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Yale Forklift Erp1 6 1 8 2 0atf f807 Hyster j1 60xmt Ac J160a Parts Catalog Es
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This asylum was opened in 1745, the population being then between
three and four millions. What really induced the Dean of St. Patrick's
to perform this act was the knowledge that there was no charitable
asylum for the insane—nothing more; at any rate, I am not aware
that he contemplated the introduction of any improved method of
treatment, or would have thought that chains were unsuitable
means of restraint. It appears that his attention had been called to
the need of an asylum by "The Proposal" of Sir William Fownes.
Swift bequeathed the whole of his estate and effects, subject to
certain small legacies, to be laid out in the purchase of land for a
hospital large enough for the reception of as many idiots and
lunatics as the income of the said lands and effects should be
sufficient to maintain.
From its historical associations I was interested in visiting this
asylum some years ago, but there is nothing otherwise of special
interest in the institution. Writing in 1861,[252] the Inspectors of Irish
Asylums observe, "Though subject to our inspection, it is not a
regularly licensed asylum, being on a charitable foundation. It is
unfortunately situated in a most inappropriate locality, and very
deficient, from its original construction, in many necessaries." And
the Lunacy Inquiry Commission of 1879 observe, "We feel ourselves
compelled to state that St. Patrick's Hospital, though possessing an
ample endowment, with an accumulated fund in bank of £20,000,
and situated in the metropolis, is yet in many respects one of the
most defective institutions for the treatment of the insane which we
have visited.... The patients wash in tubs in the day-rooms, the
water having to be carried all through the house, as no supply is laid
on; the hospital is not lighted with gas 'for fear of explosion'! and
passages nearly four hundred feet long have, on winter evenings, no
other light than that which is afforded by three or four small
candles." The house was badly warmed, and the ventilation far from
satisfactory.
Further, while the Dean's will did not contemplate the payments of
patients, boarders were admitted at an early period, and this policy
went to such a length that while in 1800 there were a hundred and
six free and only fifty-two paying patients, there were in 1857
eighty-eight paying patients, and only sixty-six free. As the
Commission naïvely remark, "if the diminution of free patients and
the increase of paying patients are to continue, it may one day result
that no inmates of Dean Swift's Hospital will be maintained entirely
out of his bequest, which certainly does not appear to have been in
the contemplation of the founder."[253] A somewhat brighter picture
might have been expected when one reflects that, according to the
original charter, the government of the hospital was vested in the
Primate, Lord Chancellor, Archbishop of Dublin, Dean of St. Patrick's,
Dean of Christ Church, Physician to the State, and Surgeon-General,
and seven other persons whose successors were to be elected by a
majority of the governors, each of whom was required to be a fit
person.
An asylum was erected at Limerick about 1777, and at Cork in 1788.
The Cork Asylum was built on the strength of an unrepealed section
in an old Jail Act (27 Geo. III., c. 39. s. 8), which allowed of sums of
public money to be "presented" by grand juries for the use of lunatic
asylums, without limit, and permitted magistrates to commit to them
any individuals, if idiots or insane. It did not provide, however, for
the government of the establishment when formed, or for an
account of how the money was spent. No medical certificates were
required—the magistrate's power was unlimited. Fortunately,
however, the Cork Asylum was in good hands (Dr. Hallaran), thanks
to which, and not to the law, the institution was as well conducted
as in those days it could be. So much was this the case that Mr. Rice
stated before the Committee of the House of Commons in 1817, that
it was the best managed he had ever seen or heard of, realizing, he
added, all the advantages of the York Retreat. He, however,
protested against the system under which it, like other asylums, was
conducted as radically wrong; its success was a success of
circumstances, almost of accident.
This Prison Act was at this date the only law which regulated Irish
asylums, the only statute by which they could be carried on. All, in
fact, depended upon the humanity, skill, and conscientiousness of
the superintendent.[254] I believe, as a matter of fact, Cork was the
only county which made use of it.
So far back as 1804, a Select Committee of the House of Commons
was appointed to consider the provision for the insane in Ireland,
and reported that the provisions of the Act 27 Geo. III., c. 39,
empowering grand juries to present the sums necessary for support
of a ward for idiots and lunatics, have not been complied with, and
that the demand for admission into houses of industry greatly
exceeds the accommodation or funds appointed for their support,
and that it does not appear that any institution, maintained in any
degree at the public expense, exists in any other part of Ireland than
Dublin, Cork, Waterford, and Limerick, for their reception. The
Committee resolved that the attention and care necessary for the
effectual relief of these distressed objects cannot be efficaciously
extended to them whilst they are connected with institutions of a
very different nature, and that the establishment of four asylums for
idiots and lunatics, one in each of the provinces of Ireland, would be
a measure highly beneficial.
The result of this Report was that on the 21st of March, 1805, leave
was given to bring in a Bill for establishing in Ireland four provincial
asylums, appropriated exclusively to lunatics and idiots—thus
providing for a thousand patients. This excellent Bill shared the fate
of so many Bills for English lunatics, and did not become law.
It is worthy of remark that in the Report of the Select Committee
(1815) to inquire into the state of English mad-houses, it is stated
that the necessity of making some further provision for insane
persons appeared to be more urgent in Ireland than in England, as,
"with the exception of two public establishments and some private
houses, there are no places appropriated separately for the insane."
In 1810 the Government urged upon the House of Commons the
necessity of affording some relief to the neglected condition of the
insane poor in Ireland, the result being that grants were made for
building an asylum in Dublin, called "The Richmond Lunatic Asylum"
(55 Geo. III., c. 107). It was opened in 1815, and proved a great
boon to the district. Two years afterwards, Mr. John Leslie Foster,
one of the governors, in evidence before the Select Committee of
the House of Commons on the lunatic poor in Ireland, referred to
the humane system of treatment introduced at the York Retreat,
"the good effects of which are illustrated in a publication[255] of Mr.
Tuke," and said, "This system appearing to the governors of the
Richmond Lunatic Asylum to be founded in good sense, they
determined on trying the experiment in their new institution, and
beg to add, as a proof of this, that there is not in the Richmond
Asylum, to the best of my belief, a chain, a fetter, or a handcuff. I do
not believe there is one patient out of twenty confined to his cell,
and that of those who are confined to their cells, in the great
number it is owing to derangement of their bodily health rather than
to the violence of mania." He speaks of the superintendent as the
"moral governor," whose particular business it is to attend to the
comforts of the patients, to remove from them causes of irritation, to
regulate the degrees of restraint, and to provide occupation for the
convalescent.
The Richmond Asylum did not serve, as was hoped and expected at
that time, to supply accommodation for a large portion of Ireland. To
the amazement of those who had induced Parliament to make what
they deemed so ample a provision, it was soon found that not only
was the asylum full to overflowing, but the house of industry was
soon as full as before, and that as to finding accommodation for
those at a distance, it was altogether out of the question. At first,
sanguine hopes were raised by the large number of recent cases
discharged cured, and the common but fallacious inference was
drawn that, had all the chronic cases in the houses of industry or at
large been fortunate enough to be placed under asylum treatment in
the first stage of their malady, they would also have been cured in
like proportion. Unfortunately, the accumulation of incurables, even
in asylums, opened the eyes of many to the fallacy of this inference.
[256]
Other asylums were, therefore, it was seen, required.
"Your Committee," observe the Select Committee of the House of
Commons of 1817,[257] "beg leave to call the attention of the House
to the detailed opinion expressed by the governors of the Richmond
Asylum, that the only mode of effectual relief will be found in the
formation of district asylums, exclusively appropriated to the
reception of the insane." It appeared that, with the exception of the
Dublin institution, that at Cork, and one at Tipperary, there was not
provision made for more than one hundred lunatics throughout the
whole of Ireland. The Committee proposed that, in addition to the
asylums in Dublin and Cork, there should be built four or five
additional asylums, capable of containing a hundred and twenty to a
hundred and fifty lunatics each. They recommended that powers
should be given to the Government to divide Ireland into districts,
and that the expense should be borne by the counties included
within the several districts. The consequence of this Report was the
Act 57 Geo. III., c. 136,[258] afterwards repealed, but re-enacted
with amendments by the 1 and 2 Geo. IV., c. 33; 6 Geo. IV., c. 54;
and 7 Geo. IV., c. 14. These statutes enacted that the cost of
asylums, advanced from the Consolidated Fund, was to be ultimately
paid by the counties; that all the principal officers were to be
appointed by the Lord Lieutenant, the general superintendence
being vested in a Board of Commissioners, named by the
Government but acting gratuitously; that the asylums should be
brought under the annual review of the inspectors-general of prisons
by the 7 Geo. V., c. 74, and should be noticed in the reports
submitted annually to Parliament. The inspectors-general had power
to enter private as well as public asylums.
The first really effective Act of Parliament, directing the erection of
asylums for the insane poor in Ireland, was, then, that which we
have mentioned as passed in the year 1821, and formed the 1 and 2
Geo. IV., c. 33.[259] The Lord Lieutenant (not the justices, as in
England) was authorized to establish any number of these asylums
(to accommodate not less than one hundred and not more than one
hundred and fifty paupers) when and where it seemed expedient,
while for this purpose eight Commissioners were nominated to
superintend the execution of the work. Some years elapsed before
asylums were built. Then nine, capable of accommodating nine
hundred and eighty patients, were commenced at Armagh,
Ballinasloe, Carlow, Clonmel, Limerick, Londonderry, Maryborough,
and Waterford, for their respective districts, some being composed
of no less than five counties. It is stated that such was the dislike of
the humbler classes to the name of mad-houses, that they were not
fully occupied until 1835. The eight Commissioners retired, and the
Board of Works took their duties upon them, and acted until 1861,
when the 18 and 19 Vict., c. 109, enacted that two members of the
Board, including the chairman, and the two Inspectors of the insane,
should be appointed Commissioners of general control and
correspondence.[260]
The grand juries of assizes were to present such sums as should be
required for asylums. In 1826 an Act was passed (7 Geo. IV., c. 74)
which continued and extended the former provisions, viz. that the
inspectors-general of prisons should be inspectors of lunatic asylums
in Ireland; that no person should keep a house for the reception of
insane persons unless licensed; that justices of the peace might
grant them; that no person should be received into or retained in a
licensed or unlicensed house without an order and the certificate of
a medical man not interested in such houses; that licensed houses
not kept by a physician should be visited by a medical man once a
fortnight; that the inspector must visit such houses once in six
months, and may make special visits, and after two such visits may
liberate a patient; and that the inspectors should make an annual
report to the Lord Lieutenant and Lord Chancellor. This Act did not
apply to public asylums. It was to commence and take effect in the
county and city of Dublin, and to remain in force till August 1, 1845.
It may be well to note here that in 1826 "the numbers of lunatics
and idiots in every public asylum in Dublin, and in every asylum in
Ireland,"[261] erected under the provisions of the Act 1 and 2 Geo.
IV., c. 33, and 55 Geo. III., c. 107, were only as follows:—
City of Dublin.
Under what Act
Lunatics.
maintained.
Richmond Lunatic Asylum 252 55 Geo. III., c. 107.
House of Industry Lunatic Asylum 461
713