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FOURTH ANNUAL REPORT01' Ti!E
DIRECTORS AND SUPERINTENDENT
OF TUE
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OHIO LUNATIC A.SYLUM,
TO TllE
FORTY FIRST GENERAL ASSEMBLY,
DECEMBER 9, 1812.
COLUMBUS: SAMUEL MEDARY, STATE PRINTER.
, 1842.
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FOURTH ANNUAL REPORT OF THE
DIRECTORS AND SUPERINTENDENT · ,.
OF THE
OHIO LUNATIC A.SYLUM,
TO THEFORTY FIRST GENERAL ASSEMBLY, DECEMBER 9, 1842.
COLUMBUS: SA�IUEL MEDARY, STATE PRINTER.
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REPORT OF DIRECTORS.
To the General Assembly of the State of Ohio:
THE DIRECTORS OF THE Omo LuNATic AsYLU111, in perfor mance of the duty enjoined upon them by law, respectfully sub mit to your honorable body the following Annual Report:
The D�rectors have the pleasure of being able to say that, under the smiles of Providence, and the fostering care of the State, this Institution, during the past year, has continued to pursue its career of usefulness with undiminished success.
This noble charity is so deeply rooted in the public regard, and its administration, hitherto, has commanded so large a share of public approbation, that this annunciation, in connexion with the more detailed and specific report of the Superintendent, would probably be entirely satisfactory to those whose attention may be directed to the subject. The Directors, however, in framing this communication, have deemed it fit to add some fur ther suggestions.
It is admitted that of all "the ills flesh is heir to," there is none whic� appeals more touchingly to the best sympathies of the hu man heart, than that which this Institution was designed to rem edy. There is certainly none under which the sufferer is more helpless, and none which gives him a title to deeper commisera tion. Amidst the privations of want, the anguish of pain, the las:situde and depression of long continued illness, and even the gloom of conscious guilt and shame, the heart of the sufferer is still accessible to the ministrations of love and kindness, the sweets of social intercourse, and the consolations of religion. They may come with healing on their wings, and pour their balm into his wounded spirit. He has left, within himself, those great fountains of enjoyment, his: intellectual faculties and his
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social affections. Hope, with all its genial influences, breaks forth in his heart,
"And still, as darker grows the night, Emits a brighter ray."
But this "malady of the mind" is a calamity that no rank or sta tion in life is exempt from. It assails alike the palace and the hovel. No social or moral elevation is too high to be reached by it, and no force of intellect too great for it to overcome. On the other hand, no obscurity is too deep for it to penetrate, and no humility can afford any security against its inroads. Piety, prudence, the most energetic spirit, and the possession of all the virtues, are unavailing to protect their possessor from its grasp. And when it comes, it strikes fatally at the root and source of all enjoyment. Whether it take the form of disordered perceptions -disordered judgment-disordered imagination-or perverted affections-or of all these combined-the result is the same, The world of intellect is at once shrouded in darkness to the sufferer, and cut off from his view. All his past sentiments and affections are liable to be reversed. His passions are stimulated and turned loose from their accustomed restraints. His reason, hurled from its orbit, sinks in dark eclipse, and partakes of the general wreck. 1 ts light is wholly extinguished, or fitfully flick ers forth, and no longer directs his volitions nor controls his con duct. His mind lies disjointed and in ruins. All its avenues to his heart are laid waste-all its springs of enjoyment are dried up. Designed by his Creator to be almost the highest link in the chain of created beings, he sinks at once below the level of
those humbler creatures which have only "the twilight of in stinct" to guide them. It is difficult for the imagination to over draw the wretchedness of such a being.
In contemplating this subject it is cheering to reflect that medical science, within the last half century, has achieved no brighter trophies than those it has won by unveiling the true pa thology, and reforming the treatment of this class of diseases.
At a period not very remote, the poor lunatic was regarded, by many, as the smitten object of Divine vengeance, and the healing art proclaimed itself utterly unable to "minister to the mind diseased." Jails were the chief places of their confinement, and the sufferings to which they were exposed could hardly fail
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to deepen into "incurable lesion and blight," the mildest form of the malady. Chains, rags, filth, the strait-jacket, exposure to cold and to the gaze and jeers of the vulgar and the brutal; and not unfrequently the ready inflic.tion of stripes upon slight prov ocation, were the most prominent features of their treatment. Humanity shudders at the disgusting details which, up to a period comparatively recent, marked its history. Even the retreats and asylums provided by private and public benevolence were not free from these reproaches. It is stated that in a monastery in the ·south of France, humanely devoted, by its inmates, to the care of the insane, in pursuance of a fixed regulation, "every lunatic received ten lashes a day." It is also stated, upon unques tionable authority, "that in one large English asylum the super intendent sometimes absented himself two months; and that in another, with five hundred patients, it was an established regu lation, that all, without any reservation, should be bled in June, and take, each, four emetics per annum." Facts of this kind might be accumulated without number.
To the pious and venerable St. Vincent de Paul belongs the honor of having rolled back the clouds of prejudice, and roused up the European mind to a proper sense of sympathy for this affliction, and to large and clear views of the condition of its victims, and of their claims upon their fellow men. While, to the celebrated Pine!, a physician of Paris, is due the distinction, not less, of having introduced, after a long struggle against ad verse circumstances, the present enlightened and successful sys tem of• combined moral and medical treatment. In the field of medicine, he may be said to have stood forth tlte deliverer of the insane.
ln 1792, after repeated applications, he obtained permission to release from confinement such of the inmates of the hospital of Bicetre, as he might select. The authority was accompanied with the expression of an apprehension that he would become their victim. He immediately proceeded to try the experiment. The first whom he released had been in chains upwards of forty years. Others were released, whose cases were equally marked. Under his enlightened care, the happiest consequences followed. Experience, the only sure test of truth, demonstrated the
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soundness of his views. The result spoke for itself, and the tri umph of true science and humanity was complete. The system radiated thence to other countries, though not so speedily as might have been expected. It obtains now, it is believed, uni versally, throughout christendom. Accumulated experience, and the progress of medical science, have established a series of facts and principles, in regard to insanity, that cannot be too widely diffused, nor too deeply impressed.
The most important of them may be condensed as follpws: "Insanity is the result of some bodily disease which affects the brain."
The affection, at the outset, is usually functional, only. If the disease be not arrested, the affection, in most instances, will be come structural, and, most probably, permanent and incurable; so that the organ affected "can never resume its proper functions as connected with the operations of the mind."
So long as the affection is functional it is "within the reach of remedial agents," and may be subdued; and where, even, the worst forms of structural lesion subsists, the condi�ion of the patient may be greatly alleviated by proper remedial treatment. It is of the greatest importance that the disease should be vig orously met as early after its developement as possible.
The chances of cure diminish in a rapidly increasing ratio, in proportion to the duration of the disease.
It is confidently asserted by the highest medical authority, that acute mania, when treated properly, in its earliest stages, is not more difficult of cure, and has been cured in as many iµstan ces out of a given number, as bilious fever of a high grade, or any other form of severe acute disease.
Of the proper medical treatment, it would be foreign to the purpose of this report to speak. The moral treatment with which it should be combined, all can comprehend, and all should feel a deep interest in it. It has been thus beautifully and justly defined in the report of the Trustees of the Hospital at Worcester, Massachusetts: "The whole scheme of moral treatment is embrac ed in a single idea-Humanity-the law of love, that sympathy which appropriates another's consciousness of pain, and makes it a personal relief from suffering when another's sufferings are relieved."
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The most important details of this system consist in the fol lowing requisites:
The early removal of the patient from the scenes and personal as'sociations to which he has been accustomed;
The careful exclusion of every thing calculated to excite him; The classification of the patients according to the grades of their disease-each class to be kept separate from the others;.
The constant attention of the proper number of attendants; Uniform cheerfulness and kindness on the part of the Super intendent a;d his subordinates;
Religious worship-literary and scientific entertainment amusements and labor-each properly directed and regulated; ( all these are indispensable as parts of the system;)
Lastly, mild punishment, if any; and as little of punishment, coercion, and constraint as the circumstances of each case will permit.
In all these respects, it is believed the Ofiio Lunatic Asylum has come up to the hignest standard, and fully realized the hopes and expectations of its benevolent founders, and the just demands of public opinion.
The earliest legislation upon the subject of idiots and lunatics, in Ohio, was an act of the territorial Governor and Judges, passed August 1st, 1792, four years after the organization of the territorial, and ten years before the organization of the state gov ernment. It provided for the trial of the question of insanity by a jury, and the appointment of guardians, with plenary powers, over the estates and persons of the insane, but contained no provision with reference to their safe keeping, or remedial treat ment. Paupers were required to be provided for, in the same manner as other poor. No further legislation upon the subject, worthy of mention, occurred until the passage of the act of February 13, 1 815, en titled "an act to provide for the safe keep ing of idiots and lunatics, and for other purposes." That act re-enacted all the provisions of the preceding acts, and provided, further, that the jury should c·ertify, in addition to their other finding-"whether such person ought to be put into close con finement." If their verdict upon this point were in the affirma tive, the lunatic was required to be committed to the county
2-LUN, ASY,
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pil, unless his friends should give sufficient bond for his safe keeping. If committed to jail, the county commissioners were required "carefully to examine him, and {f, in their opinion, med iced aid should be requisite, to employ a skilful physician." If it were not necessary to confine the lunatic, and he were a pauper, he was required to be supported by the overseers of the poor, in the same manner as was provided by the pre-existing acts.
These provisions continued in force, without any material modification, until the passage of the act of March 9, 1838. The provisions of that act, and of the later acts amendatory to it, will be adverted to elsewhere, in this report.
Such was the state of our law upon this subject, when this Institution went into operation, and the act of 1838, above men tioned, took effect.
Prior to that time there was no private or public Institution in the state where the insane could be received and properly treated. A few were confined in the hospital at Cincinnati; but the space that could be allotted to them, was too limited, and the other accommodations were too unsuited to their condi t10n to admit of the possibility of proper curative treatment. The inmates of that Institution are understood to have fared no better than those confined elsewhere, in the county jails. The fate of the insane, throughout the state, was hard, indeed. But little attention had been paid, by the med\cal profe:;,sion, to this class of diseases, and but few had made themselves acquainted with the proper mode of treating tl1em. A few of the insane were sent abroad, to institutions in other states. Many of them wandered at large with all the melancholy marks of their blight thick upon them. Others were watched over, or confinP,d by their friends, with hopeless anxiety, while the more dangerous class glared through the grates of the county jails. Little or nothing was done to heal them-whilst every hour the facilities of cure were diminishing, and their diseases were growing worse. The number of insane in the state, in 1835, who were deemed fit subject� for nn asylum, (exclusive, of course, of idiots, and those incurably affected,) were estimated, upon reliable data, at upwards of two hundred. According to the returns made to the Governor in that year, there were two hundred and ninety four
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supported at the public expense, ninety four of whom were in confinement.
Thick darkness, relieved by no ray of light, seemed to en shroud the en tire class.
Such was the state of things when the attention of the public was called to the design of this Institution. Its germ was plant ed by the medical convention of Ohio. That body, at its first session, in January, 1835, adopted an eioquent memorial to the legislature, recommending the establishment of such an institu tion, at this place. The memorial was presented to the Gen eral Assembly then in session. It touched a chord that vibrated at once, with keen sensibility, throughout the state. The legis ·1ature, yielding promptly to the generous impulse from without, at the same session passed an act, making an appropriation for the purchase of a site, and providing for the appointment of trustees, and the erection of the edifice. The trustees visited the leading institutions in the eastern states, and immedi,1tely upon their return, pun.:hased the present site. They also made an elaborate report to the legislature, at its next session, detail ing the results of their observations, and the plan of the edifice they had fixed upon. A liberal appropriation by the legislature followed. The work was vigorously commenced. The direct ors of the Penitentiary appropriated n large share of convict la bor to it. Other appropriations, by the legislature, were made, and the work proceeded rnpidly.
In March, 1838, the legislature passed "an act to provide for the government of the Ohio Lunatic Asylum"-and, in the month of November following, the Institution was organized, and went into operation under the care of the present efficient and valu able superintendent.
The ground belonging at present to the establishment, con sists of a tract of fifty seven acres. The buildings are a centre structure, ninety five feet eight inches in width, with a handsome ·columniated facade-and a wing on either side, ninety nine feet nine inches long, presenting an entire front of two hundred and ninety five feet--all three stories high, exclusive of the basement. (which is seven feet high,) and the attic. There are also two lodges in the rear, each eighty feet in length. All the buil<l..n.;;s
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are covered with tin, and are of brick, except the basements, (which are of cut lime stone,) and the cornices and architectural de�orations of the main edifice, which are of cut free stone. The entire cost of the buildings, including the work done by the con• victs in the penitentiary, (which constituted a large item in the account,) was $80,000. The Institution has been found to be capable of accommodating, properly, one hundred and forty five patients. From the urgent pressure <;>f applications in particular cases, a few more have been occasionally received.
The administration of the Institution is conducted by a super intendent, (who is its medical head, and has the entire care and supervision of all its departments,) an assistan\ physician, a steward, a matron, and the proper number of attendants, and other subordinates.
The usual annual appropriation for the support of the Institu tion is about $13,000. A further sum of about $3,000 is re ceived annually from pay patients, making an aggregate of about $1 o,000. This sum covers all expenses.
Tim laws in force, at present, in regard to idiots· and lunatics, like all the preceding acts, require the fact of insanity to be es taLlisbed by the verdict of a jury. The jury is required to set forth whether the person complained against "is an idiot, that is to say, a person naturally without mind;" "or lunatic;" "whe ther, in their opinion, he is so furiously mad as to render it dan gerous to the peace and safety of the community that he should be permitted to go at large;"-"whether he is a pauper, or has any estate, and the supposed value, and annual income of such estate"-and, also, whether the pauper has been a resident citi zen of the state a year. When it is desired to procure the ad-. mission of a pauper, who has been in a state of mental derange ment for a longer period than two years, "it shall be clearly proven that it would be dangerous to the peace and safety of the community for him to go at large;" and this fact, also, must be stated �n the verdict of the jury. The provisions in regard to the support and persons of the class not entitled to admission, and to the manage�ent of the estates of the insane, are substan tially the same as those formerly in force. Where "such person � a lu.natic" and a pauper, and has been a resident citizen of the
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state a year, and his disease is of not more than two years dura tion, or, in that event, he is so furiously mad as to be dangerous, it is required that a warrant shall be issued for his commitment to the asylum. If the person be not a pauper, the warrant is no� required to issue, unless it be demanded by those at whose in stance the trial was had. Upon the issuing of the warrant, if the person be a pauper, or furiously mad, the sheriff is required (unless bond be given for his safe keeping,) to commit him to the poor house of the county, if there be one, (unless he be specially directed to commit him to the jail,) and if there be no poor house, then to· the jail, and to make immediate application for his admission into the asylum. If he cannot then be recejved,
notice is to be given to an associate judge, if the person be a pauper, and if otherwise, to his guardian. The like notice is to be given by the sheriff, where a lunatic has been disdiarged from .the asylum "on account of the incurable nature of his malady." If the person be not "furiously mad," he is to be disposed of in the same manner as those not entitled to admission. If he be 'ljuri
ously mad," the associate judge is required (unless a sufficient
bond be given for his safe keeping,) to issue a warrant· for his commitment; whereupon, he is to be committed, as is required in the first instance. "A skilful physician" is to be named in the warrant, to attend him, and he is to be thus kept until re ceived into the asylum, discharged by order of the physician, or otherwise provided for, by the county commissioners.
No "idiot or person, naturally without mind," can be received into the Asylum. And those who are found to be incurable are required to be removed from it, unless they shall be "so furious ly mad as to render it, manifestly, dangerous to the peace anrl safety of the community that they should go at large." ".Pay patients" may be received "upon the certificate of two respecta ble physicians," when there is room for them; and "if, at any time, it shall be certified, by the proper authority, that the estate of such person is insufficient for his or her support in the Institu tion, after deducting from such estate the amount necessary for the maintenance of the family of such person, such person shall be supported in and at the expense of the Institution."
When the Asylum is full, the Superintendent is required "to keep a record of the name and date of each applicant;" and
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whenever a vacancy shall occur, "he shall cause notice to be given to the clerk of the Court of Common Pleas, of the proper county, that the first named on the list of applicants in the coun ty having the least number under the charge of the Institution, in proportion to the population, will be received, provided, that, in all cases, preference shall be given to paupers and citizens of the State of Ohio."
This Institution has now been in operation four years. Du ring that time, four hundred and eight patients have been received; one hundred and sixty five have been discharged, cured; eleven have been discharged, improved; forty three have been discharg ed a� incurable; and forty seven hav.e died. The whole number of rec�nt cases, as they are termed, (that is of cases where the disease was of less duration than one year,) is one hundred and seventy one. Of this number, one hundred and twenty two have been discharged with their faculties entirely restored. The proportion of cures, with reference to the whole number receiv ed, is 40.44 per cent. The proportion of the recent cases, is 86.05 per cent. It should be borne in mind that, until February, 1840, more than two years after the Institution went into opera tion, thflre was no restriction of admissions on account of the duration of the disease; and there is still none where its charac ter is such as to render it dan3erous to the community that the patient should go at large. Of course, many have been, and still are, received, whose cases are such as to preclude the hope of amendment. There are many in the Institution with whom the disease has been of many years duration, a large part of the time passed under circumstances the most unfavorable to future cure. Giving due weight to these considerations, the under signed are of opinion that the per centage of cures, upon the ag gregate number, is larger than could have been reasonably ex pected. The alleviaticn effected in many of the incurable cases, has, also, been very considerable. The per centage of cures, in both recent and chronic cases, will be found to compare favorably with the results in any other Institution.
The following table is copied from the report of the trustees of a sister Institution, with the necessary alteration of the items relating to this Institution, so as to include the two past years. It exhibits some interesting statistics in regard to the subject,
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and shows the comparative results in the Institutions named. It is hardly necessary to add, that those of our sister States are among the most successful and efficient in the country:
Asylums. Time. Percent. of cure, in rccenc cases. ln chronic cases. Percent. of cures
Dr. Burrows••···"
...
91.32 35.18 Vermont State, ..."
"
3 years 89. 28.02···
1840 88.20 28.05Massachusetts State••·•··
"
"
"
1833 to 1840 87.25 19.0.'J...
1840 91 .25 22.05Ohio State•-· ...
"
4 yrs '39 to '4i 86.05 35.63...
1840 88.63 41.17Bloomingdale . . .
. . . ...
m 1839 83.87 25.39 Retreat,"
Conn ..."
6 years 75.95...
4 years 91.60 25.83 The average number of cures in recent cases, according to this table, is 84.18 per cent.; that of the chonic cases, is 28.18 percent. "The term ''recent," is applied, in all the above mentioned Asylums, to cases of less than one year in duration, and "chronic" to all others, excepting in the Connecticut Retreat. In that In stitution, it is understood, the term "recent" is restricted to cases of less than three months duration."
It will be observed, that the results in the Ohio Lunatic Asylum, in recent cases, are more favorable than the average above men tione,I, while those in chronic cases are largely more so, than in either of the other Institutions mentioned.
The importance of early treatment cannot be too strongly urged. Believing that its further diffusion may do good, the fol lowing passage is extracted from the same report whence the
preceding table was taken:
M. Pine! states, "that more are cured during the first month of the disease than in any one of the succeeding; and that of the aver:ige duration, of those that are cured, is from five to six months. M. Esquirol and S. Luke give a longer period as the mean time of continuation. The former says, that of two hun dred and five females admitted at the Salpetriere, Paris, the greatest number of cures was effected in the two first years, and
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that the average was somewhat short of a year. The probabili ty of a cure after the third yea1· is considered as about one to thirty." "l have constantly observed," says Dr. Prichard, "that in the course of the .first month a very marked remission takes p}ace in the disease."
The whole number of insane in the State, as shown by the computation of the Superintendent in his last annual report, is six hundred and fifty.' Of this_nuruber,__it_is computed that at least three fifths, or three hundred and ninety, are of a character proper for admission into the Asylum.
The entire number of applications for admission, since the or ganization of the Institution, (a period of four years,) is five hundred and seventy one. The number of applications during the present year, is one hundred and sixty three. The num ber since the first of March last, is one hundred and nineteen. The entire number admitted into the Asylum, up to the present time, is four hundred and eight.
The whole number of applications rejected, since the institu tion went into operation, for want of room at the time they were made, is two hundred and sixty five. The number of such rejections, from the same cause, during the present year, is ninety eight. The applications now pending, and pressing, ex ceed this number. Those in whose behalf they are made will be received in their proper order, as fast as they are entitled to aJmission, and vacancies shall occur. The experience of the Institution has shown that such vacancies, arising from all causes, cannot be expected to exceed about one per week.
These facts lead the undersigned to call the attention of your honorable body to the expediency, and, indeed, as they view the subject, the necessity of enlarging the Asylum buildings, with a view to the reception of additional patients. ,.
A bill for that purpose was reported at the last session of the General Assembly, and passed the Senate, but was postponed in
the lower House. The plan contemplated, was· the addition of
a structure at the extremity of each wing of the present edifice, one hundred and fifty feet long by forty feet in width.
The following are a pa_rt of the considerations in favor of its immediate execut'ion:
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The pressing necessity of more room in order that those, in whose behalf applications are pending,tnay be received;
.It would render feasible a further classification of the patients than is now practicable;
It would secure the important benefit of early treatment to those for whose admission early applicatioµ shall be made;'
Most of the labor could be done qy the convicts in the Peni tentiary;
The expense of the administration of the. Institution would not be �aterially increased. 1
The necessity of this addition is scarcely less than that which demanded the erection of the present edifice. The afflicted class who need it can not ask for it, but their sufferings plead strongly for them. A voice of wailing, in their behalf, comes forth from a_ gloom deeper than that of "the valley of the shadow of death." It is filled with more than se,pulchral sadness. It asks that the anguish of these children of sorrow may be assuaged, and that their chains, the chains of a living death, may be broken. It ap peals to the hearts of their brother .nen,wno fia�-tlie power, and ~asks them to exercise it.
It is, pei'lrnps, too much the tendency of the spirit of the times to consider every thing as subordinate to money-getting and mo ney-saving, and to estimate the importance of every thing with reference to those objects. This is especially true of the usual course of legislative action. He who turns aside its streams from their accustomed channels, and makes them water the growth of benevolence, philanthropy, and the charities of human nature, .and thus contributes to prevent or relieve the sufferings of his
fellow men, renders to the cause of humanity a service too high to be estimated by any pecuniary standard, and one which can not fail to receive the· plaudits of his own conscience to his latest hour, and the lasting approbation of the wise and the good. The charitable institutions which this State has called into exis tence, and so liberally sustains, nobly illustrate her character, and prove that she has risen above the tendency alluded to. · She makes the deaf and dumb; the blind, and the insane, the especial objects of her care and sympathy. She has provided ample sem inaries for the instruction of those deprived of the blessings of
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speech and sight, in letters and the mechanic arts, and an asylum, with all the nesessary appliances, for the care and cure of those deprived of reason. It has been her aim to make herself, as far as practic:.1ble, the guardian and almoner of all wi�hin her limits, belonging to these aflhcted classes. She lightens their sorrows by making them her own.
What can be more cheering to the heart -0f the lover of his species-what fill his mind with higher views of the dignity of human nature-will@.f!can give a stronge-r imptdse to the spirit of patriotism, or kindle it with the ardor of more generous aspi• rations · than such a spectacle? They are to be pitied, whose hearts, while they contemplate it, do not swell with emotion.
The undersigned respectfully, bu't most earnestly, tommend to your better judgment the propriety of authorizing the irnmedi• ate enlargement of the Asylum bui1clings, upon a scale commen
surate with the wants of this afflicted class. In their judgment, it is almost next in impbrtance to the payment of the civil list, and the keeping of the frame-wo.rk ·of the government in proper action. . �
-The calamitous condition of those it would benefit can not be overstated.
There 1s no reason to believe that the number of sufferers will bee-0me less; on the contrary, there is every reason to believe that it will increase with the grnwth of our population. The general statistics of insanity show that •it is most prevalent where there is the highest refinement, a.nd the greatest intellectual culti vation and acti-vity. The liability of the brain to· the diseases which generate this fearful malady, is in proportion to the inten sity of the action to which it is subjected, and to the frequwcy and duration of such action. Hence it is found that no people are in more instances assailed by it, in all its forms, than the Anglo-Saxon race.
In the savage and barbarous states, arid 'in countrips where the
intellectual faculties are rendered torpid by the influences of des potism. gr ignofance, whatever may be th� number of idiots, in sanity is comparatively unknown.
The report of the Superintendent, and that of the treasurer, are annexed. The former will be found to contain many
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king and valuable statistics, and, as usual, much other interesting matter; and, also, several suggestions of modificatioi1s of the law in regard to the admission of patients, in which the undersigned fully concur. They
are-1, That the existing law be so changed that a preference may be given, where it is deemed ad vi sable, to recent cases. The im portarlc<l of early treatment has be�n already shown. If this �hange were made, it is believed th, i t "·I titution might be
made to a,ccomplish much more of goo
2., That where a patient has been discharged as cured, and there should be a recurrence of the disease, that he should be re committed to the Institution, upon the warrant of some proper authority, without all the formalities required in the original com mitment. This, it is believed, would be productive of a saving of nearly twenty dolbrs of costs in every case of the kind.
3. That the preference given to paupers should be taken away. They should certainly be put upon a footing of equality with "pay patients," but no sufficient reason is perceived why they should have the preference that IS given to them.
If the buildings should be enlarged, us proposed, the first and last of these modifications would be unnecessary, as the accom modations would then be sufficient for all our own citizens who ought to be admitted.
The undersigned beg leave, also, to call your attention to the necessity of making some further provision in regard to homicidal
cases. As the law stands, if the homicide be acquitted upon the ground of insanity, he cannot be committed without new pro ceedings with reference to that fact, as in other cases1 nor can
his co11jine,1,ent be thus procured, if his friends will give bond for
his safe keeping. This is, obviously, insufficient to insure the safety of the co,nmunity. Where this defence is set up, the ju ry should be required to state, in their verdict, the ground of ac quittal; and their finding should be deemed sufficient to warrant his commitment to the Asylum, and he should be kept there until every trace of his disease is removed.
The undersigned are enabled to bear testimony to the zeal, ability, and untiring devotion of the Superintendent, and to the fidelity and efficiency of all his subordinates; and, also, to the
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perfect police and management of the Institution. In these re• spec ts, they are aware of nothing that requires amendment. ·
All which is respectfully submitted.
S. PARSONS,
SAMUEL SPANGLER,
D. L. McGUGIN,
A. G. HIBBS,
�
N. H. SWAYNE,
Directors.CoLUlmus, O., December 6, 1842.
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.FOURTH
ANNU
AL
REPORT
OF the Superinrendent of the Ohio Lunq,tic As ylum, from November 15, 1841, to November 15, 1842, inclu sive.z
,.... w a, • C OQ " 3 !" g -- 5 36 F 7 26 M 8 31 M 10 30 M 11 ::JS F 13 48 F 17 38 F 19 36 M 20 43 M 25 43 M 2i 25 F 29 52 M 30 30 M 31 38 F 32 34 F 34 43 F "6 25 M 40 21 M 46 26 M 47 25 F 52 60 F 53 31 M 5(i 31 M 59 27 M 60 33 .F Married 1 Time of or d -• Single. a m,sswn, 1838. Married 4 Dec'r do 5 do Single 7 do do 14 do Married 15 do do 15 do do 17 do Single 19 do do 19 do do 25 do do 27 do 18 39. do 1 Janua ry do 1 do rlo 8 do do !) do Mrrrried, 11 do Single 13 do do 16 do do 1 Mar ch do 19 do Married 16 April Single 30 do do 3May do 10 do do 10 do Apparent form. Maniacal do Epiitptic do Homicidal Maniacal do do do do do do do do do do do do do do do Homicidal Epileptic do Maniacal Supposed cause. Abuse from husband Me asles Constitutional Kiele of a horse Puerpera l do Religioas excitement do do Masturbation Religious excitementMasturbation Exposure Masturbation Disappointmen
t Constitutional Unknow n Masi urbalion do do Tl! health Religious excitement
[ntemperance Constitutional Masturbation Constitutional
Durntion By whom before support'd. admission. 1½ years State Zl months do 28 years do 7 do do 13 m onths do lO years do 18 months do 3 years do 5 do do lO do do Unklwwn do 21 years do 3 do do 6 do do 8 do do 4 do do 4 do do 18 months Friends 13 do do 2 years State 10 do do 16 months do l0 years d0 6 -do do 8 do do Timcspem in the Conclition. Asylum. 47 months Stationary 47 do do 47 <lo do 47 do do 47 do Improved 47 do Stationary 47 do Im;iroved 46 do Stutionary 46 do do 46 do do 178 weeks do , 46 months do 46 do [mproved 46 do do 46 do do 170 weeks Stationary 46 months do 45 do Improved 14 do d:.> 44 do do 43 do do 43 do do 43 do do 135 weeks Station ary 12 m onth s do Prospect. Result. Incurable Remains do do do do do do do do do do do do do do do do do do do Discharged do Remains do do do do do do do Discharged do Remains do do do do do do do do do do
-do do Gied do Remains,f.
�62 30 .F do 64 37 F Widow 65 25 M Srngle. 68 31 M do 70 53 F do 73 26 M do 79 2fJ F do 83 30 F M.irried 86 33 M do 93 4,7 F Widow 94 41 F Married 101 51 M Single 102 29 M Married 112 36 M do 114 31 M S in g le 115 53 F . i \foiri ed 117 32 M Single 118 31 ' F Married 120 27 M Single 125 26 M ::,ingle 127 33 M do 135 49 F do 138 23 M do 140 33 M Widower 143 32 M Single 149 37 M do 15 3 27 M do 156 29 F do 158 38 M do 159 32 M do 16Q 45 M Married 161 48 F do 165 38 M Single 170 31 F Married 172 5G F do 17 4 58 F Widow 180 43 M :vr�rried 181 31 F do 19 do Epileptic 27 do Maniacal 28 do 8pileptic 1 June Maniacal 5 do :vielnncholic 6 do Maniacal �2 do do I July 1 do 8pileptic .Maniacal 4 do do 4 do do 13 do do 19 du do 28 do do 6 August do 11 do do 13 · do do 13 do Melancholic 2l do Maniacal 31 August ,\faniacal 2 Se-pt'r do 25 do do :30 do Epileptic 7 October Melanclaolic 17 do :vtaniacal 1 Nov'r. do 5 do 8pilepti c 12 do D emency 29 do Maniaca l 29 do Egilept ic 1 Dec'r Mania cal 3 do do 11 do Epilepti c 17 do Maniacal 18 do do 1840. I January Wela nchol ic 8 do 8pile ptic 8 do .\fonia cal Constitutional · Unknown Constitutional M·1sturbation Peen
nio ry distress Masturbation do Constitutional ollo.wcd fever
Disap1:,ointment Jealousy lntempernnce Unfortunate
marriage Unknown Disappointed !ova fealousv Hard stndv Excessive Grief MasturGat ion Disap;J<Jinted love do do Fear of povert y ':: onstitut iom,1 Exccssi ve grief. Disappoint"d love. Blow on the head Injury of the skull Ill usag e lntempern nr e Con�titutional Religious enthusiasm .,iatrimonia l perplexitJ Constitutional Unknow n Religious excitement Matrimonial trquble Indulgence of temper Abuse from husband 15 do 13 month s 17 y<!ars 18 months 15 do 7 do 8 do 20 years 4 do 9 do 2 do 11 do 10 months 12 do 7 years 13 do 14 do l do 5 do 3 years 7 do 6 months b years 15 mo nths 3 y ears . 9 do 13 do · 5 do 2 do 5 do rn months & yea rs
Puberty 15 months 4 years 2 year
s 14 do 2l do do 42-do Friends 154 weeks 3rate 153 do Jo 41 months do 155 weeks do 41 months do 152 weeks do 40 months do 40 do do 40 do do 40 do eo 40 do do 3'.) do do 39 do do 39 do do 38 do do 142 weeks do ;)tl mrrnths do 38 do Stntc 38 months do 38 do do 37 do Friends 122 weeks :3tate 37 months do 158 weeks do 36 months do 36 do do 36 do do 36 do do :G do do 35 do do 35. do do 35 do do 35 do do 35 do do 120 weeks do 34 months do 34 do do do do Recovered Di,charged 3tal ionary Die d Improve d Incurable t { e n rnins do do Discharged 3tntiona ry do Remains do do I )isd1a rged do do Remains do do do Impr oved do do ..;ra1ionary do do Improved do do Stationary do d<r do do do Improved do do do do do Stationary do Discharged do do Remains do do do Improved Incurabl e Re,r.ains w ;,tationary do do do c)o do Recovered Di scharge d Improved do Remnins t'tecovercd l) i ,scharged Furious In curable Re mains �tationar y do do do do do do do do do do do do do do do do do do do do lmproved do do do do do ',tationary In curable Discharge d do do · Remains Improved do do
.,
�
..
(/1""
00 "' Married El _,., !" or 0-Single. (!) , :, 18� 29 M Single 186 28 M do 194 4o F Widow 195 2G M Singl e 19 9 :,6 F Widow 201 4: 1 F Married 204 39 F Marriej 210 20 F Singl e 216 42 F Married 2:?t.J 43 F do 22] 36 IF do 223 29 F do 2:?6 48 M :3ingle 236 42. M do 23, 35 F Married 241 31 M Sing le 24( 36 F Married 24c 52 M do 25 (' 56 . M do 25f 24 F Single 25:C .22 M do 254 20 E ,Jo 25f 24 F do 258 42 M do 259 46 M Widower 260 24 F Married iltil 48 F Widow 263 34 F :Single i65 28 F do Time of ad missio n. 9 January 8 Feb'ry 14 March 14 do 20 do 22 do 21 April I May 23 do 29 do o Jane 13 do 20 do 2 Sept 5 do 8 .do 26 do I October 20 do � do 4Nov. 9 do 10 do 13 do 21 do 22 • do 25 do 5 Dec. 23 do c\pp arent form W;rniac alSpi]eptic �VIelancholic Maniac
al
do du
:vianiacal Epileptic Maoiaca
l do do do E:pi!.cptic Maniaca l do Monom aniac do
Melancholic Maniacal Melo
tlcho:ic Epileptic do do Maniacal do Melancholic Maniacal do Melancholic TABLE-Continued. Supposed cause, M as turrat ion Cons ti tut iona l Death of husband U11kno w n do Abase from husband
Unknown Ill health Puerpera
l do do do Constitutional Religious excitement D omes1ic trouble
Disappointment Puerperal Religious
despon den cy do excitem ent · do do Constitutional do
.
do Intense application Intemperance Unhappy marriageFright 1.:onstitutional Ill health
Durutiun before -admi ssfon 4 years 2 do 3 do 2 do Unknow n 3 years 3 do 6 m onths 4 vears 15 months 18 do _2 do 16 years 20 do 3 months 3 year s 4 mo nths · 5 do 3 ye nrs l4 month s Pub�rty do do 15 years JO months 2 years 11 months 10 yeors 6 months By whon · upport 'tJ
---- Friends State do do do do do do do do do do do do do do do do do do do do do Friends State do do do do
Time�peni in the Conditio n. Prospect. Result. AsJlum. 3,1 mon.ths Improved Incurabl e Remains 33 do c:itationu ry do do 32 do do do do 129 weeks do do D ischarged 32 months do do Remaips 32 do do do tJo 31 do do do do 31 do Improved Favorable do 30 do c:itationary In curable do oO do Improved Do ubtful do 30 do Stationary ITncurable do :JO do do do do
f
cO weeks do do Discharged 27 months Improved do Remains 71 weeks ;:,totionary -Died 107..do l{ecovered -Discharged 91 do do -do 25 months ImprovE'd Doubtful Remains 25 do ::ita tionor y Incurab le do 25 dQ Improved Do ubtful do 24 do Stationary Incurable do 24 do do do do Z4 do do do do 24 do do do do 24 <lo Improved do do 102 w eeks Recovered -Discharged 24 months fmprovcd Doubtfu l Re rna�ns 23 do do do do 23 do do do do270 35 M :Vforried 271 37 F oingle "'"215 31 F do
l
216 37 M \forried t< 277 26 M Single � 280 46 M \forried • 287 28 M 3in�le � 288 41 F Widow :<: 294 43 F Single 296 49 F Married 297 28 M :iingle 300 3fi M Married 303 46 M do 305 26 F do 307 �8 M Widower 308 52 F Widow 309 29 M 3ingle 310 28 F Widow 314 47 M Warned 316 42 M 3ingle 317 23 M do 318 22 F Married 319 �l M Widower 320 43 M i\'larried 321 46 F Widow 322 51 F do 324 44 F do 325 33 F Marrie d 326 33 M 5ingle 32 7 64 M W idowe r 32E $9 M Y,Iarried 330M
F do 33\ F Widow 332 F Married 333 23 M Single 334 22 M do 335 38 F M arried 336 45 M :iin gle 337 37 F Married 1841. 2 February 3 do 8 do 12 do 13 do 16 do 5 March 18 do 8May 18 do 26 do 8 June 1(i do 23 do 12 July 13 do 16 do 18 do 28 do 7 August 7 do 7 do 14 do 30 do 1 Sept. 2 do 11 do 13 do 13 do 20 do 23 do 28 do 6 October 7 do M do 15 do 16 do 16 do 23 do Maniacal do do do Moral Insanity Maniacal do do do do doMelancholic Maniacal Demency
do
Maniacal
do
Homicidnl Maniacal
do do do
Melancholic Epileptic !Vlelaucholic
do
Maniacal
do do do do do
Melancholic Dcmency Maniacal
do do do do Family trouble Disappointed love Unknown Religious excitement !\fosturbati on
[ntemperance Disappointment Puerperal Unknown Domestic
affliction
Exposure Unknown
do do Scandal Domestic
affiiction
Unlrnown Jealousy Intemperance
do III health do In temperance Constitutional Family trouble Excessi vc grief Religious excitement Puerpera l Foll owed fever
Constitutional Unknown Puerperal Fright Domest
ic affliction Disappointnl love Ill health Religious excitemeiu Consti tutional Puerperal 18 do 4 years 4 do 16 months 3½ years 4 months 3 years 9 do JO do 14 months 18 do 4 do 4 years 14 months 2 do 2½ years 1 do 1 do 13 mon ths 8 do
2 years 18 months 4 years 6 weeks 10 months 14 do 1 do 7 years !� do Unknown 10 years months � do 2 years 4 months 2
do 19 do 2 do 5 years
Friendl! .State do do do do Friends- State do do Friends State do do do do do do Friends 3tate do Friends S,tate do do Friends Stale Friends ::ltnte do friends :3tnte do !<'riends do State do Friends do
77 weeks] Improve d Died 22 months do Incurable Remains 22 do do Doubtful do 22 do do Incurable do , 22 do do Favorable do 22 do -do Incurable do 21 do do Doubtful do 21 do Stationary Incurable do 20 do do do do 20 do do do do 19 do Improved do do 18 do do Doubtful do 18 dp Stationary Incurable d,q, 59 weeks Recovered -Discharged 27 do Stationary
-Died 17 months Improved Incurable Remains 17 do Stationary do do 17 do do do do 16 do Improved Favorable do � 43 weeks Recovered -Discharged i:,, 22 do do -do 16 months Improved Doubtful Remains 15 do Stationary Incurable do 35 weeks Recovered -Discharged 58 do do -do 15 do do -do 19 do do -do 14 months Stationary Incurabl e Remains 14 do do do do 55 weeks Recovered -Discharged 14 months Improved Incur able Remains 45 weeks Recovered -Discharg_ed 14 months Improved Incurable Remains 9 do Stationa ry do Removed 14 do do -• do Remains 24 weeks Recove red -Disc!mrged 13 months Improved Incurable Remains 19 weeks Recovered -nischarged 27 do Stationary Incurable RemovedTABLE-Continued. !Z :i,. UJ Married Durution C (J'a Cl) Time of
s
SD ?< or Apparent form. Supposed cause. oefore O" Single. admission. adm ission --338 31 M Single 23 October Epileptic Constitutional 2� years 339 52 F Widow 26 do .\foniucal do 12 days 340 29 M Married 27 October Maniacal Tll health 1 mvnt h 341 23 M :Single 28 do Epileptic Constitutional 3 years 342 24 M do-28 do Moral Insanity Ill health 2 do 34:l 35 F do JO Nov Maniacal Anxiety and fatigue 2 months 344 38 F }iarried 6 Dec do Unknown 15 years 345 21 M Si1:igle 9 do E:pileptic Constitutional 16 do 346 24 M do 9 do Maniacal Intense application 2 weeks 347 47 M Married 30 do do Religious excitement 5 do 18•12. 348 47 M do • 10 January Maniacal Ill health 15 months 349 56 F do 19 do do Cons ti tlit iona l 2 do 3:,o 40 M do 22 do do Intemperance 6 do 351 33 M Single �5 do do MasturLmt1on Unknown 352 32 F Married 5 February do · Matrimonial perplexity 2 years 353 28 F :;i n g l e 9 do do Ill health 15 days 354 45 M Mai r ied 23 do · do Intemperance 3 month s 355 49 1'' do 1 March do Domestic trouble 6 years 356 23 F do 5 do do Intemperance Unlrnow n 35 7 23 F Widow 11 do do ,lander G tnonths 358 37 M Married 8 April [\fora! insanity Jealousy 12 do 35 9 40 F do 16 do Man;acal Anxiety and fatigue 2 do 360 40 M do 21 do do Intemperance 6 do 361 22 F do 23 do do Puerperal 2 week s 362 32 M do 30 do do Religious excitement 2 J'e1rs 363 30 F do 2 May do Domestic trouble 8 weeks 364 29 F Single 7 do do Ill health 1 year 365 23 F do 7 do do Intense application 10 months. Time spent By whom in the ,upport\l. Asylum. ---- Friends 13months do 15 weeks State 27 weeks do 12 months Friends 51 weeks do 15 do State l9 do do 19 do do 49 do Friends 26 do do [6 do do 13 do State 35 do do H do do '10 do Friends 22 do State 7 do do 37 do do 17 do do 20 do Friends 32 do State 9 do do 17 do Friends 18 do State 28 do do 12 do Friends 27 do State 27 doCondition. Stationary Recovered Recovered Stationary Recovery do Stationary do Improved Stationary do Recovery do Stationary do Recover
y Stationary Improved do Recovered Improv ed Stationary Recovery do
Stationary Recovered Stationary Improved
Prospect. Incur abl e - - Incurable
-
-
Incurable do Doubtful-
-
--
Incurab le do-
-Doubtful -
-
Favorable-
-
- Incurable - Doubtful
Favorable
Result. Remain
s
Discharged Discharged Remain
.s
Discharged do Remains 'do do Died do Discharged do Remains do Discharged Died Remains Died Discharged Remains Died Discharged do Remains Discharged Remains do � �
366 20 F do 10 do Demency Religious excitement 367 21 M do 11 dJ M:aniacal Expomre 368 40 M do 12 do Epileptic Const ii utional 369 28 F Married 12 do Melancholic Religious excitement 370 36 M Single 12 do Demoney Unknown 371 25 F Married 1'l do Maniacal Measles 372 23 F Single 25 do do Gunst i tutional 373 29 M do 25 do do do 374 20 F do 26 do M elancholic Religious despondency 375 15 F do 10 June Maniacal Rheumatism 376 29 F :vrarried 13 do do Domestic trouble 377 29 F Single 20 do do Ill health 378 34' M �farried 23 do do Tnternpcrnnce 379 22 M Single 23 do Melancholic Masturbation 380 40 M Married 23 do Maniacal [ntempcrance 381 30 F do 28 do Melancholic Religious desponden cy 382 26 M Single 9 July do do excitement 383 56 F Niarried 18 do Maniacal Constitutional 384 45 M do 26 do Melancholic Pecnniary embarrarsm't 385 35 F Widow 1 August Maniacal Constitutional 386 26 F Married 1 do do Puerperal 387 35 F do 3 do do Domestic trouble 388 26 M Single 7 do do Exposure 389 30 F Married 19 do Melancholic !II treatment 390 30 M Single 22 do Maniacal do 39 1 45 1' Married '25 do do Jealousy 39 2 23 M Single 26 do Melancholic Loss of property 39 3 23 M do 31 do Maniacal Ill health 39 4 52 F :vrarried 7 Sept do Unknown 295 51 F do 7 do Melan cholic Religiou s excitem ent 396 19 M Single 9 do M aniacal Unknown 39 7 27 M Married 12· do Meluncbo lic Religious excitement 398 17 F SiPgle 17 do l\faniac al Chorea 399 25 M d<> 19 do do Religious excitement 400 8G l•' Married 19 do Melan cholic JII health 40 1 35 M Single 27 do Maniacal Masturbation 402 30 M do 3 October Epileptic Constitutiona l 40 3 27 M Married 4 do Maniacal Unknown 40-1 20 M Single 10 do do do 8 do
6 do 12 years 3 montl1s 5 years 16 months 2½ years 2½
do 5 months I da 1 do 2 do 1 yea r 6 mo nths G do 2 do 2 yea rs 1 month 3 do 5 do 4 do 3 do 1 do 2 years 1 do 3 do 9 months 2 years 19 montbs 20 do 15 do 7 do 12 do 1 do 12 do 13 years 7 do 1 do 2 mont:is Friends 27 do Stute l9 do do 26 do do lG do do 26 do do 11 do do 23 do do 2'i do do 24 do do 22 do do 20 do Friends 21 do do 21 do State 18 do do 13 do Friends 19 do State 6 days Friend s 17 weeks c:ltat e 16 do do 16 do do 9 weeks do IO do do :o do do 12 do do 12 do do 12 do do 12 do <)o Jl do do 10 do do 10 do do 10 do do JO do do 9 do do 9 do Friend s 9 do do 7 do 3rnte 6 do LIO 6 do Friend s 5 do do <lo do Recovered -Discharged St.atwnary Incurable Re m ains Recovered -Discharged Sia tionary Incurable Remains Recuvered
-Discharged do -do Improved Doubtful Rem ains do Favorable do Recovered -Di,charged do -do lmproved Doubtful Remains do Favorable do Recovered -Discharged do -do do -do Stationary -Died Improved Favorable Remains do do do Recovered -Discharged --l do -do do -do do -do Stationary Incurable Remains Improved Favorabl e do do Doubtfu l do do do do do do do Stationary do do do do do do do do do do do do do do �mproved Favnrable do do Doubtful do Statio nary -do do [ncurable do Improved -do do Favora ble do-
Favorable-
-Result. Remains do do du � (7:)No
-
125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 110 141 142 143 144 145 146 147 148 TABU LAR STATEMENT, No. 2, SHOWING the number of recoveries and discharges from the 15th Nov., 1841, to the 15th Nov. 1842. > u.""
"' f" � -- F 50 22 M F 43 20 M 51 F F 34 44 M 21 ;VJ 56 F 28 M 42 i\l 34 F 4l M 34 F 28F 23F 25 F :JOF F 31 25 F 40 M 22 l� 28 F 40 M Married or Single. ---- \V-idow Sin�le Wiilow 3inte
Wi
ow
.Single do do Married do do Widow .Single Married .5ingle Widow Married do do do do do do ldo
Duration Species of in-Supposed Clause before sanity. admission. :Vrelancholy Excessive grief 14 m onths Mania [II health 2 years do Religious excitement 1 month Epilepsy Ill health Puberty Mania Constitutional 12 days do Anxiety and fatigue 2 months do Constitlltional 2 do do [JI health 2 c!o do Constitutional 2 do do Ill health 1 do Epilepsy do 6 week s Mania Unknown 13 mo nths do Intemperance 8 do do Puerperal 4 do do Ill health 15 day s do Slande r 6 mo nt hs do Measle s 16 do do Domestic trouble 8 weeks do Puerperal 5 month s De mency Unknow n 14 do Mania Intemp eranc e 6 do do Puerperal 2 weeks do Religious excitement 3 months do 6 Time spent By whom COST TO THE IJSSTJTUTJON. Remov-in the supper!-Asylum. ed. Cloth Dam- Board-Cash ad• Total. ed by. ing. age. ing. vanced.
-- ---15 weeks F1·iends -$45 00 -$45 00 Dnught 'r 22 do :State $7 00 -66 00 s10 or 83 00 Self 19 do do 4 02 -57 00 -61 00 Friends 122 do Friends -366 00 -36G 00 Father 15 do do -45 00 -4:, 00 Son 15 do do -45 00 -45 00 friend 19 do do�
-57 00 -57 OJ Brother 24 do State 3 00 -72 00 -75 0) Father 13 do Friends -39 00 -39 00 H'sb 'nd• 27 do State 4 00 -81 00 7 00 92 00 :ielf 35 do do 5 37½ -10 5 00 10 00 120 37½ Self 154 do Friends -462 00 -462 00 Brorher · 43 do Slate 2 37 ½ -129 00 10 00 141 37½ Self 91 do do 3 37½ -273 00 -276 37½ Husband 22 do Friends -66 00 -66 00 Brother 20 do State 1 50 -60 00 5 00 66 50 Self 11 do do 37½ -33 00 6 50 39 87½ celf 12 do do 1 62 ½ -36 00 -37 62½ Self 45_ do do 2 50 -135 00-
137 50 Husband 59 do do 6 50 -177 00 -183 50 do 17 do do 2 00 -51 00 7 00 60 00 Fri�nd 18 do Frif'nds -54 00 -54 00 Husband 16 do State -48 00 -48 00 do 35 Intemperance do do do 10 95 5 00 105 00 SC 121 45 Self 1 4 9 . 40M . do do do 6 do 13 do do 2 07½ 39 00 10 00 51 07'½ Self· -•R elapsed. l,.:l'°
M arried ;i, u. Species. of in-No
""
"' or � ?< Single. santty. ; - --150 29 M Single Monomania 151 26 F Vlarried Mania 152 26 M Sinale do 15 3 63 M Widow'r do 15 4 35 F Married do 15 5 45 F Widow Melancholy 15 6 22 M Single do 157 Z3 IVJ do Mania 1:\8 23 F do do 159 21 M do do 160 29F Married do 1/il 23 F do do 162 30F do Melancholy 16 3 29 M Single Mania 164 35 F Widow do 165 15 F Single .do..
'
TABULAR STAT E MENT-Con tinued. Duration Time spe nt By w ho m Supposed cause. before in th e support-ad mission. Asylum . ed. - ----Disappointed expect a 'ns 3 years 107 week s Sta e Puerperal 4 mo nths 9 do do Exposure , 1 do 10 do do Constitutional Unknown 55 do do Domestic trouble 3 mo nth s JO do do [<;xcessive grief 14 do 58 do do Masturbation 6 do 18 do do Ill health 2 years 51 do Frien ds Unknown 2½ do 23 do ::ltate 8xposure 6 months 29 do do Domestic trouble l do 20 ' d o do Unhap1;1y marriage 2 years 102 do do Religious despondency 2 months 19 do Friend s Disa1,poi11fed love 3 years 158 do ::ltate Constitutional 5 months ]5 do do Rheumatism 1 do 23 do do..
COST TO THE JNSTJTU TION. Cloth- Dam-ing. age. ---$25 75 -1 00 -1 00 -25 75 -4 67½ -7 93 -6 77 -1 50 -7 85 -44 77 -4 25 - Board-Cash ad-ing. vanced. Total. --- ----$321 00 $8 00 $354 75 27 00 28 00 30 00 3 00 34 00 16:j 00 -190 75 30 00 3 00 33 00 174 00 8 50 187 87½ 54 00 7 50 61 !j() 153 00 -153 00 69 00 8 00 84 93 87 00 50 94 27 60 00 6 00 67 50 306 00 --313 85 57 00 -57 00 474 00 5 00 523 77½ 45 00 4 50 53 75 69 00 -69 00 Remo, ed by ---Self Husban Friend :3elf Self ::lelf ::lelf Friend ::lclt ::lelf Sdf Uusban l<'riends Self Self c\Iother
d
..
TABULAR STATEMENT, No. 3, SHOWING the number, �c., discha rg ed b y order of the Directors, or removed at the request of friends, durin g the past year • Married l'ime spent Duration No Age :Sex. or Form of disease. in the before Single. Asylum. admission. - --42 40 F . Vfnrried Dernency 170week s 4 years 43 5� F Widow Melancholy 120 do 2 do 44 33 F )ingle Mania 129 do 8 do 4� 33 I•' do Demency 120 do 17 do �6 28 M .Vfurried Epileptic 144 do 8 do 4i 45 M )ingle do 80 do 16 do 48 36 F \forried Vfania 27 do 5 do 49 22 f do Deme:icy 178 do Unknown 5'o 29 M )ingle do 142 do 14 yenrs 51 22 F du do ]5 2 do 8 months 52 50 F do Melancholy 15� do 15 do 53 27 F \forried Demoney 37 do 2 years 54 22 M �ingle do 129 do 2 do By whom Time of supported. discharge. 184:2 State 18 April cto 21 do do 22 do do 22 do do 29 do do 30 do Friends 80 do State 6 May do 7 do do 7 do do 26 do Friends 28 June 3tatc 8 Sept'r Removed bySheriff do do do do do Husband St,erif
f do do do Father Sheriff' Cause of discharge. Harmless and incurable do do do do do do do do do do At the desire of friends Harmless and inL 'u rab l o do do do do do do At the desire of friends. By whom discharg'd By order of directors do do do do do do do do do do Removed By order of' directors do do do do do do Removed Harmless and incurable By order of directors
""
'""".
Married No Age 3ex.' or Single.-
--37 24 M Single 38 37 M Widower 39 33 F Married 40 45 M do 41 22 M Single 42 47 M Married 43 40 F do 44 23 F do 45 47 M do 46 26 M Single 4'i 34 M Marrie d.,
TABULAR STATEMENT, No. 4, SHO}VING the number of deaths, �c., during the past year. Durati on Time spent Species of Time of Supposed :,ause of By whom Immediate cause insanity death. before in the supported. of death. msamty. admission. Asylum. Epi!Eptic 1 Cons 6 year s 135 weeks State Epilepsy Demency Scan 2 m onth s 27 do do Dropsy Mania Dorn 3 do 71 do do Palsy doI,
lute, 3 do 7 do do lnanition Epileptic Cons 17 years 153 do do Epilepsy Mania 111 h, 15 months 16 do Friends Dysentery do Anx 2 <lo 9 do State do do Inter Unknown 17 do do do <lo Relif 5 weeks 26 do Friends do �tel'ncholy l 2 years 6 da ys State Tnanition Mania Fami 18 months 77 weeks Friends Marasmus g y Duration Condition of illness. ofmmd. -Stationary 3 months do 3 do do -do -do -do 10 days do -Improved 3 months Stationary 6 days do 6 months Improved i:,., I:.;/33
RECAPITULATION.
Novembe1· 15, 1842.
Whole number of patients admittea ... .... ... 40s
Males ... , ... ... 216
Females ... "···• 192-408
Old cases ... • ... . 237
Recent do. (less duration than one year,) .... ·•171-408
Paupers• ... 309 Pay patients ... , .. • ... •• ... •··· ... 99-408 Single ... 200 Married ... , .... ... • ... J69 Widows• ... •···"··"·· .. ··· · ... 28 Widowers ... 11-408 (Recovered•····• 165
I
Improved•··· .. • 11Whole number discharged, � Incurable•• .... . 41
\ Idiotic ... •··· 2
LDied···---·· · · 47-266
·whole number of old cases is- 1 . charg d d.
l
Recovered· ... 43 ncura e, ... .. • bl 50e ' Died .... •· •···· • 30-123
f � Recovered •· .. • 122
Whole number o recent cases I d' h isc arg d ncura e ... · bl 4
e '
Died • • ... • • 17-143-266
Per cent. of recoveries on all the cases discharged, ... .... ... 62.03
Per cent. of recoveries on all the old cases discharged ... 34,95
Per cent. of recoveries on all the recent cases discharged ... ••85.31
(Males ... . 74
I
Females· •··· 68-142 Number in the Asylum at the {end of last year,
I
Old cases ... • 119l
Recent do ... • 23-142(Males ... 30
Number admitted the present {
I
Females •· • •··· 35--65 year,5-ur. ASY.
l
Old cases .. ••• .. 30 Recent do••··· 35-65
34
Average number in the Asylum for the present year ... ; ... 145 Per cent. of deaths the present year••··· •· ... ... ... ,7.58 Proportion of deaths the present year• .. • ., ... 1 of 13 Per cent. of deaths upon the average number for four years ... " .. 9.16
l
Recovered .... •.. 41Number discharged the present 1 year, ncurable-•• •· • • 13
Died• .. ... ... .. 11-65 IRecovered•· ... 13
Number of old cases discharged I the present year, ncurable ... • 12
Died... 6-31
Number of recent cases d,s. 1 . �Recovered .... • 28 ncura e ... • bl 1
charged the present year, Died... ... 5-34-65
Per cent. of recoveries on all the cases discharged �he present year ... ... • •· •· ... 63.07 Per cent . of recoveries on the entire number of old cases dis
charged the present year, including 13 discharged by the
directors for want of room-0 00 0•• ··· .. . . .. . . ... . . ... . . ... . . .. . . . 41.93
Per cent. of recoveries on all the recent cases discharged the present year--••·... ... 82.35
Average per cent. of recoveries on all the old cases discharged in the three complete years... 35.63
Average per cent. of recoveries on all the recent cases dis charged in the three complete years••... 86.05
(Males••···· .. ·· 75
I
Females••· ... 67-142 Numberin theAsylumat the end �of the present year,
I
Old cases-- ... 115 LRecent do••·· 27-142 Of those remaining the prospect is as follows:Favorable for•• ... •·· • ... 13 Doubtful '' ... • 26
Unfavorable" · ... •···" ... 72
