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The Pamphlet Collection of Sir Robert Stout: Volume 30

Aphorisms for Attendants

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Aphorisms for Attendants.

1—

Attendants should always regard all eases on admission as if they ware suffering from Bodily Disease, drawing the Physician's attention to any symptoms the patient may show, such as—Pain in the Side, Shortness of Breath, Constipation, Diarrhoea, &c., and should take the earliest opportunity of examining the excretions.

The Insane do not readily feel pain, and are unfortunately unable to express or understand their own sensations. A new case had better pass the first few days after arrival in bed quietly until it is certain that no acute bodily disease is present.

2—
Try and get the patients to employ themselves, when in the wards converse with them and amuse them,

"A want of occupation gives no rest

A mind quite vacant is a mind distressed."

3—
"It is always in our power to materially add to the physical and social comforts of even the worst class of Insane patients."

"By reason unmastered their truant thoughts roam."

4—

"The spirit of love, tender sympathy, Christian benevolence, unwearying kindness and warm affection should influence every thought, look, and action of the attendant engaged in the holy, honourable, sacred and responsible treatment of the Insane."

"Kind, gentle, considerate and affectionate measures have disarmed insanity of many of its repulsive and ferocious characteristics."

"Great powers of reason are requisite to understand men destitute of reason."

Kindness with firmness has as much effect on most Lunatics as it has on children or animals.

"Fetter strong madness with a silken thread."

5—

"If the patient's language be offensive and repulsive—if he be guilty of any acts of violence towards those in attendance upon him—the attendants should never for a moment lose sight of the fact that the unhappy affliction has to a degree destroyed the patient's free will and that for a time he has ceased to be a responsible being."

Look upon them as children, try and teach them self-control and self-respect by a good example.

6—Should it ever be necessary to use force, let not there be a test of comparative strength, or any struggle between a patient and an attendant, let two, or if necessary, three attendants overpower the patient and render all resistance on his part useless and unnecessary: Always remember, "Persuasion is much better than Force."
7—"Consider the various trusts with which you are invested, in a manner, as nothing when compared with the sacred duty of protecting those who are visited with madness, it is as much a Disease as any with which it please God to afflict mankind."