Tag Archives: Reverend Hiram Chase

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.

 

Doomed From the Beginning

Illustration of Ellizabeth Packard Being Taken Against Her Will to an Insane Asylum, courtesy National Library of Medicine

Illustration of Elizabeth Packard Being Taken Against Her Will to an Insane Asylum, courtesy National Library of Medicine

Patients who went–or were taken–to insane asylums frequently protested they were not insane and continued to do so during their treatment. Their protests fell largely on deaf ears because two particularly potent forces worked against them. The first was the presupposition of “guilt.” If they had been found insane, then they must be and of course they would protest that they weren’t. Furthermore, any violence, agitation, or emotional outbursts victims demonstrated either at commitment or during treatment would further work against them. Few people put themselves in the patients’ shoes and imagined how they would react if they were in the same situation.

Reverend Hiram Chase wrote in 1868: “I had never heard them [asylums] described , except in one instance, and that by a man who was so unfortunate as to be carried there by force by his neighbors, as most patients are carried there. He gave me a most horrible description of his treatment . . . . I heard his sad and tragical tale, but I disposed of it as most men do, by regarding the whole story as imaginary, the effect of a disordered mind, believing that such things could never be tolerated in a Christian country.”

Called a Belgian Cage, This Wooden Cage Has a Small Opening For the Patient's Meals, Showed Just How Cruel Confinement in an Asylum Could Be, courtesy National Library of Medicine

This Belgian Cage With a Small Opening For the Patient’s Meals, Showed Just How Cruel Confinement in an Asylum Could Be, courtesy National Library of Medicine

Chase’s view was shared by many. Obviously, someone who was insane would imagine all sorts of terrible things that weren’t true. Of course a patient might be paranoid and imagine the medicine or treatment was unjustified or made him or her feel badly. Unfortunately, the frustration patients felt, their anger at injustice and sometimes false and unfair imprisonment, could lead to violent outbursts, frantic emotional responses, or negative attitudes that seemed to make it apparent that they indeed needed help.

This 1910 Article Shows That Some Former Patients Fought Back

This 1910 Article Shows That Some Former Patients Fought Back

The second factor working against patients was just as potent, and I will discuss this one in my next post.