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Queen Mary and Westfield College Lo
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Abbreviations Contents Chapter 1 In
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Acknowledgments The list of those I
- Page 7 and 8: Chapter 1 Introduction: The Histori
- Page 9 and 10: to 'be interesting' rather than ana
- Page 11 and 12: paradigm of insanity' 9, and in ord
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- Page 17 and 18: Introduction Chapter 2 Visiting In
- Page 19 and 20: accessibility' ?12 It is not enough
- Page 21 and 22: would tend to verify the statements
- Page 23 and 24: ernors concerning the conduct of st
- Page 25 and 26: The Exhortatory Show And The Visito
- Page 27 and 28: een worn by the apprentices of Brid
- Page 29 and 30: more likely a patient was to receiv
- Page 31 and 32: e compared to Isabella's role in Th
- Page 33 and 34: egard the patients of Bethiem as th
- Page 35 and 36: theorists and moralists were accord
- Page 37 and 38: Lockean psychology on the Age of Re
- Page 39 and 40: of madness onto society more often
- Page 41 and 42: applied to visiting Bethiem. Thus,
- Page 43 and 44: always mischievous; and that 'if ev
- Page 45 and 46: a similar fashion, in The Changelin
- Page 47 and 48: Although the 8taff knew 'nothing ab
- Page 49 and 50: and the corners of her mouth raised
- Page 51 and 52: and to obtain most 'cause for laugh
- Page 53 and 54: periods, the 'Sport' often became r
- Page 55 and 56: For Anne Digby, too, public visitin
- Page 57: England and France went to consider
- Page 61 and 62: a year of its opening, he 'was so c
- Page 63 and 64: so contrary an effect' on him that
- Page 65 and 66: sympathy for 'those under such Dism
- Page 67 and 68: or woman 'of feeling'. From searchi
- Page 69 and 70: It was no mere coincidence that Tho
- Page 71 and 72: themselves', three years before thi
- Page 73 and 74: without the Direction of Reason and
- Page 75 and 76: expostutated, after outlining the s
- Page 77 and 78: e sad', indicates how little had ch
- Page 79 and 80: may well have been confined by in l
- Page 81 and 82: Tryon that visitors were allowed an
- Page 83 and 84: Tryon had alleged that I3ethlern wa
- Page 85 and 86: cells, and only 'afforded' the usua
- Page 87 and 88: Moorfields can have done little to
- Page 89 and 90: to the amelioration of such conditi
- Page 91 and 92: Sundays when visitors were barred 3
- Page 93 and 94: acco began to come into better favo
- Page 95 and 96: crusading endeavours to tighten lic
- Page 97 and 98: to have secreted nearly £12 in her
- Page 99 and 100: in four public newspapers and poste
- Page 101 and 102: adjustments had to be made to the b
- Page 103 and 104: carceral institutions447. If such d
- Page 105 and 106: Like Swift, Mackenzie, in his The M
- Page 107 and 108: Governors what a provocation naked
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observed a male patient leap on the
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to mental and physical health, and
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infirmaries, unless friends or rela
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The only question Carkesse records
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pots 'in the Spectators' Faces'522.
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y visiting 'the hospitals about thi
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Court dealt with both complaints in
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in excess of expenditure. By 1770,
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Hyde in 1781, and Jane Gibbs in 180
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whose immediate care they were573 D
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N N Uj I- LA 0 0 (n . 0 I U C CL I
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Fig. 2d Stone rigur.s o? '1s1ancho1
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Fig. 2g New Beth1en in Moorfields c
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- -,.----1 T 1fi' a - -4Ti L- I F1
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Pig. 2k View of Betbiern at Moorfie
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The fact of the matter is that hist
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emoved the artificial obstacles sta
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edding permitted' at I3ethlem is il
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semi-naked state. James Carkesse co
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when provided with them36. Benefact
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charged if their securities failed
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essaries were still 'wanting for th
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equired 'Sheeted Beds'. While 22% i
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deemed capable of looking after the
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subject of considerable censure in
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Indeed, there is very little direct
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vaults at most 100 . Generally in t
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or lousy 'Kennels' was viewed by ma
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concern for matters of hygiene and
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hospitals and prisons'. Moreover, t
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one means of subjugating the signs
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have supposed. Awareness of the nee
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and that the Committee regularly we
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lunacy, as a means of enclosing the
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of the darkness of Bethiem had as m
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the sober splendour of the hospital
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It would be erroneous to suggest, h
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the weather in contemporary medical
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Diet: feeding and starving the poor
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to Bethiem until 1708, by which tim
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to mechanistic theories of diseased
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in, the eighteenth century hospital
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D inner: Supper: Dinner: Supper: DI
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which was an intermittent source of
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What was missing from the Governors
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aged the Matron and Cook to 'scum y
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'every indulgence, which oeconomy p
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Bethlem, in 1692, that the care of
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seems at least to have acted as a s
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occupying patients after mid-centur
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of which Bethiem has been the great
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most other witnesses at the 1815/16
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Bethlem338 In the period before the
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number of Lunatikes' and of 'their
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with appropriate medicaments, and d
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Chains were imposed as a matter of
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against his physical or moral emanc
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a patient was restrained and of the
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ential, when viewed in the context
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unhealthy obstructions, and even at
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p[re]dudiciall to the said hospital
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cells throughout the period, and th
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apeutic/classificatory division of
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the Governors claimed (with an iron
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(agreeing to abate the entire sum o
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access (with the complicity of staf
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of Bridewell and Bethlem 'proposed'
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Fig. 3a City Surveyor, George Dance
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Pig. 3c g160 I, G -t ? Detail from
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Robinson and Robert Whytt, amongst
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Appointments, patronage, sa1arie an
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and accounting of patients' fees an
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independent right to govern the hos
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At the beginning of the eighteenth
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London for seven years when appoint
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sity, and had accompanied his fathe
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een well groomed for the Bethlem po
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despite his preparedness to serve w
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not succeed his master directly to
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attendance from that of other physi
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the hospitals by checking the Apoth
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medical attention might occasionall
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predecessors to absenteeism. With t
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however, and the assessment of The
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with the Apothecary, the size of hi
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apprentices and staff of Bridewell,
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Nurse had a 'great practice in the
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Bride, where he was resident, in su
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estates to comfortably bring in an
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his appointment'63. Therapy or negl
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those admitted to the hospital, was
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idiculed and censured by his enemie
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give presentations upon numerous po
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the conduct of numerous demonstrati
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can hardly have been expected to ab
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Indeed, hunter and Macalpine did so
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(including the hire of 'a Midwife'
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Lunacy', but also for her 'sore leg
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he had performed, his quantifying o
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physical injury to patients. One mu
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sertion of Teresia Constantia Phill
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part of the century, the Board cons
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a great deal of cause for practitio
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the patient', and claimed that, not
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assessment that 'very little of rea
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negative in the extreme. Rather tha
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The revolution represented by St. L
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introduction of the therapy of cold
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LO N- F—I _C)
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Table 4c: BETIILEM & BRIDEWELL APOT
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Introduction Chapter 5 The Rule of
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and most reviled of all, while 'Bed
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however, this ruling was to be inst
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of the office, than with the profli
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father's social standing; 'a grave
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Nicholson, Jewson and others, have
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and servants. During the seventeent
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Nixon had formerly been basketmen,
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mittee of governors, prompted by a
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than the rule at Bethlem. At St. Ba
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Male and female servants alike were
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active governor, while Joseph Arnol
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of interest on the Governors' part,
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discharge, without any sign of disa
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Bridewell'31. Inferior officers far
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instead of increasing staff salarie
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While Bethlem servants' wages remai
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almost expected that Stewards would
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With Bethlem's resiting and expansi
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servants to care for them; at 1:17.
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side the Porter, he was also suppos
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were paramount as never before. She
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Matron, three basketmen and a singl
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personall Attendance is required bo
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a result220. Indeed, there are indi
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Naturally, attendance was healthier
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careers. Basketmen were found guilt
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is unknown2as. Between 1700 and 177
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Thomas Willis, writing in 1672, cur
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punishment as counter-productive, b
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Katherine Goodfellow of 'abuses...d
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eminence as a place of cruelty towa
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abuse of patients by Bethlem staff
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instructed to 'locke her upp in one
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The period of Langley's Stewardship
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of supplementing staff's meagre wag
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forbidden repeatedly not 'upon any
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0Ø 0) WI;:!, w CO 0' 1 IC) EC1)
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- cr I- Cl) LO+ C,) 0 N- 0000000 (0
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0 co C C') 0 (0 (0 C C C (0 10 .o -
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Humphrey Withers Isaac Mount John H
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Table 5e: Bethlem Matrons (& Nurses
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Chapter 6 Patients, Obligors, and t
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als. The final section, on the subj
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weekly charge for patients, and the
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from 5/to 2/6 per week, a ceiling a
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insane, transferring or diverting m
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at the direction of Mr. Arnold, a g
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to Bethiem in 1654 at a weekly char
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compassion being eroded at the eigh
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Many obligors had, in fact, been mo
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(a friend of Tyson's and a writer o
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howse.. .[he] should have bene take
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in Figs 6d & 6e, which graph the se
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Prior to 1662, a year's residence h
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insane could be. The Bethlem Board
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acting on reports from persons unna
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abandonment of children described a
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handicapped105. It was the continue
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greater control over admissions aft
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ack home. When, for example, in 167
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Indeed, both Newell and Toote had b
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madhouses who complained bitterly o
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the appropriate action to be taken;
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other patients under severe threat
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to keep them at home or elsewhere w
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22 (or 22%) record that patients we
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desire for the cure of the afflicte
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the patient was provided for and 'r
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examine in any depth what the threa
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children & them Mischief'208. With
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numerous accusations of this nature
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one's own property was even less co
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ill of today attempt (or gain) acce
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1670-1762 after delivering letters,
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the scales of justice in the prison
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mirror on his accusers2 On the othe
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fined at Bethlem or elsewhere witho
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tunes earlier, such behaviour was l
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to look after them, but, if orphane
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members of the new Bethiem Committe
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and Bridewell. From the notorious b
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earthly, medical means. Moreover, w
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ate of female patients over male, f
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a similarly grim, if rather incompl
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months before her admission to Beth
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a temporary or exigency measure, un
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at Bethnal Green madhouse, and one
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hospital, over 22% of male admissio
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insensibility, to a prolonged, vege
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considered somewhat tautological. T
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did more for its public and paying
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0 '4— CI, C a) E I. a) (I) CI, C
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N.. 1 m '0 a' In (U U- U IA 0 U. Ii
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a' '0 (1) k4 '1 P'II 0 p 3' C X X C
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'ic) so 40 34 1' (0 icg 6g (,motIr)
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cc) 7ci 60 (0 - —2. Z-3 S-5 5-Jo
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w (0 E a) -D CC m 0 4-. '4- 0 C 0 -
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Table 6b: Occupations Iwhere record
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Table 6c: Patients' Occupations (wh
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Table 6d: Occupations (where record
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0 Q) Oi co ' ,- . I -- aci) (0 0, 0
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TABLE PE T ITI rs FOR A MISSION TO
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TOTALS 345 101-150km Place km Numbe
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ci) cci E ci) ccO ,T .r 'a) Ea Co 0
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C 0 Co Co E 0 CO CO cO -a-Cf) 1 0 C
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TABLEi(cQnt.l - DataOf Died' ______
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7b1e O csrRc FO& '!NCUMPLE' PATIENT
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TABLE PATIENTS' TOTAL JURATION OF S
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0 C,) 0 aa- 'I- 0 Cl) C) SI 0 F- 0
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4., '-4 El z 0p-I U) U) I-i ON
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\0 0 U) z 0 HU) U) H rL4r-4 0 U) U)
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ality of Bethlem's ancillary staff,
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function of extirpation, or was the
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• AppendiX 2a(ii) Grand Committee
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Appendix 2a(ii) continued t1 é i12
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H11RLRUIK METHODIST. To the Tune of
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:.L Appendix 3a(i) George Dance 'B
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Appendix 3b Prices & Composition of
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, Ii_ 6?Jd'4 L nLJ;:. — i %, t 3f
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KNOW all Men by ihefe Prefents, Tha
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It is necefarj the following Partic
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.!$ • 4,tJOy C4a14 — -- - T II
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7 Appendix 61 Certificate of settle
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Appendix 61(11 Letter from Sir Char
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ppendix 6m Petition for the admissi
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To the Right Worj7ipful the PR E S
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Appendix 6p Petition for the admiss
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6) Public Records Office:- PRO Kew
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John Gilbert, A Sermon Preached bef
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Thomas Arnold, Observations on the
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Thomas Dekker and John Webster, Wes
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the Real Art of Physick it self: an
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______ Things Plain and Weighty, Re
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James Yonge, The Journal of James Y
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Michael V. Deporte, Nightmares and
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W. L. Jones, Ministering to Minds D
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______ Was there a moral therapy in
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E. G. Thomas, 'The old poor law and