Compare Pinel And Moral Treatment Of The Mentally Ill

During the 1700’s the jails were not only used to confine criminals, but they confined people with mental illness as well. People with mental illness were subjected to inhumane treatment, even when the individual was admitted

this thinking has been perverted by the propagation of ideas about contagion, dangerous, unpredictability, and lack of willpower, which are at the core of today’s prejudices against mental patients. (Guiman, pp. 21-22)

In early American history, individuals with mental illnesses have been neglected and suffered inhuman treatments. Some were beaten, lobotomized, sterilized, restrained, in addition to other kinds of abuse. Mental illness was thought to be the cause of supernatural dreadful curse from the Gods or a demonic possession. Trepanning (the opening of the skull) is the earliest known treatment for individuals with mental illness. This practice was believed to release evil spirits (Kemp, 2007). Laws were passed giving power to take custody over the mentally ill including selling their possessions and properties and be imprisoned (Kofman, 2012). The first psychiatric hospital in the U.S. was the Pennsylvania Hospital where mentally ill patients were left in cold basements because they were considered not affected by cold or hot environments and restraint with iron shackles. They were put on display like zoo animals to the public for sell by the doctors (Kofmen, 2012). These individuals were punished and isolated and kept far out of the eyes of society, hidden as if they did not exist. They were either maintained by living with their families and considered a source of embarrassment or institutionalized

The first colonists blamed mental illness on witchcraft and demonic possession. The mentally ill were often imprisoned or sent to poorhouses. If they didn’t go to one of those they were left untreated at their home. Conditions in the prisons were awful. In 1841, a lady named Dorothea Dix volunteered to teach a Sunday-school class for the female inmates. She was outraged with the conditions of the prisons that she witnessed. Dix then went on to be a renowned advocate for the mentally ill. She urged more humane treatment-based care than what was given to the mentally ill in the prisons. In 1847, she urged that the Illinois legislature to provide an appropriate

Hippocrates was the first to recognize that mental illness was due to ‘disturbed physiology’ as opposed to ‘displeasure of the gods or evidence of demonic possession’. It was not until about one thousand years later that the first place designated for the mentally ill came to be in 15th century Spain. Before the 15th century, it was largely up to individual’s families to care for them. By the 17th century, society was ‘often housing them with handicapped people, vagrants, and delinquents. Those considered insane are increasingly treated inhumanely, often chained to walls and kept in dungeons’. There are great strides for the medical treatments for the mentally

In Bly’s time, mental illnesses were not taken seriously. Bly described the asylum she was admitted to as overcrowded, cold, and dirty (ch. 7). It defeated the purpose of trying to give extra attention to those in need. It was easy to get admitted into an institution, but nearly impossible to make it out because the treatment was not treatment.

Evaluation and treatment of the mentally ill population has developed from confinement of the mad during colonial times, into the biomedical balancing of neurological impairment seen in these modern times. There were eras of mental health reform, medicalization, and deinstitutionalization sandwiched in between (Nies & McEwen, 2011). Regardless of the stage of understanding and development, communities have not been completely successful in dealing with and treating persons who are mentally unwell. Fortunately, treatment has become more compassionate; social and professional attitudes have morphed into more humanistic and

Before the 19th century in the American society, criminals were executed, whipped, and held in dark cells with little food and water. The insane wandered around asylums or were kept in tiny cells and were not treated properly. In incarcerations prisoners were worked without stopping and treated inhumanly. Reformers wanted to establish an official institution for the insane and the criminals that was humane. They believed that reform and rehabilitation was possible in a controlled environment. As part of the humanitarian reforms sweeping through America, asylums and prisons were created for criminals and the mentally ill. The importance of human perfectibility led some reformers to care for the physically and mentally ill. Many people lead this movement, including Dorothea Dix. She traveled the country visiting a large amount of asylums and prisons. Through Dix’s work and others’ the treatment of patients improved vastly.

Historians have traced mental health care back to as early as the 1500’s. At this time, families with mentally ill members kept them at home. They were treated as unwanted, out-of-place prisoners.

By the 1800s, physicians were able to establish that mental illness was connected to a biological disorder and that it could be triggered by different stressors in the individual’s life. They were also able to determine that there was more than one type of mental illness. After this discovery, people started shifting from mental asylums to mental hospitals that would allow the patients to receive specialized treatment that would positively benefit them in accordance to the specific mental afflictions they suffered from. Then, a psychiatrist was assigned to the patient so they could try to identify the stressors in their patient’s life and establish resolutions to eliminate the stressors.

Wright, D. (1997). Getting out of the asylum: understanding the confinement of the insane in the nineteenth century. Social History of Medicine, 10, 13

During the 1930s, there was limited resources and treatments for mental illness. Having a mental illness during these times meant that an individual was shunned from society and placed into over crowded institutions to treat their illnesses. In “The History of Mental Illness,” by Kimberly Leupo, “Families would often submit their elderly relatives

The mentally ill were cared for at home by their families until the state recognized that it was a problem that was not going to go away. In response, the state built asylums. These asylums were horrendous; people were chained in basements and treated with cruelty. Though it was the asylums that were to blame for the inhumane treatment of the patients, it was perceived that the mentally ill were untamed crazy beasts that needed to be isolated and dealt with accordingly. In the opinion of the average citizen, the mentally ill only had themselves to blame (Surgeon General’s Report on Mental Health, 1999). Unfortunately, that view has haunted society and left a lasting impression on the minds of Americans. In the era of "moral treatment", that view was repetitively attempted to be altered. Asylums became "mental hospitals" in hope of driving away the stigma yet nothing really changed. They still were built for the untreatable chronic patients and due to the extensive stay and seemingly failed treatments of many of the patients, the rest of the society believed that once you went away, you were gone for good. Then the era of "mental hygiene" began late in the nineteenth century. This combined new concepts of public health, scientific medicine, and social awareness. Yet despite these advancements, another change had to be made. The era was called "community mental health" and

In America, one in five adults has a mental health condition, a staggering statistic. Appreciatively, recovery is the goal in the mental health centers of 2017. Nevertheless, in the 1950s, patients were provided with inhumane treatments such as lobotomies. Ken Kesey’s novel, One Flew Over the Cuckoo’s Nest, provides an accurate portrayal of a psychiatric ward in the 1950s. The antagonist, Nurse Ratched, hopes her patients will not recover and manipulates them to gain authority. In contrast with the past, Nurses of the present day treat individuals with respect. Conduct towards mentally ill patients has changed since the 1950s in ways such as public attitude, medication, and

During the mid-1800’s the mentally ill were either homeless or locked in a cell under deplorable conditions. Introduction of asylums was a way to get the mentally ill better care and better- living conditions. Over a period of years, the admissions grew, but staff to take care of their needs did not. Asylums became overcrowded and treatments that were thought to cure, were basically medieval and unethical