. The institutional care of the insane in the United States and Canada . n at he had complied with the new law conscientiously, butthat the legislation had caused great difficulties in maintainingdiscipline in his institution. The twenty-seventh meeting of the Association was held at theEutaw House, Baltimore, May 27, 1873. Fifty-two members werepresent. The first day of the session was largely occupied inreceiving reports from the different states. Dr. John S. Butler presented his resignation as president andDr. Charles H. Nichols, of Washington, D. C, was elected tofill his place
. The institutional care of the insane in the United States and Canada . n at he had complied with the new law conscientiously, butthat the legislation had caused great difficulties in maintainingdiscipline in his institution. The twenty-seventh meeting of the Association was held at theEutaw House, Baltimore, May 27, 1873. Fifty-two members werepresent. The first day of the session was largely occupied inreceiving reports from the different states. Dr. John S. Butler presented his resignation as president andDr. Charles H. Nichols, of Washington, D. C, was elected tofill his place. Dr. Gray read a paper on the pathology of insanity, which elicitedsome discussion, but it was evident that neither Dr. Gray nor themembers who discussed the paper had much definite knowledge ofthe subject. The paper is to be commended as one of the earlyattempts at purely scientific work. The twenty-eighth meeting of the Association was held at Nash-ville, Tenn., May 19, 1874. The vice-president, Dr. C. A. Walker,occupied the chair. Thirty-five members were DR. THOMAS STORY KIRKBRIDE. ASSOCIATION OF MEDICAL SUPERINTENDENTS 37 The first days session was occupied in the presentation ofreports from the different institutions of the country. Thesereports indicated that a general effort was making or had beenmade in nearly every state to erect new institutions or to increasethe capacity of institutions already existing in order to accommo-date the rapidly increasing number of insane patients. The generaloutlook seemed to be encouraging. A paper, was presented by Dr. Ranney, of Iowa, in referenceto the working of a law in that state entitled: An Act to Protectthe Insane. It was in effect a defense of the use of mechanicalrestraint. The covered bed was, in the opinion of the writer, ascomfortable as an ordinary bed and most useful in the case ofsuicidal patients. He believed that the covered bed afforded a fullequivalent for watching or other supervision and was not liable
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