| Excitable Idiot. Practically unimprovable. | Apathetic Idiot. Practically unimprovable. | Idio-Imbecile. But slight hope of improvement. |
For the idiot, who not only can not be trained, but who in many cases is unimprovable even in the simplest matters of self-help, nothing is needed but that care and attention found in every well-regulated nursery of delicate children, the sine qua non being regular hours, simple nourishing food, frequent baths, and tender mothering. As many are paralyzed, blind, lame, or epileptic, it is desirable that the dormitories, well ventilated, be on the same floor with the living rooms and of easy access to bathrooms and playgrounds. Covered and carefully guarded porches should afford the much-needed fresh air and outdoor life in all weathers. These, with cheerful, sunny playrooms, provided with simple toys and furnished with bright decorations varying with the season, will contribute the maximum of pleasure for this life of perpetual infancy. Low vitality, general poverty of the whole physical make-up, the prevalence of phthisis and epilepsy and kindred diseases require the daily inspection of a physician, while the comfort and well-being of the whole, both workers and children, are insured by a capable and sympathetic house mother.
The character of attendants is of the first importance, as these are they who live with the children; it should combine that firmness, tenderness, and balance that constitute an even temperament, capable of recognizing and meeting an occasion without loss of self-control. The duties involve not only the care of the idiots, but the training and direction of idio-imbeciles as aids, and this dealing with natures often wholly animal, requires a certain refinement and dignity of character—at least an entire absence of coarseness—while a knowledge of the simpler manual arts, and if possible of drawing and music, will do much to soften and brighten these darkened natures. As these qualities are valuable as well as rare, the remuneration should be in proportion; certainly sufficient to induce permanency and to compensate for such isolation. A life of constant wear and tear demands also regular periods of rest, and the corps therefore should be sufficiently large to give relief hours daily as well as vacations.
The idio-imbecile, but one remove from his weaker brother, to whose wants he may be trained to minister, finds here his fitting place, and the domestic service of these asylums may be largely drawn from this class and also from that of the low-grade imbecile. Working as an aid, never alone, always under direction, he finds in a monotonous round of the simplest daily avocations his life happiness, his only safety from lapsing into idiocy, and therefore his true home.
The relief to the home, the actual benefit to the State in this housing and care of the idiot and idio-imbecile can never be fully estimated. It is reckoned, however, in a general way that for every idiot sequestrated the energies of two if not four normal persons are returned to society.
Imbecility, mental or moral, congenital or accidental, is either an inherent defect or an irrecoverable loss, an incurable disease for which hospitals can do nothing, nor can reformatories form again that which never has been formed. Could language be made clear enough to enable the public mind to grasp this fact, the work of training schools, the only hope of the imbecile, would then be simplified, and people might be willing to accept what they can give, in the only way in which it can be given, to be of any permanent value. As it is, the few charlatans who profess to train and in a few years send out an imbecile ready to take a high-school or college course not only deceive those from whom they may gather a few thousands, but their representations, coupled with that of a sensational press, effectually impede the progress of a work which must eventually find its true place in the system of public education.
Influenced by these misrepresentations, parents come with profound idiots and high hopes of a course of training (here is one of the misfortunes of an idiot asylum within a training school), and simply refuse to accept a negative to their expectations. Again—to waifs and strays, high-grade imbeciles, developing after years of labored training proficiency in music, drawing, or some one of the industrial arts, friends will suddenly crop up and, dazzled by what seems phenomenal genius, seek to withdraw them just as they become useful to the community. Little do they know of the weak will, indolent nature, and utter lack of "go," that forbid competition with normal labor and must forever be subject to the will of another; still less of the weak physical build that is kept intact only by watchful care, and which would succumb to any undue hardship. So much for the difficulties that beset the work. Now as to the work itself.
As this must vary according to the status of the individual, a careful study and a correct diagnosis are of primary importance in order that the work may be fitted to the child, not the child to the work. The plan pursued is as follows: A thorough examination—physical, mental, and moral—is first made by the chief physician in connection with papers properly filled out giving personal and family history. He is then sent to the hospital for a fortnight to insure immunity from disease. There, while perfectly free and unrestrained among his fellows, he is under constant observation of the nurses; these observations, carefully noted, are returned to the chief physician, who turns both over to the principal of schools, designating the grade in which he is to enter for probation. Here under different environment he is again tested for some weeks and finally placed.
