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“消化不良”、“诱惑”和“狂暴歇斯底里”:19 世纪 50 年代的报告、改革与爱尔兰收容所。

"Dyspepsia," "seduction" and "violent hysteria": reports, reforms and the Irish asylums of the 1850s.

机构信息

Department of Psychiatry, Trinity Centre for Health Sciences, Tallaght University Hospital, Tallaght, Dublin 24, D24 NR0A, Ireland.

出版信息

Ir J Med Sci. 2021 Feb;190(1):243-250. doi: 10.1007/s11845-020-02274-8. Epub 2020 Jun 6.

Abstract

While many countries developed asylums for the mentally ill during the nineteenth century, Ireland's asylum system grew faster than those elsewhere, was larger in size and was slower to decline. This paper focuses on two reports central to this process in the 1850s: the 1854 "Report on the status of disease" and the 1858 "Report of the commissioners of inquiry into the state of the lunatic asylums and other institutions for the custody and treatment of the insane in Ireland." In 1854, the "Report on the status of disease," based on the 1851 census, was published, co-authored by Dr. William Wilde, now best known as father of Oscar. Wilde, however, was also a prominent surgeon and author of works on medicine, archaeology and folklore. He was knighted in 1864 owing in large part to his work on the census, which highlighted an apparently high rate of mental illness with such diverse causes as "dyspepsia," "seduction" and "violent hysteria." Four years later, in 1858, the "Report of the commissioners of inquiry into the state of the lunatic asylums and other institutions for the custody and treatment of the insane in Ireland" added fuel to the fire by reporting that "the lunatic asylums of Ireland wear more the aspect of places merely for the secure detention of lunatics than of curative hospitals for the insane." Reform, it seemed, was urgently needed. This contribution examines these two key reports in the fevered, panicked context of Ireland's perpetual reform and expansion of its nineteenth-century asylums.

摘要

虽然许多国家在 19 世纪为精神病人设立了收容所,但爱尔兰的收容所系统比其他国家发展得更快,规模更大,衰退速度更慢。本文主要关注 19 世纪 50 年代的两份报告:1854 年的“疾病状况报告”和 1858 年的“爱尔兰精神病院和其他收容和治疗精神病人机构状况调查专员报告”。1854 年,基于 1851 年人口普查的“疾病状况报告”出版,作者是威廉·怀尔德博士(William Wilde),他现在最出名的身份是奥斯卡·怀尔德(Oscar Wilde)的父亲。然而,怀尔德也是一位杰出的外科医生,著有医学、考古学和民俗学方面的著作。他于 1864 年被封为爵士,这在很大程度上要归功于他对人口普查的贡献,该报告突出了精神疾病的高发病率,其原因多种多样,如“消化不良”、“诱惑”和“剧烈的歇斯底里”。四年后,即 1858 年,“爱尔兰精神病院和其他收容和治疗精神病人机构状况调查专员报告”更是火上浇油,报告称“爱尔兰的精神病院更像是关押精神病人的地方,而不是治疗精神病的医院。”改革似乎迫在眉睫。本文将在爱尔兰持续改革和扩张其 19 世纪收容所的狂热和恐慌背景下,研究这两份关键报告。

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