I1  THIRTEENTH  ANNUAL  REPORT 


OF  THE 

SUFFOLK  LUNATIC  ASYLUM. 


I 


DECEMBER  1850. 


i 


OTootf  fcntrge: 

PRINTED  BY  J.  LODER. 


1851. 


Digitized  by  the  Internet  Archive 
in  2018  with  funding  from 
Wellcome  Library 


https://archive.org/details/b3031219x 


VISITING  MAGISTRATES. 


Aplin,  R.  Esq 
Anderson,  Thomas,  Clk. 
Alderson,  S.  H.  Clk. 

Bence,  II.  B.  Esq. 
Bedingfield,  J.  Clk. 

Betts,  Thomas  D’Eye,  Clk. 
Brooke,  F.  C.  Esq. 

Berners,  J.  Esq. 

Corrance,  F.  Esq. 
Chevallier,  B.  Esq.  M.D, 
Casborne,  W.  J,  S.  Clk. 
Cooke,  J.  T.  Clk. 

Doughty,  F.  G.  Esq. 

De  Grey,  Hon.  and  Rev.  F. 


Gooch,  E.  S.  Esq.  M.P. 
Gorton,  R.  C.  Clk. 

Hill,  C.  Clk. 

Heigham,  J.  IT.  Esq. 
Ireland,  J.  T.  Esq. 

Love,  E.  M.  Clk. 

Owen,  H.  Clk. 
Rendlesham,  Lord,  M.P. 
Rowley,  R.  C.  Esq. 
Sheppard,  J.  G.  Esq. 
Steward,  C.  Esq. 
Thomas,  G.  Esq. 
Western,  T.  B.  Esq. 
Wilson,  H.  Esq. 


■ 


Hftinrl 


It  is  again  with  feelings  of  grateful  satisfaction 
that  this  Annual  Report  is  presented  to  the 
Committee.  It  is  confirmatory  of  that  mode  of 
management  which  consideration  and  reason 
suggested  on  the  opening  of  the  Asylum,  and 
which  subsequently  increasing  experience  has 
taught,  is  the  only  one  that  can  ensure  success, 
as  none  other  is  based  on  humanity  and  a  right 
knowledge  of  the  mind. 

There  have  been  admitted  in  the  year,  eighty- 
two  patients, — forty-nine  have  been  discharged, 
cured,  and  twenty-nine  have  died,  according 
to  the  table,  as  made  up  to  this  day.  There  has 
been  very  little  variation  in  numbers  from  last 
year’s  report,  there  being  only  two  more  admis¬ 
sions,  five  more  cures,  and  one  death  less.  Of 
the  admissions  nineteen  have  been  first  at¬ 
tacks,  and  within  three  months;  nine  within 
six  months ;  seventeen  from  a  year  and  up¬ 
wards;  and  thirty-six  repeated  attacks.  On  the 

B 


6 


whole,  thirteen  suicidal,  twenty-one  dangerous ; 
and  nineteen  both  dangerous  and  suicidal. 
Three  have  been  admitted  in  a  very  exhausted 
state,  and  survived  their  removal  only  a  few 
days. 

The  mortality  has  sensibly  decreased  for  the 
last  three  years,  which  may  be  attributable 
in  some  measure  to  the  improved  condition  in 
which  the  patients  generally  have  been  admitted, 
as  well  as  to  those  sanitary  alterations  which 
we  have  gradually  been  enabled  to  make.  The 
House  has  been  very  healthy  throughout  the 
whole  year,  and  there  has  scarcely  been  an  in¬ 
stance  even  of  accidental  injury.  There  are 
twenty-three  epileptics,  (who  are  always  more 
or  less  liable  to  sudden  and  violent  falls,)  but 
amongst  these  there  has  been  nothing  to  record 
in  the  Medical  Journal  beyond  a  trifle. 

The  Return  of  the  House  as  to  day,  December 
17th.  1850,  is  as  follows  : — 

Males.  Females.  Total. 

Patients  in  the  House  31st.  December, 

1849,  .  119  134  253 

Admitted  since .  36  46  82 


155 

180 

335 

Discharged,  cured . 

Males. 

Females 

Total. 

.  21 

28 

49 

Ditto,  relieved  . . . 

.  2 

1 

3 

Removed  . 

.  2 

0 

2 

Died  . 

12 

29 

42 

41 

83 

In  the  House, 

THIS 

DAY 

..  113 

139 

252 

7 


Two  men  were  brought  in  under  the  most  rigid 
restraint ;  one  had  been  fastened  to  a  board  on 
his  back  for  a  day,  as  a  pretended  additional 
security;  his  ancles  and  wrists  were  very  sadly 
hurt.  The  other,  was  tied  down  in  a  cart  with 
bands  of  no  ordinary  strength.  In  neither  case 
was  any  kind  of  personal  restraint  apparently 
necessary;  in  both,  temporary  excitement  was 
overcome,  and  entire  quietude  obtained,  by  kind 
and  soothing  care ;  they  recovered,  and  remain 
well :  one  left  in  June  last,  after  being  under 
treatment  a  month ;  the  other  in  July,  after  three 
months. 

The  last  of  these  cases  was  particularly  im¬ 
pressive.  The  patient  was  a  high  spirited  man, 
of  more  than  six  feet  two  inches,  with  a  fine  open 
countenance,  splendid  contour,  and  commanding 
person ;  he  was  susceptible  and  amiable,  and 
within  a  few  weeks  after  his  admission,  was  a 
regular  cricketer  in  our  unenclosed  field .  When 
he  went  away  full  of  gratitude,  one  could  not 
help  the  expression  of  sorrow  that  a  man  should 
have  been  brought  to  these  gates  so  fettered 
and  bound,  who  looked  as  he  left  them  to  belong 
to  the  genuine  aristocracy  of  the  earth. 

Though  the  cases  of  patients  discharged 
cured,  are  as  the  result  of  successful  treatment, 
of  more  marked  interest  than  others,  it  is  not  to 
such  exclusively,  that  attention  is  directed. 

B  2 


8 


We  have  to  learn  from  the  experience  of  every 
day,  that  unsuccessful  cases  and  failures  have 
their  instructive  lessons  respecting  the  treatment 
of  those  who  come  under  the  arbitrary  distinction 
of  incurables.  Many  of  these  patients  are  most 
interesting  characters,  frequently  under  rough 
exteriors  hiding  very  delicate  minds.  To  hear 
their  sorrowful  descriptions,  to  be  told  the  pain¬ 
ful  recollections  of  former  years,  and  to  mark 
the  still  high  level  of  their  sensibilities,  though 
harassed  by  disquietudes  and  torn  by  alarms, 
would  furnish  a  daily  vocabulary  for  the  book  of 
experience,  in  which  there  should  not  only  be 
daily  entries,  but  to  which  daily  reference  should 
be  made  for  guidance  in  future. 

The  nominal  distinction  of  “ incurable”  should 
not  lead  to  relaxation  of  effort,  nor  should  it 
suppress  the  encouragement  of  hope.  However 
increasingly  unfavourable  the  continuance  of 
the  malady  beyond  a  definite  although  variable 
period  may  be,  favourable  results  do  occasionally 
reward  untiring  efforts  to  obtain  them.  We 
have  only  just  closed  an  interesting  corres¬ 
pondence  with  a  discharged  patient  who  left 
perfectly  well  in  1847,  and  has  continued  so 
in  different  situations.  She  had  spent  nearly 
seventeen  years  in  this  house,  and  at  times 
was  very  violent.  It  was  thought  by  some 
friends  that  her  removal  was  hazardous,  and 


0 


in  their  anxiety  and  fear  they  sought  her  re-ad¬ 
mission,  though  she  was  quietly  and  comfortably 
living  w  ith  her  mother.  Their  anticipated  dread 
of  relapse  has  not  been  realized.  On  the  loss  of 
her  mother  she  has  been  noticed  by  some  kind 
and  philanthropic  friends  in  London,  and  as  she 
was  on  the  point  of  sailing  for  America  to  keep 
her  brother's  house,  she  sent  an  affectionate 
farewell. 

Nothing  can  more  fully  repay  the  anxiety  at¬ 
tendant  on  that  class  of  patients  where  suicidal 
tendencies  exist,  than  the  knowledge  that  they 
do  not  only  return  home  well,  but  that  they 
remain  well. 

A.  B.  had  been  a  trusted  and  trustworthy 
servant  in  a  family  of  some  influence,  who 
were  very  much  interested  in  her  welfare. 
She  was  a  pale  nervous  person,  setat.  27,  the 
subject  of  occasional  hypochondriasis.  About 
eight  months  before  her  admission  into  the  Asy¬ 
lum,  she  was  noticed  to  be  more  reserved  in  her 
manner  than  usual :  this  apparent  absence  and 
uneasiness  increased,  till  her  case  assuming  more 
decidedly  the  character  of  suicidal  melancholia, 
she  was  brought  here  on  the  26th.  February, 
1850.  When  about  eleven  years  old  she  met 
with  rather  a  singular  accident ;  walking  along 
the  road,  her  clothes  became  entangled  in  the 

wheels  of  a  passing  van  ;  it  was  heavily  loaded, 

n  3 


10 


and  she  was  dragged  for  several  yards  between 
the  body  and  the  wheels  of  the  carriage :  her 
thigh  was  broken,  and  one  arm  in  two  places : 
she  recovered  from  these  injuries,  but  was  so 
constitutionally  shaken  as  to  be  more  or  less 
subject  to  nervous  agitations  ever  since.  She 
never  likes  to  refer  to  the  accident,  and  when  it 
is  mentioned,  seems  melancholy  and  distressed, 
and  under  the  influence  of  despondency,  ex¬ 
presses  a  wish  that  she  had  been  then  killed. 
At  the  age  of  sixteen  she  had  small-pox,  a  long 
and  dangerous  illness  supervening;  and  she  was 
left  a  good  deal  marked  by  the  pustules.  She 
complained  on  admission  of  ceaseless  head-ache, 
want  of  sleep,  and  a  “weight  of  anxiety,”  as 
she  said,  on  the  inability  to  fulfil  her  domestic 
duties.  She  was  treated  with  the  light  diffusi¬ 
ble  stimuli  and  narcotics  at  night,  the  acetate 
of  morphia,  in  \  gr.  doses,  and  put  on  a  mild 
nutritious  diet.  There  was  no  sensible  im¬ 
provement  for  some  time :  she  was  always 
endeavouring  to  be  alone,  and  talked  generally 
in  a  most  desponding  manner  on  religious 
subjects,  and  suffered  greatly  from  the  con¬ 
viction  that  she  had  sinned  beyond  mercy. 
She  used  the  warm  bath  twice  a  week,  and  took 
the  sesqui-carbonate  of  ammonia  with  evident 
advantage.  In  April  her  health  began  to  im¬ 
prove,  and  her  morbid  impressions  gradually  to 


11 


subside ;  she  walked  a  little  occasionally  in  the 
garden,  worked  more  collectedly  at  her  needle, 
joined  a  female  reading-class,  and  became  a 
very  attached  and  affectionate  patient ;  and 
continuing  to  improve,  to  enjoy  her  food,  to  be 
cheerful  in  the  day,  and  to  sleep  well  at  night, 
she  was  discharged,  cured,  on  the  17th.  May. 
She  had  a  heavy  disappointment  on  her  re¬ 
turn  home,  from  not  again  being  received  into 
her  former  service ;  but  she  bore  it  well,  and 
obtained  another  situation  from  which  she  oc¬ 
casionally  writes,  to  say  that  she  remains  very 
comfortable.  This  case  was  interesting  and  in¬ 
structive.  The  patient  was  decidedly  a  pious  girl ; 
and  these  morbid  impressions  were  evidently  the 
result  of  an  abnormal  state  of  body,  the  healthy 
working  of  the  spiritual,  gradually  returning 
with  that  of  the  natural  functions.  “  There  is 
little  hope  ”  (says  the  late  Dr.  Cheyne)  “  in 
placing  Divine  truth  before  a  melancholic,  or 
hypochondriacal  patient,  until  the  bodily  disease 
with  which  the  mental  delusion  is  connected,  is 
cured  or  relieved.”  It  is  here  indeed  that  the 
great  advantage  of  domestic  religious  instruction 
is  felt,  that  as  the  process  of  bodily  relief  gra¬ 
dually  goes  on,  by  a  watchful  and  judicious 
conveyance  the  mental  progress  may  be  as 
gradually  promoted. 

One  male  patient  has  been  admitted  under 


12 


the  Secretary  of  State’s  warrant and  as  a 
continued  protest  is  nevertheless  made,  and 
recognized  at  the  Home  Office,  against  the 
reception  of  Criminal  Lunatics,  it  seems  desir¬ 
able  to  refer  to  it,  lest  this  individual  case  should 
be  considered  a  precedent  for  such  admissions. 
While  it  may  unreservedly  be  stated  that  all 
Lunatic  Asylums  are  unfit  abodes  for  criminals, 
(and  this  more  so  than  most  others,)  the  plea  in 
this  man’s  peculiar  situation  was  almost  un¬ 
avoidably  acted  on.  He  had  been  confined  for 
felony,  but  not  tried ;  and  in  ignorance  per¬ 
haps  of  his  previous  history,  the  expectation 
was,  that  after  a  short  period  under  treatment, 
he  would  be  so  far  restored  as  to  be  able  to  take 
his  trial.  Subsequent  investigation  however, 
does  not  lead  to  the  encouragement  of  the  hope 
of  such  a  result,  or  even  of  his  more  remote 
restoration  to  mental  sanity.  He  had  for  the 
last  six  or  seven  years  acted  towards  his  father 
and  mother  with  great  austerity  and  ill  will ; 
previous  to  the  act  which  led  to  his  committal, 
he  had  been  observed  by  other  servants  of  the 
house  in  which  he  lived,  to  be  strange  and  in¬ 
consistent  ;  he  would  constantly  rise  from  his 
bed  in  the  night,  utter  threats,  and  denounce¬ 
ments  vehemently  in  broken  sentences;  and 
upon  leaving  his  place  he  wandered  about,  till  he 
committed  the  act  which  led  to  his  confinement 


13 


in  jail,  and  subsequently  to  his  reception  here. 
He  is  now  most  decidedly  an  insane  man,  and 
appears  to  be  getting  into  a  state  of  mental 
imbecility ;  he  is  dangerous  as  a  thief,  and  has 
to  be  dispossessed  at  night  of  handkerchiefs  and 
trifles  belonging  to  other  patients,  which  he  cun¬ 
ningly  contrives  to  secrete  about  his  person  in 
the  day.  These  are  not  however  the  most  un¬ 
favourable  features  in  his  case ;  his  father  had 
been  an  irregular  liver  and  drank  hard,  and 
was  consequently  the  subject  of  great  depres¬ 
sion  of  spirits  and  extreme  despondency  :  he 
destroyed  himself  about  twelve  months  back. 
His  uncle  lies  in  the  burial-ground  of  this 
Asylum  ;  he  has  himself  one  idiotic  child  living, 
and  another  died  in  early  life  with  the  same 
features.  In  this  hereditary  entailment  of 
misery,  is  presented  another  fearful  proof  of  the 
effects  of  drunkenness,  and  a  corroboration  of  the 
fact,  that  no  one  has  ever  defined  actual  limits 
for  the  moral  effect  of  one  sin,  neither  can  we 
for  the  physical  results  inseparable  therefrom. 
It  has  been  said  in  an  able  Report  recently 
published  of  the  Heigham  Retreat  near  Norwich, 
that  the  evil  of  intemperance  to  the  individual  is 
the  very  least  of  its  consequences  ;  the  real  and 
great  injury  falls  upon  future  generations  ;  “and 
there  is  no  single  cause  which  produces  so  many 
idiots,  and  so  much  mental  and  bodily  degenera¬ 
tion  in  children,  as  the  drunken  iniquity  of  their 


14 


parents.”  One  of  our  later  re-admissions  is 
of  a  man  who  has  been  discharged  three  times, 
well,  and  brought  back  as  often,  from  drink ; 
and  another  has  been  received  for  the  sixth 
time,  whose  life  since  1837,  has  been  actually- 
passed  between  the  sober  sanity  of  the  Asylum, 
and  the  drunken  mania  of  unlicensed  violence 
when  out  of  it. 

It  appears  from  the  last  Parliamentary  return 
that  there  are  about  364  Criminal  Lunatics  in 
England  and  Wales;  about  100  of  these  are  at 
present  confined  in  Bethlem  Hospital,  the  rest 
in  different  Asylums,  to  the  alteration  of  their 
character,  and  the  injury  of  their  respectable 
inmates.  They  have  now  in  Ireland  a  proper 
place  of  abode  for  this  class,  and  the  district 
Asylums  have  removed  their  patients  to  Dun- 
drum.  No  such  place  is  yet  provided  in 
England,  and  the  subject  of  its  necessity  needs 
continually  to  be  repeated. 

We  have  been  favoured  this  year  with  two 
visits  from  the  Commissioners  in  Lunacy,  their 
reports  are  referred  to  the  Committee. 

The  year  has  been  passed  throughout  with  as 
much  quietude  as  we  have  previously  enjoyed, 
nothing  untoward  has  occurred  to  disturb  it,  or 
to  interfere  with  its  daily  regularity.  Various 
hindrances  must  of  course  arise  in  the  attempt 
with  an  old  Institution  to  keep  pace  in  com¬ 
parison  with  the  recent  improvements  of  new 


15 


buildings.  We  have  no  newly  adopted  modes 
of  obtaining  warmth,  ventilation,  light,  &c.  still 
we  trust  there  is  apparent  the  readiest  applica¬ 
tion  of  science,  and  the  freest  use  of  nature  that 
our  means  will  allow.  The  progress  that  has 
been  made  in  the  improved  construction  of  the 
airing  courts  has  received  the  approbation  of 
the  Commissioners,  coupled  with  an  additional 
suggestion  to  carry  the  same  plan  still  further. 

A  question  has  been  much  agitated  lately  on 
the  proportionate  number  of  single  rooms  com¬ 
pared  with  that  of  dormitories ;  and  though  those 
who  are  now  building  Asylums,  have  more  in¬ 
terest  in  it  than  others,  it  may  be  well  to  record 
the  satisfaction  which  is  felt  in  this  respect  with 
our  House  as  it  is.  There  is  a  tolerably  equal 
distribution;  about  150  single  rooms,  and  36 
dormitories.  There  would  be  great  objection 
to  increasing  the  number  of  dormitories  at  the 
sacrifice  of  single  rooms,  especially  in  a  three¬ 
storied  building,  where  the  comfortable  day 
rooms  must  be  spoiled,  and  proper  classification 
excluded. 

The  usual  amount  of  work  has  been  done  this 
year;  and  the  usual  quantity  of  land  tilled  and 
farmed,  the  agricultural  labourers  have  equalled 
in  numbers  those  employed  in  any  previous  year. 

Labour  in  itself  is  the  very  condition  of  health 
and  existence,  and  work  in  the  garden  and 


16 


fields  is  always  sought  after  by  the  patients  as 
a  preparatory  step  to  their  return  home.  Those 
who  go  to  their  daily  voluntary  labours,  form  a 
sort  of  self-constituted  society  of  expected  eman¬ 
cipation.  There  has  been  rather  an  increase  of 
handicrafts’-men,  for  whom  we  hope  to  be  able 
by  some  trifling  alterations  in  the  wards,  to 
obtain  the  employ  they  have  been  -used  to. 
Nothing  can  equal  the  value  of  proper  employ¬ 
ment,  and  nothing  can  be  an  equivalent  for  the 
loss  of  it. 

It  is  hardly  necessary  to  enlarge  upon  that 
uniformity  which  has  hitherto  attended  our  pro¬ 
gress.  A  united  spirit  and  desire  of  exertion  is 
diffused  among  the  sane  inmates  of  the  house, 
which  must  act  advantageously  on  the  condition 
of  the  insane.  No  one  could  tend  in  his  zeal  for 
the  good  of  the  Asylum,  to  promote  this  feeling- 
more,  than  our  late  House  Steward,  whose 
resignation,  at  an  advanced  age,  has  put  an  hon¬ 
ourable  close  to  a  long  and  honourable  official 
life.  A  patient  alluding  to  this  removal,  ex¬ 
pressed  his  fear  lest  it  should  be  followed  by 
others,  “and  then/’  said  he,  “as  far  as  I  am 
concerned  it  will  be  “Paradise  lost.”  This  of 
itself  would  be  enough  to  show  that  anything 
short  of  a  united  household,  must  be  sadly  des¬ 
tructive  of  the  patients’  welfare.  If  the  mind, 
even  of  the  most  subordinate  attendant  is  chafed, 


17 


those  under  his  immediate  care  must  suffer,  and 
therefore  it  is  always  desirable  to  have  as  few 
changes  as  possible.  Most  of  our  attendants 
have  been  with  us  for  years,  and  they  are  (all 
of  them)  attentive  and  kind.  The  females  have 
been  commendably  noticed,  and  it  is  but  right 
to  bear  testimony  to  the  uniform  good  conduct 
of  the  whole.  Rectitude  of  principle  actuates 
the  general  body.  Our  desire  is  to  promote  the 
welfare  of  those  who  look  to  us  as  their  temporary 
guardians,  and  to  secure  for  them  comforts  as  far 
as  we  are  able;  that  in  the  exercise,  not  of  the 
force  work  of  matter  over  matter,  but  by  the 
persuasive  power  of  mind  over  mind,  we  may 
give  to  their  “  moral  hunger  food,”  and  “cure 
for  their  moral  pain.” 

J.  KIRKMAN,  M.D. 


December  17,  1850. 


18 


COMMISSIONERS’  REPORTS. 


Suffolk  County  Asylum, 
March  23,  1850. 

Thebe  are  256  patients  in  this  Asylum,  of  whom  118 
are  males,  and  138  are  females;  8  of  these  appear  by  the 
Register  to  he  under  medical  treatment  at  present,  and  2  have 
been  recently  placed  in  seclusion,  each  for  a  short  period. 
There  are  4  private  patients  in  the  Asylum. 

Since  the  last  visit  of  the  Commissioners,  on  the  27th* 
February,  1849,  89  patients  have  been  admitted  (the  generality 
of  whom  were  in  tolerable  bodily  health  at  the  time  of  admis¬ 
sion)  64  have  been  discharged,  and  25  have  died :  of  whom  9 
appear  to  have  been  of  the  age  of  sixty  years  or  upwards  at 
the  time  of  death.  Three  of  the  deaths  are  ascribed  to 
paralysis,  about  7  to  epilepsy,  and  the  rest  to  various  causes, 
but  chiefly  to  exhaustion  after  mania,  or  general  debility. 

Prayers  are  read  regularly  to  the  patients  every  day,  and  the 
Church  Service  is  performed  every  Sunday,  when  from  50  to 
60  patients  on  an  average  attend. 

About  100  patients  are  employed  in  various  ways,  including 
household  and  needle-work,  and  work  in  the  laundry,  and 
between  50  and  60  patients  are  occupied  out  of  doors  in 
agricultural  labour. 

We  have  this  day  officially  inspected  all  the  day  rooms, 
bed  rooms  and  galleries  appropriated  to  the  use  of  the  patients ; 
and  have  seen  all  the  patients  now  in  the  Asylum. 


19 


We  have  much  satisfaction  in  testifying  to  the  clean  and 
orderly  condition  of  the  Establishment,  and  to  the  comfortable 
state  of  the  patients,  who  appear  to  be  carefully  and  kindly 
treated.  The  patients  were  generally  well  clothed,  and  the 
beds  (many  of  which  we  turned  down  and  minutely  examined) 
were  clean,  and  supplied  with  sufficient  bed  clothes,  and  alto¬ 
gether  we  think  that  great  credit  is  due  to  the  skill,  care,  and 
attention  of  the  Medical  Superintendent  and  the  Matron  of  the 
Asylum. 

(Signed) 

B.  W.  PROCTOR, )  Commissioners 
J.  R.  HUME,  )  in  Lunacy. 


Suffolk  County  Asylum? 

November  22,  1850. 

There  are  to-day  251  patients  in  this  Asylum,  viz 
2  males  and  2  females,  who  are  private  patients,  and  111  males 
and  136  females,  who  are  paupers.  We  have  personally  ex¬ 
amined  the  whole  of  them,  and  at  the  time  of  our  visit  they 
were  without  exception  in  a  tranquil  state,  and  no  one  was 
under  mechanical  restraint,  or  in  seclusion. 

All  the  patients  were  clean  in  the  persons,  and  they  were 
comfortably  clothed. 

The  bedding  was  clean  and  ample  in  quantity. 

On  examination  of  the  Registers,  we  find  that  since  the 
Commissioners’  last  visit  in  March,  58  new  patients  have  been 
admitted,  41  have  been  discharged,  and  22  have  died.  It 
appears  also,  that  17  patients  are  under  medical  treatment. 
Mechanical  restraint  is  never  employed. 


20 


Very  few  patients  were  in  bed  to-day,  and  no  one  appeared 
to  be  suffering  from  bodily  illness  of  a  serious  nature. 

A  considerable  number  of  patients  are  employed  in  hus¬ 
bandry  and  out-door  work,  but  to-day,  in  consequence  of 
heavy  rain,  all  were  in  their  respective  wards. 

Prayers  are  read  as  usual,  and  on  an  average  about  forty 
patients  of  each  sex  attend  Divine  Service  in  the  Chapel  on 
Sunday,  which  we  are  informed  is  crowded  and  scarcely  suffi¬ 
cient  to  accommodate  all  the  patients  capable  of  attending. 

We  have  inspected  every  part  of  this  Establishment  which 
was  throughout  in  excellent  order. 

We  think  that  some  improvement  might  be  made  in  the 
airing  courts  by  lowering  the  walls,  and  removing  the  soil  at 
their  base ;  which  would  form  a  mound  in  the  centre,  and 
afford  the  patients  an  opportunity  of  seeing  the  surrounding 
country.  The  courts  would  also  be  much  improved  by  the 
removal  of  some  of  the  division  walls. 

We  learn  that  the  dietary  has  been  improved  since  the 
Commissioners  last  visit. 

Altogether  the  patients  appear  to  be  very  kindly  and  judi¬ 
ciously  treated,  and  the  condition  of  the  Asylum  is  most 
creditable  to  the  Superintendent. 

(Signed) 

W.  G.  CAMPBELL,  )  Commissioners 
T,  GASKILL,  j  in  Lunacy. 


Ippttitix. 


PATIENTS  ADMITTED,  DISCHARGED,  AND  DIED, 

From  1st.  of  January  to  31st.  December,  1850. 


» 

Males. 

Females 

Total. 

Patients  in  the  House  31st.  December,  1849 

119 

134 

253 

Admitted  in  1850  . . 

36 

47 

83 

155 

181 

336 

Males.  Females.  Total. 

Discharged — cured  . .  21  29  50 

— — - — —  relieved  2  13 

Removed  . .  2  0  2 

Died .  17  14  31 

42 

44 

86 

Remaining  in  the  House,  December 

31st.  1850  . . 

113 

137 

250 

In  the  whole  Twenty-two  Years  since  the  Asylum  opened. 


22 


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ABSTRACT  OF  THE  THIRTY-ONE  DEATHS 


In  the  Year  1850. 


o 

z 

< 

to 

<v 

CO 

Cause  of  Death. 

Period  of  Residence 
in  the  Asylum. 

Tot  t!  Duration  of 
Insanity. 

Form  of  Insanity. 

1 

35 

M. 

Gradual  Exhaustion 

9  months 

• 

1  year . 

Dementia. 

2 

63 

M. 

Gradual  Exhaustion 

17  days 

• 

7  months 

Dementia. 

3 

44 

M. 

Diseased  Lungs 

9  years 

• 

9  years,  3  months 

Mania. 

4 

54 

M. 

Epilepsy  . 

6  months 

• 

Several  years 

Mania. 

5 

82 

F. 

Old  Age.  Infirmity 

3  years 

• 

3  years,  6  months 

Mania. 

6 

36 

F. 

Diseased  Lungs 

4  months 

• 

4  months 

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7 

35 

F. 

Diseased  Lungs 

2  years 

» 

4\  years 

Mania. 

8 

30 

F. 

Phthisis  Pulmonalis 

2  weeks 

• 

2  months 

Mania. 

9 

87 

M. 

Old  Age.  Infirmity 

3  years 

• 

Several  years 

Mania. 

10 

70 

M. 

Old  Age.  Infirmity 

2  weeks 

• 

3  months 

Dementia. 

11 

30 

M. 

Epilepsy  . 

4  years,  4  months 

Many  years . 

Dementia. 

12 

38 

F 

Gradual  Exhaustion 

2  years 

• 

2  years 

Mania. 

13 

71 

F. 

Dropsy  . 

3  weeks 

• 

3  months 

M  ania. 

14 

54 

M. 

Gradual  Exhaustion 

7  years,  10 

months 

8  years 

Dementia. 

15 

37 

M, 

Paralysis  . 

7  months 

• 

2  years,  7  months 

Dementia. 

16 

51 

M. 

Hoematemesis  . 

14  years 

• 

Many  years 

Mania. 

17 

40 

F. 

General  Debility 

l  year . 

• 

13  months  . 

Dementia. 

18 

19 

M. 

Epilepsy  . 

1  month 

• 

From  birth  . 

Mania. 

19 

57 

F. 

Exhaustion 

11  years 

♦ 

Many  years 

Mania. 

20 

50 

M. 

Apoplexy 

14  years 

• 

Many  years 

Mania. 

21 

38 

M. 

General  Visceral  Dis- 

ease 

3  years,  9  months 

4  years 

Dementia. 

22 

50 

F. 

Gradual  Exhaustion 

3  months 

* 

4  years,  3  months 

Melancholia 

23 

20 

M. 

Epilepsy  . 

4  months 

• 

6  years 

M  ania. 

24 

20 

M. 

Scrofula  . 

5  years 

• 

Congenital  . 

Mania. 

25 

25 

M. 

Visceral  Disease 

3  years 

• 

7  years 

Dementia. 

26 

44 

F . 

Maniacal  Exhaustion 

5  months 

• 

7  months 

Mania. 

27 

43 

M. 

Epilepsy  . 

10  months 

• 

14  months  . 

Dementia. 

28 

42 

F. 

Paralysis  . 

11§  years 

- 

11^  years  . 

Dementia. 

29 

67 

F. 

General  Debility 

2  months 

• 

1 |  years 

Melancholia. 

30 

46 

F 

Phthisis  Pulmonalis 

years 

• 

6  years 

Dementia. 

31 

3) 

F.  | 

Epilepsy  . 

6  years,  8  month 

g 

Congenital  . 

Dementia 

ADMITTED— IN  THE  YEAR  1850. 


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Ihe  simplest  calculation  is,  21bs.  of  uncooked  Meat  with  bone,  for  each  Pauper  Patient  weekly,  subject  to  discretionary 

sub-division. 


27 


TABLE  SHEWING  THE  WEEKLY  AND  ANNUAL 
CHARGE  FOR  EACH  PATIENT,  SINCE  THE 
ASYLUM  OPENED. 


Years. 

1st. 

Quarter. 

2nd. 

Quarter. 

3rd. 

Quarter. 

4tli. 

Quarter. 

Annual 

Charges. 

s. 

d. 

S. 

<7. 

S. 

o?. 

s. 

d. 

£. 

s. 

d. 

1829 

12 

2 

8 

2 

7 

0 

8 

2 

22 

19 

10 

1830 

7 

7 

6 

5 

5 

3 

7 

0 

17 

1 

3 

1831 

7 

0 

7 

7 

5 

10 

7 

0 

17 

16 

5 

1832 

6 

5 

5 

10 

5 

10 

5 

10 

15 

10 

11 

1833 

5 

10 

5 

10 

5 

3 

5 

10 

14 

15 

9 

1834 

5 

10 

5 

3 

5 

10 

5 

10 

14 

15 

9 

1835 

7 

0 

5 

3 

4 

8 

5 

10 

14 

15 

9 

1836 

5 

10 

5 

3 

5 

10 

5 

10 

14 

15 

9 

1837 

7 

0 

5 

10 

5 

10 

5 

10 

15 

18 

6 

1838 

6 

5 

5 

10 

5 

10 

6 

5 

15 

18 

6 

1839 

7 

0 

6 

5 

5 

10 

6 

5 

16 

13 

8 

1840 

7 

0 

6 

5 

6 

5 

7 

0 

17 

8 

10 

1841 

7 

0 

6 

5 

6 

5 

7 

0 

17 

8 

10 

1842 

7 

0 

6 

5 

5 

10 

6 

5 

16 

13 

8 

1843 

6 

5 

5 

10 

5 

10 

6 

5 

15 

18 

6 

1844 

6 

5 

6 

5 

6 

5 

6 

5 

16 

13 

8 

1845 

7 

0 

6 

5 

5 

10 

6 

5 

16 

13 

8 

1846 

7 

0 

7 

0 

6 

5 

7 

7 

18 

4 

0 

1847 

7 

7 

8 

2 

8 

9 

7 

7 

20 

17 

1 

1848 

8 

2 

8 

2 

8 

2 

8 

9 

21 

12 

3 

1849 

7 

7 

5 

3 

5 

40 

6 

5 

16 

6 

1 

1850 

7 

0 

5 

10 

5 

10 

6 

5 

16 

6 

1 

TABLE  SHEWING  THE  NUMBE 


Through  the  Twenty-one  Years  since  the  Asylum  opened,  with  a  Total 


1 

j  Years. 

1829. 

1830. 

1831. 

1832. 

1833. 

1834. 

1835. 

1836 

• 

1837. 

1838. 

18  39! 

Mons- 

Males. 

Females. 

Total. 

Males. 

Females. 

C2 

Males. 

Females. 

Total. 

Males. 

Females. 

Total. 

Males. 

Females. 

Total. 

Males. 

Females. 

Total. 

Males. 

Females. 

Total. 

Males. 

Females. 

fJ  otal. 

Males. 

Females. 

Total. 

Males. 

GQ 

CD 

a 

<D 

Ch 

Total. 

Males. 

Females. 

Jan. 

2639 

65 

'1 

2 

2 

4 

10 

o 

O 

13 

O' 

O 

3 

6 

5 

1 

6 

2 

5 

7 

2 

2 

4 

o 

O 

O 

D 

1 

1 

2 

2 

2 

4 

5 

Feb. 

5 

2 

7 

2 

2 

4 

o 

O 

4 

7 

o 

O 

3 

3 

3 

6 

4 

o 

O 

7 

3 

o 

O 

o 

O 

2 

5 

1 

6 

7 

1 

o 

O 

4 

2 

4 

Alar. 

4 

o 

O 

7 

5 

3 

8 

1 

o 

O 

4 

4 

o 

O 

7 

1 

1 

8 

2 

10 

2 

2 

4 

n 

O 

7 

o 

O 

2 

5 

o 

O 

1 

4 

2 

7 

April 

8 

6 

14 

5 

3 

8 

o 

O 

5 

8 

7 

7 

14 

7 

4 

11 

4 

r> 

O 

7 

6 

3 

9 

2 

2 

4 

6 

2 

8 

1 

<r> 

D 

4 

2 

4 

May 

3 

n 

O 

6 

4 

2 

6 

l 

o 

O 

4 

3 

1 

4 

4 

o 

O 

7 

2 

2 

4 

2 

6 

2 

1 

o 

O 

o 

O 

4 

7 

o 

D 

4 

7 

4 

o 

O 

June 

8 

o 

o 

11 

5 

5 

10 

1 

3 

4 

o 

<r> 

O 

6 

2 

2 

1 

1 

3 

2 

5 

4 

2 

6 

5 

5 

10 

5 

2 

7 

1 

5 

July 

o 

J 

1 

4 

9 

i  To 

4 

6 

10 

3 

4 

7 

6 

4 

10 

o 

O 

5 

8 

o 

O 

6 

9 

o 

O 

D 

6 

2 

o 

5 

6 

8 

14 

o 

O 

6 

Aug. 

o 

o 

3 

5 

i 

6 

7 

7 

4 

2 

6 

4 

4 

1 

5 

6 

2 

7 

9 

2 

4 

6 

2 

4 

6 

1 

1 

2 

2 

4 

Sep. 

4 

2 

6 

4 

o 

D 

7 

4 

1 

5 

1 

1 

2 

1 

3 

l 

1 

2 

2 

3 

5 

2 

6 

8 

2 

8 

10 

1 

2 

3 

1 

2 

Oct. 

5 

7 

12 

1 

5 

6 

5 

2 

7 

2 

2 

4 

2 

4 

6 

3 

4 

7 

2 

o 

O 

5 

1 

1 

2 

1 

4 

5 

5 

2 

7 

4 

3 

Nov. 

1 

1 

2 

cv 

a 

o 

O 

6 

5 

3 

8 

2 

2 

4 

4 

8 

2 

3 

5 

6 

5 

11 

o 

O 

2 

5 

2 

O 

a 

5 

6 

2 

8 

3 

5 

Dec, 

2 

o 

O 

5 

C) 

O 

4 

7 

5 

5 

10 

7 

7 

1 

1 

2 

2 

4 

7 

11 

1 

1 

2 

4 

6 

1 

<r> 

O 

4 

1 

5 

72,70 

142 

1  1 

48  34  82 

|  | 

42 

45 

0- 

CO 

42 

25 

67 

34 

31 

65 

32 

32 

64 

39 

40 

79 

30 

26 

56 

30 

46 

76 

35 

31 

66 

29 

53  8 

DEGREE  OF  EDUCATION  TABLE  OF  THE  250 
PATIENTS  NOW  IN  THE  HOUSE. 

Ending  December  31,  1850. 


Males. 

Females. 

Total. 

Well  educated  . . . 

18 

17 

35 

Can  read  and  write  . 

22 

30 

52 

Can  read  only . 

26 

66 

92 

Cannot  read  . . 

39 

24 

63 

Not  ascertained . j . 

8 

0 

8 

Total . 

113 

137 

250 

TABLE  OF  MARRIED  AND  SINGLE. 

Males. 

Females. 

Total. 

Married  . . 

33 

47 

80 

Single . 

72 

72 

144 

Widowed  . 

8 

18 

26 

Total ...... 

113 

137 

250 

MONTHLY  ADMISSIONS 


i  Twelve  Months,  ending  31st.  December,  1850. 


340. 

1841. 

1842. 

1843. 

1844. 

1845. 

1846. 

1847. 

1848. 

1849. 

1850. 

TOTAL 

Females. 

Total. 

Males. 

Females. 

Total. 

Males. 

F  emales. 

Total. 

Males. 

Females. 

Total. 

Males. 

Females. 

Total. 

Males. 

Females 

Total. 

Males. 

Females. 

Total. 

Males. 

Females. 

|  Total. 

Males. 

Females. 

Total. 

Males. 

Females. 

Total. 

Males. 

Females. 

Total. 

Males. 

Females. 

E 

3 

7 

2 

o 

O 

5 

o 

O 

3 

1 

1 

2 

3 

5 

1 

7 

8 

4 

5 

9 

4 

4 

8 

4 

6 

10 

2 

6 

8 

5 

3 

8 

91 

102 

1 

3 

5 

2 

3 

5 

3 

3 

6 

1 

1 

2 

4 

6 

4 

0 

4 

2 

CD 

o 

5 

4 

2 

6 

2 

2 

4 

5 

5 

1 

7 

8 

52 

62 

I 

5 

9 

1 

2 

3 

2 

1 

3 

2 

4 

6 

3 

1 

4 

4 

2 

6 

o 

O 

4 

7 

1 

3 

4 

6 

6 

4 

4 

2 

2 

4 

59 

61 

1 

8 

10 

6 

6 

5 

1 

6 

1 

6 

7 

2 

1 

3 

<r> 

O 

o 

O 

6 

7 

7 

14 

4 

3 

7 

CD 

o 

5 

8 

CD 

o 

1 

4 

7 

6 

13 

94 

86 

I 

2 

5 

1 

1 

2 

1 

2 

o 

O 

6 

1 

7 

6 

2 

8 

7 

0 

7 

6 

2 

8 

7 

6 

13 

4 

6 

10 

2 

5 

7 

7 

5 

12 

83 

58 

J 

2 

6 

7 

7 

1 

8 

9 

4 

7 

11 

5 

2 

7 

5 

4 

9 

2 

o 

O 

5 

5 

4 

9 

o 

O 

5 

8 

CD 

O 

5 

8 

3 

5 

8 

77 

75 

1 

3 

6 

3 

5 

8 

4 

3 

7 

7 

1 

8 

2 

4 

6 

5 

3 

8 

<T> 

O 

5 

8 

3 

7 

10 

3 

2 

5 

2 

6 

8 

1 

5 

6 

81 

91 

d 

2 

4 

2 

2 

4 

1 

2 

3 

4 

3 

7 

6 

2 

8 

o 

O 

4 

7 

3 

2 

5 

4 

1 

5 

1 

3 

4 

6 

8 

14 

0 

1 

1 

54 

69 

1 

8 

3 

5 

8 

o 

O 

4 

7 

2 

6 

8 

4 

4 

8 

3 

1 

4 

3 

2 

5 

2 

5 

7 

2 

2 

2 

4 

6 

4 

2 

6 

54 

64 

1 

2 

2 

1 

1 

2 

2 

1 

3 

1 

3 

4 

2 

2 

2 

7 

9 

1 

4 

5 

2 

2 

4 

3 

5 

8 

1 

4 

5 

4 

5 

9 

47 

73 

i 

6 

7 

5 

2 

7 

2 

2 

4 

3 

3 

1 

4 

5 

5 

2 

7 

1 

5 

6 

2 

2 

4 

5 

6 

11 

1 

7 

8 

1 

3 

4 

64 

70 

2 

5 

2 

5 

7 

7 

7 

o 

O 

1 

4 

3 

1 

4 

7 

7 

2 

2 

4 

6 

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3 

6 

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5 

1 

3 

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56 

66 

j 

38 

69 

35 

29 

64 

27 

34 

61 

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OO 

34 

67 

36 

30 

66 

42 

40 

82 

37 

44|si 

44 

42 

86 

31 

51 

82 

27 

55 

82 

36 

47 

83 

812 

877 

it 

HEADS  OF  EXPENDITURE. 

Ending  December  31,  1850. 


Meat,  lbs . 

39587 

£. 

717 

s. 

19 

d. 

4 

Bread,  loaves  of  djlbs.  each .  . 

29978 

560 

0 

6 

Flour,  sts . . . 

913 

70 

1 

6 

Butter,  lbs . 

2791 

92 

4 

1 

Groats  and  Rice,  lbs . 

5042 

30 

15 

9 

Tea  and  Coffee,  lbs . 

450 

81 

15 

4 

Cheese,  lbs . 

7397 

145 

1 

8 

Soap  and  Pearlash,  lbs . 

8599 

139 

0 

10 

Grocery . 

172 

3 

0 

Candles,  lbs . 

1267 

32 

13 

2 

Coals,  tons  . . 

327 

261 

5 

0 

Wood,  loads . 

19 

19 

0 

0 

Wine,  Spirits,  and  Medicines 

52 

13 

4 

Clothing  and  Linen . 

557 

13 

0 

Table  Beer  . 

273 

6 

2 

Sundries  . 

70 

19 

6 

Salaries  and  Wages . 

972 

2 

3 

Total ...... 

4256 

14 

5 

FINIS. 


YA 


■ 


' 


• 

- 


