Chapters in the History of the Insane in the British Isles - Part 5
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Part 5

Smith, in his "Ancient Topography of London," says--and the authority for most of his statements was Mr. Haslam[72]--"The men and women in old Bethlem were huddled together in the same ward." It was only when the second Bethlem was built that they had separate wards.

In Hollar's Map of London, engraved 1667, which gives the most distinct representation of Bethlem Hospital at that period, there are no additional buildings given, although we know they had been made. Nor are those inserted which were built on the site of the church in the centre of the quadrangle.

I have in the previous chapter spoken of Bedlam beggars, and would add here that they are represented as wearing about their necks "a great horn of an ox in a string or bawdry, which when they came to an house for alms, they did wind, and they did put the drink given them into their horn, whereto they did put a stopple." This description by Aubrey[73] ill.u.s.trates "Poor Tom, thy horn is dry!" in "King Lear." So in Dekker's "English Villanies" (1648) the Abram-man is described as begging thus: "Good worship master! bestow you reward on a poor man who hath been in Bedlam without Bishopsgate three years, four months, and nine days, and bestow one piece of small silver towards his fees which he is indebted there of 3 13s. 7d. (or to such effect), and hath not wherewith to pay the same but by the help of worshipful and well-disposed people, and G.o.d to reward them for it." "Then," adds Dekker, "will he dance and sing, and use some other antic and ridiculous gestures, shutting up his counterfeit puppet play with this epilogue or conclusion--'Good dame, give poor Tom one cup of the best drink. G.o.d save the king and his Council, and the governor of this place.'"

Bedlam beggars were so great a nuisance, even in 1675, that the governors gave the following public notice:--"Whereas several vagrant persons do wander about the City of London and Countries, pretending themselves to be lunaticks, under cure in the Hospital of Bethlem commonly called Bedlam, with bra.s.s plates about their arms, and inscriptions thereon. These are to give notice, that there is no such liberty given to any patients kept in the said Hospital for their cure, neither is any such plate as a distinction or mark put upon any lunatick during their time of being there, or when discharged thence. And that the same is a false pretence to colour their wandering and begging, and to deceive the people, to the dishonour of the government of that Hospital."[74]

I will now pa.s.s on to the close of the chapter of this the first Bethlem Hospital, with the remark in pa.s.sing that Charles I. confirmed the charter of Henry VIII. in 1638,[75] and will direct attention to the year 1674, when the old premises having become totally unfit for the care--to say nothing of the treatment--of the inmates, it was decided to build another hospital. The City granted a piece of land on the north side of London Wall, extending from Moor Gate, seven hundred and forty feet, to a postern opposite Winchester Street, and in breadth eighty feet--the whole length of what is now the south side of Finsbury Circus.

At the present time the corner of London Wall and Finsbury Pavement, Albion Hall, and the houses to the east, mark this spot, the grounds in front of the hospital being, of course, situated in what is now Finsbury Circus.

Smith's plates, in his "Ancient London," show the back and west wing of the asylum very well; and an elevation showing its front, which looked north towards what is now the London Inst.i.tution, is represented in an engraving frequently met with in the print shops. Circus Place now runs through what was the centre of the building. The building, intended for a hundred and twenty patients (but capable of holding a hundred and fifty), was commenced in April, 1675, and finished in July of the following year, at a cost of 17,000. It was five hundred and forty feet long by forty feet broad.

Of this building, Gay wrote--

"Through fam'd Moorfields, extends a s.p.a.cious seat, Where mortals of exalted wit retreat; Where, wrapp'd in contemplation and in straw, The wiser few from the mad world withdraw."

Evelyn thus records his visit to the new hospital: "1678, April 18. I went to see New Bedlam Hospital, magnificently built, and most sweetly placed in Moorfields since the dreadful fire in London."[76]

"Sweetly" was not an appropriate term to use, as it proved, for it was built on the ditch or sewer on the north side of London Wall, and this circ.u.mstance led to the foundations ultimately proving insecure, not to say unsavoury.

As the hospital was opened in 1676, it is noteworthy that it is now more than two centuries since the first large asylum[77] was built for the sole object of providing for the insane in England. This is the building in Moorfields so familiar to our forefathers for nearly a century and a half, and known as Old Bethlem by print-dealers, and, indeed, by almost every one else; for the memories and traditions of the genuine Old Bethlem, which I have endeavoured to resuscitate, have almost faded away. Indeed, in 1815, when one of the physicians of the hospital (Dr.

Monro) was asked, at the Select Committee of the House of Commons, whether there had not been such a building, he replied that he did not know.

Let me bring before the reader the condition of Moorfields in those days. Finsbury was so called from the fenny district in which it lay.

Skating was largely practised here. In the old maps Finsbury fields lie on the north-east side of Moorfields. Now Finsbury Circus and Square correspond to the site of a part of Moorfields. Formerly Moorfields extended up to Hoxton, "but being one continued marsh, they were in 1511 made pa.s.sable by proper bridges and causeways. Since that time the ground has been gradually drained and raised."[78]

It was a favourite resort for archers. An a.s.sociation called the Archers of Finsbury was formed in King Edward I.'s time. There is an old book on archery, ent.i.tled "Ayme for Finsbury Archers," 1628. An anonymous poem in blank verse, published in 1717, ent.i.tled "Bethlem Hospital,"

attributed to John Rutter, M.A., contains the following lines, referring to the appropriation of the ground for drying clothes:--

"Where for the City dames to blaunch their cloaths, Some sober matron (so tradition says) On families' affairs intent, concern'd, At the dark hue of the then decent Ruff From marshy or from moorish barren grounds, Caused to be taken in, what now _Moorfields_, Shaded by trees and pleasant walks laid out, Is called, the name retaining to denote, From what they were, how Time can alter things.

Here close adjoining, mournful to behold The dismal habitation stands alone."

The following is the description of the building given by Smith in his "Ancient Topography of London":--"The princ.i.p.al entrance is from the north, of brick and freestone, adorned with four pilasters, a circular pediment, and entablature of the Corinthian Order. The King's arms are in the pediment, and those of Sir William Turner above the front centre window.... It certainly conveys ideas of grandeur. Indeed it was for many years the only building which looked like a palace[79] in London.

Before the front there is a s.p.a.cious paved court, bounded by a pair of ma.s.sy iron gates, surmounted with the arms of the Hospital. These gates hang on two stone piers, composed of columns of the Ionic Order, on either side of which there is a small gate for common use. On the top of each pier was a rec.u.mbent figure, one of raving, the other of melancholy madness, carved by Caius Gabriel Cibber. The feeling of this sculptor was so acute, that it is said he would begin immediately to carve the subject from the block, without any previous model, or even fixing any points to guide him. I have often heard my father say that his master, Roubiliac, whenever city business called him thither, would always return by Bethlem, purposely to view these figures" (p. 32).

Under an engraving of these figures, drawn by Stothard, are the lines:--

"Bethlemii ad portas se tollit dupla columna; ?????a t?? e?to? ?? ????? e?t?? e?e?.

Hic calvum ad dextram tristi caput ore reclinat, Vix illum ad laevam ferrea vinc'la tenent.

Dissimilis furor est Statuis; sed utrumque laborem Et genium artificis laudat uterque furor."

_l.u.s.tus Westmonasteriensis._

Pope, in the "Dunciad," thus spitefully refers to them in connection with the sculptor's son, Colley Cibber, the comedian:--

"Close to those walls where Folly holds her throne, And laughs to think Monro would take her down, Where o'er the gates by his famed father's hand Great Cibber's brazen,[80] brainless brothers stand."

Nettled at being made the brother of two madmen, Cibber retaliated in a philippic upon Pope, which it is said (with what truth I know not) hastened his death.[81] It was ent.i.tled "A letter from Mr. Cibber to Mr.

Pope, wherein the New Hero's Preferment to his Throne in the 'Dunciad'

seems not to be accepted, and the Author of that Poem His more rightful claim to it is a.s.serted.

----'Remember Sauney's Fate, Bang'd by the Blockhead whom he strove to beat.'

_Parodie on Lord Roscommon._

London, MDCCXLIV." And certainly Pope died a few months after, May, 1744. It is, however, highly improbable that he would in the slightest degree care for this letter, though he might suffer some remorse for his spiteful attack on so good-natured a fellow. Cibber says in this letter that people "allow that by this last stale and slow endeavour to maul me, you have fairly wrote yourself up to the Throne you have raised, for the _immortal Dulness_ of your humble servant to nod in. I am therefore now convinced that it would be ill-breeding in _Me_ to take _your_ seat, Mr. Pope. Nay, pray, Sir, don't press me!... I am utterly conscious that no Man has so good a Right to repose in it, as yourself. Therefore, dear, good good Mr. Pope, be seated!... Whether you call me Dunce or Doctor, whether you like me, or lick me, contemn, jerk, or praise me, you will still find me the same merry Monarch I was before you did me the Honour to put yourself out of Humour about me," etc.

These figures, now banished to South Kensington Museum, and there incarcerated at the top of the building, and only seen by special permission, are, of course, quite unsuitable for the entrance of the hospital, but I would plead for their being placed somewhere in Bethlem, their natural _habitat_. As works of art, the governors and officers cannot but be proud of them. I suppose, however, their banishment is intended as a public protest against the old system of treatment which one of them exhibits, and from this point of view is no doubt creditable. I would here observe that the figure of the maniac is superior to that of the melancholiac, whose expression is rather that of dementia than melancholia. I think that when Bacon, in 1820, repaired this statue, he must have altered the mouth, because, in the engraving by Stothard, this feature, and perhaps others, are more expressive.

At Bethlem Hospital there were also certain gates called the "penny gates," and on each side of them was a figure of a maniac--one a male, the other a female. "They are excellently carved in wood, nearly the size of life, have frequently been painted in proper colours, and bear other evidence of age. It is reported they were brought from Old Bethlem. In tablets over the niches in which they stand, is the following supplication:--'_Pray remember the poor Lunaticks and put your Charity into the Box with your own hand._'"[82]

There was a portrait of Henry VIII. in the hospital, which was also said to have been brought from the first Bethlem. A portrait is now in the committee-room of the hospital.

The "penny gates" refer, no doubt, to the custom of allowing Bethlem to be one of the sights of the metropolis, the admission of any one being allowed for a penny, by which an annual income of at least 400 was realized. The practice was discontinued in 1770. This amount is, however, probably exaggerated, as it is difficult to believe that 96,000 persons visited the hospital in the course of the year. Ned Ward, however, from whom I shall shortly quote, says the fee was 2d. in his time. If so, 48,000 may be about correct.

In the "Rake's Progress," Hogarth represents two fashionable ladies visiting this hospital as a show-place, while the poor Rake is being fettered by a keeper. The doctor, I suppose, is standing by. The deserted woman who has followed him in his downward course to the hospital is by his side. The expression of the Rake has been said to be a perfect representation of

"Moody madness laughing wild, amid severest woe."

A maniac lying on straw in one of the cells is a conspicuous figure.

There is a chain clearly visible.

In another cell is a man who believes himself a king, and wears a crown of straw.

An astronomer has made himself a roll of paper for a telescope, and imagines that he is looking at the heavens. The patient near him has drawn on the wall the firing off a bomb, and a ship moored in the distance. Ireland, in his notes on "Hogarth," says it was to ridicule Whiston's project for the discovery of the longitude, which then attracted attention, and had sent some people crazy. Then there is a mad musician with his music-book on his head; a sham pope; and a poor man on the stairs "crazed with care, and crossed by hopeless love," who has chalked "Charming Betty Careless" upon the wall. One figure looks like a woman, holding a tape in her hands, but is intended for a tailor.[83]

There is in Mr. Gardner's collection a print representing the interior of one of the wards of Bethlem about the year 1745, when the hospital, therefore, was in Moorfields. There are manacles on the arms of a patient who is lying on the floor, but there are none on the legs, as represented in Hogarth. With this interior, kindly placed at my disposal by Mr. Gardner, the reader can compare an interior of the existing inst.i.tution, from a photograph, for the use of which I am indebted to the present medical superintendent, Dr. Savage. The artist of the former picture has evidently aimed at giving as pleasant an impression as possible of the care bestowed on the inmates of Bethlem, but the contrast is an interesting commentary on the past and present appearance of an asylum gallery.

[Ill.u.s.tration: WARD IN BETHLEM HOSPITAL ABOUT 1745.

_Print in Mr. Gardner's collection._] [_Page 74._]

[Ill.u.s.tration: WARD IN BETHLEM HOSPITAL AT THE PRESENT DAY.

_From a Photograph._] [_Page 74._]

In a poem bearing the t.i.tle of "Bedlam," and dated 1776, the writer, after bestowing praise on the building, adds:--

"Far other views than these within appear, And Woe and Horror dwell for ever here; For ever from the echoing roofs rebounds A dreadful Din of heterogeneous sounds: From this, from that, from every quarter rise Loud shouts, and sullen groans, and doleful cries; * * * * *

Within the chambers which this Dome contains, In all her 'frantic' forms, Distraction reigns: * * * * *

Rattling his chains, the wretch all raving lies, And roars and foams, and Earth and Heaven defies."

Ned Ward, in his "London Spy," gives a graphic account of his visit with a friend to Bedlam:--"Thus," he says, "we prattled away our time, till we came in sight of a n.o.ble pile of buildings, which diverted us from our former discourse, and gave my friend the occasion of asking me my thoughts of this magnificent edifice. I told him I conceived it to be my Lord Mayor's palace, for I could not imagine so stately a structure to be designed for any quality interior; he smiled at my innocent conjecture, and informed me this was Bedlam, an Hospital for mad folks.

In truth, said I, I think they were mad that built so costly a college for such a crack-brained society; adding, it was a pity so fine a building should not be possessed by such who had a sense of their happiness: sure, said I, it was a mad age when this was raised, and the chief of the city were in great danger of losing their senses, so contrived it the more n.o.ble for their own reception, or they would never have flung away so much money to so foolish a purpose. You must consider, says my friend, this stands upon the same foundation as the Monument, and the fortunes of a great many poor wretches lie buried in this ostentatious piece of vanity; and this, like the other, is but a monument of the City's shame and dishonour, instead of its glory; come, let us take a walk in, and view its inside. Accordingly we were admitted in thro' an iron gate, within which sat a brawny Cerberus, of an Indico-colour, leaning upon a money-box; we turned in through another Iron-Barricado, where we heard such a rattling of chains, drumming of doors, ranting, hollowing, singing, and running, that I could think of nothing but Don Quevedo's Vision, where the lost souls broke loose and put h.e.l.l in an uproar. The first whimsey-headed wretch of this lunatic family that we observed, was a merry fellow in a straw cap, who was talking to himself, 'that he had an army of Eagles at his command,' then clapping his hand upon his head, swore by his crown of moonshine, he would battle all the Stars in the Skies, but he would have some claret.... We then moved on till we found another remarkable figure worth our observing, who was peeping through his wicket, eating of bread and cheese, talking all the while like a carrier at his supper, chewing his words with his victuals, all that he spoke being in praise of bread and cheese: 'bread was good with cheese, and cheese was good with bread, and bread and cheese was good together;' and abundance of such stuff; to which my friend and I, with others stood listening; at last he counterfeits a sneeze, and shot such a mouthful of bread and cheese amongst us, that every spectator had some share of his kindness, which made us retreat."[84]

Many other dialogues with the inmates of Bedlam are given, but they are evidently embellished, or altogether fict.i.tious; true as I believe the description of the building and the uproar within to be.

Mr. Harvey, from his recollections of the hospital in Moorfields, in the early part of this century, thus writes in 1863: "When I remember Moorfields first, it was a large, open quadrangular s.p.a.ce, shut in by the Pavement to the west, the hospital and its outbuildings to the south, and lines of shops with fronts, occupied chiefly by dealers in old furniture, to the east and north. Most of these shops were covered in by screens of canvas or rough boards, so as to form an apology for a piazza; and if you were bold enough, in wet weather, you might take refuge under them, but it was at the imminent risk of your purse or your handkerchief. It was interesting to inspect the articles exposed for sale: here a cracked mirror in a dingy frame, a set of hair-seated chairs, the horse-hair protruding; a table, stiff, upright easy chairs, without a bottom, etc. These miscellaneous treasures were guarded by swarthy men and women of Israel, who paraded in front of their narrow dominions all the working day, and if you did but pause for an instant, you must expect to be dragged into some hideous Babel of frowsy chattels, and made a purchaser in spite of yourself. Escaping from this uncomfortable mart to the hospital footway, a strange scene of utter desertion came over you; long, gloomy lines of cells, strongly barred, and obscured with the acc.u.mulated dust, silent as the grave, unless fancy brought sounds of woe to your ears, rose before you; and there, on each side of the princ.i.p.al entrance, were the wonderful effigies of raving and moping madness, chiselled by the elder Cibber. How those stone faces and eyes glared! How sternly the razor must have swept over those bare heads! How listless and dead were those limbs, bound with inexorable fetters, while the iron of despair had pierced the hearts of the prisoned maniacs!"[85]