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North Wales
County Lunatic Asylum
At the
end of the 1860s and beginning of the 1870s, Denbigh County Asylum cared
for just under 400 patients, more or less evenly divided by gender. In
his report to the Committee of Visitors for 1869, Dr George Turner
Jones, the Medical Superintendent, recommended that a Turkish bath be
built. He admitted that it had not yet been extensively used in the
treatment of mental disease, but that many patients had benefited from
its use for a number of physical complaints. He was asked to investigate
further and report back to the Committee.
The following year he reporte
that, with a colleague, he had
visited two asylums where Turkish baths had been installed and had been
most impressed. The first was in Cork, where they had been shown
around by Dr Power, and the second in Limerick. Dr Power thought that it
was most beneficial
in
almost all cases of Insanity, especially when combined with melancholia,
scrofula, and rheumatism, and especially in the early stages of
consumption, not only in arresting, but also in curing the disease.
They
also visited St Ann's Hydropathic Establishment at Blarney where they
discussed the use of the bath with several of the patients there. He
told the committee that 'when the prejudice against it subsides, the
Turkish bath will come to be found in all large institutions.
Furthermore, he reported that 'as a means of cleansing it is found to be
the cheapest mode adopted'.
This
last point carried the day for Dr Jones; the Visitors approved the
construction of a Turkish bath at a cost of £400. The Lancet was
scornful of the manner in which the decision was taken.
In the desultory discussion which preceded the adoption of this resolution, some extraordinary statements were made respecting the wonderful percentage of cures alleged to have been effected by the bath; but we miss in the arguments used, as well as in the medical superintendent's report which was the occasion of the discussion, any exact statement of the real scientific value of the Turkish bath in the treatment of insanity. Some of the Visitors appear to have desired such a statement before sanctioning the required outlay, but to have obtained only, in place of it, an assurance that the bath is found to be the cheapest mode that can be adopted as a means of
cleansing...
The
Visitors were invited to provide the journal's readers with a 'precise
report' on the results of using the bath after it had received a
reasonable trial.
In asking the
Visitors to approve the construction of a Turkish bath at the asylum, Jones had estimated the cost of the work
involved at £400. The actual amount was £397 6s. 6d. and the items comprising this total, which were noted in the annual
report for 1871, give us a clear indication of the relative costs of such work at that
time.
|
Turkish Bath Account |
£ |
s. |
d. |
|
Bricks, Tiles, Fire, Clay, [ie, fireclay], &c |
124 |
8 |
5 |
| Castings |
19 |
12 |
2 |
| Cement |
6 |
1 |
6 |
| Furnace Fittings and
Ventilators |
4 |
19 |
11 |
| Glass |
7 |
6 |
3 |
| Hot Water Tank |
9 |
0 |
0 |
| Iron Tubing, Valves, Locks, &c |
11 |
16 |
10 |
| Joiners |
28 |
15 |
8 |
| Lead |
16 |
12 |
9 |
| Masons and Bricklayers |
79 |
0 |
5 |
| Plasterer and Slater |
11 |
7 |
8 |
| Plumber |
1 |
19 |
3 |
| Slate, Slabs |
3 |
8 |
5 |
| Stone, Lime, Laths, and Hair |
16 |
4 |
2 |
| Timber |
55 |
1 |
3 |
| Upholsterer |
1 |
11 |
10 |
|
397 |
6 |
6 |
When
this report was presented, the Turkish bath had only been open for three
months so Jones can be excused for not having satisfied The Lancet 's
request for precision. Nevertheless, he felt confident that the bath
would produce good results, and that it had been valuable in several
cases of 'acute mania'. He was also 'fully persuaded' of its superiority
over warm water for cleansing. He continued:
This bath is much more
liked by the patients. Many had a great aversion to the ordinary one, so much so that persuasion and in some instances gentle
force was required to induce them to enter the bath. This has now almost entirely disappeared, and the pleasures of the baths are
eagerly sought for. There is also great economy in labour and water.
What is
not totally clear is whether Jones realised that removing the threat so
often felt by patients being persuaded by 'gentle force' to
cleanse themselves, had in itself a curative value.
The
asylum / hospital closed in 1995, but it is not yet certain whether the
Turklish baths remained in use until the end.
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