A Mind That Found Itself Part 2

This is not a confession. I am no gossipper, though I cannot deny that I have occasionally gossipped--a little. And this was my punishment: persons in an adjoining room seemed to be repeating the very same things which I had said of others on these communicative occasions. I supposed that those whom I had talked about had in some way found me out, and intended now to take their revenge.

My sense of smell, too, became normal; but my sense of taste was slow in recovering. At each meal, poison was still the _piece de resistance_, and it was not surprising that I sometimes dallied one, two, or three hours over a meal, and often ended by not eating it at all.

There was, however, another reason for my frequent refusal to take food, in my belief that the detectives had resorted to a more subtle method of detection. They now intended by each article of food to suggest a certain idea, and I was expected to recognize the idea thus suggested. Conviction or acquittal depended upon my correct interpretation of their symbols, and my interpretation was to be signified by my eating, or not eating, the several kinds of food placed before me. To have eaten a burnt crust of bread would have been a confession of arson. Why? Simply because the charred crust suggested fire; and, as bread is the staff of life, would it not be an inevitable deduction that life had been destroyed--destroyed by fire--and that I was the destroyer? On one day to eat a given article of food meant confession. The next day, or the next meal, a refusal to eat it meant confession. This complication of logic made it doubly difficult for me to keep from incriminating myself and others.

It can easily be seen that I was between several devils and the deep sea. To eat or not to eat perplexed me more than the problem conveyed by a few shorter words perplexed a certain prince, who, had he lived a few centuries later (out of a book), might have been forced to enter a kingdom where kings and princes are made and unmade on short notice.

Indeed, he might have lost his princ.i.p.ality entirely--or, at least, his subjects; for, as I later had occasion to observe, the frequency with which a dethroned reason mounts a throne and rules a world is such that self-crowned royalty receives but scant homage from the less elated members of the court.

For several weeks I ate but little. Though the desire for food was not wanting, my mind (that dog-in-the-manger) refused to let me satisfy my hunger. Coaxing by the attendants was of little avail; force was usually of less. But the threat that liquid nourishment would be administered through my nostrils sometimes prevailed for the attribute of shrewdness was not so utterly lost that I could not choose the less of two evils.

What I looked upon as a gastronomic ruse of the detectives sometimes overcame my fear of eating. Every Sunday ice cream was served with dinner. At the beginning of the meal a large pyramid of it would be placed before me in a saucer several sizes too small. I believed that it was never to be mine unless I first partook of the more substantial fare. As I dallied over the meal, that delicious pyramid would gradually melt, slowly filling the small saucer, which I knew could not long continue to hold all of its original contents. As the melting of the ice cream progressed, I became more indifferent to my eventual fate; and, invariably, before a drop of that precious reward had dripped from the saucer, I had eaten enough of the dinner to prove my t.i.tle to the seductive dessert. Moreover, during its enjoyment, I no longer cared a whit for charges or convictions of all the crimes in the calendar. This fact is less trifling than it seems; for it proves the value of strategy as opposed to brute and sometimes brutal force, of which I shall presently give some illuminating examples.

VII

Choice of a sanatorium by people of limited means is, unfortunately, very restricted. Though my relatives believed the one in which I was placed was at least fairly well conducted, events proved otherwise.

From a modest beginning made not many years previously, it had enjoyed a mushroom growth. About two hundred and fifty patients were harbored in a dozen or more small frame buildings, suggestive of a mill settlement. Outside the limits of a city and in a state where there was lax official supervision, owing in part to faulty laws, the owner of this little settlement of woe had erected a nest of veritable fire-traps in which helpless sick people were forced to risk their lives. This was a necessary procedure if the owner was to grind out an exorbitant income on his investment.

The same spirit of economy and commercialism pervaded the entire inst.i.tution. Its worst manifestation was in the employment of the meanest type of attendant--men willing to work for the paltry wage of eighteen dollars a month. Very seldom did competent attendants consent to work there, and then usually because of a scarcity of profitable employment elsewhere. Providentially for me, such an attendant came upon the scene. This young man, so long as he remained in the good graces of the owner-superintendent, was admittedly one of the best attendants he had ever had. Yet aside from a five-dollar bill which a relative had sent me at Christmas and which I had refused to accept because of my belief that it, like my relatives, was counterfeit--aside from that bill, which was turned over to the attendant by my brother, he received no additional pecuniary rewards. His chief reward lay in his consciousness of the fact that he was protecting me against injustices which surely would have been visited upon me had he quitted his position and left me to the mercies of the owner and his ignorant a.s.sistants. To-day, with deep appreciation, I contrast the treatment I received at his hands with that which I suffered during the three weeks preceding his appearance on the scene. During that period, no fewer than seven attendants contributed to my misery. Though some of them were perhaps decent enough fellows outside a sickroom, not one had the right to minister to a patient in my condition.

The two who were first put in charge of me did not strike me with their fists or even threaten to do so; but their unconscious lack of consideration for my comfort and peace of mind was torture. They were typical eighteen-dollar-a-month attendants. Another of the same sort, on one occasion, cursed me with a degree of brutality which I prefer not to recall, much less record. And a few days later the climax was appropriately capped when still another attendant perpetrated an outrage which a sane man would have resented to the point of homicide.

He was a man of the coa.r.s.est type. His hands would have done credit to a longsh.o.r.eman--fingers knotted and nearly twice the normal size.

Because I refused to obey a peremptory command, and this at a time when I habitually refused even on pain of imagined torture to obey or to speak, this brute not only cursed me with abandon, he deliberately spat upon me. I was a mental incompetent, but like many others in a similar position I was both by antecedents and by training a gentleman. Vitriol could not have seared my flesh more deeply than the venom of this human viper stung my soul! Yet, as I was rendered speechless by delusions, I could offer not so much as a word of protest. I trust that it is not now too late, however, to protest in behalf of the thousands of outraged patients in private and state hospitals whose mute submission to such indignities has never been recorded.

Of the readiness of an unscrupulous owner to employ inferior attendants, I shall offer a striking ill.u.s.tration. The capable attendant who acted as my protector at this sanatorium has given me an affidavit embodying certain facts which, of course, I could not have known at the time of their occurrence. The gist of this sworn statement is as follows: One day a man--seemingly a tramp--approached the main building of the sanatorium and inquired for the owner. He soon found him, talked with him a few minutes, and an hour or so later he was sitting at the bedside of an old and infirm man. This aged patient had recently been committed to the inst.i.tution by relatives who had labored under the common delusion that the payment of a considerable sum of money each week would insure kindly treatment. When this tramp-attendant first appeared, all his visible worldly possessions were contained in a small bundle which he carried under his arm. So filthy were his person and his clothes that he received a compulsory bath and another suit before being a.s.signed to duty. He then began to earn his four dollars and fifty cents a week by sitting several hours a day in the room with the aged man, sick unto death. My informant soon engaged him in conversation. What did he learn? First, that the uncouth stranger had never before so much as crossed the threshold of a hospital. His last job had been as a member of a section-gang on a railroad. From the roadbed of a railway to the bedside of a man about to die was indeed a change which might have taxed the adaptability of a more versatile being. But coa.r.s.e as he was, this unkempt novice did not abuse his charge--except in so far as his inability to interpret or antic.i.p.ate wants contributed to the sick man's distress. My own attendant, realizing that the patient was suffering for the want of skilled attention, spent a part of his time in this unhappy room, which was but across the hall from my own. The end soon came.

My attendant, who had had training as a nurse, detected the unmistakable signs of impending death. He forthwith informed the owner of the sanatorium that the patient was in a dying condition, and urged him (a doctor) to go at once to the bedside. The doctor refused to comply with the request on the plea that he was at the time "too busy."

When at last he did visit the room, the patient was dead. Then came the supervisor, who took charge of the body. As it was being carried from the room the supervisor, the "handy man" of the owner, said: "There goes the best paying patient the inst.i.tution had; the doctor" (meaning the owner) "was getting eighty-five dollars a week out of him." Of this sum not more than twenty dollars at most, at the time this happened, could be considered as "cost of maintenance." The remaining sixty-five dollars went into the pocket of the owner. Had the man lived for one year, the owner might have pocketed (so far as this one case was concerned) the neat but wicked profit of thirty-three hundred and eighty dollars. And what would the patient have received? The same privilege of living in neglect and dying neglected.

VIII

For the first few weeks after my arrival at the sanatorium, I was cared for by two attendants, one by day and one by night. I was still helpless, being unable to put my feet out of bed, much less upon the floor, and it was necessary that I be continually watched lest an impulse to walk should seize me. After a month or six weeks, however, I grew stronger, and from that time only one person was a.s.signed to care for me. He was with me all day, and slept at night in the same room.

The earliest possible dismissal of one of my two attendants was expedient for the family purse; but such are the deficiencies in the prevailing treatment of the insane that relief in one direction often occasions evil in another. No sooner was the expense thus reduced than I was subjected to a detestable form of restraint which amounted to torture. To guard me at night while the remaining attendant slept, my hands were imprisoned in what is known as a "m.u.f.f." A m.u.f.f, innocent enough to the eyes of those who have never worn one, is in reality a relic of the Inquisition. It is an instrument of restraint which has been in use for centuries and even in many of our public and private inst.i.tutions is still in use. The m.u.f.f I wore was made of canvas, and differed in construction from a m.u.f.f designed for the hands of fashion only in the inner part.i.tion, also of canvas, which separated my hands, but allowed them to overlap. At either end was a strap which buckled tightly around the wrist and was locked.

The a.s.sistant physician, when he announced to me that I was to be subjected at night to this restraint, broke the news gently--so gently that I did not then know, nor did I guess for several months, why this thing was done to me. And thus it was that I drew deductions of my own which added not a little to my torture.

The gas jet in my room was situated at a distance, and stronger light was needed to find the keyholes and lock the m.u.f.f when adjusted. Hence, an attendant was standing by with a lighted candle. Seating himself on the side of the bed, the physician said: "You won't try again to do what you did in New Haven, will you?" Now one may have done many things in a city where he has lived for a score of years, and it is not surprising that I failed to catch the meaning of the doctor's question.

It was only after months of secret puzzling that I at last did discover his reference to my attempted suicide. But now the burning candle in the hands of the attendant, and a certain similarity between the doctor's name and the name of a man whose trial for arson I once attended out of idle curiosity, led me to imagine that in some way I had been connected with that crime. For months I firmly believed I stood charged as an accomplice.

The putting on of the m.u.f.f was the most humiliating incident of my life. The shaving of my legs and the wearing of the court-plaster brand of infamy had been humiliating, but those experiences had not overwhelmed my very heart as did this bitter ordeal. I resisted weakly, and, after the m.u.f.f was adjusted and locked, for the first time since my mental collapse I wept. And I remember distinctly why I wept. The key that locked the m.u.f.f unlocked in imagination the door of the home in New Haven which I believed I had disgraced--and seemed for a time to unlock my heart. Anguish beat my mind into a momentary sanity, and with a wholly sane emotion I keenly felt my imagined disgrace. My thoughts centred on my mother. Her (and other members of the family) I could plainly see at home in a state of dejection and despair over her imprisoned and heartless son. I wore the m.u.f.f each night for several weeks, and for the first few nights the unhappy glimpses of a ruined home recurred and increased my sufferings.

It was not always as an instrument of restraint that the m.u.f.f was employed. Frequently it was used as a means of discipline on account of supposed stubborn disobedience. Many times was I roughly overpowered by two attendants who locked my hands and coerced me to do whatever I had refused to do. My arms and hands were my only weapons of defence. My feet were still in plaster casts, and my back had been so severely injured as to necessitate my lying flat upon it most of the time. It was thus that these unequal fights were fought. And I had not even the satisfaction of tongue-lashing my oppressors, for I was practically speechless.

My attendants, like most others in such inst.i.tutions, were incapable of understanding the operations of my mind, and what they could not understand they would seldom tolerate. Yet they were not entirely to blame. They were simply carrying out to the letter orders received from the doctors.

To ask a patient in my condition to take a little medicated sugar seemed reasonable. But from my point of view my refusal was justifiable. That innocuous sugar disc to me seemed saturated with the blood of loved ones; and so much as to touch it was to shed their blood--perhaps on the very scaffold on which I was destined to die. For myself I cared little. I was anxious to die, and eagerly would I have taken the sugar disc had I had any reason to believe that it was deadly poison. The sooner I could die and be forgotten, the better for all with whom I had ever come in contact. To continue to live was simply to be the treacherous tool of unscrupulous detectives, eager to exterminate my innocent relatives and friends, if so their fame could be made secure in the annals of their craft.

But the thoughts a.s.sociated with the taking of the medicine were seldom twice alike. If before taking it something happened to remind me of mother, father, some other relative, or a friend, I imagined that compliance would compromise, if not eventually destroy, that particular person. Who would not resist when meek acceptance would be a confession which would doom his own mother or father to prison, or ignominy, or death? It was for this that I was reviled, for this, subjected to cruel restraint.

They thought I was stubborn. In the strict sense of the word there is no such thing as a stubborn insane person. The truly stubborn men and women in the world are sane; and the fortunate prevalence of sanity may be approximately estimated by the preponderance of stubbornness in society at large. When one possessed of the power of recognizing his own errors continues to hold an unreasonable belief--that is stubbornness. But for a man bereft of reason to adhere to an idea which to him seems absolutely correct and true because he has been deprived of the means of detecting his error--that is not stubbornness. It is a symptom of his disease, and merits the indulgence of forbearance, if not genuine sympathy. Certainly the afflicted one deserves no punishment. As well punish with a blow the cheek that is disfigured by the mumps.

The attendant who was with me most of the time while I remained at the sanatorium was the kindly one already mentioned. Him I regarded, however, as a detective, or, rather, as two detectives, one of whom watched me by day, and the other--a perfect double--by night. He was an enemy, and his professed sympathy--which I now know was genuine--only made me hate him the more. As he was ignorant of the methods of treatment in vogue in hospitals for the insane, it was several weeks before he dared put in jeopardy his position by presuming to shield me against unwise orders of the doctors. But when at last he awoke to the situation, he repeatedly intervened in my behalf. More than once the doctor who was both owner and superintendent threatened to discharge him for alleged officiousness. But better judgment usually held the doctor's wrath in check, for he realized that not one attendant in a hundred was so competent.

Not only did the friendly attendant frequently exhibit more wisdom than the superintendent, but he also obeyed the dictates of a better conscience than that of his nominal superior, the a.s.sistant physician.

On three occasions this man treated me with a signal lack of consideration, and in at least one instance he was vicious. When this latter incident occurred, I was both physically and mentally helpless.

My feet were swollen and still in plaster bandages. I was all but mute, uttering only an occasional expletive when forced to perform acts against my will.

One morning Doctor No-name (he represents a type) entered my room.

"Good morning! How are you feeling?" he asked.

No answer.

"Aren't you feeling well?"

No answer.

"Why don't you talk?" he asked with irritation.

Still no answer, except perhaps a contemptuous look such as is so often the essence of eloquence. Suddenly, and without the slightest warning, as a petulant child locked in a room for disobedience might treat a pillow, he seized me by an arm and jerked me from the bed. It was fortunate that the bones of my ankles and feet, not yet thoroughly knitted, were not again injured. And this was the performance of the very man who had locked my hands in the m.u.f.f, that I might not injure myself!

"Why don't you talk?" he again asked.

Though rather slow in replying, I will take pleasure in doing so by sending that doctor a copy of this book--my answer--if he will but send me his address.

It is not a pleasant duty to brand any physician for cruelty and incompetence, for the worst that ever lived has undoubtedly done many good deeds. But here is the type of man that has wrought havoc among the helpless insane. And the owner represented a type that has too long profited through the misfortunes of others. "Pay the price or put your relative in a public inst.i.tution!" is the burden of his discordant song before commitment. "Pay or get out!" is his jarring refrain when satisfied that the family's resources are exhausted. I later learned that this grasping owner had bragged of making a profit of $98,000 in a single year. About twenty years later he left an estate of approximately $1,500,000. Some of the money, however, wrung from patients and their relatives in the past may yet benefit similar sufferers in the future, for, under the will of the owner, several hundred thousand dollars will eventually be available as an endowment for the inst.i.tution.

IX

It was at the sanatorium that my ankles were finally restored to a semblance of their former utility. They were there subjected to a course of heroic treatment; but as to-day they permit me to walk, run, dance, and play tennis and golf, as do those who have never been crippled, my hours of torture endured under my first attempts to walk are almost pleasant to recall. About five months from the date of my injury I was allowed, or rather compelled, to place my feet on the floor and attempt to walk. My ankles were still swollen, absolutely without action, and acutely sensitive to the slightest pressure. From the time they were hurt until I again began to talk--two years later--I asked not one question as to the probability of my ever regaining the use of them. The fact was, I never expected to walk naturally again.

The desire of the doctors to have me walk I believed to be inspired by the detectives, of whom, indeed, I supposed the doctor himself to be one. Had there been any confession to make, I am sure it would have been yielded under the stress of this ultimate torture. The million needle points which, just prior to my mental collapse, seemed to goad my brain, now centred their unwelcome attention on the soles of my feet. Had the floor been studded with minute stilettos my sufferings could hardly have been more intense. For several weeks a.s.sistance was necessary with each attempt to walk, and each attempt was an ordeal.

Sweat stood in beads on either foot, wrung from my blood by agony.

Believing that it would be only a question of time when I should be tried, condemned, and executed for some one of my countless felonies, I thought that the attempt to prevent my continuing a cripple for the brief remainder of my days was prompted by anything but benevolence.

The superintendent would have proved himself more humane had he not peremptorily ordered my attendant to discontinue the use of a support which, until the plaster bandages were removed, had enabled me to keep my legs in a horizontal position when I sat up. His order was that I should put my legs down and keep them down, whether it hurt or not. The pain was of course intense when the blood again began to circulate freely through tissues long unused to its full pressure, and so evident was my distress that the attendant ignored the doctor's command and secretly favored me. He would remove the forbidden support for only a few minutes at a time, gradually lengthening the intervals until at last I was able to do without the support entirely. Before long and each day for several weeks I was forced at first to stagger and finally to walk across the room and back to the bed. The distance was increased as the pain diminished, until I was able to walk without more discomfort than a comparatively pleasant sensation of lameness. For at least two months after my feet first touched the floor I had to be carried up and downstairs, and for several months longer I went flat-footed.

Delusions of persecution--which include "delusions of self-reference"--though a source of annoyance while I was in an inactive state, annoyed and distressed me even more when I began to move about and was obliged to a.s.sociate with other patients. To my mind, not only were the doctors and attendants detectives; each patient was a detective and the whole inst.i.tution was a part of the Third Degree. Scarcely any remark was made in my presence that I could not twist into a cleverly veiled reference to myself. In each person I could see a resemblance to persons I had known, or to the princ.i.p.als or victims of the crimes with which I imagined myself charged. I refused to read; for to read veiled charges and fail to a.s.sert my innocence was to incriminate both myself and others. But I looked with longing glances upon all printed matter and, as my curiosity was continually piqued, this enforced abstinence grew to be well-nigh intolerable.