal or suicidal ? Ans.
Paralytic or epileptic ? Ans.
Previous existence of insanity in the lunatic ? Ans.
Previous or present insanity in any of the family ? Ans.
Habits in regard to temperance ? Ans.
Whether he has been in any lunatic hospital ; if so, what one, when, and
how long ? Ans.
(If a woman.) Has she ever borne any children ? Ans.
(If a woman.) How long since the birth of her last child ? Ans.
Name and post-ofEce address of some of the nearest relatives or friends ?
Ans.
What facts show whether h has or has not a settlement, and where, if
anywhere, in this State ? Ans.
[For the law relating to settlement, see Gen. Stat., chap. 69.]
, Applicant.
PHYSICIAI^S' CERTIFICATE.
The subscribers, respectable physicians of in the
county of , having made due inquiry and personal
examination of named in the foregoing
application, within one week prior to the date hereof, certify that the said
is insane, and a proper subject for
the treatment and custody of the Worcester Lunatic Hospital.
A. D. 186 .
, ss. A. D. 186 .
Then the above named made
oath that the above certificate is true.
, Justice of the Peace.
Commomveallh of Massachusetts.
1 ss. At , in said county, on the
day of . , A. D. 186 .
On the application of for the commitment
of of in said county, to the Worcester
Lunatic Hospital, ; notice in writing having been
given by said applicant to one of the selectmen of
where said resides, of h intention to make said
application, and said having been duly notified of
the time and place appointed for hearing, it appears, upon a full hearing,
that said is an insane person, and a proper subject for
the treatment and custody of the Worcester Lunatic Hospital.
AVherefore it is ordered that said be committed
to the said Worcester Lunatic Hospital.
, Judge of Prolate Court.
1868.] PUBLIC DOCUMENT— No. 23. 105
FOEM OF OVEESEERS' BOND.
Worcester Lunatic Hospital.
Whereas, of , in the county of
, has been admitted a boarder in the Worcester Lunatic
Hospital, , a majority
of the Overseers of the Poor of the town of , in the county of
, in behalf of the inhabitants of said town, do hereby promise
Treasurer of said Hospital, to pay
him, or his successor in said office, the rate of board which may, from time to
time, be determined by the Trustees of said hospital, for said patient, so long
as h shall continue a boarder in said hospital, with such extra charges as
may be occasioned by h requiring more than ordinary care and attention,
to provide for h suitable clothing, and to pay for all such necessary articles
of clothing as shall be procured for h by the Steward of the hospital, and to
remove h from said hospital whenever the room occupied by h shall be re-
quired for a class of patients having preference by law, or in the opinion of
the Superintendent, to be received into said hospital : Also to pay not
exceeding fifty dollars for all damages h may do to the furniture and other
property of said hospital, and for reasonable charges in case of elopement,
and funeral charges in case of death. Payment to be made quarterly, and
at the time of removal, with interest on each bill from and after the time it
becomes due.
Witness our hands this day of
Attest. (Signed,)
' Overseers of the Poor
of the
Toion of
FOEM OF PE IV ATE BOND.
Worcester Lunatic Hospital.
Whereas, of , in the county of
, a? principal, and
of , in the county of , as surety, do hereby
jointly and severally promise Treasurer of
said hospital, to pay him or his successor in said office, the rate of board which
may, from time to time, be determined by the Trustees of said hospital, for
said patient, so long as h shall continue a boarder in said hospital, with
such extra charges as may be occasioned by h requiring more than ordinary
care and attention ; to provide for h suitable clothing, and to pay for all
such necessary articles of clothing as shall be procured for h by the
Steward of the hospital, and to remove h from said hospital whenever
the room occupied by h shall be required for a class of patients having
preference by law, or in the opinion of the Superintendent, to be received
into said hospital. Also to pay, not exceeding fifty dollars, for all damages
h may do the furniture and other property of said hosjiital, and for reason-
106 LUNATIC HOSPITAL AT WORCESTER. [Oct. '68.
able charges in case of elopement, and funeral charges in case of death.
Payment to be made quarterly, and at the time of removal, with interest on
each bill from and after the time it becomes due.
Witness our hands this day of , A. D. 186 .
, Principal.
5 Surety.
Patients will be received into the hospital at any time, if the following con-
ditions are complied with :
If the patient is in indigent circumstances, and has no settlement in any
town in the Commonwealth, the Probate Court, or if in the city of Boston,
the Superior Court, will issue a warrant for the commitment of the patient to
the hospital. The State will then pay the cost of support, and the county
from which the patient is sent will pay the expenses of the commitment.
If the patient is in indigent circumstances, and has a settlement in any
town in the Commonwealth, the Overseers of the Poor of that town may give
a bond for the support of the patient. Or, when this is inconvenient, an
application may be made to the Probate Court of the county where the
patient resides, and a warrant will be issued for the commitment of the patient
to the hospital, and the town will be held responsible for the support of the
patient.
In all other cases a bond from responsible persons, as principal and surety
will be required for the expenses of the patient Avhile in the hospital.
In all cases, before admission to the hospital, two physicians, one of whom
shall be the family physician, must certify that the patient is insane.
All necessary clothing must be supplied by the friends of the patients.
Clothing will be supplied at the hospital, if desirable, and charged in the
bills at cost.
Damao-es done to the furniture and other property to the amount of fifty
dollars may also be charged.
Reasonable charges will be made in case of elopement, and funeral charge
in case of death.
All bills are collected by the Treasurer quarterly, or interest charged on
the same after becoming due.
Bills become due on the first of January, April, July and October, and
when the patient leaves the hospital.
A^R2 5'^a^*^'^
Live Music Archive
Librivox Free Audio
Metropolitan Museum
Cleveland Museum of Art
Internet Arcade
Console Living Room
Books to Borrow
Open Library
TV News
Understanding 9/11