Many Arrived Sick and Weak
In the 1890s, many patients arrived at the Hospital a sad
state of health. To boost patient stamina, the medical
superintendent
advocated “tonics, with ample nourishment in the
form of good food: eggs and milk, cod liver oil, liquid
extract of malt…and beef, iron and wine.” "Probable Causes of Insanity"
Here is a list of what the Hospital
documented as "probable causes of insanity" between
1890 and 1910:
|
Hommes |
Femmes |
Abuse of opium |
26 |
11 |
Abuse of tobacco |
2 |
0 |
Brain tumor |
2 |
5 |
Cerebral hemorrhage |
12 |
8 |
Change of life (menopause) |
0 |
53 |
Disappointed affection |
19 |
23 |
Domestic trouble, grief etc. |
55 |
136 |
Epilepsy |
70 |
42 |
Excessive study |
19 |
18 |
Fever |
12 |
85 |
Fright |
13 |
140 |
General ill-health |
67 |
14 |
Heredity |
120 |
4 |
Injury to head |
57 |
46 |
Insomnia |
8 |
11 |
Intemperance in drink |
195 |
12 |
Isolated life |
3 |
5 |
Flu |
18 |
2 |
Masturbation |
56 |
14 |
Meningitis |
3 |
122 |
Menstrual irregularity |
0 |
1 |
Mental anxiety, worry, overwork |
143 |
8 |
Monotonous employment |
3 |
17 |
Ovarian irritation |
0 |
98 |
Financial difficulty |
78 |
23 |
Childbirth |
0 |
58 |
Religious excitement |
19 |
2 |
Senility |
75 |
6 |
Sunstroke |
88 |
10 |
Syphilis |
86 |
6 |
Uterine disorders |
0 |
10 |
Vicious indulgences |
20 |
5 |
Congenital |
79 |
64 |
Unascertained |
438 |
371 |
Total |
1836 |
1558 |
How Educated Were
Our First Patients?
According to this 1892 patient profile, many of our
first patients had limited schooling:
More highly educated: 19 percent
Can read and write: 50 percent
Can read only: 18 percent
Cannot read or write: 13 percent
An Aversion to Restraints
A progressive man for his time, Medical Superintendent
Thomas Burgess, MD, reported in 1892, “I am
pleased to be able to report that still another year
has passed without our being obliged to resort to
restraint in any form. While not so bigoted as to
deny the possibility of…cases in which restraint
must be resorted to, I have yet to see one so violent
and troublesome as not to be manageable by kind and
[fair] treatment.” Stigma Hampers Treatment
The Hospital’s first medical superintendent
met families who had hid their loved ones’ illness
for months, even years, out of fear and shame. He
called for the public to be better educated about
mental illness, and seek treatment sooner, “Relatives
are very loath to admit the existence of insanity
in their family, though why brain disease should
be regarded as a disgrace any more than consumption
(tuberculosis) or other bodily disorder, I am at
a loss to see. Such, however, is the fact, and until
the general public is educated out of this belief,
friends will continue to lie about it most unblushingly.” Concern Over Foreign Patients
Between 1890 and 1895, patients from the following
countries were admitted to our Hospital:
Austria |
2 |
Canada |
438 |
France |
4 |
Germany |
5 |
Great Britain |
133 |
Holland |
1 |
Newfoundland |
1 |
Norway |
3 |
Poland |
4 |
Romania |
9 |
Russia |
56 |
Scotland |
2 |
Sweden |
32 |
West Indies |
1 |
Unknown |
7 |
|