THE STORY OF A MENTAL HOSPITAL: FULBOURN, 1858-1983

by David H. Clark

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| Contents | Foreword | Preface | Chapter: 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | Postscript | Acknowledgements | References | Index |

 

Index

action research 213–15

Addenbrooke’s Hospital 32, 230, 231, 244; outpatient department 24, 27, 38, 45, 83, 84, 228; student nurses from 159

‘Administrative Therapy’ 180–1, 183, 192–3

Admission Villas 2, 36, 109–10

admission ward garden 96

Adrian, Professor E. D. (later Lord Adrian) 63

Adrian, Mrs Hester (later Lady Adrian) Hospital Management Committee Chairman) 38, 62–3, 72, 86, 93, 116, 131; death 230; on Royal Commission 67, 127

Adrian Ward 190; opening 117, 119, 125; therapeutic community 165–9, 197, 204, 213, 214

airing courts 34, 130–1

Alcoholism Unit 229

alienists 6

Allbutt, Sir Clifford 24

Allen, Mr Edward (Deputy Chief Male Nurse) 63, 131–2, 133; as Occupation Officer 90, 91, 95, 101, 119

allotments 96

Amended Lunacy Acts (1890, 1891) 64

American psychiatric hospitals 181–2

Annual Reports 10–11, 21–3, 105

Archdale, Dr Mervyn A. (Medical Superintendent) 23, 24, 192

Archer, Mr Henry (Clerk and Steward) 17

‘Arthur’ (patient librarian) 54–5, 123–4

Association of Therapeutic Communities 205

Asylum Officers’ Superannuation Act (1910) 16, 22

asylum smell 34

back wards 35, 39–40

Bacon, Dr George Mackenzie (Medical Superintendent) 13–14, 16, 191

baking on women’s ward 144–6

Banyard, Mr (Estate Officer) 49, 117

barbiturates 33

Barnes, John 11

Bateson’s ‘double-bind’ hypothesis 165

beer brewing 12

Bell, Dr G. McDonald 109

Belmont Hospital 41, 195–7, 206

Bethlem Hospital 4, 5

bicycle workshop 161

Board of Control Examinations 66, 150

Board of Control inspections 26, 27–8, 70–1

bowling green 96

Bowyer, Mr Monty 64–5

Boyle, Mr 62, 72

Brewster, George 15

‘Broadbent, Mrs’ 48, 49, 107

Broadmoor Hospital 201–3

Brock, Miss Queenie (Matron) 43–4, 79, 113, 118–19, 132–3, 152; and Adrian Ward 167, 168; and French nurses 85, 153; lunch with 185; and Mr Tucker 188–9; and press 103; and Princess Marina 187; retirement 189; and Sister John 172, 175; and Sisters’ meetings 80–1, 116; and ‘triangular conflict’ 57–9; and Women’s Institute 146, 147; and ‘Work for All’ 119, 120

Brook, Dr Peter 232

Browne, W. A. F. 191

‘Bruce, Mary’ 175–6, 178, 179

Bryan, Dr Edward Langdon (Medical Superintendent) 9, 10–11, 191

Bryan, Miss (Matron) 9, 14

Burgess, Percy, 122, 124, 162

Burnet, Mrs Pauline 72, 127, 230

Burnet House 201, 234

Buttle, Leslie (Deputy Medical Superintendent) 43, 44–5, 77, 89, 115, 185, 190

Cambridge Chronicle 9–10

Cambridge District Health Authority 231

Cambridge Express 18–19

Cambridge Psychiatric Rehabilitation Service 224, 226, 233, 238, 244

Cambridgeshire Area Health Authority 230

Cambridgeshire Mental Welfare Association 27, 109, 127, 128, 222–3, 228, 230

Cambridge University Academic Department of Psychiatry 231

‘Caroline’ (doctors’ maid) 53–4, 120–1

carpentry workshop 122

Carse, Dr Joshua 109

Carstairs, Professor Morris 100, 101–2, 128

catchment area 37

catering 93–4

Caudill, W. A. 164

centenary (1958) 129, 136–7

Center for Advanced Studies in Behavioral Sciences (California) 182–3

certified patients 64–5

Chappell, Mr (Catering Officer) 117

Charge Nurses 91, 97; meetings 80, 97, 116, 134

‘Charles’ (personal servant) 54

Chief Nursing Officer appointed 189

child labour 15–16

chlorpromazine (Largactil) 114, 116–17, 162, 163, 164

Christmas 87–8, 105

Clark, David H.: and ‘Administrative Therapy’ 180–1, 183, 192–3; and Adrian Ward 169, 214; in America 181–3; appointment and first visit 1–3, 39–42, 239; and Board of Control inspection 70–1; and Broadmoor inspection 202–3; and centenary 129, 136–7; and doctors’ meetings 69–70, 79, 115–16, 140, 215–17; encounters problems 57–62, 67–70, 130–41; first Christmas 87–8; and Hauser report 134–40; to King Edward’s Fund Staff College 126–7; and Management Committee 71–3, 74–5, 82, 118–19, 130–3; meets staff and patients 43–57, 62–3, 76–7; publications 143, 169, 180–1, 183, 193–4, 201, 213, 214, 222; and public relations 103–5, 109; renews Cambridge contacts 84–5; retirement 227, 233; role changes 225–6; and Social Therapy Area 220–2, 224, 226, 232; Social Therapy in Psychiatry 193–4, 213; starts patient occupation 90–2; starts staff meetings 78–82; starts therapeutic community approach for disturbed patients 175–80, 197–201; visits other hospitals 41, 89–90, 100–1, 128, 196; and Winston House 142–3; and World Health Organisation 226–7

Cockayne, Dame Elizabeth 126

Commissioners of the Board of Control 26, 27–8, 70–1

Committee Dining Room 74–5, 130

Committee of Visitors 7, 10, 14–15, 17, 20, 75

community visiting by ward staff 222

Connolly, John 6, 191

Cooper, Mr 143

cricket 29, 30, 86, 87, 91–2, 133, 150–1

Cumming, John and Elaine 129

cutlery 66

Darwin, Lady Ida 27, 127, 188

Davies, Dr Edward Beresford 38, 76, 77, 139, 211

Davis, Dr Derek Russell 38, 76, 77, 89, 211

Davy, Dr Brian 228

Deighton, Dr F. M. 26

Dingleton Hospital 89, 106

Diploma in Psychological Medicine 24, 208, 210

disturbed wards 34–5, 197–201; men’s 97–9, 109–111; women’s 113–14, 170–180

Division of Psychiatry in Cambridge 226

doctors’ meetings 69–70, 79, 115–16, 140, 191, 215–17, 232

doctors’ training 24, 83, 208–10

Duly Authorised Officer 64–5, 149

Dunham, Warren 129

Dutch mental hospitals 100–1, 128

elderly patients 150, 185, 219, 232

Electro Convulsive Therapy (ECT/Electroplexy) 26, 32, 33, 67–70, 173, 187

‘Elizabeth’ 56–7, 120

Ely Day Centre 220

‘Engineer’s Gang’ 49, 50

Enquiries 62, 92–3

epileptics 50, 111

‘Ernest’ 52–3

Ewen, Dr James 31

Extract of Hyoscyamus 16

farm 29, 36

‘Farm Gang’ 49, 100, 122–3

Fenn, Maurice 189

‘Fen Tigers’ 48

fires 15, 30, 167–8

Fortes, Prof. Myer 85, 139, 182

Fossey, Miss (Matron) 26

Foulkes, Dr S. H. 39

Fountain House (New York) 182

‘Freedom, Activity, Responsibility’ 192, 237

French nurses 85–6, 153–4

Friends Ward 190, 203, 205, 206–7

Fulbourn Asylum 4–38

Fulbourn Industries 102, 143

‘garden gang’ 95–6

General Nursing Council 153, 155, 158

General Paralysis of the Insane 13, 25, 28

Gentle, Aubrey 50

‘George’ (assistant storeman) 52, 221

George III 4–5

Geriatric Unit 185

Gittus, William 11

Glebe House 234

graveyard 11

Group Homes 222–3

group therapy 40, 165

habit training 89, 98

Hardwick, Earl of 8

Harwin, Norman 199

Hauser, Hephzibah 135, 137

Hauser, Richard 134–6, 137–9, 140

Hereward House 199–201, 206, 213, 214

Heron, Malcolm 190, 191, 216, 217, 228

Hill, Mr Samuel 7–8

Hillview Ward 173–80, 185, 197, 198–9

Hodgson, Dr Oliver 150–1, 182, 183, 184–5, 216, 217

Holmes, Alderman 101, 131, 137

Hooper, Douglas 169, 173–4, 179, 213–14

Hospital Innovation Project 214

Hospital Management Committee 74, 75, 82, 131–2, 170, 235; abolition 226, 229–30; and certified patients 65; creation 38; meetings 71–3, 104–5, 118–19, 130–1

Hospital Officers’ meetings 117–18, 119

Houston, Fred (Senior Hospital Medical Officer) 94–5, 101, 110, 115, 119, 132–3, 213

Ida Darwin Hospital 188, 228, 244

Industrial Therapy 101–2, 128

infectious diseases 15, 20, 29, 37, 141

informal patients 149

Insulin Coma Therapy 26, 32, 33, 37

Intensive Nursing Unit 185

Intensive Therapy Unit 245

‘Jack’ 50–1

Jameson, Sir Wilson 127

James Ward 185, 198–9

Japan, contacts with 226

John, Sister 171, 172–3, 175, 178

Jones, Dr Dewi 37

Jones, Dr H. Travers (Medical Superintendent) 25, 26, 27, 36, 54, 192

Jones, Maxwell 41, 127, 165, 183, 195, 196

junior doctors 140–2

Kelly, Mr (Engineer) 117

Kemp, Mr (Clerk and Steward) 26

Kendall, Mr 7

Kent House 185, 186–7, 189, 190, 244

Keynes, Mrs Florence 20, 27, 125

King Edward VII Hospital Fund for London 126–7, 159

King’s College, Cambridge 84, 85

Kinnear, Sister Kay 166, 167, 175, 176

Laing, R. D. 212–13

Lambert, John 224

Largactil (chlorpromazine) 114, 116–17, 162, 163, 164

laundry 14, 53, 55

Lawrence, Dr George William (Medical Superintendent) 11, 12, 13, 191

Legge, Miss (Deputy Matron, later Deputy Chief Nursing Officer) 63, 95, 189

Lewis, Sir Aubrey 39, 127

Lewis, Tom (Charge Nurse) 97–8, 169, 185

library 54–5, 123–4

Lloyd, Agi 203

Local Government Act (1889) 15, 17

Long, Jack (Chief Male Nurse, later Chief Nursing Officer) 133–4, 159, 185, 189, 190, 206

Lunacy Act (1845) 5, 6

Lunacy Acts (1890) 66–7

Lunacy Commissioners 5, 11, 17–18

McCutchan, Dr 20

Maclay, Dr Walter 41–2, 127

‘McTavish Mr’ 48–9, 108

Mallett, Alderman Howard 131, 186

Marina, Princess Duchess of Kent 187

‘Marion’ 167

Mayor of Cambridge 105

Medical Superintendent post abolished 225–6

Medical Superintendent’s house 46, 84, 127–8, 160

Mental Deficiency Act (1910) 20

Mental Health Act (1959) 149–50, 170, 225

Mental Treatment Act (1930) 25

Merrin, Mr Harry (Engineer) 27, 37, 46, 50, 86, 87, 91

Miller, Mr George (Foreman Artisan) 17, 22

Mills, Robert 12

Mitchell, Mr Charles (Group Secretary) 26–7, 43, 92, 117, 118, 119, 186, 225

Mitchell, Mr Edward (Chief Male Nurse) 22–3, 26

Mitchell, Dr Ross 190–1, 210, 216, 217, 219–20

Mitchell Ward 147–8, 204, 205

mixed-sex wards, move to 189–190

Mungovan, Ruby 199, 200, 202

Myers, Dr Kenneth 200–1, 214

National Association for Mental Health 226–7

National Health Service: and decline of therapeutic communities 235–6, 238; foundation 30–2, 127; reorganisation 229–31

Nicholas, Larry 204

Noble, Dr Ralph 27, 45, 76, 128, 151

non restraint 6, 11, 12

Norman, Mrs (Matron) 14

Nurses’ Badge Days 126, 157

Nurses’ Home 20, 154–5

nurses’ training 151–2, 155–60, 208–9

nursing assistants 121, 157

nursing services, male and female, united 188–9

occupational therapy 2, 27, 90–2, 94–7, 99–102, 119–20, 121, 124

O’Connor, Neil 100, 101–2, 128

Open Days 125–6

open doors policy 38, 89, 106–14, 173, 198, 211, 237, 239–40

operating theatre 37

Oram, Dr Eddie 165–7, 168, 169, 185, 212, 213, 214, 222

Orwin, Dr Arnold 172–3

outpatient clinics 24, 38, 45, 83, 84

padded rooms 34–5, 99, 111, 172

paraldehyde 33, 98

patients: clothing and belongings 34, 55–6; dances 86–7; escapes 106–7; friendships 120–1, 163; rewards 91; self-management 122–3, 213; Social Club 87

Pattemore, Joe (Charge Nurse) 97–8, 110, 111, 169, 185

pauper lunatics 4, 6, 11

Petrie, Dr Graham 233

Pinel, Philippe 6

Pinsent, Dame Ellen 27, 127

postmortems 61, 68

Powell, Enoch 228

prefrontal leucotomy 32, 33

psychotherapy 40, 211–12

public relations 103–5

Pullen, Geoffrey 204

Raines, Eric (Charge Nurse) 100, 122, 123, 160

Reardon, Dr Arthur Francis (Medical Superintendent) 24, 27

Rees, Dr T. P. 89–90, 127, 210

Regional Hospital Board 31, 32, 83

‘Regional Refresher Course’ for Charge Nurses and Sisters 159–60

rehabilitation 102, 142, 191, 218–33

Rehabilitation Cottage 223

Rehabilitation Unit 185

Responsible Medical Officer 170

Rickman, Dr John 24

Roberts, Dr Gwyn 188, 226

Robertson, Dr J. Lockhart 12–13

Rogers, Dr E. C. (Medical Superintendent) 16, 17, 20, 22, 192

Ross, Miss (Occupational Therapist) 27

Roth, Prof. Sir Martin 231–2

Royal College of Psychiatrists 210, 226

Royal Commission Report on Lunacy Laws (1957) 67, 149, 228

St Quintin, Mr 7

Salisbury, Reg 160, 179, 209

Salter, Jean 176–7

Schwartz, Morris 40, 57, 129

Scott, Dr Christopher 190, 211

Scott, Joseph 15

‘Scrubbing Gang’ 53

secure hospitals 201–3, 243

Senior Nurses’ meetings 157–8

‘Sewing Room’ 53

Shaftesbury, Lord 4, 5, 15, 16

Shepherd, Dr Geoffrey 227, 233

shift system 79–80

slogans 125, 144, 192

Social Services Departments 228

social therapy 184–217, 232, 236, 237–8, 244–5; continuing relevance 241–3; Social Therapy Area 220–2, 224, 226

Sports Field Project 99–100, 121, 133

Staff Children’s party 88

Staff Club 63, 86, 155

staff misconduct 11–12, 14, 34, 61, 94, 198

staff recruitment problems 85–6, 152–3, 160

staff signalling system 60–1

Stanton, Alfred 40, 57, 129

Street, Alderman 75, 99, 130, 131, 133, 136

Street Ward 190, 203, 204, 205, 234

Suzuki, Junichi 203, 221, 226

Symonds, Major 62, 72

therapeutic communities 88–9, 194–5, 203–8, 211, 232; Adrian Ward 165–9, 197, 204, 213, 214; at Belmont Hospital 41, 195–7, 206; decline of 234–6, 238; Friends Ward 190, 203, 206–7; Hereward House 199–201; Hillview Ward 197, 198–9; Street Ward 190, 203, 204, 234

Thomas, Dr J. G. T. (Medical Superintendent) 26, 36, 38, 44, 47, 50; and Christmas 88; and cricket 87; improvements by 37; and ‘Jack’ 50; and Management Committee 75; and press 103; relations with staff 43, 69, 76, 77, 81–2; reports 105

Thompson, Dr Alexander Day (Medical Superintendent) 21–3, 192

Thompson, Mrs Elsie 163–4

Thorne, Mr E. M. (Head Male Attendant) 16–17, 19, 22, 192

‘Three Bodies’ 7, 17, 37

Todd, Norman 185

Towell, David and Harries, Clive (eds) Innovation in Patient Care 214–15

tranquillisers 114, 116–17

Treatment Teams 219

‘triangular conflict’ 57–8

Tucker, Mr (Chief Male Nurse) 43, 44, 88, 90, 92–3, 117, 131, 188–9

Tudgay, Frank 158, 159

Tyser, Dr Pat 145–6

uniforms 80, 81, 82, 85, 97, 204, 205–8

‘Vegetable Preparation Room’ 53

visiting arrangements 33–4, 108

voluntary patients 25

Voluntary Services Organiser 182

war, effects of 23, 28–9, 30

ward meetings 123, 169, 177–8, 204

ward orderlies 121

Ward Sisters’ meetings 80–1, 116

‘ward workers’ 51–2

Warlingham Park Hospital 89–90, 98, 106

Way Back, The (television film) 201, 224

Webster, Mr (builder) 8

Westerlands Ward 205, 224

‘wet and dirties’ 34, 171, 174

Wheatley, Jack 147–8

‘William’ (hospital messenger) 52

Williams, Miss (Head Female Attendant) 14

Willinck, Sir Henry 186, 230

‘Winkel, Dr’ 102

Winston House 128, 140, 142–3, 218, 228, 234

Wise, John 200, 224

Women’s Institute 146–7

‘Work for All’ programme 99, 119–20, 121–2, 192

World Health Organisation 88–9, 106, 226, 227

Wyer, William 15, 16

York Retreat 5

Young, Mr Alan (Group Secretary) 186

Young, Ruth 228

Zangwill, Oliver 85, 139, 173

Zeitlyn, Bernard 151, 185, 228

Index by Linda English

 


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