Some of the female prisoners undergo a course of instruction in Swedish drill. Their opinion is expressed in the name by which the exercise is known. It is called the “Daft hour,” and they enjoy it. As to its usefulness from an industrial standpoint the less said the better. It does no harm and it is a pleasant break in the day. In short, the prisoners are better employed in going through the drill than in doing something worse.
CHAPTER IV
VARIATIONS IN ROUTINE
The sick—Prison hospitals—The removal of the sick to outside hospitals—The wisdom of this course—The essential difference between a prison and other public institutions—The treatment of refractory prisoners—The folly of assuming that rules are more sacred than persons—The position of the medical officer in relation to the prisoner—The danger of divided responsibility—The untried prisoner—His privileges—Civil prisoners—Imprisonment for contempt of court—The convict—Short and long sentences.
The system makes no provision for individual differences between prisoners and takes no account of the past training which has made them what they are, but it recognises physical differences. It is the duty of the Medical Officer to see that no one is overtaxed or underfed or insufficiently clothed, and to attend to any sickness that occurs. If a prisoner is insane he is removed to a lunatic asylum. If he is ill he is put under treatment.
In the majority of cases the prison hospitals are simply larger and better-lit cells. They are free from anything but the roughest imitation of modern hospital appliances; but as there is no occasion for the treatment in them of prisoners suffering from acute serious illness, they are sufficient for the needs they are required to meet. What is required for the treatment of such as are sick is not so much stone and lime as flesh and blood. Not new hospitals, but trained nurses.
When a prisoner is reported sick or asks to see the doctor, he is automatically freed from the ordinary rules. If the medical man decides that there is nothing in his condition to warrant his being put on the sick list he falls back under prison discipline. If, however, he requires medical treatment, the Medical Officer may prescribe any regimen which he considers applicable to the case, and the Governor has the instructions carried out. It may broadly be stated that cases requiring the constant attendance of a skilled nurse and those demanding serious operative treatment do not need to be treated in Scottish prisons. Section 72 of the Prisons (Scotland) Act, 1877, enables the Governor, in certain cases, to petition the Sheriff for a warrant to remove sick prisoners to hospitals outside. He must present two medical certificates to the effect that the prisoner (1) is suffering from a disease which threatens immediate danger to life and cannot be treated in prison, or (2) a disease which makes his removal necessary for the health of the other inmates of the prison, or (3) that continued confinement would endanger his life. This is one of the wisest provisions in the Act. Cases might occur in which the treatment required would be of such a character as to make it inadvisable to have it carried out in prison.
Assuming that there is no difference in the experience and skill of the prison doctors and their staff from that of the corresponding officials in the general hospital, the conditions in prison are essentially different. In a general hospital there are all sorts of people as patients, and their friends have access to them; it is a public place compared with the prison. The staff is subjected to continual criticism; not always enlightened, and sometimes unfair, but it exercises a healthy effect on their actions. There is no greater danger to the public than the uncontrolled specialist; and it is a bad thing for him if he is led into any belief either in the infallibility of his judgment, or in its necessary applicability to the case with which he deals. He can perform no operation without the consent of the patient or his friends, even though he believe that operation is necessary to the saving of life. There are cases in which this permission is refused in spite of all the persuasions of the medical man; and in some of these cases, contrary to expectation, the patient gets well. In others death takes place where life might have been saved had consent to the necessary treatment been obtained; yet it would be an intolerable condition of affairs if the medical man were to have his patients placed at the discretion of his judgment; and no one would propose that the inmates of a hospital should be compelled to submit to any treatment that the doctors in their wisdom might see fit to prescribe.