"As an alienist and one whose life has been concerned with the suffering of the mind, I would state that of all hygienic measures to counteract disturbed sleep, depressed spirits and all of the miserable sequels of a distressed mind, I would undoubtedly give the first place to the simple habit of prayer. * * * Such a habit does more to calm the spirit and strengthen the soul to overcome mere incidental emotionalism than any other therapeutic agent known to me."

The medieval peoples realized this, and finding it beneficial, used it to decided advantage in a large number of cases.

Occasionally some very striking developments resulted from pilgrimages made for the cure of the insane. A typical instance is to be found at the shrine of St. Dympna in Belgium. Many persons in various stages and differing forms of mental derangement were accustomed to go or be taken to the shrine of this Irish girl missionary, whose martyrdom had so elevated her in the estimation of the people of the neighborhood that they thought her tomb worthy of special reverence. The sufferers who journeyed thither frequently lingered for some time in order to invoke the aid of the Saint, and, if possible, secure her intercession for the relief of their [{377}] ailments. Many of them were found to get along better in the quiet of the little village than they had done in their homes, and as they were simply quartered among the people of the village, their friends were able for a trifling pecuniary consideration to secure their maintenance there for an indefinite period, in the hope that what the Saint had not granted at the beginning might be obtained by more assiduous devotion at her shrine. At first the friends probably intended to come back and take the patients away, but after a time, finding that they got along so well near the shrine, they gradually learned to leave them there entirely. Thus originated the famous insane colony at Gheel which has in recent years been the subject of more attention on the part of alienists the world over than almost any other therapeutic method of our time. This medieval invention of caring for the non-violent insane, especially those of low grades of intelligence, in the midst of small families, where none of the cares of life burden them and where they have occupation of mind and body and certain human interests, such as might appeal to their weakened intelligence, is probably the ideal method of caring for such patients. Certain it is that it is much better than the large institutional system, the invention of succeeding centuries, from which we are now trying to get away as fast and as far as possible.

The Gheel mode of caring for the insane is really the colony system that is now universally recognized as the most favorable mode of treatment for these patients. It seems not unlikely that there was much more of this practice during the Middle Ages in Europe than we have any idea of.

With regard to the serious accusations so often made [{378}] against the people of the Middle Ages for their cruelty to the insane, not much apology will be needed by those who know anything about the treatment of the insane, even in quite recent times. Measures of rigid restraint were employed for dangerous cases. Patients who had shown manifestations of violence were likely to be chained. Severe and unusual punishments were sometimes inflicted. Of all this there is no doubt. Abuses crept into institutions. The insane were sometimes brutally treated or hideously neglected. These, however, are objections that can be urged against our system of taking care of the insane in many places even at the present day. In certain states, in order to lessen the expense of caring for the insane, they are kept in departments in the Poor Houses, and every now and then a legislative committee of investigation tells the story of appalling evils that have been discovered. It was not because they thought that possessed people deserved punishment, nor because they hoped thus to get the devils to go out of them, that the medieval generations allowed such things in their asylums, but because human nature will neglect its duties toward the ailing unless carefully superintended, and because regular attendants become hardened in their feelings sooner or later, when they serve only for pay, and the result always is the abuse of patients.

In proportion to the number of patients cared for, there was much more need for restraint in those old days than at present. As a rule, during the Middle Ages prisons and asylums were few. Only the violently insane, who already had actually committed some serious crime or threatened to, were kept in the asylums. For these restraint is needed even at the present [{379}] time. We have learned to apply milder measures by employing many more attendants, but even that has come only in the last generation or two. The milder cases of insanity were not kept in asylums, but were allowed to wander about the country, or were cared for in their families with a devotion of which one finds no example at the present time; or if the insane person belonged to a noble family, very often the patient was kept in the house of a retainer and gently cared for. The fact that the milder cases were allowed to wander about the country might seem to be dangerous, but is not so serious as is ordinarily thought. Only a limited number of insane patients are likely to be violent, and these, as a rule, show manifestations of it early in the history of their affection. It was the frequent meeting with these harmless insane, as they were to be encountered in the many places through which he wandered professionally in England, that enabled Shakespeare to make his pictures of insane characters so true to life, that even at the present day we are able to recognize from his marvelous description exactly the form of insanity that was present.

In a word, these generations of the Middle Ages builded better than they knew in this matter of the care of the mentally afflicted, as in everything else which they took up for serious consideration. They did only the most obvious things, and what they could not very well help, under the circumstances, and yet very often the solutions of grave problems which they hit upon so naturally, proved to be as efficient as, indeed sometimes practically identical with, those we have reached by much more elaborate methods. This story of the treatment of the insane in the Middle Ages [{380}] deserves careful study. I have given only a few suggestions for the interpretation of certain methods of action on their part, apparently very different from our ideas, yet in reality anticipating our most recent conclusions.

What many people have not been able to forgive the generations of the Middle Ages, and especially the ecclesiastics of the centuries before our own, is that as educated men and leaders of the people they should have accepted the view that mental diseases may, in some of their forms at least, be due to possession by the devil or some other spiritual interference with the working of the human intellect. During the latter half of the nineteenth century, it became the custom among the educated to scoff at any possible manifestation of this kind. The interference of the spiritual world with any of man's actions came to be looked upon as absurd, except by those who still clung to old-time beliefs and thought that new fashions in opinion might very well prove almost as variable as do corresponding fads in the realm of dress or of interests. The difficulty in the matter was that the generations of the latter nineteenth century lost their faith, to a great extent, in the existence of a spiritual world, and consequently it was easy to laugh at those who had found the interference of such a world as not only possible, but actual, in a great many affairs in human life. As a matter of fact, when we realize how many utterly inexplicable phenomena the earlier centuries tried to explain this way, it is not surprising to find their explanation sometimes wrong.

It is very easy, to my mind, for men of our generation to be too hard in their judgments of the men of [{381}] the Middle Ages with regard to the curious phenomena, psychic, spiritistic and occult, which, with all our advance in science, are still almost as obscure to the eye of the intellect as they were seven centuries ago. The medieval generations saw a great many things that they could not explain happening round them, and attributed them to spiritual agencies. We have learned since that many of these things are merely natural, and must not be considered as due to anything else than the ordinary laws of nature. We have not eliminated belief in the spiritual world, however, and there is still a large proportion of mankind who think that they see, even in the matter-of-fact world around them of the present day, many signs of interference in human affairs by agencies distinct from those of human beings and quite independent of matter. It is easy to dismiss this side of the question with a shrug of the shoulders and say that it need not be taken into account. A man who does this easily succeeds in convincing himself that there are no evidences for spiritual manifestations in our life, and that the stories with regard to them are all nonsense.

It is curious, however, that anyone who investigates and does not merely dismiss at once, is very prone to come to a contrary conclusion, even though all his training and the traditions of his education are opposed to such an admission. There are many prominent scientists who have allowed themselves to be drawn into the investigation of spiritualistic manifestations so-called. Very few of them have come away from their investigations entirely convinced that there was nothing in them. Frauds they have found; sleight-of-hand impositions they have exposed; but apart from all these, there [{382}] is a residue of phenomena which they cannot explain and which convinces many of them of the existence and the mundane action of forces independent of matter. The men who come to these conclusions are not only the ignorant, nor the over-credulous, but frequently representative leaders in scientific thought--men who are known to be thoroughly capable of weighing evidence, prominent lawyers and judges, above all, men who are accustomed to investigation as most painstaking scientists and faithful students of nature.