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CHAPTER VII
MEANS OF CURE

Is this disease, or vice, or sin, or crime of intemperance—call it by what name you will—increasing or diminishing? Has any impression been made upon it during the half-century in which there have been such earnest and untiring efforts to limit its encroachments on the health, prosperity, happiness and life of the people? What are the agencies of repression at work; how effective are they, and what is each doing?

These are questions full of momentous interest. Diseases of the body, if not cured, work a steady impairment of health, and bring pains and physical disabilities. If their assaults be upon nervous centres, or vital organs, the danger of paralysis or death becomes imminent. Now, as to this disease of intemperance, which is a social and moral as well as a physical disease, it is not to be concealed that it has invaded the common body of the people to an alarming degree, until, using the words of Holy Writ, "the whole head is sick and the whole heart faint." Nay, until, using a still stronger form of Scriptural illustration, "From the sole of the foot even unto the head, there is no soundness in it; but wounds and bruises and putrifying sores."

In this view, the inquiry as to increase or diminution, assumes the gravest importance. If, under all the agencies of cure and reform which have been in active operation during the past fifty years, no impression has been made upon this great evil which is so cursing the people, then is the case indeed desperate, if not hopeless. But if it appears that, under these varied agencies, there has been an arrest of the disease here, a limitation of its aggressive force there, its almost entire extirpation in certain cases, and a better public sentiment everywhere; then, indeed, may we take heart and say "God speed temperance work!" in all of its varied aspects.

HOPEFUL SIGNS

And here, at the outset of our presentation of some of the leading agencies of reform and cure, let us say, that the evidence going to show that an impression has been made upon the disease is clear and indisputable; and that this impression is so marked as to give the strongest hope and assurance. In the face of prejudice, opposition, ridicule, persecution, obloquy and all manner of discouragements, the advocates of temperance have held steadily to their work these many years, and now the good results are seen on every hand. Contrast the public sentiment of to-day with that of twenty, thirty and forty years ago, and the progress becomes at once apparent. In few things is this so marked as in the changed attitude of the medical profession towards alcohol. One of the most dangerous, and, at the same time, one of the most securely intrenched of all our enemies, was the family doctor. Among his remedies and restoratives, wine, brandy, whisky and tonic ale all held a high place, and were administered more frequently, perhaps, than any other articles in the Materia Medica. The disease of his patients arrested by special remedies or broken by an effort of nature, he too often commenced the administration of alcohol in some one or more of its disguised and attractive forms, in order to give tone and stimulus to the stomach and nerves, and as a general vitalizer and restorative. The evil consequences growing out of this almost universal prescription of alcohol, were of the most lamentable character, and thousands and tens of thousands of men and women were betrayed into drunkenness. But to-day, you will not find a physician of any high repute in America or Europe who will give it to his patients, except in the most guarded manner and under the closest limitations; and he will not consent to any self-prescription whatever.

FRUITS OF TEMPERANCE WORK

Is not this a great gain? And it has come as the result of temperance work and agitation, as Dr. Henry Monroe frankly admits in his lecture on the Physiological Action of Alcohol, where, after stating that his remarks would not partake of the character of a total abstinence lecture, but rather of a scientific inquiry into the mode of action of alcohol when introduced into the tissues of the body, he adds: "Nevertheless, I would not have it understood that I, in any way, disparage the moral efforts made by total abstainers who, years ago, amid good report and evil report, stood in the front of the battle to war against the multitude of evils occasioned by strong drink;—all praise be due to them for their noble and self-denying exertions! Had it not been for the successful labors of these moral giants in the great cause of temperance, presenting to the world in their own personal experiences many new and astounding physiological facts, men of science would, probably, never have had their attention drawn to the topic."

Then, as a result of temperance work, we have a more restrictive legislation in many States, and prohibitory laws in New Hampshire, Vermont and Maine. In the State of Maine, a prohibitory law has been in operation for over twenty-six years; and so salutary has been the effect as seen in the

REDUCTION OF POVERTY, PAUPERISM AND CRIME,

that the Legislature, in January, 1877, added new and heavier penalties to the law, both Houses passing on the amendment without a dissenting voice. In all that State there is not, now, a single distillery or brewery in operation, nor a single open bar-room.

Forty years ago the pulpit was almost silent on the subject of intemperance and the liquor traffic; now, the church is fast arraying itself on the side of total abstinence and prohibition, and among its ministers are to be found many of our most active temperance workers.

Forty or fifty years ago, the etiquette of hospitality was violated if wine, or cordial, or brandy were not tendered. Nearly every sideboard had its display of decanters, well filled, and it was almost as much an offense for the guest to decline as for the host to omit the proffered glass. Even boys and girls were included in the custom; and tastes were acquired which led to drunkenness in after life. All this is changed now.

The curse of the liquor traffic is attracting, as never before, the attention of all civilized people; and national, State and local legislatures and governments are appointing commissions of inquiry, and gathering data and facts, with a view to its restriction.

And, more hopeful than all, signs are becoming more and more apparent that the people are everywhere awakening to a sense of the dangers that attend this traffic. Enlightenment is steadily progressing. Reason and judgment; common sense and prudence, are all coming to the aid of repression. Men see, as they never saw before, how utterly evil and destructive are the drinking habits of this and other nations; how they weaken the judgment and deprave the moral sense; how they not only take from every man who falls into them his ability to do his best in any pursuit or calling, but sow in his body the germs of diseases which will curse him in his later years and abridge their term.

Other evidences of the steady growth among the people of a sentiment adverse to drinking might be given. We see it in the almost feverish response that everywhere meets the strong appeals of temperance speakers, and in the more pronounced attitude taken by public and professional men.

JUDGES ON THE BENCH

and preachers from the pulpit alike lift their voices in condemnation. Grand juries repeat and repeat their presentations of liquor selling and liquor drinking as the fruitful source of more than two-thirds of the crimes and miseries that afflict the community; and prison reports add their painful emphasis to the warning of the inquest.

The people learn slowly, but they are learning. Until they will that this accursed traffic shall cease, it must go on with its sad and awful consequences. But the old will of the people has been debased by sensual indulgence. It is too weak to set itself against the appetite by which it has become enslaved. There must be a new will formed in the ground of enlightenment and intelligence; and then, out of knowing what is right and duty in regard to this great question of temperance and restriction, will come the will to do. And when we have this new will resting in the true enlightenment of the people, we shall have no impeded action. Whatever sets itself in opposition thereto must go down.

And for this the time is coming, though it may still be far off. Of its steady approach, the evidences are many and cheering. Meanwhile, we must work and wait. If we are not yet strong enough to drive out the enemy, we may limit his power, and do

THE WORK OF HEALING AND SAVING

What, then, is being done in this work of healing and saving? Is there, in fact, any cure for the dreadful malady of drunkenness? Are men ever really saved from its curse? and, if so, how is it done, and what are the agencies employed?

Among the first of these to which we shall refer, is the pledge. As a means of reform and restriction, it has been used by temperance workers from the beginning, and still holds a prominent place. Seeing that only in a complete abstinence from intoxicating drinks was there any hope of rescue for the drunkard, or any security for the moderate drinker, it was felt that under a solemn pledge to wholly abstain from their use, large numbers of men would, from a sense of honor, self-respect or conscience, hold themselves free from touch or taste. In the case of moderate drinkers, with whom appetite is yet under control, the pledge has been of great value; but almost useless after appetite has gained the mastery.

In a simple pledge there is no element of self-control. If honor, self-respect or conscience, rallying to its support in the hour of temptation, be not stronger than appetite, it will be of no avail. And it too often happens that, with the poor inebriate, these have become blunted, or well-nigh extinguished. The consequence has been that where the pledge has been solely relied upon, the percentage of reform has been very small. As a first means of rescue, it is invaluable; because it is, on the part of him who takes it, a complete removal of himself from the sphere of temptation, and so long as he holds himself away from the touch and taste of liquor, he is safe. If the pledge will enable him to do this, then the pledge will save him. But it is well known, from sad experience, that only a few are saved by the pledge. The strength that saves must be something more than the external bond of a promise; it must come from within, and be grounded in a new and changed life, internally as well as externally. If the reformed man, after he takes his pledge, does not endeavor to lead a better moral life—does not keep himself away from old debasing associations—does not try, earnestly and persistently, to become, in all things,

A TRUER, PURER, NOBLER MAN,

then his pledge is only as a hoop, that any overstrain may break, and not an internal bond, holding in integrity all things from the centre to the circumference of his life.

So well is this now understood, that little reliance is had on the pledge in itself, though its use is still general. It is regarded as a first and most important step in the right direction. As the beginning of a true and earnest effort on the part of some unhappy soul to break the bonds of a fearful slavery. But few would think of leaving such a soul to the saving power of the pledge alone. If other help came not, the effort would be, except in rare cases, too surely, all in vain.

The need of something more reliable than a simple pledge has led to other means of reform and cure, each taking character and shape from the peculiar views of those who have adopted them. Inebriate Asylums and Reformatory Homes have been established in various parts of the country, and through their agency many who were once enslaved by drink are being restored to society and good citizenship. In what is popularly known as the "Gospel Temperance" movement, the weakness of the pledge, in itself, is recognized, and, "God being my helper," is declared to be the ultimate and only sure dependence.

It is through this abandonment of all trust in the pledge, beyond a few exceptional cases, that reformatory work rises to its true sphere and level of success. And we shall now endeavor to show what is being done in the work of curing drunkards, as well in asylums and Reformatory Homes, as by the so-called "Gospel" methods. In this we shall, as far as possible, let each of these important agencies speak for itself, explaining its own methods and giving its own results. All are accomplishing good in their special line of action; all are saving men from the curse of drink, and the public needs to be more generally advised of what they are doing.

CHAPTER VIII
INEBRIATE ASYLUMS

The careful observation and study of inebriety by medical men, during the past twenty-five or thirty years, as well in private practice as in hospitals and prisons, has led them to regard it as, in many of its phases, a disease needing wise and careful treatment. To secure such treatment was seen to be almost impossible unless the subject of intemperance could be removed from old associations and influences, and placed under new conditions, in which there would be no enticement to drink, and where the means of moral and physical recovery could be judiciously applied. It was felt that, as a disease, the treatment of drunkenness, while its subject remained in the old atmosphere of temptation, was as difficult, if not impossible, as the treatment of a malarious fever in a miasmatic district. The result of this view was the establishment of Inebriate Asylums for voluntary or enforced seclusion, first in the United States, and afterwards in England and some of her dependencies.

In the beginning, these institutions did not have much favor with the public; and, as the earlier methods of treatment pursued therein were, for the most part, experimental, and based on a limited knowledge of the pathology of drunkenness, the beneficial results were not large. Still, the work went on, and the reports of cures made by the New York State Asylum, at Binghampton, the pioneer of these institutions, were sufficiently encouraging to lead to their establishment in other places; and there are now in this country as many as from twelve to fifteen public and private institutions for the treatment of drunkenness. Of these, the New York State Inebriate Asylum, at Binghampton; the Inebriate Home, at Fort Hamilton, Long Island; and the Home for Incurables, San Francisco, Cal., are the most prominent. At Hartford, Conn., the Walnut Hill Asylum has recently been opened for the treatment of inebriate and opium cases, under the care of Dr. T.D. Crothers. The Pinel Hospital, at Richmond, Va., chartered by the State, in 1876, is for the treatment of nervous and mental diseases, and for the reclamation of inebriates and opium-eaters. In Needham, Mass., is the Appleton Temporary Home, where a considerable number of inebriates are received every year.

Besides these, there are private institutions, in which dypsomaniac patients are received. The methods of treatment differ according to the views and experience of those having charge of these institutions. Up to this time a great deal of the treatment has been experimental; and there is still much difference of opinion among physicians and superintendents in regard to the best means of cure. But, on two important points, all are nearly in agreement. The first is in the necessity for an immediate and

ABSOLUTE WITHDRAWAL OF ALL INTOXICANTS FROM THE PATIENT,

no matter how long he may have used them; and the second in the necessity of his entire abstinence therefrom after leaving the institution. The cure never places a man back where he was before he became subject to the disease; and he can never, after his recovery, taste even the milder forms of alcoholic beverage without being exposed to the most imminent danger of relapse.

The great value of an asylum where the victim of intemperance can be placed for a time beyond the reach of alcohol is thus stated by Dr. Carpenter: "Vain is it to recall the motives for a better course of conduct, to one who is already familiar with them all, but is destitute of the will to act upon them; the seclusion of such persons from the reach of alcoholic liquors, for a sufficient length of time to free the blood from its contamination, to restore the healthful nutrition of the brain and to enable the recovered mental vigor to be wisely directed, seems to afford the only prospect of reformation: and this cannot be expected to be permanent, unless the patient determinately adopts and steadily acts on the resolution to abstain from that which, if again indulged in, will be poison, alike to his body and to his mind."

In the study of inebriety and the causes leading thereto, much important information has been gathered by the superintendents and physicians connected with these establishments. Dr. D.G. Dodge, late Superintendent of the New York State Inebriate Asylum, read a paper before the American Association for the Cure of Inebriates, in 1876, on "Inebriate Asylums and their Management," in which are given the results of many years of study, observation and experience. Speaking of the causes leading to drunkenness, he says:

"Occupation has a powerful controlling influence in developing or warding off the disease. In-door life in all kinds of business, is a predisposing cause, from the fact that nearly the whole force of the stimulant is concentrated and expended upon the brain and nervous system. A proper amount of out-door exercise, or labor, tends to throw off the stimulus more rapidly through the various functional operations of the system. Occupation of all kinds, mental or muscular, assist the nervous system to retard or resist the action of stimulants—other conditions being equal. Want of employment, or voluntary idleness is the great nursery of this disease."

TOBACCO

"The use of tobacco predisposes the system to alcoholism, and it has an effect upon the brain and nervous system similar to that of alcohol. The use of tobacco, if not prohibited, should be discouraged. The treatment of inebriates can never be wholly successful until the use of tobacco in all forms is absolutely dispensed with.

"Statistics show that inebriety oftenest prevails between the ages of thirty and forty-five. The habit seldom culminates until thirty, the subject to this age generally being a moderate drinker; later in life the system is unable to endure the strain of a continued course of dissipation.

"Like all hereditary diseases, intemperance is transmitted from parent to child as much as scrofula, gout or consumption. It observes all the laws in transmitting disease. It sometimes overleaps one generation and appears in the succeeding, or it will miss even the third generation, and then reappear in all its former activity and violence. Hereditary inebriety, like all transmissible diseases, gives the least hope of permanent cure, and temporary relief is all that can generally be reasonably expected.

"Another class possesses an organization which may be termed an alcoholic idiosyncrasy; with them the latent desire for stimulants, if indulged, soon leads to habits of intemperance, and eventually to a morbid appetite, which has all the characteristics of a diseased condition of the system, which the patient, unassisted, is powerless to relieve, since the weakness of will that led to the disease obstructs its removal.

"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.

"THE HYGIENIC AND SANITARY MEASURES

"consist in total abstinence from all alcoholic beverages; good nourishing diet; well ventilated rooms; pure, bracing air; mental rest, and proper bodily exercise. * * * Every patient should be required to conform to all rules and regulations which have for their object the improvement of his social, moral and religious condition. He must begin a different mode of life, by breaking up former habits and associations; driving from the mind the old companions of an intemperate life; forming new thoughts, new ideas and new and better habits, which necessitates a new life in every respect. This is the aim and object of the rules for the control and government of inebriates. To assist in this work, inebriate institutions should have stated religious services, and all the patients and officers should be required to attend them, unless excused by the medical officer in charge, for sickness, or other sufficient cause."

THE BINGHAMPTON ASYLUM

Of all the inebriate asylums yet established, the one at Binghampton, New York, has been, so far, the most prominent. It is here that a large part of the experimental work has been done; and here, we believe, that the best results have been obtained. This asylum is a State Institution, and will accommodate one hundred and twenty patients. In all cases preference must be given to "indigent inebriates," who may be sent to the asylum by county officers, who are required to pay seven dollars a week for the medical attendance, board and washing, of each patient so sent. Whenever there are vacancies in the asylum, the superintendent can admit, under special agreement, such private patients as may seek admission, and who, in his opinion, promise reformation.

The building is situated on an eminence two hundred and fifty feet above the Susquehanna River, the scenery stretching far up and down the valley, having features of uncommon beauty and grandeur. Each patient has a thoroughly warmed and ventilated room, which, from the peculiar situation of the house, commands a wide view of the adjoining country. The tables are supplied with a variety and abundance of good food, suitable in every respect to the wants of the patients, whose tastes and needs are carefully considered. Amusements of various kinds, including billiards, etc., are provided within the building, which afford pleasure and profit to the patients. Out-door pastimes, such as games of ball and croquet, and other invigorating sports, are encouraged and practised. The asylum grounds embrace over four hundred acres, part of which are in a state of cultivation. The remainder diversified in character, and partly consisting of forest.

Gentlemen who desire to place themselves under the care of the asylum, may enter it without any other formality than a compliance with such conditions as may be agreed upon between themselves and the superintendent. The price of admission varies according to location of rooms and attention required. Persons differ so widely in their circumstances and desires, that the scale of prices has been fixed at from ten to twenty-five dollars per week, which includes board, medical attendance, washing, etc. In all cases the price of board for three months must be paid in advance.

From one of the annual reports of this institution now before us, we learn that the number of patients treated during the year was three hundred and thirty-six, of whom one hundred and ninety-eight "were discharged with great hopes of permanent reformation." Fifty-eight were discharged unimproved. The largest number of patients in the asylum at one time was a hundred and five.

SAVING AND REFORMING INFLUENCES

Of those discharged—two hundred and fifty-six in number—eighty-six were of a nervous temperament, ninety-eight sanguine and seventy-two bilious. In their habits, two hundred and thirty-four were social and twenty-two solitary. Out of the whole number, two hundred and forty-four used tobacco—only twelve being free from its use. Of these, one hundred and sixty had been constant and ninety-six periodical drinkers. Serious affliction, being unfortunate in business, love matters, prosperity, etc., were given as reasons for drinking by one hundred and two of the patients. One hundred and twenty-two had intemperate parents or ancestors. One hundred and forty were married men and one hundred and sixteen single. Their occupations were varied. Merchants, fifty-eight; clerks, thirty-five; lawyers, seventeen; book-keepers, sixteen; manufacturers, eight; bankers and brokers, eight; machinists, seven; mechanics, six; farmers, six; clergymen, five; editors and reporters, five, etc.

In regard to some of the special influences brought to bear upon the patients in this institution, we have the following. It is from a communication (in answer to a letter of inquiry) received by us from Dr. T.D. Crothers, formerly of Binghampton, but now superintendent of the new Walnut Hill Asylum, at Hartford, Connecticut: "You have failed to do us credit," he says, "in supposing that we do not use the spiritual forces in our treatment. We depend largely upon them. We have a regularly-appointed chaplain who lives in the building;, and gives his entire time to the religious culture of the patients. Rev. Dr. Bush was with us eight years. He died a few months ago. He was very devoted to his work, and the good he did, both apparent to us and unknown, was beyond estimate. His correspondence was very extensive, and continued for years with patients and their families. He was the counselor and adviser of many persons who did not know him personally, but through patients. I have seen letters to him from patients in all conditions asking counsel, both on secular and spiritual matters; also the most heart-rending appeals and statements of fathers, mothers, wives and children, all of which he religiously answered. He urged that the great duty and obligation of every drunkard was to take care of his body; to build up all the physical, to avoid all danger, and take no risks or perils; that his only help and reliance were on God and good health; that with regular living and healthy surroundings, and a mind full of faith and hope in spiritual realities, the disorder would die out. Our new chaplain holds daily service, as usual, and spends much of his time among the patients. He lives in the building, pronounces grace at the table and is personally identified as a power to help men towards recovery. Quite a large number of patients become religious men here. Our work and its influences have a strong tendency this way. I believe in the force of a chaplain whose daily walk is with us; who, by example and precept, can win men to higher thoughts. He is the receptacle of secrets and much of the inner life of patients that physicians do not reach."