My Experiences in a Lunatic Asylum By a Sane Patient

Part 5

Chapter 54,311 wordsPublic domain

This idea of 'voices' was in my case a suggestion of the doctor's, thrown out innocently enough, perhaps, in the first instance; but it did me in my illness fearful harm. It may be felt by all who know how much, at the best of times, some old tune or scrap of odd verse will haunt and worry us, with what tenacity this fancy, once implanted, would take root and bud in a brain always active and imaginative, and then wearied and overworn by long weakness, and incapable of the brave effort by which alone such contemptible nonsense could be shaken off, amid its grotesque and terrible surroundings. Harried and bothered about fits, voices, delusions, white matters and gray; ill beyond belief, and longing for nothing but good food and rest, but 'watched' night and day; speculating what and who all these people might be; irritated by the doctors and insulted by the attendants--vigorously kicked by one of them one morning, I remember, when my hands were too weak to do their office, and I did not dress myself quick enough to please him--that I should be here now, sound and strong, I may well attribute to some Power above the selfishness of men, which will not suffer these infamies to go too far. After the usual fashion in such cases, the doctor of that place may now claim credit for my 'cure.' I will show, before I have done, how he cut himself off, by his own deliberate statement, from the possibility of claiming it. Over these 'voices' of his I brooded and brooded till they assumed some thing very like reality. I thought in my wretchedness of some dead and gone who would have shielded me from this with their lives, till their unforgotten 'voices' became at last a very part and parcel of my individual being, if a certified madman may presume to claim it. They comforted and yet they haunted me, till at last I can almost believe that they became to me guardian angels, like the 'voices' of Joan of Arc. Small chance would she have stood in the hands of British specialists. England might have punished her worse than by fagots if she had handed her over to them. For me, had I to choose again between the most painful death and another term of imprisonment in the asylum best beloved of the Commissioners, I should scarcely hesitate a moment in my selection of the first. These 'voices' of the doctor's creation were to be cast in my teeth again and again. One of the three questions vouchsafed me by a Commissioner, during the whole period, related to them; and when I say again what I said in my first chapter, that they are the worst piece of humbug of all, I believe that I speak the truth, which is difficult where all is humbug. I have his leave to quote here the words of a friend's letter written about this history of mine. He spent one night at this same asylum, upon a visit there to a 'patient': 'Well may you say there is but one thing that can enable a man to bear such a trial. I often wonder how I got through that night, and how it was I did not find myself between two keepers next morning. I am sure I heard voices enough, but they were holy ones.'

This friend, who was not allowed to see me, was on a visit to a brother of his, whom I have described as having interested himself in my release. He had first been spirited away to another asylum (from which he was afterwards transferred), when his brother was but a few yards distant, knowing nothing of what was being done. He knew his brother to be sane, maintained it throughout, and at last succeeded in releasing him. A few facts in the story are a good pendant to mine. The victim in this instance had been engaged in all the worries of an election, when some friend took him to consult an eminent mad-doctor, who owned a private asylum in London. The doctor said that he thought him out of his mind. My friend went and demanded his reasons. The answer was that throughout a long conversation he had shown himself perfectly reasonable and consecutive, but on going away he had taken up the doctor's hat instead of his own. Forcible as this argument was, it was not enough, even in the opinion of relatives, to shut the man up for. But on a later occasion he became excited about something, and the same authority was again privately consulted. No information was given to my friend; but early in the morning this doctor sent two keepers from his own asylum, ready to wait for the result of an interview between the patient and two doctors, suddenly sprung upon him (one an utter stranger), under whose certificates he was then and there removed. When my friend heard of it, he took steps at once, but found that he could do nothing. The law provides that the two certifying doctors shall not be partners. One of these was in the habit of taking the business of the other in his absence. 'This _was_ his partner,' said my friend, when looking about for redress. 'Not a _registered_ partner, I am afraid,' was the legal answer. The Common Law Procedure Act, I fear, has failed to abolish special pleading, or to efface from the lesser legal mind the delusion--may I use the word?--that the object of Law is to defeat justice.[1] For some time the prisoner remained in this asylum; and he so far justifies the Commissioners in their preference, that he describes that where I was confined, to which he was transferred, as good in comparison. In that other place he had no room of his own, and was herded, always, with all the mad indiscriminately. The only exercise they were allowed was within the walls of the grounds, the asylum being in London. He was denied pen and ink; but he saw the warders do such things that he contrived to pencil down some notes of what he saw, and succeeded at last in obtaining the materials, and writing to the Commissioners of what he had seen. 'We' were allowed to write to the Commissioners, if we found out our right. How many such letters we contrive to write, how many are sent if written, how many read if sent, how many acted upon if read, I do not know. In this instance these ordeals were all passed; for the Commissioners came, made an enquiry, and did--nothing. But the objectionable patient was removed to another place, where I met him during my second term. Sane patients must be in some respects a trial. I understand that my old doctor frankly complains that I was the greatest bore whom he ever had in his care, and I believe it; though at the close of our relations he did not seem too anxious to get rid of me. We saw very little of each other then, my fellow-prisoner and I, for it might have been awkward, but enough to recognise each other's sanity. His brother was working hard for him, and at last two impartial doctors were sent down from town to enquire into his case. 'We' have a right to demand that also, I have understood since; though how but by a miracle we can use that right, I do not know. When it is gained, of what service is it likely to be in such a place, prejudiced as the new doctors must naturally be,--over-anxious as the victim must be, who dares not be excited, and therefore natural,--painful as the cross-examination is? Nevertheless, in this case the two doctors, one of them famous in 'nervous' cases, certified this man to be sane, and left the certificate on record. It was kept back one month. I state the facts of this story upon my friend's authority, and by his permission.

[1] This episode is slightly corrected from the account as published in the newspaper in which it first appeared. I had understood that the partnership was between the asylum-proprietor and one of the doctors, in which I was wrong. The correction reads to me like Midshipman Easy's famous apology.

My friend worked hard without, as his brother did within; and the hard-earned freedom was won at last, it matters not to tell how. When I was myself freed, I travelled for some time with my old fellow-prisoner, and never saw in him one sign or trace of insanity. An eminent medical baronet, with a curiously suggestive name, who is rather a patron of the establishment, and occasionally 'diagnoses' a lunatic at an odd hour, had, a little time before, solemnly pronounced from the tremor of his tongue--a member which, from my own experience, is apt to tremesce when one is nervous--that he was bound to have something dreadful--it matters not what--within a month. However, it is now very many months, and he has not had it. Slang is expressive sometimes. 'Bosh!' The baronet is said to be infallible at 'diagnosing' from the tongue this especial malady, which failed to appear. My friend had no illness. But those people had shaken his nerves, as for a long space they shook mine. The wickedness was done. How many are there who, in the face of such truths as these, can dare to disbelieve in Him who says still as He said of old, 'Shall not my soul be avenged on such a generation as this?' It is all very well to go to church and 'say' prayers, to quarrel about the form of your faith, the colour of your clothes, the number of your bows. Religion is an active, not a passive, word; and, like revolutions, is not made with rose-water. Do something, somebody!

Let me close this chapter with my first escape, as my readers may be well tiring of my story. After some months of stupid unconsciousness, I was sent for change to the seaside _annexe_ of which I spoke. What the matron said, after the short time of quiet observation which was all I needed, has been told. What I felt when I learned from her where I was, I need not say. Very good for me was the association with her, who would rescue me from my companions and my warders, to take me out with her for a drive or a walk, in spite of the 'homicidal' tendencies of which she had been warned. By her a relation was summoned to see me apart from the associations of the asylum, who had never seen me at all since the wrong was done; and seeing, had no choice but to remove me, though every obstacle was thrown in the way, by the Commissioners even, who, shirking their own responsibility, accepted for a salary, are glad enough to throw it upon anybody. Very good for me also was the association with the young doctor, a son of the principal, and his wife, who lived in the next house in charge of the 'branch.' They had me in to sup or play whist with them in the evenings, and said as the matron said. The young doctor took it upon himself, in spite of orders, to let me sleep in my room unwatched and alone, for the first time for many months; and the relief was beyond words. 'I wish,' he said, in answer to one of my questions, 'that you would simply stuff all the food and drink you can get.' When I was again, after some months of liberty, remitted to the asylum, I heard that he had given up all connection with it, with the regret with which one misses a personal friend. But I think that I was glad to hear it, even then. He had a comfortable berth enough had he cared to keep it; but he preferred to buy himself a general practice and to go. I do not wonder. Shakespeare was not as right as usual, when he said that 'conscience doth make cowards of us all;' for there are some of whom it makes brave men. It is the worst of enemies; but it is the best of friends and the most easily conciliated, if we try in the right way. But I will moralise no more.

VI.

The Head-shakers have a formal vocabulary of their own, which, after a certain experience, one begins to know by heart. It is constructed on the simple principle of giving a bad name to everything. This story has been called 'sensational,' when it is simply true. When a direct description of things as they are is sensational, things as they are are not things as they should be. I am told, too, that the story shows much disregard for people's feelings. It certainly does for mine, which are sensitive enough, and have been outraged beyond belief. When men condescend to think a little less of their own feelings, and a little more of theirs whom they shut up alive, we shall be on the road to amendment. Meanwhile, if anything I have written has at all hurt the natural sensitiveness of any who has suffered as I have, I am very sorry for it. To other feelings in the matter I am less than indifferent. 'Let the galled jade wince, our withers are unwrung.'

These chapters are not intended to be read as what my friend of the pamphlet calls them--an onslaught on the medical men engaged in lunacy practice. They are an onslaught on a crying national sin, and all who favour it. Among the men in lunacy practice are men who abhor the system on which any man may be writ down mad. Among them I have myself found one of the best friends I have had. He was one of old standing. He saw me when I was nearly at my worst; but he did not shut me up. He took me to his own house, and poured in oil and wine, like the good Samaritan he is. After a few days' entertainment with his own family, and at his own table--and he would never have of me one penny for his infinite pains--he assured me, and my friends too, that I was only a hypochondriac bound to get well. He would have made me so, if I would have consented to stay with him, in spite of a certain faith in hydrate of chloral, which I wish he would abandon. 'Hell in crystals,' my defining friend has called it. (Perhaps I may add here that the relation who should know me best testified to my sanity with as little variation.) I well remember how this warm-hearted doctor carried me off under his own protest to see an eminent dietist whom I would consult, so completely had the occult qualities of eggs and cold mutton been worried into me, and almost shouted as he left the room, in answer to the stereotyped, 'I hope you are very particular about his diet,' 'Diet be strong-worded; why, the man is dying of inanition!' So I was. But I was restlessly bent on my own ruin, it would seem; and 'Tu l'as voulu, Georges Dandin!' was the burden of my earliest asylum-dreams. The rolling stone would only stop in the breakers at the bottom of the cliff; and I found no Sisyphus to roll it up again till I played both stone and Sisyphus myself. Why, however, I was thus hastily shut up without any reference to so skilled a friend, and without my seeing him, I do not know. It was of him that I was thinking when I suggested what I believe to be one of the most important and easiest of necessary reforms--that no man should be 'certificated' without the assent of at least one valuable authority who knows him well, after careful personal examination.

I have gone back again in my story, and a breath of sea-air will do it good. Imagine me with the matron again. The change from the asylum and its associations to the little house by the seaside was very good in its effects. It was so for others than me; for the madmen there, poor fellows, seemed to me gentler and better in every way than they were when I saw them in the larger place. The warders were there to watch them, but had to be quiet and suppressed in a private house, and simply lived down-stairs as servants live. The breakfasts and dinners at the neat table, pleasantly presided over by a womanly hostess, were a relief indeed after my previous experience. That they should have proved so, when only she and I held consecutive conversation, and the other guests either kept silence or distracted us by strange words and antics enough to unnerve anybody, shows partially, I think, what the life which they 'relieved' must have been. The poor singer of the 'Hey-diddle-diddle' beer-song was in the house, and his way of carving his bread with his knife and fork 'intrigued' me much till the matron told me where I was. There, too, was the good parsley-eater, who died of Bright's disease; and it was there, just after I left the house, that he died. Only two or three days before he had to sit down to dine with us; and I remember the kindness with which the matron made him lie down upon the sofa, seeing the suffering of which he knew not how to speak, and sent him to his bed. A short time before he had calmly looked me in the face across the table, and pledged me in the vinegar-cruet, which he emptied. His brother, a clergyman, dined with us on a visit, and looked at me, I thought, with some curiosity. What was I doing _dans cette galère_ struck more than one. Seen among the associations and scenes of the asylum, I believe that any one might perhaps have thought me unfit to be removed, so completely ignorant was I, in common phrase, whether I was on my head or my heels. Twice a day, in the regular course of things, were the seven or eight lunatics who composed the seaside colony marched out for a constitutional walk, with a pack of warders at their heels, in the direction opposite to the town and streets. Those walks were trying enough; at the asylum, among the country roads and lanes, they had been fearful. The matron saved me from them as much as possible, as I have said, with the most thoughtful and considerate kindness. She took me with her to hear the band upon the pier, and to stroll about with her, a prisoner on parole, among the holiday-makers of the popular watering-place; and those diversions, which seem dull enough in ordinary life, appeared to me quite exceptionally delightful. It was better when we talked of books and things and people; and what she said and wrote of me I have already told. In the evening she would rescue me from the rest to let me sup quietly with herself, when I did not go next door to supper or whist with the young doctor and his pleasant wife, who were in command of a detachment of female patients there. They, too, gave their opinion; and in the face of many remonstrances from quarters where I might least have expected them--in the face of the principal's opinion that I was a very dangerous person; in the face of her Majesty's admirable Commissioners, not one of whom I had to my knowledge so far seen, but who were well armed with the 'notes' of the warders--I was taken for the time away, and made a free man again. O spirit of Mr. Justice Stareleigh! 'Nathaniel, sir? How could I have got Daniel on my notes, unless you told me so, sir?' If the soldiers, sailors, tinkers, tailors, of the establishment had it down in their notes that I was mad, having been told so, to begin with, by their employers (who dilate on the delicacy of brain cases, yet trust the reports of ignorant men), how the deuce could I be anything else? Yet there was more than one of them, for all that, who did not believe it, and had the courage to say so. I will give no clue to their identities; for they might be dismissed retrospectively, if they are still in harness, for such a breach of duty. It would be the best thing that could happen to them, perhaps. The hardest part of the whole snare to me was, that I, who would not hurt a dog if I could help it, was represented as 'violent' when I was weaker than any dog. It was enough to deter any but the bravest and kindliest from trying to help me; and I have no choice but to suppose that that was the object.

But the 'violence,' and the rest of it, was too palpable a lie. The deliverance came. Over the months which followed before I came to be imprisoned again, matron and young doctor gone--good plants flourish ill in such a soil as that--I wish to pass as lightly as possible. They would have chiefly to do with home matters which have no place in such a story as this, and only concern consciences to which I would have nothing to say. I have done with them--let them alone. The period of my freedom lasted ten months. I spent the time in aimless wandering from place to place--among the bathers of Trouville and the playgoers of Paris, in the hotels and streets of London--in a fashion which would make a story by itself, were this the place to set it down. The shock with which I had learned what had been done to me had shaken to the centre what nerve the 'treatment' had left me. Night after night I did nothing but dream, dream, dream of the asylum and its terrors. The warders, whose faces I knew so well, were always behind me; the antics of the madmen were re-acted with merciless fidelity. The sense of utter helplessness in the hands of mad-doctors, which the experience had left upon my mind, would leave me neither night nor day. A traveller's chance allusion in my hearing to 'Bedlam let loose,' or a whimsical song about 'Charenton' in a French vaudeville, would drive me out of the station or the theatre in helpless fear of I knew not what. If a gendarme accosted me at night in the streets, I shook all over in the expectation of being removed to a French asylum. If I saw an advertisement relating to an asylum in a casual newspaper, it was to lay it down in terror. There seemed to me but one power in the world--the power of the lunacy 'law.' Such is the confidence which our vaunted system, which professes to know no wrong without a remedy, could inspire in one who needed its protection so sorely as I. In one respect its might was certainly vindicated, for, abroad and at home, I thought that it could reach me anywhere. I kept these fears of mine as much as I could to myself; for to talk of them might be, under the circumstances of my life, to be shut up at once again. But it was a fearful trial. I was utterly cowed and frightened, and I was afraid to face anyone; for I thought I read in every face a knowledge of my story. Except by an occasional desperate effort, I could force myself to meet no one. But ill as I was then, and full of fancies, not one of the old friends who saw me imagined in me a trace of insanity. That I know. In Paris especially I found one old literary friend, to whose rooms--from that odd thing called sympathy, I suppose--I was able to go more often than anywhere else, though seldom enough, Heaven knows! I have often wondered since what are his real thoughts in the matter. In theatres and hotels, in streets and in cafés, seldom allowing myself to sleep more than one or two consecutive nights in the same place, from the fear of being 'taken,' and, when I did stay, afraid of going to my room and then of leaving it--I dreed this dreary weird chiefly alone. And by the odd irony of the whole thing, this was the time when I was indeed nearest to madness, and really required careful watching; not that of warders or of repression, be it understood, but of the affection which is unhappily not made to order. I had been called suicidal and homicidal when I was no danger to anybody. Now thoughts of suicide did indeed take shape and form in my mind. In that there was no madness, for the impulse which madness supplies to carry these wretched thoughts into effect failed me always, and so saved my life. Yet there was not a day at last when I did not leave the house with the intention--if I could only find the needed courage--of bringing this impossible existence to an end. I knew that I was not going to die; but I believed that, after the line of treatment so shamefully adopted once, to save trouble, there was little chance of escaping a second condemnation if I did not die. And the event proved me miserably right. Have I not cause to say that I have no special call to spare the susceptibilities of others? I have no respect left for Pickwickian feelings--none.