Tag Archives: Nellie Bly

Authority Always Wins

Investigative Reporter Nellie Bly Being Committed to an Asylum

Investigative Reporter Nellie Bly Being Committed to an Asylum

Whether a supposedly “insane” patient really was or was not, the odds were not in his favor when it came to putting up a defense against commitment and treatment. One potent factor against patients was the almost automatic presumption that the diagnosis they suffered was correct. (See last post.) Another factor was the very real authority and influence of an asylum’s superintendent.

Superintendents almost never initiated a diagnosis of insanity unless a person were sent directly to an asylum because of dangerous or noteworthy actions that seemed to put the patient or society at risk. In that case, a superintendent or one of his staff might examine the person and decide whether or not he was insane. Otherwise, some sort of panel or set of doctors/judges made the diagnosis and sent the patient to the (usually) nearest asylum. This certainly gave an appearance of impartiality to the superintendent, who might then be presumed to have only the patient’s best interests at heart.

Reverend Hiram Chase (mentioned in my last post) noted that he had once spoken with a man whose wife had been in an asylum for a long time. Chase asked the man what he thought about “the propriety of keeping one so many years in an asylum.” The man essentially replied that the doctors were wise and skillful, the nurses and attendants well skilled, that “great care and patience were exercised over the patient, and that no stone was left unturned to soothe and comfort these unfortunate victims of insanity.”

Attendants Were Not Nearly So Patient and Skilled as the Public Supposed

Attendants Were Not Nearly So Patient and Skilled as the Public Supposed

Dr. John Gray was Superintendent of the Lunatic Asylum in Utica During Chase's Commitment There

Dr. John Gray was Superintendent of the Lunatic Asylum in Utica During Chase’s Commitment There

Chase cheerfully accepted this husband’s words on the topic. Later, he unfortunately found them to be patently untrue once he was, himself, committed to the Lunatic Asylum in Utica [New York]. Chase stayed there for a little over two years and afterward wrote a measured but unsparing account of his stay that should have made others fearful of too innocent a trust.

 

Changes at Last

Collection of Dr. Alexander E. MacDonald's Papers, courtesy New York Academy of Medicine

Collection of Dr. Alexander E. MacDonald’s Papers, courtesy New York Academy of Medicine

In 1874 Dr. Alexander E. MacDonald accepted an appointment as superintendent for Ward’s Island’s insane asylum. Conditions there were dreadful (see last two posts) and MacDonald requested a new wing to the main building in 1878 to relieve some of the chronic overcrowding. Both patients and convicts worked on the new construction–not necessarily unusual for the period.

Cheapness had prevailed since day one, and professionals believed that many of the asylum’s cases became chronic because they had not been helped adequately from the start. Even meals were excessively frugal: “Dry bread was a staple article of diet, few accompaniments were permitted and much was diverted by the so-called “cook,” who was selected from the workhouse prisoners,” wrote one of the doctors compiling a history of New York asylums. His assessment is underscored by the fact that when an additional five cents was added to the dietary allowance, along with an improvement in cooking, more patients recovered.

A Supper of Bread, Butter, and Tea on Blackwell's Island, from an 1866 Illustration in Harper's Weekly

A Supper of Bread, Butter, and Tea on Blackwell’s Island, from an 1866 Illustration in Harper’s Weekly

Dr. MacDonald also improved patients’ clothing, bedding, and ward furniture and he fought for a “more liberal” amusement fund to help divert patients’ minds from their problems and give them some enjoyment during their stay. He also fought for attendants, saying that “$20 a month with board was too small compensation for 15 hours [a day] spent in the companionship of the insane.” He called for a whopping 50% increase in pay to $30 a month. Along with this, MacDonald protested using convicts as attendants and managed to get at least the female ones withdrawn. By 1880 he had stopped the use of restraints like manacles, wristlets, and seclusion.

Nellie Bly Posed as an Insane Woman for Her Expose

Nellie Bly Posed as an Insane Woman for Her Exposé

Though MacDonald tried with probably the best will in the world, the four institutions in the Manhattan region were often investigated for a variety of failures. Nellie Bly’s exposé in 1887 is probably the best-known, though many other scandals made it into public knowledge.