Grappling with the Monster; Or, the Curse and the Cure of Strong Drink

by T. S. Arthur

"The second class may be subdivided as follows: First, those who have had healthy and temperate parents, and have been educated and accustomed to good influences, moral and social, but whose temperament and physical constitution are such that when they once indulge in the use of stimulants, which they find pleasurable, they continue to habitually indulge till they cease to be moderate, and become excessive drinkers. A depraved appetite is established that leads them on slowly, but surely, to destruction.

"Temperaments have much to do with the formation of the habit of excessive drinking. Those of a nervous temperament are less likely to contract the habit, from the fact that they are acutely sensitive to danger, and avoid it while they have the power of self-control. On the other hand, those of a bilious, sanguine and lymphatic temperament, rush on, unmindful of the present, and soon become slaves to a depraved and morbid appetite, powerless to stay, or even to check their downward course."

As we cannot speak of the treatment pursued in inebriate asylums from personal observation, we know of no better way to give our readers correct impressions on the subject, than to quote still farther from Dr. Dodge. "For a better understanding," he says, "of the requisite discipline demanded in the way of remedial restraint of inebriates, we notice some of the results of chronic inebriation affecting more particularly the brain and nervous system—which, in addition to the necessary medical treatment, necessitates strict discipline to the successful management of these cases."

RESULTS OF CHRONIC INEBRIATION.

"We have alcoholic epilepsy, alcoholic mania, delirium tremens, tremors, hallucinations, insomnia, vertigo, mental and muscular debility, impairment of vision, mental depression, paralysis, a partial or total loss of self-respect and a departure of the power of self-control. Many minor difficulties arise from mere functional derangement of the brain and nervous system, which surely and rapidly disappear when the cause is removed."

The general rule, on the reception of a patient, is to cut off at once and altogether the use of alcohol in every form. "More," says the doctor, "can be done by diet and medicine, than can be obtained by a compromise in the moderate use of stimulants for a limited period." It is a mistake, he adds, to suppose "that any special danger arises from stopping the accustomed stimulus. Alcohol is a poison, and we should discontinue its use at once, as it can be done with safety and perfect impunity, except in rare cases."

To secure all the benefits to be derived from medical treatment, "we should have," says Dr. Dodge, "institutions for the reception of inebriates, where total abstinence can be rigidly, but judiciously enforced for a sufficient length of time, to test the curative powers of absolute restraint from all intoxicating drinks. When the craving for stimulants is irresistible, it is useless to make an attempt to reclaim and cure the drunkard, unless the detention is compulsory, and there is complete restraint from all spirituous or alcoholic stimulants."

REMOVAL FROM TEMPTATION.

In regard to the compulsory power that should inhere in asylums for the cure of drunkenness, there is little difference of opinion among those who have had experience in their management. They have more faith in time than in medicine, and think it as much the duty of the State to establish asylums for the treatment of drunkenness as for the treatment of insanity. "The length of time necessary to cure inebriation," says Dr. Dodge, "is a very important consideration. A habit covering five, ten, fifteen or twenty years, cannot be expected to be permanently eradicated in a week or a month. The fact that the excessive use of stimulants for a long period of time has caused a radical change, physically, mentally and morally, is not only the strongest possible proof that its entire absence is necessary, but, also, that it requires a liberal allowance of time to effect a return to a normal condition. The shortest period of continuous restraint and treatment, as a general rule, should not be less than six months in the most hopeful cases, and extending from one to two years with the less hopeful, and more especially for the class of periodical drinkers, and those with an hereditary tendency."

A well-directed inebriate asylum not only affords, says the same authority, "effectual removal of the patient from temptations and associations which surrounded him in the outer world, but by precept and example it teaches him that he can gain by his reformation, not the ability to drink moderately and with the least safety, but the power to abstain altogether. With the restraint imposed by the institution, and the self-restraint accepted on the part of the patient, are remedial agents from the moment he enters the asylum, growing stronger and more effective day by day, until finally he finds total abstinence not only possible, but permanent. With this much gained in the beginning, the asylum is prepared to assist in the cure by all the means and appliances at its command. With the co-operation of the patient, and such medicinal remedies and hygienic and sanitary measures as may be required, the most hopeful results may be confidently looked for.