Numerous general considerations arise from a retrospect of the history which this and the preceding chapter contain, but they will more fitly form a part of a subsequent chapter of this volume, when a sketch of the results achieved by Psychological Medicine will be given, as presented in the author's Presidential Address at University College.
[178] "A Lecture on the Management of Lunatic Asylums," etc., by Robert Gardiner Hill. Published April, 1859 (delivered June 21, 1838). (See Appendix H.)
[179] Including the wards in the Manchester Hospital.
[180] Including thirty male and three female criminal lunatics in jails, according to the Parliamentary return for April, 1843.
[181] Exclusive of the lunatic ward of Guy's Hospital.
[183] Summary taken from the Report of the Metropolitan Commissioners, 1844.
[184] Second Report of the Commissioners in Lunacy, 1847, p. 224.
[185] Page 112. No return is made in regard to the inmates of other asylums.
[186] Eighth Report of the Commissioners in Lunacy, p. 43.
[187] Exclusive of 226 single patients under commission.
[191] For a table showing the cost per head in asylums of various sizes, see Appendix I.
[192] Report of Commissioners in Lunacy, 1864.
[194] Office of the Board, 37, Norfolk Street, Strand.
[195] Caterham cost a little more, viz., £89 a bed.
[199] In the Commissioners' Report of 1871, p. 76, a case is reported in which the jury would not convict a woman who had the charge of a lunatic and admitted that "she strapped the patient once a month at the full of the moon," of ill-usage, although Mr. Justice Willes summed up strongly against her. In another case the Lunacy statute was disregarded, but Baron Martin summed up very leniently, much to the disapproval, not to say the disgust, of the Commissioners.
[205] The order and description of these institutions have been given in these decennial tables as far as possible in accordance with that of the table of 1844, in order to facilitate comparison.
[206] Exclusive of 208 lunatics so found by inquisition who reside in charge of their committees.
[207] For information in regard to Wales I am indebted Dr. W. Williams, the late medical superintendent of the Denbigh Asylum.
[209] See Address at International Medical Congress, _Journal of Mental Science_, January, 1882.