Part 9

The violent exercise of the morning had given me a good appetite and I ate my dinner with relish, though with some difficulty, for the choking had lamed my throat. On serving this dinner, the attendants again left me to my own devices. The early part of the afternoon I spent in vain endeavors to summon them and induce them to take notes to the superintendent and his assistant. They continued to ignore me. By sundown the furious excitement of the morning had given place to what might be called a deliberative excitement, which, if anything, was more effective. It was but a few days earlier that I had discussed my case with the assistant physician and told him all about the suicidal impulse which had been so strong during my entire period of depression. I now reasoned that a seeming attempt at suicide, a "fake" suicide, would frighten the attendants into calling this doctor whose presence I now desired--and desired the more because of his studied indifference. No man that ever lived, loved life more than I did on that day, and the mock tragedy which I successfully staged about dusk was, I believe, as good a farce as was ever perpetrated. If I had any one ambition it was to live long enough to regain my freedom and put behind prison bars this doctor and his burly henchmen. To compel attention that was my object.

At that season the sun set by half-past five and supper was usually served about that time. So dark was my room then that objects in it could scarcely be discerned. About a quarter of an hour before the attendant was due to appear with my evening meal I made my preparations. That the stage setting might be in keeping with the plot, I tore up such papers as I had with me, and also destroyed other articles in the room--as one might in a frenzy; and to complete the illusion of desperation, deliberately broke my watch. I then took off my suspenders, and tying one end to the head of the bedstead, made a noose of the other. This I adjusted comfortably about my throat. At the crucial moment I placed my pillow on the floor beside the head of the bed and sat on it--for this was to be an easy death. I then bore just enough weight on the improvised noose to give all a plausible look. And a last lifelike (or rather deathlike) touch I added by gurgling as in infancy's happy days.

No schoolboy ever enjoyed a prank more than I enjoyed this one. Soon I heard the step of the attendant, bringing my supper. When he opened the door, he had no idea that anything unusual was happening within. Coming as he did from a well-lighted room into one that was dark, it took him several seconds to grasp the situation--and then he failed really to take it in, for he at once supposed me to be in a semi-unconscious condition from strangulation. In a state of great excitement this brute of the morning called to his brute partner and I was soon released from what was nothing more than an amusing position, though they believed it one of torture or death. The vile curses with which they had addressed me in the morning were now silenced. They spoke kindly and expressed regret that I should have seen fit to resort to such an act. Their sympathy was as genuine as such men can feel, but a poor kind at best, for it was undoubtedly excited by the thought of what might be the consequences to them of their own neglect. While this unwonted stress of emotion threatened their peace of mind, I continued to play my part, pretending to be all but unconscious.

Shortly after my rescue from a very living death, the attendants picked me up and carried my limp body and laughing soul to an adjoining room, where I was tenderly placed upon a bed. I seemed gradually to revive.

"What did you do it for?" asked one.

"What's the use of living in a place like this, to be abused as I've been to-day?" I asked. "You and the doctor ignore me and all my requests. Even a cup of water between meals is denied me, and other requests which you have no right to refuse. Had I killed myself, both of you would have been discharged. And if my relatives and friends had ever found out how you had abused and neglected me, it is likely you would have been arrested and prosecuted."

Word had already been sent to the physician. He hurried to the ward, his almost breathless condition showing how my farce had been mistaken for a real tragedy. The moment he entered I abandoned the part I had been playing.

"Now that I have you three brutes where I want you, I'll tell you a few things you don't know," I said. "You probably think I've just tried to kill myself. It was simply a ruse to make you give me some attention. When I make threats and tell you that my one object in life is to live long enough to regain my freedom and lay bare the abuses which abound in places like this, you simply laugh at me, don't you? But the fact is, that's my ambition, and if you knew anything at all, you'd know that abuse won't drive me to suicide. You can continue to abuse me and deprive me of my rights, and keep me in exile from relatives and friends, but the time will come when I'll make you sweat for all this. I'll put you in prison where you belong. Or if I fail to do that, I can at least bring about your discharge from this institution. What's more, I will."

The doctor and attendants took my threats with characteristic nonchalance. Such threats, often enough heard in such places, make little or no impression, for they are seldom made good. When I made these threats, I really wished to put these men in prison. To-day I have no such desire, for were they not victims of the same vicious system of treatment to which I was subjected? In every institution where the discredited principles of "Restraint" are used or tolerated, the very atmosphere is brutalizing. Place a bludgeon in the hand of any man, with instructions to use it when necessary, and the gentler and more humane methods of persuasion will naturally be forgotten or deliberately abandoned.

Throughout my period of elation, especially the first months of it when I was doing the work of several normal men, I required an increased amount of fuel to generate the abnormal energy my activity demanded. I had a voracious appetite, and I insisted that the attendant give me the supper he was about to serve when he discovered me in the simulated throes of death. At first he refused, but finally relented and brought me a cup of tea and some buttered bread. Because of the severe choking administered earlier in the day it was with difficulty that I swallowed any food. I _had_ to eat slowly. The attendant, however, ordered me to hurry, and threatened otherwise to take what little supper I had. I told him that I thought he would not--that I was entitled to my supper and intended to eat it with as much comfort as possible. This nettled him, and by a sudden and unexpected move he managed to take from me all but a crust of bread. Even that he tried to snatch. I resisted and the third fight of the day was soon on--and that within five minutes of the time the doctor had left the ward. I was seated on the bed. The attendant, true to his vicious instincts, grasped my throat and choked me with the full power of a hand accustomed to that unmanly work. His partner, in the meantime, had rendered me helpless by holding me flat on my back while the attacking party choked me into breathless submission. The first fight of the day was caused by a corn cob; this of the evening by a crust of bread.

Were I to close the record of events of that October day with an account of the assault just described, few, if any, would imagine that I had failed to mention all the abuse to which I was that day subjected. The fact is that not the half has been told. As the handling of me within the twenty-four hours typifies the worst, but, nevertheless, the not unusual treatment of many patients in a like condition, I feel constrained to describe minutely the torture which was my portion that night.

There are several methods of restraint in use to this day in various institutions, chief among them "mechanical restraint" and so-called "chemical restraint." The former consists in the use of instruments of restraint, namely, strait-jackets or camisoles, muffs, straps, mittens, restraint or strong sheets, etc.--all of them, except on the rarest of occasions, instruments of neglect and torture. Chemical restraint (sometimes called medical restraint) consists in the use of temporarily paralyzing drugs--hyoscine being the popular "dose." By the use of such drugs a troublesome patient may be rendered unconscious and kept so for hours at a time. Indeed, very troublesome patients (especially when attendants are scarce) are not infrequently kept in a stupefied condition for days, or even for weeks--but only in institutions where the welfare of the patients is lightly regarded.

After the supper fight I was left alone in my room for about an hour. Then the assistant physician entered with three attendants, including the two who had figured in my farce. One carried a canvas contrivance known as a camisole. A camisole is a type of straitjacket; and a very convenient type it is for those who resort to such methods of restraint, for it enables them to deny the use of strait-jackets at all. A strait-jacket, indeed, is not a camisole, just as electrocution is not hanging.

A camisole, or, as I prefer to stigmatize it, a straitjacket, is really a tight-fitting coat of heavy canvas, reaching from neck to waist, constructed, however, on no ordinary pattern. There is not a button on it. The sleeves are closed at the ends, and the jacket, having no opening in front, is adjusted and tightly laced behind. To the end of each blind sleeve is attached a strong cord. The cord on the right sleeve is carried to the left of the body, and the cord on the left sleeve is carried to the right of the body. Both are then drawn tightly behind, thus bringing the arms of the victim into a folded position across his chest. These cords are then securely tied.

When I planned my ruse of the afternoon, I knew perfectly that I should soon find myself in a strait-jacket. The thought rather took my fancy, for I was resolved to know the inner workings of the violent ward.

The piece of glass with which I had that morning written the motto already quoted, I had appropriated for a purpose. Knowing that I should soon be put in the uncomfortable, but not necessarily intolerable embrace of a strait-jacket, my thought was that I might during the night, in some way or other, use this piece of glass to advantage--perhaps cut my way to a limited freedom. To make sure that I should retain possession of it, I placed it in my mouth and held it snugly against my cheek. Its presence there did not interfere with my speech; nor did it invite visual detection. But had I known as much about strait-jackets and their adjustment as I learned later, I should have resorted to no such futile expedient.

After many nights of torture, this jacket, at my urgent and repeated request, was finally adjusted in such manner that, had it been so adjusted at first, I need not have suffered any _torture_ at all. This I knew at the time, for I had not failed to discuss the matter with a patient who on several occasions had been restrained in this same jacket.

On this occasion the element of personal spite entered into the assistant physician's treatment of me. The man's personality was apparently dual. His "Jekyll" personality was the one most in evidence, but it was the "Hyde" personality that seemed to control his actions when a crisis arose. It was "Doctor Jekyll" who approached my room that night, accompanied by the attendants. The moment he entered my room he became "Mr. Hyde." He was, indeed, no longer a doctor, or the semblance of one. His first move was to take the straitjacket in his own hands and order me to stand. Knowing that those in authority really believed I had that day attempted to kill myself, I found no fault with their wish to put me in restraint; but I did object to having this done by Jekyll-Hyde. Though a straitjacket should always be adjusted by the physician in charge, I knew that as a matter of fact the disagreeable duty was invariably assigned to the attendants. Consequently Jekyll-Hyde's eagerness to assume an obligation he usually shirked gave me the feeling that his motives were spiteful. For that reason I preferred to entrust myself to the uncertain mercies of a regular attendant; and I said so, but in vain. "If you will keep your mouth shut, I'll be able to do this job quicker," said Jekyll-Hyde.

"I'll shut my mouth as soon as you get out of this room and not before," I remarked. Nor did I. My abusive language was, of course, interlarded with the inevitable epithets. The more I talked, the more vindictive he became. He said nothing, but, unhappily for me, he expressed his pent-up feelings in something more effectual than words. After he had laced the jacket, and drawn my arms across my chest so snugly that I could not move them a fraction of an inch, I asked him to loosen the strait-jacket enough to enable me at least to take a full breath. I also requested him to give me a chance to adjust my fingers, which had been caught in an unnatural and uncomfortable position.

"If you will keep still a minute, I will," said Jekyll-Hyde. I obeyed, and willingly too, for I did not care to suffer more than was necessary. Instead of loosening the appliance as agreed, this doctor, now livid with rage, drew the cords in such a way that I found myself more securely and cruelly held than before. This breach of faith threw me into a frenzy. Though it was because his continued presence served to increase my excitement that Jekyll-Hyde at last withdrew, it will be observed that he did not do so until he had satisfied an unmanly desire which an apparently lurking hatred had engendered. The attendants soon withdrew and locked me up for the night.

No incidents of my life have ever impressed themselves more indelibly on my memory than those of my first night in a strait-jacket. Within one hour of the time I was placed in it I was suffering pain as intense as any I ever endured, and before the night had passed it had become almost unbearable. My right hand was so held that the tip of one of my fingers was all but cut by the nail of another, and soon knifelike pains began to shoot through my right arm as far as the shoulder. After four or five hours the excess of pain rendered me partially insensible to it. But for fifteen consecutive hours I remained in that instrument of torture; and not until the twelfth hour, about breakfast time the next morning, did an attendant so much as loosen a cord.

During the first seven or eight hours, excruciating pains racked not only my arms, but half of my body. Though I cried and moaned, in fact, screamed so loudly that the attendants must have heard me, little attention was paid to me--possibly because of orders from Mr. Hyde after he had again assumed the role of Doctor Jekyll. I even begged the attendants to loosen the jacket enough to ease me a little. This they refused to do, and they even seemed to enjoy being in a position to add their considerable mite to my torture.

Before midnight I really believed that I should be unable to endure the torture and retain my reason. A peculiar pricking sensation which I now felt in my brain, a sensation exactly like that of June, 1900, led me to believe that I might again be thrown out of touch with the world I had so lately regained. Realizing the awfulness of that fate, I redoubled my efforts to effect my rescue. Shortly after midnight I did succeed in gaining the attention of the night watch. Upon entering my room he found me flat on the floor. I had fallen from the bed and perforce remained absolutely helpless where I lay. I could not so much as lift my head. This, however, was not the fault of the straitjacket. It was because I could not control the muscles of my neck which that day had been so mauled. I could scarcely swallow the water the night watch was good enough to give me. He was not a bad sort; yet even he refused to let out the cords of the strait-jacket. As he seemed sympathetic, I can attribute his refusal to nothing but strict orders issued by the doctor.

It will be recalled that I placed a piece of glass in my mouth before the strait-jacket was adjusted. At midnight the glass was still there. After the refusal of the night watch, I said to him: "Then I want you to go to Doctor Jekyll" (I, of course, called him by his right name; but to do so now would be to prove myself as brutal as Mr. Hyde himself). "Tell him to come here at once and loosen this jacket. I can't endure the torture much longer. After fighting two years to regain my reason, I believe I'll lose it again. You have always treated me kindly. For God's sake, get the doctor!"

"I can't leave the main building at this time," the night watch said. (Jekyll-Hyde lived in a house about one-eighth of a mile distant, but within the hospital grounds.)

"Then will you take a message to the assistant physician who stays here?" (A colleague of Jekyll-Hyde had apartments in the main building.)

"I'll do that," he replied.

"Tell him how I'm suffering. Ask him to please come here at once and ease this strait-jacket. If he doesn't, I'll be as crazy by morning as I ever was. Also tell him I'll kill myself unless he comes, and I can do it, too. I have a piece of glass in this room and I know just what I'll do with it."

The night watch was as good as his word. He afterwards told me that he had delivered my message. The doctor ignored it. He did not come near me that night, nor the next day, nor did Jekyll-Hyde appear until his usual round of inspection about eleven o'clock the next morning.

"I understand that you have a piece of glass which you threatened to use for a suicidal purpose last night," he said, when he appeared.

"Yes, I have, and it's not your fault or the other doctor's that I am not dead. Had I gone mad, in my frenzy I might have swallowed that glass."

"Where is it?" asked the doctor, incredulously.

As my strait-jacket rendered me armless, I presented the glass to Jekyll-Hyde on the tip of a tongue he had often heard, but never before seen.

XVII

After fifteen interminable hours the strait-jacket was removed. Whereas just prior to its putting on I had been in a vigorous enough condition to offer stout resistance when wantonly assaulted, now, on coming out of it, I was helpless. When my arms were released from their constricted position, the pain was intense. Every joint had been racked. I had no control over the fingers of either hand, and could not have dressed myself had I been promised my freedom for doing so.

For more than the following week I suffered as already described, though of course with gradually decreasing intensity as my racked body became accustomed to the unnatural positions it was forced to take. This first experience occurred on the night of October 18th, 1902. I was subjected to the same unfair, unnecessary, and unscientific ordeal for twenty-one consecutive nights and parts of each of the corresponding twenty-one days. On more than one occasion, indeed, the attendant placed me in the strait-jacket during the day for refusing to obey some trivial command. This, too, without an explicit order from the doctor in charge, though perhaps he acted under a general order.

During most of this time I was held also in seclusion in a padded cell. A padded cell is a vile hole. The side walls are padded as high as a man can reach, as is also the inside of the door. One of the worst features of such cells is the lack of ventilation, which deficiency of course aggravates their general unsanitary condition. The cell which I was forced to occupy was practically without heat, and as winter was coming on, I suffered intensely from the cold. Frequently it was so cold I could see my breath. Though my canvas jacket served to protect part of that body which it was at the same time racking, I was seldom comfortably warm; for, once uncovered, my arms being pinioned, I had no way of rearranging the blankets. What little sleep I managed to get I took lying on a hard mattress placed on the bare floor. The condition of the mattress I found in the cell was such that I objected to its further use, and the fact that another was supplied, at a time when few of my requests were being granted, proves its disgusting condition.

For this period of three weeks--from October 18th until November 8th, 1902, when I left this institution and was transferred to a state hospital--I was continuously either under lock and key (in the padded cell or some other room) or under the eye of an attendant. Over half the time I was in the snug, but cruel embrace of a strait-jacket--about three hundred hours in all.

While being subjected to this terrific abuse I was held in exile. I was cut off from all direct and all _honest_ indirect communication with my legally appointed conservator--my own brother--and also with all other relatives and friends. I was even cut off from satisfactory communication with the superintendent. I saw him but twice, and then for so short a time that I was unable to give him any convincing idea of my plight. These interviews occurred on two Sundays that fell within my period of exile, for it was on Sunday that the superintendent usually made his weekly round of inspection.