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Full text of "Report of the trustees of State Lunatic Hospital"

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REPORT 



RELATING TO 



LUNATIC HOSPITAL. 



k 



SENATE No. 10. 



REPORT OF THE TRUSTEES 



STATE LUNATIC HOSPITAL, 



DECEMBER, 1833. 



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To His Excellency Levi Lincoln, Governor, and the 
Honorable Council of the Commonwealth of Massa- 
chusetts : 

The Subscribers, Trustees of the State Lunatic Hos- 
pital at Worcester, in compliance with the statute under 
which they were appointed, and by which it is made 
their duty, in the month of December, annually, to pre- 
pare " a jull and detailed Report, exhibiting a particular 
statement of the condition of the Hospital and of all its 
concerns" respectfully submit the following as their first 
annual 

REPORT : 

The aspects in which, as the Trustees believe, the 
" condition''' of the Hospital will always be most anx- 
iously regarded by the benevolent community which 
founded it, are, 

First — The amount or proportion of cases in which it 
has restored its insane inmates to the full possession of 
their reason ; and 

Second — The degree of relief and amendment it has 
afforded, in cases where an entire restoration to reason 
has not been accomplished. 

A few preliminary considerations seem to be essential, 
in order justly to appreciate the prosperity of the Institu- 
tion, during the brief period since it was opened. 

In the first place, the time has been far too short to 
allow the various curative means practised at the Insti- 
tution, to produce their full and natural effects in diffi- 
cult or chronic cases of insanity. No art can suddenly 
restore to healthful and vigorous action even the func- 



4 SENATE— No. 10. Jan 

tions of the animal system, after they have been impair- 
ed and deranged by wasting diseases or privations. ' But 
the mind is far more delicate in its organization than the 
body, and its sphere of possible aberration is infinitely 
more wide. Hence, not only is it far more susceptible 
of deranged and eccentric movements, but the distance 
to which it may be driven from its true orbit, is also in- 
finitely greater. When fatal diseases attack the body, 
the principle of vitality struggles for a season, and then 
our physical nature ceases to suffer by ceasing to exist. 
But the mind finds no refuge in extinction. Its maladies 
arrive at no limit growing out of their own severity. As 
by the law of its nature its existence is perpetual, there 
is a natural possibility of its indefinite progression in 
wandering and in suffering. The crisis which in bodily 
diseases becomes fatal, only adds vehemence to those of 
the mind. While high degrees of actual violence will 
crush and overwhelm the body at once, suspending all 
its functions for ever, the mind will survive even a dis- 
severed consciousness, and, as it still lives on, will bring 
into alternate action its various capacities of pain. 
Hence it must be apparent, that, during the few months 
since the Institution was organized, scarcely sufficient 
time has yet elapsed, especially in cases of long con- 
tinuance and of an aggravated character, to begin the 
great work of reducing to order a chaotic intellect. A 
miracle alone would have sufficed to substitute new 
classes of ideas and sentiments, and to superinduce, 
among them, new habits of association, instead of those 
which from lovig duration and intense activity, had be- 
come almost like organic laws of thought and feeling. 

The first patient was received into the Hospital on 
the nineteenth day of January last. Since that time 



1834. SENATE— No. 10. 5 

one hundred and sixty-four have been admitted. The 
average time of their residence here has been about six 
months. The common mode of estimating cures, is by 
an annual per centage. In the Report of the Superin- 
tendent the per centage is shewn, not for a period of 
twelve but of six months only. 

Another obstacle to success has existed in the pecu- 
liar character and condition of the patients sent to the 
Hospital. Other Institutions, both in Europe and Amer- 
ica, which have exhibited the most remarkable propor- 
tion of cures, have discriminated in their admissions, 
receiving the more hopeful cases only. The inmates 
at Worcester, have been a more select class than were 
ever before assembled together ; but unfortunately for 
success in regard to cures, it has been a selection of the 
most deplorable cases in the whole community. Of the 
one hundred and sixty-four individuals received, consid- 
erably more than one half came from jails, almshouses, 
and houses of correction, and about one-third of the 
whole number had suffered confinement for periods 
varying from ten to thirty-two years. Many of these for- 
saken beings, during the dreadful period of their dun- 
geon-life, had been systematically subjected to almost 
every form of privation and suffering. By this treat- 
ment every regular process of thought had been broken 
up ; confusion had extended itself into every depart- 
ment of the intellect ; all ideas were deformed and had 
lost their true position and relation to each other, while 
the vital energies of mind sent abroad tumults of pas- 
sions, that raged without object and without end. No 
where in this chaos did the serenity of truth or the con- 
fidence of reason prevail. The history of insanity does 
not furnish a single precedent which can cheer benevo- 



6 SENATE— No. 10. Jan 

lence with the promise of many cures among this most 
deplorable class of sufferers. 

There is another cause which has now ceased to 
operate, and which fortunately can never again recur, 
that has been highly adverse to the success of the Insti- 
tution during the current year. The Trustees allude to 
the reception of one hundred and sixty-four insane per- 
sons into this establishment during a period of little more 
than eleven months. In most cases it was impossible to 
obtain any accurate information of the specific kind of 
insanity which characterized the condition of each indi- 
vidual. A just classification, therefore, could not be 
made, until the Superintendent had been aided by an 
exact observation of each case ; and the inevitable mis- 
take of sometimes placing individuals improperly to- 
gether, would be first manifested by the injurious influ- 
ences exerted by them all upon each other. The nurses 
and attendants, who at first were not only without ex- 
perience, but destitute of any just conception of their 
peculiar duties, were to be morally trained and instruct- 
ed themselves. It must be obvious too, that number- 
less unforeseen accidents and occurrences of an adverse 
nature must be inevitably attendant upon the first opera- 
tions of so large and complicated an establishment. 

Yet notwithstanding these untoward circumstances, 
counteracting with great force all healthful and mind- 
restoring influences, thirty-two insane persons have in 
this short period of time, been fully recovered. 

But however deeply all our better feelings may 
be moved, by the reflection that thirty-two of our fel- 
low beings, under the auspicious influences of this In- 
stitution, have already been restored to reason and 
returned to bless the families and friends, who, under the 



1834 senate—No. 10, 7 

former coercive system of treatment, Would have 
mourned their loss " without hope ;" yet the ameliorated 
condition of such as have not been recovered, the Trus- 
tees regard as a subject for equal congratulation among 
men and gratitude to Heaven. No one, who has not ac- 
tually seen, from time to time, the inmates of the Hos- 
pital, can comprehend the extent of the change which 
has taken place in every external indication that marks 
the physical and moral condition of a human being. 
Many who, in their paroxysms, used formerly to wound 
and lacerate their own persons to a degree that threat- 
ened life itself, now habitually exercise an ordinary de- 
gree of prudence in avoiding the common causes of an- 
noyance or accident. Not less than one hundred of 
those brought to the Hospital seemed to regard human 
beings as enemies, and their first impulse was to assail 
them with open or disguised force. Now there are not 
more than twelve, who offer violence. Of forty persons, 
who formerly divested themselves of clothing, even in 
the most inclement seasons of the year, only eight do it 
now. Through all the galleries, there is far less suscep- 
tibility to excitement, more quietude, more civility and 
kindness exercised towards each other. The wailings 
of the desponding and the ravings of the frantic are dis- 
pelled. The internal change is legible upon the coun- 
tenance. With the insane it is emphatically true, that 
the dark shadows of the mind are visibly projected up- 
on the face. Hence, from the alteration which has in 
many instances occurred in the outward aspect, amount- 
ing almost to a change in identity, there may be inferred 
a corresponding alteration of the condition within. The 
deep lines of anguish have been obliterated or softened, 
whose sharp engravings were begun, many years ago, in 



8 SENATE— No. 10. Jan 

despair. The wide circle and heart-sickening variety of 
horrors, exhibited by the inmates, when first brought to- 
gether, as though every region of the " dark immense" of 
insanity had sent a representative of its terrors, have been 
greatly reduced in extent, and mitigated in quality. If 
the erroneous action of the mind has not yet been recti- 
fied, the dreadful emotions that once accompanied and 
aggravated its movements have been dispelled, and they 
are now succeeded by milder and more peaceful senti- 
ments. Happily, the feelings and emotions may be di- 
vested of their pain and terror, even after the intellect 
has forever lost all power of distinguishing the true from 
the false in its ideas and perceptions. 

The system of treatment from which the foregoing 
results have been realized has been a continued endeav- 
or to preserve or re-establish the bodily health of the 
patients by careful attention to cleanliness, exercise, air, 
and a suitable diet. It has been the law of all those 
engaged in administering the daily affairs of the Institu- 
tion to exclude, as far as in any manner possible, all 
causes of mental disquietude, by substituting persuasion 
for force, by practising forbearance, mildness, and all the 
nameless offices of humanity, and by imbuing in every 
practicable way, the minds of the patients with a new set 
of pleasing, cheerful, grateful and benevolent emotions. 
In fine, the whole scheme of moral treatment is embraced 
in a single idea — humanity — the law of love — that sym- 
pathy which appropriates another's consciousness oi 
pain and makes it a personal relief from suffering, when- 
ever another's sufferings are relieved. 

The financial condition of the Institution will partic- 
ularly appear from the Treasurer's Report. The gen- 
eral statements it contains are as follows : 



1834. SENATE— No. 10. 9 

The whole amount of the expenditures, up 
to November 30th inclusive, is $12,196 25 

(This sum includes the cost of a large quan- 
tity of fuel, bread stuffs, vegetables, &c, for 
the present season.) 

The amount actually received 
for board of patients &c, up to 
the same time, $2,202 76 

Amount of outstanding charges 
upon the Treasurer's books, 7,451 28 

9,654 04 

The Trustees deem it their duty fully to communicate 
certain other facts intimately connected with the welfare 
of the Institution, and with the benefits, which our own 
citizens have a right to expect from its establishment. 
The whole number of patients admitted to the Hospital, 
as before stated, is one hundred and sixty-four. Of this 
number, according to the best information the Trustees 
have been able to obtain, thirty-three were foreigners, that 
is, persons having no legal settlement in this Common- 
wealth. There is every reason to believe, that this very 
large proportion of foreigners is owing to a belief prev- 
alent in some parts of the State, that if a foreigner or 
State Pauper were sent to the Hospital by order of Court, 
the town or city before chargeable with his maintenance, 
would be no longer liable, but that the expense of sup- 
porting all such persons would become a charge upon the 
funds of the Institution, to be ultimately defrayed from 
the Treasury of the Commonwealth. In four instances, 
certainly, where the former keeper of the insane foreign- 
ers or State paupers, had been deputed to remove them 
to the Hospital, he has been asked whether those were 

the worst cases under his care, and has answered un- 

2 



10 SENATE— No. 10. Jan 

hesitatingly, (perhaps unreflectingly) that they were 
not. Thus our own citizens whose insanity is more 
aggravated, and who consequently suffer more, are 
postponed to foreigners who suffer less, because the 
authorities of some of our municipal corporations believe 
that by removing the foreign pauper to the Hospital they 
shall be exonerated from the burden of his support. 
In one instance, by virtue of the law authorising the com- 
mitment of those insane persons " whose going at large 
would be manifestly dangerous to the good people of the 
Commonwealth, because they are so furiously mad," an 
idiot has been committed, (of course upon the oaths of 
one or more persons as to the facts of " furious madness" 
and " danger,") who could neither stand nor walk, who 
was unable to extend the lower limbs from the closest pos- 
sible contraction towards the body, and who had but little 
muscular strength even in the arms. It is manifest that 
the Legislature in conferring the power of commitment 
to insure the safety of our citizens, never contemplated 
its exercise in a case of this kind. Neither the most up- 
right intentions nor the greatest care, on the part of the 
Courts invested with the power of commitment, can fur- 
nish an adequate security against these abuses. They 
must decide according to the evidence adduced. If the 
municipal authorities choose for any reason to remove 
State paupers or idiots to the Hospital, and can prove the 
allegations of " furious madness" and "danger," the 
Courts must decide accordingly. There are at the Hos- 
pital at this time twelve idiots or persons bordering upon 
idiocy. The great misfortune of this is, that these idiots 
or imbeciles of whose recovery there can never be the 
least gleam of hope, occupy places at the Institution 
which would otherwise be filled by the curable insane. 
It is most respectfully suggested whether legislative pro- 



1834. SENATE— No. 10. 11 

vision should not be made, continuing," under all circum- 
stances, the liability of the town or city to support any 
pauper after his removal to the Hospital, in the same man- 
ner as before ; and also authorizing the Trustees to re- 
move to the town or city whence they came, at the ex- 
pense of said town or city respectively, all idiots or per- 
sons whom they may adjudge not dangerous to be at 
large, and not susceptible of mental improvement by the 
remedial treatment of the Institution, provided such town 
or city on being duly notified, shall not take upon them- 
selves the removal of such idiot or such person adjudged 
not to be dangerous and not susceptible of mental im- 
provement as aforesaid. Should such provision be made, 
it would become necessary for the Courts in every case 
of commitment, to certify the town or city whence the 
person committed came, that the Trustees might know 
to whom application should be made for his return, in 
case the contingency above mentioned should happen. 
Such enactment would probably remedy the evil of send- 
ing foreign paupers and idiots to the Hospital, to the ex- 
clusion of our own citizens, and of those who are sus- 
ceptible of cure. If some provision having this object in 
view be not adopted, it is obvious that the Hospital will 
soon become the mere receptacle of foreign paupers, 
idiots, imbeciles and incurables. 

The Hospital is now in a very crowded condition. 
Originally designed to accommodate one hundred and 
twenty persons only, its inmates at one time, during the 
present month, actually exceeded that number ; and 
more than thirty strenuous applications for admission 
have been necessarily rejected. The Trustees fully con- 
cur in the suggestions made by the Superintendent, that 
additional accommodations are required partly for the 



12 SENATE— No. 10. Jan 

very worst and partly for the best class of patients. Such 
incurables, as to a certain extent the Hospital must al- 
ways be burdened with, might receive comfortable at- 
tendance and care in apartments entirely separated from 
the principal building, where their presence sometimes 
casts a cloud over those who are gradually emerging 
into the light of reason. A separate edifice for conva- 
lescents seems also to be imperiously demanded, where 
those whose minds are so fully restored as to render fur- 
ther companionship with the insane injurious, but whose 
recovery is not so fully established as to exclude the haz- 
ards of a relapse, might for a few weeks occupy a posi- 
tion upon the confines of society, mid-way, as it were, 
between the necessary restraints and discipline of a Hos- 
pital, and the manifest danger of mingling again sud- 
denly in the sharp encounters of life. Such an addition 
to the present Institution would render a transition from 
the partial restraints of its confinement to the freedom 
of the world, gradual, easy and safe ; and w r ould afford 
the mind time and opportunity to fortify and strengthen 
itself against the recurrence of those cruel mischances to 
which, even in its day of strength, it had fallen a victim. 
As the law now stands the moment an individual is 
discharged from the Hospital as cured, the special, paren- 
tal care of the government over him immediately ceases. 
He is returned to the world, in which his past misfortune 
operates rather as repulsion than attraction. This In- 
stitution was especially designed for the unfortunate 
Poor, and most of those who will enjoy its benefits, will 
be of that description. When a poor man is discharged 
as cured, he has of course nothing upon which he can 
subsist for a single day. He may not have either family 
or friends of ability to relieve him, or if he have, he may 



1834. SENATE— No. 10. 13 

be destitute of any means to reach them. Dependent 
upon his own labor, he may find no employment. Sub- 
jected to disappointment and all the harshest ills of pov- 
erty, the chances of a relapse are indefinitely increased. 
But the condition of females is far more deplorable than 
that of men. How shall a female, who has no family, 
friends or acquaintance, except in the remotest counties 
in the State, travel back to the only persons who feel 
any special interest in her welfare! It is therefore re- 
spectfully suggested, whether the Trustees should not be 
authorized to bestow some small sums of money, in ad- 
dition to necessary clothing, upon all such as leave the 
Hospital without any means at their command. Such 
gifts should be limited in amount. Below the maximum 
they may vary according to the exigency of each par- 
ticular case. And could the friends of the afflicted in 
different parts of the Commonwealth be persuaded to 
interest themselves in behalf of those who have been 
discharged from the Hospital, by procuring for them ele- 
gible employments, or favorable situations with benevo- 
lent people, where they might enjoy the cheap but in- 
valuable blessing of kind treatment, they would render a 
most acceptable service in the cause of humanity. 

Appended to this Report, is one made by Dr. Wood- 
ward, the Superintendent of the Hospital. It contains 
much minute information of a statistical character, rela- 
tive to the inmates of the establishment. The sugges- 
tions of the Superintendent derive great weight from his 
extensive knowledge and accurate judgment upon the 
subject of insanity ; and the Trustees entertain a firm 
belief, that the prosperity of the Institution, since it was 
opened, (unanticipated to such an extent even by its most 
sanguine friends) is mainly attributable to the skilfulness 



14 SENATE— No. 10. Jan 

and wisdom of the treatment, medical and moral, be- 
stowed upon the patients by that able officer. 

HORACE MANN, 

BEZALEEL TAFT, Jr., 

W. B. CALHOUN, \ Trustees. 

ALFRED DWIGHT FOSTER, 

F. C. GRAY, 

Worcester, Dec. 31 st, 1833, 



REPORT 

Of the Superintendent of the State Lunatic Hospital at Worcester, Mass., from the opening of the Institution, 

January 19th, 1833, to November 30th. 



: Time of 
Admission. 



Married or 
Single. 



Supposed Cause. 



Duration of Disease be- 
fore Admittance 



By whom committed 
to the Hospital. 



Time spent in the 
Hospital. 



Remaining or 
Discharged. 



In what State. 



Supposed 
Curable or 
Iucurable. 



Hereditary and Periodical. 



Jan. 19 
" 22 
" 22 

" 28 
28 
28 
2D 
30 
5 
5 



Feb. 



44 
58 
26 
4(1 
30 
35 
37 
4!) 
65 
41 
11 : 40 
15 34 
15 56 
15 I 67 
15 45 



« 


15 


35 


il 


18 


60 


11 


18 


48 


II 


18 


23 


(( 


18 


28 


(( 


18 


86 


(1 


18 


34 


« 


27 


68 


II 


27 


80 


(( 


28 


50 


(1 


28 


36 


March ! 


25 


" 


3 


52 


ii 


6 


51 


" 


6 


40 


(! 


6 


47 


" 


6 


30 


" 


6 


33 


" 


o 


40 


(( 


6 


30 


II 


7 


37 


(i 


7 


25 


II 


8 


32 


" 


8 


1 6 7 


II 


8 


1 52 



Male 

Male 

Male 

Male 

Male 

Male 

Male 

Male 

Male 

Male 

Female 

Male 

Male 

Male 

Male 

Female 

Female 

Female 

Female 

Mais 

Male 
Male 
Male 
Male 
Male 
Male 
Male 
Male 
Female 



Single 

Single 

Single 

Widower 

Single 

Single 

Widower 

Single 

Single 

Married 

Widow 

Widower 

Married 

Widower 

Single 

Widow 

Widow 

Widow 

Widow 

Single 

Single 

Single 

Single 

Single 

Widower 

Widower 

Married 

Single 

Widow 



Female 


Married 


Male 


Single 


Male 


Single 


Male 


Single 


Male 


Single 


Male 


Single 


Male 


Married 


Male 


Single 


Female 


Single 


Male 


Single 


Male 


Single 


Female 


Single 



Fanaticism 
Religious Excitement 
Wound on the Head 
Intemperance 
Intemperance 
Intemperance 
Intemperance 
Disappointed Affection 
Loss of Property 
Intemperance 
Unknown 
Intemperance 
Intemperance 
Intemperance 
Unknown 
Unknown 
Unknown 
Unknown 
Periodical 

Excessive Venereal Indul- 
gence 
Masturbation 
Intemperance 
Unknown 
Fanaticism 
Intemperance 
Unknown 

Wound of the Head 
Wound of the Head 
Family Trouble 

Disappointment in Marriage 

Fanaticism 

Fanaticism 

Repelled Eruption 

Intemperance 

Intemperance 

Intemperance 

Intemperance 

Intemperance 

Abuse of Parent 

Unknown 

Intemperance 



10 years 
17 years 

3 years 

3 months 

7 years 

6 years 

6 years 
10 years 
28 years 

6 months 
10 years 

14 years 

15 years 
24 years 
Unknown 
Unknown 
Unknown 
23 years 

7 years 

5 years 

5 years 

28 years 

7 years 
15 years 
30 years 
10 years 

5 years 

2 years 
Periodical, 1 

for 10 years 

3 months 
12 years 

10 years 
Unknown 

4 years 
3 years 
2 years 

9 months 

8 months 

11 years 
15 years 

6 years 



we ok 



By the 
By the 
By the 
By the 
By the 
By the 
By the 
By the 
By the 
By the 
By the 
By the 
By the 
By the 
By the 
By the 
By the 
By the 
By the 



Court 

Court 

Court 

Court 

Court 

Court 

Court 

Legislature 

Court 

Court 

Court 

Court 

Court 

Court 

Court 

Court 

Court 

Court 

Court 



By the Court 
By the Court 
By the Court 
By the Court 
By the Court 
By the Legislature 
By the Court 
By the Court 
By the Court 



By the 
By the 
By the 
By the 
By the 
By the 
By the 
By the 
By the 
By the 
By the 
By the 
By the 



Court 
Town 
Court 
Court 
Court 
Court 
Court 
Court 
Court 
Court 
Court 
Court 
Court 



10 1-2 

10 

10 
6 

10 

10 

10 

10 

10 

10 

10 

9 1-2 
9 1-2 
9 1-2 
9 1-2 
9 1-2 
9 1-2 
9 1-2 
9 1-2 



months 
months 
months 
months 
months 
months 
months 
months 
months 
months 
months 
months 
months 
months 
months 
months 
months 
months 
months 



9 1-2 months 
9 1-2 months 
9 1-2 mouths 
9 1-2 months 



months 

days 

months 

months 

months 

months 

months 

weeks 

months 

months 

months 

months 

months 

months 

months 

months 

months 

months 



Remains 

Remains 

Remains 

Discharged 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Remains 

Died 

Remains 

Remains 

Died 

Remains 

Remains 

Remains 

Discharged 

Remains 

Eloped 

Remains 

Remains 

Remains 

Remains 

Remains 

Discharged 

Remains 

Remains 

Remains 

Remains 



Stationary 

Improved 

Stationary 

Recovered 

Stationary 

Stationary 

Improved 

Stationary 

Stationary 

31 uch improved 

Idiotism 

Improved 

Stationary 

Stationary 

Stationary 

Stationary 

Stationary 

Stationary 

Stationary 

Improved 
Improved 

Stationary 
Stationary 
Stationary 
Stationary 
Recovered 
Stationary 
Stationary 

Improved 

Impro\ed 

Stationary 

Improved 

Stationary 

Improved 

Stationary 

Stationary 

Improved 

Recovered 

Stationary 

Stationary 

Stationary 



Incurable 

Incurable 
Curable 
Incurable 
Incurable 

Incurable 

Incurable 

Curable 

Incurable 

Incurable 

Incurable 

Incurable 

Incurable 

Idiotism 

Incurable 

Incurable 

Incurable 

Curable 
Curable 
Incurable 

Incurable 

Incurable 

Curable 

Incurable 

Incurable 

Curable 
Curable 
Incurable 



Curable 

Curable 

Curable 

Curable 

Incurable 

Incurable 

Incurable 



Hereditary. 

Unknown. 

Unknown. 

Hereditaiy. 

Unknown. 

Periodical. 

Hereditary. 

Hereditary. 

Hereditary. 



Idiotism. 
Periodical. 

Periodical. 
Hereditaiy. 

Periodical. 

Periodical. 
Periodical. 



16 



SENATE— No. 10. 



Jan 



No. 


Time of 


Age. 


Sex. 


Married or 


Supposed Cause. 


Duration of Dis- 


By whom Committed 


Time spent in the 


Remaining or 


In what State. 


Supposed 


Hereditary and Periodical. 




Admission. 






Single. 




ease before Ad- 
mittance. 


to the Hospital. 


Hospital. 


Discharged. 




Curable or 
Incurable. 




42 


March 14 


33 


Male 


Single 


Intemperance 


3 months 


By the Court 


4 1-2 months 


Discharged 


Recovered 


Curable 


Hereditary. 


43 


" 14 


27 


Male 


Married 


Loss of Property 


1 month 


By the Court 


8 months 


Discharged 


Recovered 


Curable 




44 


» 16 


45 


Male 


Single 


Disappointed Affection 


16 years 


By the Court 


8 1-2 months 


Remains 


Stationary 


Incurable 


Hereditary. 


45 


« 16 


49 


Male 


Widower 


Unknown 


14 years 


By the Co-.trt 


8 1-2 months 


Remains 


Much improved 




Hereditary and Periodical 


46 


" 19 


46 


Male 


Single 


Intemperance 


15 years 


By the Court 


5 months 


Died 


Stationary 


Incurable 


Hereditary and Periodical, 


47 


« 27 


42 


Male 


Single 


Intemperance 


8 years 


By the Court 


8 1-2 months 


Remains 


Stationary 


Incurable 




48 


» 27 


49 


Male 


Single 


Unknown 


20 years 


By the Court 


6 months 


Discharged 


Idiotism 


Incurable 


Hereditary. , 


49 


" 27 


38 


Male 


Single 


Intemperance 


5 years 


By the Court 


6 months 


Discharged 


Idiotism 


Incurable 


Hereditary. 


50 


« 27 


50 


Female 


Single 


Unknown 


3 months 


By the Court 


4 months 


Discharged 


Recovered 


Curable 




51 


" 27 


30 


Male 


Single 


Intemperance 


Unknown 


By the Court 


6 1-2 months 


Discharged 


Recovered 


Curable 




52 


« 27 


24 


Male 


Single 


Unknown 


Unknown 


By the Court 




8 1-2 months 


Remains 


Stationary 


Incurable 




53 


» 28 


66 


Male 


Married 


Unknown 


5 years 


By the Court 




2 1-2 months 


Discharged 


Recovered 


Curable 




54 


« 28 


34 


Male 


Single 


Result of Measles 


14 years 


By the Court 




8 1-2 months 


Remains 


Stationary 


Incurable 




55 


« 28 


46 


Male 


Single 


Intemperance 


2 years 


By the Court 




4 months 


Discharged 


Recovered 


Curable 




56 


« 28 


34 


Male 


Single 


Hard Study 


6 years 


By the Court 




8 1-2 months 


Remains 


Stationary 






57 


" 28 


60 


Male 


M arried 


III Health 


1 years 


By the Court ' 




4 months 


Discharged 


Recovered 


Curable 




58 


" 28 


39 


Male 


Single 


Unknown 


10 years 


By the Court 




8 1-2 months 


Remains 


Idiotism 


Incurable 




59 


April 3 


33 


Female 


Single 


Unknown 


13 years 


By the Court 




8 mouths 


Memains 


Stationary 


Incurable 




60 


3 


24 


Female 


Single 


III Health 


5 years 


By the Court 




8 months 


Remains 


Improved 




Hereditary. 


61 


" 3 


34 


Female 


Married 


Unknown 


Unknown 


By the Court 




8 months 


Remains 


Improved 






62 


« 3 


30 


Female 


Single 


Intemperance 


2 years 


By the Court 




8 months 


Remains 


Much improved 


Curable 




63 


3 


24 


Female 


Single 


Intemperance 


2 years 


By the Court 




8 months 


Remdins* 


Improved 




Hereditary. 


64 


3 


42 


Female 


Single 


Unknown 


13 years 


By the Court 




8 months 


Remains 


Improved 






65 


" 3 


68 


Male 


Married 


Intemperance 


14 years 


By the Court 


6 1-2 months 


Discharged 


Recovered 


Curable 




66 


" 3 


43 


Male 


Single 


Unknown 


7 years 


By the Court 




8 months 


Remains 


Stationary 


Incurable 


Hereditary and Periodical. 


67 


" 3 


31 


Male 


Single 


Intemperance 


5 years 


By the Court 




2 months 


Discharged 


Recovered 


Curable 


Periodical. 


68 


" 3 


50 


Female 


Married 


Intemperance 


10 years 


By the Court 




6 1-2 months 


Discharged 


Recovered 


Curable 


Periodical and Hereditary. 


69 


" 5 


47 


Male 


Single 


Unknown 


17 years 


By the Court 




8 months 


Remains 


Stationary 


Incurable 


Periodical. 


70 


" 5 


47 


Male 


Single 


Intemperance 


10 years 


By the Court 




8 months 


Remains 


Stationary 


Incurable 


Periodical. 


71 


" 5 


27 


Male 


Single 


Intemperance 


5 years 


By the Court 




8 months 


Remains 


Stationary 


Incurable 




72 


" 5 


23 


Male 


Single 


Masturbation 


6 years 


By the Court 




8 months 


Remains 


Idiotism 


Incurable 




73 


" 5 


57 


Male 


Single 


Disappointed Affection 


10 years 


By the Court 




8 months 


Remains 


Stationary 


Incurable 




74 


" 5 


34 


Male 


Single 


Unknown 


8 years 


By the Court 




8 months 


Remains 


Stationary 


Incurable 




75 


" 6 


34 


Male 


Single 


Masturbation 


3 years 


By the Court 




8 months 


Remains 


Stationary 


Inucrable 




76 


" 6 


30 


Female 


Single 


Masturbation 


3 years 


By the Court 




8 months 


Remains 


Stationary 


Curable 




77 


" 6 


26 


Female 


Single 


Unknown 


Unknown 


By the Court 




8 months 


Remains 


Stationary 


Idiotism 




78 


" 6 


28 


Female 


Single 


Unknown 


Unknown 


By the Court 




8 months 


Remains 


Improved 


Curable 




79 


" 6 


46 


Female 


Single 


Unknown 


5 years 


By the Court 




8 months 


Remains 


Stationary 


Incurable 


Periodical. 


80 


" 6 


34 


Male 


Married 


Pecuniary Embarrassment 


3 months 


By the Court 




4 months 


Discharged 


Recovered 


Curable 


Periodical for 10 years. 


81 


" 16 


43 


Female 


Single 


Repelled Eruption 


1 year 


By the Court 




7 months 


Discharged 


Recovered 


Curable 




82 


" 16 


26 


Female 


Single 


111 Health 


7 years 


By the Court 




6 months 


Discharged 


Recovered 


Curable 




83 


" 16 


22 


Female 


Single 


III Health 


3 months 


By the Court 




6 months 


Discharged 


Recovered 


Curable 


Hered. Period, for 6 years. 


84 
85 


" 27 


30 


Male 


Single 


Masturbation 


20 years 


By the Court 




8 1-2 months 


Remains 


Stationary 


Incurable 


Hereditary. 


" 27 


21 


Male 


Single 


Masturbation 


4 weeks 


By the Court 
By her Friends 




5 1-2 months 


Discharged 


Recovered 


Curable 


Hereditary. 


86 


May 1 


29 


Female 


Single 


Amenorrhoea 


2 years 




7 months 


Remains 


Stationary 


Incurable 


Hereditary. 


87 
88 


" 6 


24 


Female 


Married 


Puerperal 


4 weeks 


By her Friends 




3 weeks 


Discharged 


Improved 


Curable 


Hereditary. 


" 9 


36 


Female 


Single 


111 Health 


4 years 


By her Friends 




6 months 


Discharged 


Recovered 


Healthbad 


Hereditary. 


89 
90 
91 
92 


" 16 


21 


Female 


Single 


Unknown 


3 years 


By her Friends 




3 1-2 months 


Discharged 


Improved 


Incurable 


Hereditary. 


" 16 


27 


Male 


Single 


Religious Fanaticism 


1 year 


By Town 




6 months 


Discharged 


Recovered 


Curable 




" 16 


26 


Male 


Single 


Unknown 


3 years 


By Court 
By Friends 




6 1-2 months 


Remains 


Stationary 


Incurable 




" 16 


30 


Male 


Single 


Wound in the Head 


26 years 




6 1-2 months 


Remains 


Stationary 


Incurable 





1834. 












SENATE— No. 10. 










17 


No. 


Tim 


of 


Age. 


Sex. 


Married or 


Supposed C.iuse 


Duration of Dis- 


By whom Committed 


Time spent in the 


Remaining or 


In what State. 


Supposed 


Hereditary and Periodical. 




Admis 


sion. 






Single. 




ease before Ad- 
mission. 


to the Hospital. 


Hospital. 


Discharged. 




Curable or 
Incurable. 




93 


May 


20 


20 


Female 


Single 


Religious Fanaticism 


5 years 


By the Town 


2 months 


Died 


Stationary 


Idiotism 




94 


si 


21 


49 


Male 


Widower 


Loss of" Property 


7 months 


By the Town 


6 1-2 months 


Remains 


Stationary 






95 


" 


24 


66 


Male 


Married 


H ound oil the Head 


15 years 


By the Court 


6 1-2 months 


Remains 


Stationary 


Incurable 




9U 


" 


27 


62 


iMale 


Single 


Intemperance 


3 years 


By the Court 


5 months 


Discharged 


Recovered 


Curable 


Hereditary. 


97 1 


'■ 


28 


28 


Female 


Single 


Fanaticism 


8 years 


By her Friends 


5 months 


Discharged 


Improved 






98 j 


" 


30 


78 


Female 


Widow 


Unknown 


20 j ears 


By the Court 


6 months 


Remains 


Stationary 


Incurable 


Hereditary. 


99 


June 


1 


49 


Female 


Widow 


Fear of Poverty 


5 months 


By her Friends 


3 months 


Discharged 


Recovered 


Curable 


Hereditary. 


100 ! 


•' 


3 


31 


Male 


Married 


Loss of Property 


6 months 


By her Friends 


3 months 


Discharged 


Improved 


Curable 


Hereditary. 


10L 


" 


5 


41) 


Male 


Single 


Masturbation 


10 years 


By the Court 


6 months 


Remains 


Stationary 


Incurable 


Hereditary. 


102 


" 


6 


42 


Female 


Single 


Fanaticism 


14 years 


By the Court 


6 months 


Remains 


Stationary 


Incurable 




103 


ii 


8 


10 


Male 


Single 


Masturbation 


2 years 


By the Court 


6 months 


Remains 


Stationary 






104 


ii 


13 


40 


Female 


Single 


Nervous Excitement 


1 year 


By the Town 


5 1-2 months 


Remains 


Stationary 






105 


" 


28 


30 


Male 


Married 


Intemperance 


3 months 


By the Court 


5 months 


Remains 


Stationary 






10(3 


" 


28 


24 


Female 


Married 


Intemperance 


1 year 


By the Court 


5 months 


Remains 


Much improved 


Curable 




107 


ii 


28 


38 


Female 


Married 


Jealous of her Husband 


6 years 


By the Court 


5 months 


Remains 


Stationary 


Incurable 




108 


July 


1 


23 


Male 


Single 


Disappointed Ambition 


1 year 


By his Friends 


5 months 


Remains 


Stationary 




Heredi--ary. 


109 


" 


2 


35 


Female 


Married 


Family Trouble 


5 years 


By her Friends 


4 1-2 months 


Discharged 


Much improved 


Curable 


Here«itary. 


110 


ic 


6 


34 


Female 


Married 


Unknown 


2 weeks 


By her Friends 


1 month 


Discharged 


Recovered 


Curable 


He-editary and Periodical. 


111 


>i 


8 


24 


Male 


Single 


Disappointed Affection 


9 months 


By his Friend 


5 months 


Remains 


Stationary 


Curable 




112 


" 


8 


31 


Female 


Married 


Fanaticism 


1 week 


By the Court 


5 months 


Remains 


Improved 


Curable 


hereditary. 


113 


ii 


10 


30 


Female 


Married 


Abuse of Husband 


9 months 


By the Court 


5 months 


Remains 


Improved 






114 


>i 


12 


39 


Male 


Single 


Fanaticism 


15 years 


By his Friends 


5 months 


Remains 


Stationary 


IncurabV; 




115 


ti 


20 


30 


Female 


Single 


Nervous Excitement 


2 months 


By her Friends 


3 months 


Discharged 


Recovered 


Curabld 


Hereditary. 


116 


" 


29 


45 


Male 


Married 


Hard Study 


20 years 


By the Court 


4 1-2 months 


Remains 


Improved 




Hereditary. 


117 


II 


30 


23 


Male 


Single 


Unknown 


1 month 


By his Friends 


5 weeks 


Discharged 


Improved 


Curable 


Periodical. 


118 


Aug. 


11 


63 


Male ' 


Married 


Failure in Business 


3 months 


By the Court 


3 1-2 months 


Remains 


Improved 


Curable 




119 


ii 


16 


60 


Female 


Widow 


Family Trouble 


2 months 


By her Friends 


2 months 


Discharged 


Recovered 


Curable 


Hereditary. 


120 


ii 


23 


56 


Male 


Married 


Loss of Property 


7 years 


By the Court 


3 months 


Remains 


Stationary 


Incurable 




121 


ii 


24 


39 


Female 


Single 


Family Trouble 


1 week 


By her Friends 


3 months 


Remains 


Improved 


Curable 


Hered. Period, for 10 years. 


122 


" 


27 


40 


Male 


Single 


Intemperance 


15 years 


By the Court 


3 months 


Remains 


Stationary 


Incurable 




123 


Sept. 


7 


23 


Male 


Single 


Excessive use of Tobacco 


9 months 


By his FriendsJ 


3 months 


Remains 


Improved 


Curable 


Hereditary. 


124 


" 


11 


60 


Female 


Married 


Intemperance 


5 years 


By the Town 


2 1-2 months 


Remains 


Stationary 


Incurable 




125 


" 


11 


23 


Male 


Single 


Unknown 


5 months 


By his Friends 


2 months 


Discharged 


Recovered 


Curable 




126 


ti 


25 


27 


Male 


Married 


A Prosecution 


2 weeks 


By his Friends 


2 months 


Remains 


Much improved 


Curable 


Hereditary. 


127 


Oct. 


1 


60 


Female 


Married 


Intemperance 


3 months 


By the Court 


2 months 


Remains 


I ii- proved 




Hereditary. 

Periodical Semi-annually. 


128 


" 


1 


50 


Female 


Single 


Unknown 


1 week 


By her Friends 
By his Friends 


2 months 


Remains 


1 mproved 




129 


ii 


6 


32 


Male 


Single 


Fanaticism 


1 month 


2 months 


Remains 


Improved 


Curable 


Periodical. 


130 


" 


7 


36 


Female 


Single 


Unknown 


1 week 


By her Friends 


2 months 


Remains 


Improved 


Curable 


Periodical for 18 years. 

Periodical. 

Periodical. 


131 


ii 


12 


60 


Female 


Widow 


Disappointed Affection 


12 years 


By the Town 


11-2 months 


Remains 


Improved 




132 


ii 


13 


23 


Male 


Single 


Followed Fever 


7 years 


By the Court 


1 1-2 months 


Remains 


Stationary 




133 


u 


19 


33 


Female 


Married 


Followed Fever 


2 years 
6 weeks 


By the Court 
By the Town 
By the Town 


1 1-2 months 


Remains 


Stationary 






134 


ii 


21 


51 


Mule 


Married 


Intemperance 
Family Trouble 


1 month 


Remains 


Much improved 


Curable 


Periodical for 10 years. 


135 


Nov. 


4 


44 


Male 


Married 


2 months 


26 days 


Remains 


Much improved 


Curable 


Periodical for 12 years. 


136 


" 


4 


21 


Female 


Single 


III Health 


3 months 


By her Friends 


26 days 


Remains 


Stationary 


Curable 


Hereditary. 


137 


" 


6 


71 


Male 


Widower 


Fear of Poverty 


30 years 


By his Friends 


24 days 


Remains 


Stationary 


Incurable 


138 


" 


7 


50 


Male 


Single 


Disappointed Affection 


32 years 


By his Friends 


23 days 


Remains 


Incurable 


Incurable 
Curable 




13!) 


ii 


7 


26 


Female 


Single 


Enthusiasm 


24 months 


By the Town 


23 days 


Remains 


Stationary 




140 


ii 


12 


38 


Female 


Married 


Family Trouble 
Unknown 


7 weeks 


By her Friends 


18 days 


Remains 


Stationary 


Curable 


Periodical 22 years. 


14) 


it 


13 


43 


Male 


Married 


1 week 


By his Friends 


17 days 


Remains 


Improved 


Curable 


142 


" 


13 


75 


Male 


Married 


Dread of Future Punishment 


3 weeks 


By his Friends 


17 days 


Remains 


Stationary 


Incurable 




143 


ti 


13 


40 


1 Male 


Married 


Bodily Infirmity 


2 years 


By his Friends 


17 days 


Remains 


Stationary 







SENATE— No. 10. 



Jan. 18S4 



No. 


Time 


of 


Age. 


Sex. 


Married or 


Supposed Cause. 


Duration of Dis- 


By whom Committed 


Time spent in the 


Remaining or 


In what State. 


Supposed 


Hereditary and Periodical. 




Admission. 






Single. 




ease before Ad- 


to the Hospital. 


Hospital. 


Discharged. 




Curable or 


















mittance. 










Incurable. 




144 


Nov. 


15 


54 


Female 


Widow 


Solicitude for Sick Child 


8 months 


By the Court 


15 days 


Remains 


Stationary 






145 


It 


17 


65 


Male 


Married 


Family Trouble 


2 months 


By his Friends 


13 days 


Remains 


Stationary 


Curable 




146 


(I 


17 


48 


Male 


Married 


Intemperance 


4 years 


By his Friends 


13 days 


Remains 


Improved 


Curable 




147 


« 


20 


32 


Male 


Single 


Intemperance 


3 years 


By the Court 


10 days 


Remains 


Stationary 






148 


CI 


20 


36 


Male 


Single 


Study 


1J years 


By the Court 


10 days 


Remains 


Stationary 


Curable 




149 


<( 


20 


30 


Female 


Married 


Abuse of Husband 


2 months 


By the Court 


10 days 


Remains 


Stationary 






150 


« 


20 


30 


Female 


Single 


Disappointed Affection 


3 months 


By the Court 


10 days 


Remains 


Stationary 


Curable 


Periodical. 


151 


t( 


26 


45 


Female 


Widow 


Loss of Husband 


21 years 


By the Town 


4 days 


Remains 


Stationary 


Incurable 




152 


» 


26 


19 


Female 


Single 


Repelled Eruption 


4 weeks 


By Court 


4 days 


Remains 


Stationary 


Curable 




153 


" 


28 


60 


Male 


Married 


Fear of Poverty 


8 months 


By Friends 


2 days 


Remains 


Stationary 


Curable 




154 


Dec. 


5 


16 


Female 


Single 


Amenorrhoea 


3 months 


By Friends 


26 days 


Remains 


Improved 


Curable 




155 


ii 


5 


19 


Female 


Single 


Amenorrhoea 


3 weeks 


By Town 


26 days 


Remains 


Stationary 


Curable 


Periodical 2 years. 


156 


" 


6 


27 


Female 


Married 


Fanaticism 


2 weeks 


By Court 


25 days 


Remains 


Improved 


Curable 


Periodical. 


157 


ii 


6 


26 


Male 


Single 


III Health 


4 months 


By Court 


25 days 


Remains 


Stationary 


Curable 


Periodical. 


158 


ii 


7 


38 


Male 


Married 


Fanaticism 


19 months 


By Court 


24 days 


Remains 


Stationary 




Periodical 8 years. 


159 


" 


7 


19 


Female 


Single 


111 Health 


1 year 


By Friends 


24 days 


Remains 


Stationary 


Curable 




160 


ii 


9 


6fc 


Male 


Married 


Intemperance 


2 years 


By Friends 


22 days 


Remains 


Stationary 




Hereditary and Periodical. 


161 


ci 


9 


27 


Female 


Single 


Wound on the Head 


3 months 


By Court 


22 days 


Remains 


Stationary 






162 


" 


16 


39 


Male 


Single 


Fanaticism 


5 months 


By Court 


15 days 


Remains 


Stationary 




Periodical 8 years. 


163 


" 


21 


40 


Vemale 


Single 


Loss of Property 


3 months 


By Town 


10 days 


Remains 


Stationary 






164 


ii 


31 


40 


Ma e 


Married 




3 months 


By Friends 










Hered. & Period. 11 years. 



The eleven last cases were not included in the General Report. 



20 SENATE— No. 10. Jan 



SUPERINTENDENT'S REPORT. 

Summary. November 30th, 1833. 

The whole number of Patients admitted into the Hospital, from January 19th, to 
November 30th, 1833, .< . 153 



To wit : January, 8 

February ..... 19 

March, 31 

April, ....... 27 

May, 13 

June, 9 

July, 10 

August, 5 

September, 4 

October, 8 

November, 19—153 



Recent cases, of one year or less, 48 
Old cases, of one year or more . 105 — 153 

Deaths, . . 4 
Eloped, . . 1 
Discharged, 34 Deduct 39 



Remaining in the Hospital, of whom 
one is discharged, but not remov- 
ed 114 



Whole number of Males, 
Females — Whites, 52 ) 
Colored, 5 $ 



96 
57—153 



Present number of Males, . . 73 
Present number of Females, . 41 — 114 
Old cases of Insanity, the period 
of which has exceeded one 
year, 105 



Discharged, cured, 11 

Discharged, much improved, . . 2 

Remain, improved, 15 

Remain, stationary and not deem- 
ed incurable, 18 

Idiots or Idiotic, 12 

Incurables, 47 — 105 



Recent cases of Insanity, the 
period of which has not ex- 
ceeded one year, 48 

Discharged, cured, .... 14 
Discharged, much improved, 5 
Remain, improved, ... 15 
Remain, stationary, . . . 14 — 48 



11 of which have been ad- 
mitted within the last 4 
weeks. 

Sent by the Legislature, ... 2 
Sent by the Courts and from Jails 
and Houses of Correction, . 107 

By Towns (Paupers,) . . . .11 
Private Patients, 33— ]53 



State Paupers, . 
Town Paupers, 



33 
61 



Cases induced by Intemperance, 38 

Hereditary Insanity, 42 

Periodical Insanity, 29 



Average number of Patients, for the last six months, . 107 2-6 



FOREIGNERS. 

Natives of England, 2 
« " Scotland, 1 
« " Wales, 2 
" " Ireland, 19 
« " Canada, 1 
« " Hayti, 1 

26 



NATIVES OF OTHER STATES. 

Connecticut, 1 

Rhode Island, . . . . 1 

Pennsylvania, 1 

New Hampshire, ... 3 

Virginia, ...... 1 



NATIVES OF 

The Commonwealth of 

Massachusetts, 



120 



1834. 



SENATE— No. 10. 



21 



Duration of Insanity. 



Have been Insane, one year or less, 

From 1 to 5 years, 

From 5 to 10 years, 

From 10 to 20 years, 

From 20 to 30 years, 

From 30 to 40 years, 

Unknown, 



48 
20 
27 
31 
12 
1 
14—153 



Under the age of 20 years, . 
Between the ages of 20 & 30, 



Between 


cc 


a 


30 & 40, 


Between 


a 


ft 


40 & 50, 


Between 


u 


U 


50 & 60, 


Between 


li 


a 


60 & 70, 


Between 


u 


a 


70 & 80, 


Over 






80, 



2 
34 
48 
34 
14 
17 

3 

2—153 



Applications for admission from without the State, or at a time 
when we could not receive them, or that have not yet come 
into the Hospital, ..... 



28 



Summary for the month of December, 1833. 



Patients admitted, • . . . . 
Recent cases — Males, 1 ) ~ 

Females, 6 $ ' 
Old cases — Males, 3 ? q 

Females, (H 



10 



-10 



Patients discharged, .... 

Recovered, 5 

Died, . 1 

Improved, 3 

Stationary, ...... 2 



11 



-11 



Whole number admitted, to 
January 1st, 1834, ... 163 

Males, 102 

Females, 61—163 



Remain, cured, 
Remain, improved, 



2 

28 



Whole number discharged, . 
Recovered, 32, of which 

discharged, 29 

Died, ....... 5 

Eloped, 1 

Improved, 11 

Stationary, . . . . . 4 



50 



—50 



22 SENATE— No. 10= Jan 

By a reference to this table, it will be perceived, that 
an uncommonly large proportion of old cases have been 
admitted into this Hospital. This was to be expected, as 
this unfortunate class of individuals had been for years 
accumulating in the Jails, Houses of Correction, Alms 
Houses and Private Dungeons. Of the character of the 
cases, it is sufficient to say, that in little more than ten 
months, one hundred and seven have been sent to the 
Hospital, adjudged by the Courts " to be so furiously 
mad, as to be manifestly dangerous to the peace and 
safety of the community to be at large." A small pro- 
portion only of these cases can be expected to recover. 
To remove them from their abodes of wretchedness and 
suffering, to a place of comfort and security, was all that 
was contemplated by the benevolent founders of this In- 
stitution. For years to come a large proportion of its 
wards must be filled with incurables. The proportion of 
recoveries of recent cases, is doubtless less than may be 
expected in future years. There are always circum- 
stances attending the infancy of such an institution, un- 
favorable to its success, and especially one, into which 
patients have been received as rapidly as into this, the 
average admission being fifteen a month, or one in two 
days, during the whole time that it has been open for the 
reception of patients : add to this, the inexperience of its 
officers and attendants, and the ignorance in which we 
are left respecting the character, cause of disease, and 
propensities of many of the patients, and it will readily 
be admitted, that thus far the Institution has labored un- 
der peculiar disadvantages. Before the last three months, 
that is, previous to the first day of September, there had 
been received into the Hospital 25 recent cases of in- 
sanity, in which the period had not exceeded one year : 



1834. SENATE— No. 10. 23 

of these 12 have been discharged cured, 5 have been dis- 
charged improved, some of which were nearly well, and 
others convalescing, and 6 remain improved, leaving only 
2 that exhibit no manifest improvement. Of those old 
cases, of one or more years' standing, which were consid- 
ered not incurable, that had been in the Hospital before 
the last three months, or previous to the first day of Sep- 
tember, the whole number is 38 — of which 1 1 have been 
discharged cured, 2 have been discharged improved, and 
12 remain improved — so that 25 out of 38 cases have ex- 
hibited symptoms of amendment. Many recent cases 
that show no improvement whatever in three months, in 
six months or a year entirely recover. But three months, 
and even twelve, are considered too short a period to 
make a decided impression upon some chronic cases, that 
by a persevering application of medical, moral and intel- 
lectual means, will ultimately be restored. This will be 
especially true of chronic cases of many years' standing. 
" The chaos of illusions" which disturb the imagination 
in old cases, cannot be " swept at. once from the tablet of 
the mind." Lotig and persevering efforts are required, 
to break up these illusions, and restore the intellect to 
soundness, in cases confirmed by years, even where no 
physical disorganization has taken place. Our hopes, in 
cases like these, can never be sanguine. But a small 
proportion of old cases are cured, in any of the best 
regulated Asylums in this country and in Europe. In 
the far-famed Retreat in Hartford, an Institution which 
stands unrivalled in the proportion of its cures in recent 
cases, and in the ability and judgment with which all 
cases have been managed, only S4 per cent, of old cases 
are reported to have been cured. In the Glasgow Luna- 
tic Hospital, 13 per cent. ; in the York Asylum, 12 per 



24 SENATE— No. 10. Jan 

cent. ; and even in private Asylums, in which they have 
the power to reject forlorn and hopeless cases, after all 
the trials which time and management can afford, the 
average will not probably exceed 20 or 25 per cent. 

In this Institution, it is conceived that no such trial 
has been had, and no such opportunity has been afforded. 
We have witnessed with sincere gratification the effect of 
the kindness and indulgence, moral discipline, and medi- 
cal treatment, in calming the ravings of the violent — in 
soothing the agitated passions of the furious — in awaken- 
ing the hopes, and removing the despondency of the mel- 
ancholic — as well as in establishing habits of order, clean- 
liness and civility in those whose minds are still warped 
by all the delusions of insanity. In many we have wit- 
nessed the embers of apparently expiring reason rekindle, 
and these delusions vanish by slow and almost impercept- 
ible movements, till the intellect emerged from its cloud, 
and the light of reason was restored to the mind. With 
respect to fatality, it is to be expected that it will be 
greater in this Hospital, than in most institutions of the 
kind, having no power to reject any individual, however 
forlorn the case, if sent by the Courts ; it will be liable to 
have those, whose bodily powers cannot long be sustain- 
ed under the weight of mental and physical disease which 
for years may have been preying upon their energies. 
Four deaths only have occurred ; two of the subjects 
were over 80 years of age — one died in sixteen days after 
he entered the Hospital, having contracted the disease on 
his way hither from his solitary abode of thirty years, 
which so soon terminated his existence — the other was in 
a state of most hopeless dementia, came into the Hos- 
pital feeble and decripit, after a residence of 28 years in 
one prison. The other two were middle aged — one died 



1834. SENATE— No. 10. 25 

of marasmus, the other of dysentery. The inmates have 
been remarkably exempt from acute disease. During the 
Summer, bowel complaints were common for a season, 
but they were usually mild, and managed without diffi- 
culty. The deaths in the Hartford Retreat average 1 of 
24J; in Bloomingdale, 1 of 17 J; Pennsylvania Hospital, 
1 of6J; Glasgow Asylum, 1 of 10; Wakefield, 1 of 4; 
Lancaster, 1 of 4; York, 1 of 5 ; Cork, 1 of 3. 

A large proportion of the patients now in this Institu- 
tion have heretofore been in a state of extreme wretch- 
edness. The Jails? Penitentiaries, and Alms Houses, 
have been their miserable abodes ; — from thence they 
have been transmitted to the Hospital. If by the means 
here adopted they are restored to their reason, what is 
their prospect for the future ? That world only is before 
them in which they have suffered every indignity, every 
privation and cruelty. As they go away, if they fail to 
receive the protection and aid of friends, they will hardly 
fail to fall into the same unhappy condition, and again 
relapse into insanity. To this they will be more liable 
than patients in easy circumstances in life. 

The Hospital Building is found upon trial to be well 
adapted to the purpose for which it was designed. The 
arrangement combines the advantages of simplicity and 
convenience, and affords to its inmates a safe and com- 
fortable Retreat. It is unfortunate for the Institution, that 
the excess of males over females, makes it necessary to 
occupy four of the galleries with men, leaving two only for 
females. This does not afford for the latter sufficient clas- 
sification ; in consequence of which furious and noisy pa- 
tients are, from necessity, inmates of the same hall or gal- 
lery, with the quiet and convalescing. A separate dwelling 
lor convalescents, and a quiet and orderly class of patients. 



26 SENATE— No. 10, Jan 

is extremely desirable. They would then avoid all those 
disagreeable scenes, and be out of the noise and the con- 
fusion which they now witness, and from which they con- 
stantly suffer. This would be a most important auxiliary 
in the cure of insanity. Something answering with this 
purpose, is connected with every other Hospital in the 
country. The centre building, if not occupied by those 
who, had the immediate management of the Hospital, 
might be in part appropriated to this purpose ; with the 
present arrangement this cannot be. In addition to this 
important object, such a building would add to the ac- 
commodations which the present crowded state of the 
Hospital very greatly require. Doctor Spurzheim, than 
whom, no man has attended more carefully to the intel- 
lectual operations of man, both in health and disease, 
speaking of Hospitals for the cure of insanity, has the 
following language : " Convalescents ought to be sep- 
arated from patients under curative treatment ; their 
habitation requires less care as to division, and the inter- 
nal arrangement may be more general." " They ought 
to form a large family, and not one ought to be idle. 
The house for convalescents may be in the neighborhood 
of the division for harmless patients," &c. If to this 
could be added, a cheap building, as a retreat for incu- 
rables, (of which this Institution will always have a large 
share,) this establishment would combine all the advan- 
tages which could be derived in a Hospital for the in- 
sane, — A quiet and undisturbed Asylum for incurables ; 
Lodges for the violent and noisy ; the great Hospital for 
the recovery of curable cases, old and recent ; and a 
peaceful and pleasant abode for convalescents. By this 
arrangement, the expenses would not be enhanced, ex- 
cepting so far as would be necessary to erect the build- 



1834. SENATE— No. 10. 27 

ings themselves, as a much larger class of private patients 
might then be accommodated, the same Superintendent 
and Steward might attend to the whole establishment, and 
from one hundred and fifty to two hundred apartments 
would thus be afforded at a less expenditure, by more 
than one half, than has been furnished in any State of the 
Union, for the same object. Already, patients of a quiet 
character, able and willing to pay any reasonable ex- 
pense, have been offered to this Institution, in numbers 
sufficient to authorize the erection of such a house. With 
such convalescents as would from time to time become 
its inmates, it would doubtless furnish all the patients with 
suitable accommodations. If erected as a simple board- 
ing house only, it might be so arranged as that wings 
might afterwards be attached, if thought expedient. 
These inmates would require but little restraint, might 
ride or range the grounds at pleasure, living together 
in one family and uniting in amusements or labor, as 
would be most beneficial and agreeable. One hundred 
and ten patients are all that this Institution can accom- 
modate, without occupying the Lodges for the violent. 
One hundred and fourteen is the present number. If the 
Courts should send in at the same ratio, for three months 
to come, as for the last month, not a solitary ward will 
be unoccupied. Something therefore must be done. 
Either the law must be modified, or other accommoda- 
tions must be provided. 

During the past year, the duties of those who have 
had the immediate management of the Hospital have 
been peculiarly arduous ; such a collection of patients 
so " furiously mad," and so dangerous to manage, were 
probably rarely ever brought into any one Hospital, in so 
short a period. Nearly all the individuals who have had 



28 SENATE— No. 10. Jan 

the charge of these patients, were, when they commenced, 
wholly ignorant of their duty, and had to learn it by ex- 
perience within its halls. No serious accident has occur- 
red, and the duty, although increasing daily in responsi- 
bility, is comparatively less arduous. This enterprize is 
now fairly begun. It is to be hoped that it has thus far 
satisfied public expectation. The advantages of this Hos- 
pital, although principally prospective, have not been un- 
important to its numerous inmates. With the continual 
care and vigilance of a wise and efficient Board of Trus- 
tees, attended by the smiles of a Beneficent Providence, 
it will doubtless be an extensive blessing to this commu- 
nity, and it is confidently anticipated that it will take high 
rank amongst the public charities of this Commonwealth. 

SAMUEL B. WOODWARD. 
November 30th, 1833,