Excerpt from Forty-Third Annual Report of the Trustees of the State Lunatic Hospital at Worcester: October, 1875
It is frequently one of the most trying features of insanity that the delusion exists in the mind of the patient that he is well, when, to those familiar with the subject, the delusion is so fearfully apparent. Friends of freedom and humanity, with kind hearts, good motives and mistaken views are Often filled with needless anxiety ln reference to this class of patients. This circumstance makes it specially incumbent upon those who have to do with the committal or detention Of patients in the hospital to act with due care and considera tion. The Trustees have endeavored to give such attention to their duties in this respect, that they can conscientiously assure those interested in the matter that no person has been allowed to remain in the hospital against his will an hour, unless, after the most careful consideration, the condition Of the mind of the patient seemed to require it.
A hospital which has been in Operation forty-three years, and which was the first state institution of the kind established in New England, naturally has many chronic and incurable cases. From its location, this hospital has yearly a large number of new admissions. From the fact that persons are Often disposed to keep their friends from hospital treatment longer than can justly be considered best, the health Of many of this class of patients sometimes becomes so much impaired that the rate of mortality seems large. These facts may, in some years, make the death-rate here seem unusually large when compared with that in other hospitals, but an examina tion and careful comparison through a number of years will show that the years in which the death-rate has seemed so are exceptional, largely dependent upon causes which Operate at times in every hospital for the insane, and which in one year may show results apparently favoring the idea of the healthfulness of the patients in one hospital over those in another, and in another year show a result entirely different.
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