A Mind That Found Itself: An Autobiography

by Clifford Whittingham Beers

"You have had your chance."

"All right," I said. "Put that medicine into me any way you think best. But the time will come when you'll wish you hadn't. When that time does come it won't be easy to prove that you had the right to force a patient to take medicine he had offered to take. I know something about the ethics of your profession. You have no right to do anything to a patient except what's good for him. You know that. All you are trying to do is to punish me, and I give you fair warning I'm going to camp on your trail till you are not only discharged from this institution, but expelled from the State Medical Society as well. You are a disgrace to your profession, and that society will attend to your case fast enough when certain members of it, who are friends of mine, hear about this. Furthermore, I shall report your conduct to the Governor of the State. He can take some action even if this is not a state institution. Now, damn you, do your worst!"

Coming from one in my condition, this was rather straight talk. The doctor was visibly disconcerted. Had he not feared to lose caste with the attendants who stood by, I think he would have given me another chance. But he had too much pride and too little manhood to recede from a false position already taken. I no longer resisted, even verbally, for I no longer wanted the doctor to desist. Though I did not anticipate the operation with pleasure, I was eager to take the man's measure. He and the attendants knew that I usually kept a trick or two even up the sleeve of a strait-jacket, so they took added precautions. I was flat on my back, with simply a mattress between me and the floor. One attendant held me. Another stood by with the medicine and with a funnel through which, as soon as Mr. Hyde should insert the tube in one of my nostrils, the dose was to be poured. The third attendant stood near as a reserve force. Though the insertion of the tube, when skilfully done, need not cause suffering, the operation as conducted by Mr. Hyde was painful. Try as he would, he was unable to insert the tube properly, though in no way did I attempt to balk him. His embarrassment seemed to rob his hand of whatever cunning it may have possessed. After what seemed ten minutes of bungling, though it was probably not half that, he gave up the attempt, but not until my nose had begun to bleed. He was plainly chagrined when he and his bravos retired. Intuitively I felt that they would soon return. That they did, armed with a new implement of war. This time the doctor inserted between my teeth a large wooden peg—to keep open a mouth which he usually wanted shut. He then forced down my throat a rubber tube, the attendant adjusted the funnel, and the medicine, or rather liquid—for its medicinal properties were without effect upon me—was poured in.

As the scant reports sent to my conservator during these three weeks indicated that I was not improving as he had hoped, he made a special trip to the institution, to investigate in person. On his arrival he was met by none other than Doctor Jekyll, who told him that I was in a highly excited condition, which, he intimated, would be aggravated by a personal interview. Now for a man to see his brother in such a plight as mine would be a distressing ordeal, and, though my conservator came within a few hundred feet of my prison cell, it naturally took but a suggestion to dissuade him from coming nearer. Doctor Jekyll did tell him that it had been found necessary to place me in "restraint" and "seclusion" (the professional euphemisms for "strait-jacket," "padded cell," etc.), but no hint was given that I had been roughly handled. Doctor Jekyll's politic dissuasion was no doubt inspired by the knowledge that if ever I got within speaking distance of my conservator, nothing could prevent my giving him a circumstantial account of my sufferings—which account would have been corroborated by the blackened eye I happened to have at the time. Indeed, in dealing with my conservator the assistant physician showed a degree of tact which, had it been directed toward myself, would have sufficed to keep me tolerably comfortable.

My conservator, though temporarily stayed, was not convinced. He felt that I was not improving where I was, and he wisely decided that the best course would be to have me transferred to a public institution—the State Hospital. A few days later the judge who had originally committed me ordered my transfer. Nothing was said to me about the proposed change until the moment of departure, and then I could scarcely believe my ears. In fact I did not believe my informant; for three weeks of abuse, together with my continued inability to get in touch with my conservator, had so shaken my reason that there was a partial recurrence of old delusions. I imagined myself on the way to the State Prison, a few miles distant; and not until the train had passed the prison station did I believe that I was really on my way to the State Hospital.

XVIII

The State Hospital in which I now found myself, the third institution to which I had been committed, though in many respects above the average of such institutions, was typical. It commanded a wide view of a beautiful river and valley. This view I was permitted to enjoy—at first. Those in charge of the institution which I had just left did not give my new custodians any detailed account of my case. Their reticence was, I believe, occasioned by chagrin rather than charity. Tamers of wild men have as much pride as tamers of wild animals (but unfortunately less skill) and to admit defeat is a thing not to be thought of. Though private institutions are prone to shift their troublesome cases to state institutions, there is too often a deplorable lack of sympathy and co-operation between them, which, in this instance, however, proved fortunate for me.

From October 18th until the early afternoon of November 8th, at the private institution, I had been classed as a raving maniac. The name I had brought upon myself by experimental conduct; the condition had been aggravated and perpetuated by the stupidity of those in authority over me. And it was the same experimental conduct on my part, and stupidity on the part of my new custodians, which gave rise, two weeks later, to a similar situation. On Friday, November 7th, I was in a strait-jacket. On November 9th and 10th I was apparently as tractable as any of the twenty-three hundred patients in the State Hospital—conventionally clothed, mild mannered, and, seemingly, right minded. On the 9th, the day after my arrival, I attended a church service held at the hospital. My behavior was not other than that of the most pious worshipper in the land. The next evening, with most exemplary deportment, I attended one of the dances which are held every fortnight during the winter. Had I been a raving maniac, such activities would have led to a disturbance; for maniacs, of necessity, disregard the conventions of both pious and polite society. Yet, on either of these days, had I been in the private institution which I had recently left, I should have occupied a cell and worn a strait-jacket.

The assistant superintendent, who received me upon my arrival, judged me by my behavior. He assigned me to one of two connecting wards—the best in the hospital—where about seventy patients led a fairly agreeable life. Though no official account of my case had accompanied my transfer, the attendant who had acted as escort and guard had already given an attendant at the State Hospital a brief account of my recent experiences. Yet when this report finally reached the ears of those in authority, they wisely decided not to transfer me to another ward so long as I caused no trouble where I was. Finding myself at last among friends, I lost no time in asking for writing and drawing materials, which had so rudely been taken from me three weeks earlier. My request was promptly granted. The doctors and attendants treated me kindly and I again began to enjoy life. My desire to write and draw had not abated. However, I did not devote my entire time to those pursuits, for there were plenty of congenial companions about. I found pleasure in talking—more pleasure by far than others did in listening. In fact I talked incessantly, and soon made known, in a general way, my scheme for reforming institutions, not only in my native State, but, of course, throughout the world, for my grandiose perspective made the earth look small. The attendants had to bear the brunt of my loquacity, and they soon grew weary. One of them, wishing to induce silence, ventured to remark that I was so "crazy" I could not possibly keep my mouth shut for even one minute. It was a challenge which aroused my fighting spirit.

"I'll show you that I can stop talking for a whole day," I said. He laughed, knowing that of all difficult tasks this which I had imposed upon myself was, for one in my condition, least likely of accomplishment. But I was as good as my boast. Until the same hour the next day I refused to speak to anyone. I did not even reply to civil questions; and, though my silence was deliberate and good-natured, the assistant physician seemed to consider it of a contumacious variety, for he threatened to transfer me to a less desirable ward unless I should again begin to talk.