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Bathing therapy, apomorfine and sleeping cures

women_in_bathing_therapyThe picture belongs to the Medicinhistoriska Museet, Lund. Click on the picture to see a larger photography.

Bathing therapy lasting for days
During the later part of the nineteenth century bathing therapy was introduced. Even the bathing therapy which was utilized right up to the end of the nineteen forties, aimed at calming the anxious patients. The patient was submerged into a water of 36 degrees Celsius, and sometimes a sail with a hole for the head was fastened over him or her. The bathing lasted for a couple of hours or days. Some individuals probably had a comfortable and relaxed time, while others found it tough. The staff regarded the supervision of the bathing patients as the most trying of all the tasks at the asylum. These patients were not always so calm and easy to handle. They would scream and spatter so that water with excrement splashed over the attendant, who was often alone with up to five patients.

The story of Svea: "My skin fell off and the flesh appeared"
This is the story of Svea, in a book about mental hospitals and the history of psychiatry, written by the Swedish journalist Vanna Beckman. Svea lay in the bath day and night for three weeks:

"My skin fell off so the flesh appeared, my feet became quite spongy and wrinkled. My hole body ached. They came and fed us there in the bath. Sometimes they gave me injections. I remember getting apomorphine because I kept singing so much. I sang ( a popular Swedish song about a seaman who loves the sea) during the round. The doctor then prescribed an injection. My head was in a whirl and I vomited. But then I was feeling better and I got going with my singing again. I beat time in the tub so that everyone should hear. The more they maltreated me, the worse I got.""

Apomorfine and sleeping cures
Apomorpine which the doctor gave Svea provokes vomiting and was ordinated as a sedative. In the latest decades the American scientist Carol Tamminga has shown that apomorpine really has the ability to alleviate some psychotic symptoms. Other methods that were utilized in the beginning of the twentieth century were sleeping cures, where the patients got bromides or barbiturates which put them to sleep. In rare cases the sleeping cures lasted for several days, sometimes even weeks, with interrupts for feeding and personal care only.

 

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© HUBIN updated September 26, 2002 .

Håkan Hall and Ulrika Kahl at Human Brain Informatics
Department of Clinical Neuroscience, Psychiatry Section
Karolinska Institutet, SE-171 76 Stockholm, SWEDEN.
Phone: +46-8-517 75651 Fax: +46-8-34 65 63 E-mail: info@hubin.org