It is not so much what we do as the spirit in which it is done that causes the mischief. A person who is sick and in bed may be as much a prisoner as a man in a cell. His doctor may prevent him from seeing visitors and may sentence him to a period of something very like solitary confinement, but he knows that this is done with no intention of hurting him, but because it is necessary in the interest of his health, or that of others. The prisoner has no such opinion as to the purpose of his imprisonment, and neither have those who carry it out. He may be the better for it, though that is exceptional, but discomfort and pain is an essential part of whatever cure there is. I remember when a student a worthy old practitioner who made a point of choosing the most painful remedies for persons suffering from certain diseases, as he held the opinion that they ought to be made to suffer for their misconduct. He certainly made them suffer, but as they were not compelled to attend him they chose others who cured them more rapidly and with less pain.
It is now generally recognised that pain, or anything that lowers vitality, operates injuriously and retards the recovery of patients; and every means is taken to prevent suffering, not because it makes the patient feel bad, but because it causes him to be bad. Suppose a surgeon said to a man who appeared before him with a scalp wound received through falling on the kerb while under the influence of drink, "You have been foolish and wicked, since you have made yourself intoxicated and lost control of your senses. Your head is wounded, and it is only a chance that you have not been killed. You have disgraced yourself in the eyes of those among your friends who have any sense of respectability, and you have run the risk of losing your employment as the result of your intemperance. This I cannot permit to pass unpunished. An example must be made of you in order to deter others from following the same pernicious course. You have forfeited the right to consideration, but, though you must be made to remember that such conduct as yours cannot be lightly passed over, I shall deal with you as leniently as possible for the sake of your wife and family. You will receive an application of germs to your wound which will produce erysipelas, after which I shall proceed to deal with your cure." The doctor who tried this method would be sent to a lunatic asylum; but it is precisely what is done in our courts. The prisoner is told he is bad--and he is; then he is sent--to be made better? Not at all.