My Experiences in a Lunatic Asylum By a Sane Patient
Part 4
This acquaintance with my doctor and his ways was of a late date, when kindly nature had given me enough of returning strength to be able to hold my own in ordinary talk, with only occasional relapses into the light-headedness which survived the first long delirium, when habit had begun to dull the edge of my helpless fear, and robbed the hourly associations of my life of something of their unspeakable horror. I was then hopeless of escape, and had grown, I think, indifferent to it, as to all who were supposed to care for me I had apparently become an object of indifference. In the _morne désespoir_ which had utterly taken possession of me, I knew of no one to whom to appeal. Only those who had consigned me to the life could save me from it, and what was I to say to them? I was ill when they did it; I was ill still. Why should they be anxious to convict themselves of wrong, and of such wrong? And so in my misery I let the days go by without wearing myself out still more by idle effort, stupidly resigned
To drift on my path, like a wind-wafted leaf, O'er the gulfs of the desolate sea.
The few visitors who fell to my lot had of course accepted their own foregone conclusions about my condition, and every external appearance of the place was comfortable to the view. Under the paternal care of such a dear good old man, with such pretty scenes to look at, and such nice gardens to walk about in, and an hotel-like sitting-room of my own, I was obviously wicked if I was not very happy. Other visitors to that place there were, who might have taken another view of things. Two friends of mine, who had known me well in old days, came whilst I was there to see, as it happened, other inmates of the asylum. Both knew that I was confined there, and both desired to see me. One especially, who had his suspicions in the matter, made, as I now know from himself, every effort to make his way to me. But it was not permitted in either case, and I was given out as 'too ill' to see anybody. In the malady from which I was supposed to be suffering, the sight of an old friend's face might well be thought one of the best of possible prescriptions. I was not too ill. It was a lie. In all the facts of this piece of autobiography, I know of none more damning. The reports of my condition, and the changes of it, were to depend upon the doctors who lived on us, and the ignorant warders who took their first cue from them, and the three relatives who had taken upon themselves the responsibility for my imprisonment.
My first impressions about the 'principal' were funny. As I have said, I did not realise where I was. I did not know that I was in an asylum; I did not understand what the curious people about me were; the only living soul I knew in the place was the servant of whom I have spoken, whose presence there was perhaps partially the reason for my failing to grasp the situation. I had of course no ground for supposing that he was out of his mind, or means for understanding why he should quarter himself in an asylum. He assured me, I think, that where I went he would go, out of personal devotion. But as he took the opportunity of enrolling himself among the asylum-warders, and treated me with a curious brutality, happily limited by inadequate physical means to carry out his views--I was myself so wasted that a child might have maltreated me, and only a brute would--I must have my doubts upon the matter. It was with a strange sense of relief that one morn I missed him from the accustomed haunts, and learned that he had departed for India in charge of the black gentleman, who was translated _ad eundem_ elsewhere, I suppose, as some of us occasionally were. It is a comfort to reflect that the black gentleman was of a vigorous build, and capable of resenting impertinence. I hope that he availed himself of his opportunity, as the man-monkey did, and employed personal arguments. The fancies of my bewildered brain chased each other like shadows. Sometimes I thought that this odious being was Judas Iscariot (his surname remotely resembled the word 'Judas'); sometimes--when he had told me how fond he was of me, and I was trying to dwell upon the pleasant fact--that he was a brother of mine who had died in infancy, and come back to love me in the absence of anybody else. Chance likenesses were enough to invest any of the weird faces round me with a name and identity of my own making; and when at night thick-coming dreams of the most vivid kind--through all of which, I am told, my sleep seemed as placid as a child's--invested phantoms with such reality that I was unable to separate mentally the visions of the night from those of the day, the confusion of brain through which I lived may be imagined. I have attempted to describe how, in their shocking lack of human characteristics, some of my companions assumed for me the semblance of animals. About my own identity I felt puzzled, and was a good deal occupied in arguing out with myself who I might be, from various insufficient data. The state is of course very common in delirium, and was in my case very natural. A short time before, I had been the possessor of home, family, name, and friends; and at the time when I needed all these most, I suddenly found myself an unregarded cipher, a worn-out garment cast aside, as unowned as 'Jo' at his crossing, and robbed of man's right of freedom without the mockery of a trial, when imprisonment was a form of cruelty which needs a new name. So completely was I forgotten, that when at last I came to life again, it was to find a three years' arrear of unopened letters piled up in my old chambers, for which no one during my illness had even taken the trouble to inquire. They read to me then like messages from another world. Some favourite pictures and my writer's chair--the unambitious 'Law library' which I had once owned, and a set of handsome and valued Harrow prizes, had vanished altogether, and 'nobody' was to blame. It was the doing of a company, I suppose; but I had clearly no business to reappear upon the scene. I did not like it, though.
Knowing myself in keep and hold, and not knowing why, it was natural that I should invest the asylum with the attributes of a gaol. I have said that I expected to be handcuffed in the train; and when on the first evening a fierce-looking man rushed at me with a dark-blue ribbon, asked me what I meant by not wearing one, and declared, with a sense of personal offence, that I was 'not the least like my uncle,' I took him for the master-gaoler, and mentally christened him, 'Rocco,' in the odd dramatic vein which would run through my thoughts. This blue ribbon, worn in honour of the University boat-race, and the fact that one of my first memories is that I found a hot-cross bun placed by my bedside for breakfast, in sympathetic honour of One who died to teach us love and mercy, are the two things which enable me to fix with accuracy the date of my imprisonment as about the Easter-tide, now nearly four years ago. The terrible probation that followed seems to me now to have cut my life into two parts, as completely as I am conscious to myself of its having changed my whole character, and stamped and remoulded it in a new and other cast. Such furnace-fires as these must do so. They make the common trials of our race seem ludicrously small, and I find myself looking with a certain quaint wonder at people who talk to me of their hard experiences of life. With what a sense of gratitude I find myself unembittered--however justly and strongly resentful, where other feelings would be out of place--regarding my fellow-creatures from the pleasantest point of view, and the world generally in the light of the laughing philosopher, I cannot say. Trials are like pills. The taste depends upon how you take them.
I have been very frank with my readers about the strange fancies which took possession of my brain. No one of them who has known what it is to lie sick of a fever, or has ever seen others lying so, will be surprised to read of them. But in a lunatic asylum these common signs of a common illness are called 'delusions.' I was talking once, during my interval of freedom, over the position in which I was placed, with one of the three doctors who had vouched for my soundness of mind, who has justly won for himself a great name among those who have in worthy earnest studied the diseases of the brain, as far as it is given to man to study them. He spoke to me of private asylums with shrinking and with dread; and in my hypochondriac days had warned me as a friend of the dangers that might await me. 'Travel,' he said; 'do anything rather than give way. If once you find yourself in an asylum, Heaven help you!' And when I spoke to him later of the things that had been said of me, 'I know that word "delusions" too well,' said he, 'and the use that is made of it.' I did not, then. But when, after my final deliverance, I found myself accused by those who should have helped and shielded me in every way of being 'under delusions' as to their conduct towards me, I learned to know. I discovered this indirectly through others, and would not at first believe it. But it is true, like the rest of the story, and like the rest of the story is so set down. They say it everywhere, and they may be saying so still, and I have long known that they did not scruple to say it. There let that part of my subject end; for I sincerely trust that it lies outside of human experience. But it is a possible consequence, remember, of this abuse of law.
In the general state of confusion which, launched as I was into this very novel state of existence, took possession of my faculties, and seemed almost to supply a meaning and coherence to the old rhyme,
Supposing I was you, And supposing you was me, And supposing we all were somebody else, I wonder who we'd be!
the _raison d'être_ of the old physician puzzled me exceedingly. Sometimes I took him for a superior being in charge of the prison, sometimes for a divine, sometimes for the Evil One, and sometimes for a butler. When labouring under the last impression, I resented some question he thought it his duty to ask me, and his attempt to bar my peaceful passage from one room to another. I am afraid that I took him by the collar and put him against the wall--perhaps, under the circumstances, a pardonable excess. The assault was not dangerous. There was nobody living at that moment, I think, who could not have knocked me down with his little finger. But from that time I was regarded, and entered in the books, as 'homicidal.'
V.
A letter has reached my hands about these experiences of mine, written in a courteous spirit, but supplying so singular a comment on my story that I shall answer it here. It is from a specialist, who has obtained, I conclude, some eminence in the treatment of insanity; for it encloses for my study, in the form of a pamphlet, a presidential address on the subject delivered by him two or three years ago. With a few points in his letter I must deal, for they are as curious an instance of what schoolmen call the _ignoratio elenchi_ as I am likely to meet. 'The writer in the 'World,' he says, 'confesses himself in various passages to have been insane.' He suggests that I may possibly be 'merely a clever romance-writer;' but, deprecating my 'able onslaught on those medical men who have the dire misfortune to be engaged in lunacy practice,' adds that if my story is genuine I am 'bound to offer some suggestion as to the proper mode of treatment of the unfortunate victims of brain-disease;' and that as I have entered on a 'destructive course, I am in duty bound to finish by a constructive attempt.' Now for my answer. In the heading of this narrative, and throughout it, I deny distinctly, deliberately, categorically, that I have ever been insane; and I say that the fancies of delirium or hypochondria are as clearly to be distinguished from those of madness as midday from midnight, on a very little close observation, by every honest and unselfish mind. To send them to an asylum for treatment is the best way to turn them to insanity. I have been perfectly frank about my 'delusions,' for I remember them all, as had I been mad I should not. A man may doubt if he is in his mind or no; he cannot doubt whether or not he has been. The writer of the letter takes advantage of my having been in an asylum, as some of the friends who placed me there have done, to argue that I was mad. It is the favourite fallacy of the cart before the horse. It proves me to have been 'legally insane,' of course, and I give the phrase for what it is worth, with a contempt no words can measure. The doctors who made themselves the instruments of this wrong were two young village practitioners who never made any study of the matter, and one of them never saw me but five minutes in his life, when I was too ill in body to mark his face. Is this a state of law that should last? Is this a thing that should be let alone? Read some of Ruskin's 'Fors Clavigera,' gentlemen, and get rid of some of the selfishness which is the dry-rot of mankind, for which a placid acceptance of the wrongs of others is only another name. Scourge the money-changers from the temples, in the warrior-spirit of Him whose name we still bear. The very pamphlet before me speaks of nothing so much as of the special knowledge required in dealing with insanity; yet any two apothecaries may make a man mad in law. Let the very possibility of it be abolished. There is the first part of the reform which the writer wants me to suggest, for which in my first chapter I warned him and all others that they have no right to ask me. I am neither Home Secretary, Commissioner, next friend, nor medical man; and it is no answer for the author of a book to say to his critic, 'Come up and write a better.' '_Ne sutor ultra crepidam_,' quotes the writer in his pamphlet; and it is true of me as of him. It is only my clear duty to set down, in words that shall burn, if God will send them to me, the breathing thoughts that spring, too deep for tears, out of my terrible personal experience. For this is no romance, but a commonplace reality. I have said with whom the responsibility for the reform lies: with the Home Secretary and Commissioners, and with the leading men in law and medicine who allow these things to be. When Sydney Smith said that nothing could be done with a corporate body of men, because they have neither a 'soul to be damned nor a body to be kicked,' he may not have been as right in the first clause as in the last. Souls may one day prove as divisible as the electric light; and before the Court beyond, to which I, and others who have suffered like me, from our very heart of hearts appeal, it will be of no use to plead a limited liability.
I will go on with my suggestions of reform, though I am not bound to do so, for I believe the key to be simple. The lunacy laws are made in the supposed interests of relatives, not the sufferers themselves; and all is done to 'hush up,' not to expose. Why? There is nothing to be ashamed of in insanity; but in their utter selfishness friends shrink from the supposed consequences to themselves if the thing is 'talked about.' As if it could ever be anything else! The birds of the air will carry the matter; and all that these people gain by it is to have the increasing sect of the 'Head-shakers,' as a friend of mine has pleasantly christened them, tongue-wagging more and more behind their backs, and saying, 'Ah, poor people! madness in the family, you know.' And it serves them very justly right. I know these same Head-shakers well, and know well enough that they will never allow me to escape from the consequences of the past, such as they are. 'There was something in it, you know; he was very queer. _Pas de fumée sans feu_.' Proverbs are either the greatest lies or the greatest truths; and in 'society' certainly this is one of the first sort. I was caught in the act of laughing at a play of my own only the other day, and I hear that a head-shaker spoke of it at the Mutton-chops Club afterwards as a melancholy sign of my mental condition. They congregate much at some latter-day clubs, the members of this sect; and, in the absence of natural material in that way, they tell each other what to think, and then go home and think it. Applied to literary work, the result sometimes comes forth as 'criticism.'
Let no man, then, be imprisoned for insanity till his state has been fully and carefully observed for a certain time; nor then, unless the certificate has been signed by two, or _more_, well-qualified and practised men, one of whom at least should have known the patient well and long. Let private asylums, where it is in the interest of the proprietors to keep the patients as long as they can, be swept away. I have known the enrolment of new patients on their books--may the poor people be helped, and those who place them there forgiven!--cited with as much pride as that of new boys at a schoolmaster's. Let public asylums be substituted, where it is in all interests to have as few patients as possible, instead of as many, and to dismiss them as soon as may be. Let the harmless, of whom there is a large proportion, be kept out of asylums altogether. Who knows what cruel pain the associations of their life may hourly give them? Let publicity take the place of hushing up--which never did any good in the world whatever--to the fullest extent. Let the warders (whom I have postponed for the present in deference to their social betters) be carefully selected for character and kindness, and be what they should be--nurses of the sick. Let the Commissioners, if they are to go on existing, read their duty in a different way. Further, let severe criminal penalties attach to every abuse of the reformed Lunacy Law, and let every facility be given to the sufferer as against doctors, relations, Commissioners, anybody, be he great as he may. At present the law, with all its intricate machinery for good or ill, fights dead against us: with my correspondent's plea for the sensibilities of those engaged in this line of practice, I am not much concerned. They need not adopt it if they do not like, I suppose. They follow their profession for profit like the rest of us, and have no need to pose as philanthropists, or ask for sympathy. 'Il faut vivre' would be their best explanation of their work; and I know of no case in which the great Frenchman's answer would come with more crushing force, 'Monsieur, je n'en vois pas la nécessité.'
If these suggestions of mine, which I did not propose to offer, savour rather of the destructive, to use my correspondent's phrase, it is because destruction is the only reform possible; and to patch up the old system is like mending worn-out garments with older cloth. When reform, utter and complete, has been devised and carried out, insanity may be 'eliminated'--I quote the same writer again--more than he thinks; for a blessing may fall on men's efforts which seems very justly denied to them now. As long as this form of false imprisonment is possible, as long as scores of sane men and women are being maddened in private asylums, and hundreds of mad people being driven madder, insanity in England will not decrease. As for its proper medical treatment, I have nothing to do with it and nothing to say to it. I take up my correspondent's address at his desire, in the hope of learning something, and this sentence is among the first to catch my eye: 'Voisin says that in simple insanity he finds certain alterations in the gray matter of the cerebrum, consisting of minute apoplexies, effusions of hæmatin and hæmatosin into the lymphatic sheaths, infarctions, atheroma, capillary dilatations, and necrosis of vessels, and certain changes of cerebral cells.' Quite so. It may be all very true; but I can offer no suggestions as to medical treatment based upon these remarkable assumptions. When, shortly before my final removal, I was allowed to see a relation of mine at a town at some distance off, the principal objected to the permission being too often given, because conversation carried off too much white matter from the brain. I distinctly assert that he said 'white,' because, by connotation of the statement with Voisin's valuable remarks, it will appear that the 'gray' remained in my case unaffected. That neither hæmatin nor hæmatosin has been effused into my sheaths, that my capillaries remain undilated, and that I am proudly conscious of having escaped both atheroma and infarctions, I must ask my readers to accept my word. What abominable nonsense is all this! And how soon may such nonsense degenerate into evil. In another part of the same pamphlet I find the writer presently citing this Voisin's recommendation of the 'strait waistcoat' on the ground that the patients like it! There, I think, it is as well to lay the treatise down.
To take up again the thread of my personal story, I have described how I was called 'homicidal.' Where my 'voices' came from, to which I alluded in my first chapter, I never understood; for indeed I have not the faintest notion what they mean. They are used as a yoke-horse with 'delusions;' and being simply nonsensical, they admit of no possible answer. As far as I can remember, after old Diafoirus had asked me a variety of questions to find out the especial form of madness for which my friends had committed me to his tender mercies, and became naturally more puzzled as he went on, he suggested 'voices' as a last desperate resource; and I, being rather tired of the business, and having thus far been unable to admit a single 'symptom' propounded, jumped at the solution as being purely idiotic. I presume that I must have admitted that at times, when I am alone and doing nothing, I am able to fancy to myself the speech and address of absent friends. Heaven knows I needed the fancy there. It struck me as a harmless admission; and when I was once afterwards gravely informed that 'voices' are about the most dangerous and incurable sign of mental alienation, even in my extremity I could not help being tickled by the profound absurdity of the whole thing. 'Voices,' said my friend of the Inverness to me one day in a moment of confidence,--he too was able to discourse pleasantly enough of old college-times, poetry, and other matters when he chose,--'they are always bothering me about "voices," and I don't know what the devil they mean.' This man has been a hopeless prisoner for some time; but he was so far wiser than I that he only admitted to hearing voices indoors; I rashly allowed that I heard them quite as often out of doors as in. I hear them often when I am hungry, summoning me with much emphasis to my meals.