. The institutional care of the insane in the United States and Canada . on with prisons also have not been satisfactoryand have generally been abandoned. The meeting was not well reported, and it is impossible to followthe discussion which is stated in the minutes to have been of un-usual interest. The twelfth meeting of the Association was held at the Metro-politan Hotel, New York, May 19, 1857. Thirty-five persons werepresent. The principal paper was presented by Dr. John E. Tyler,then of the New Hampshire Asylum, in reference to the care ofthe violent insane, in which he recommended that v
. The institutional care of the insane in the United States and Canada . on with prisons also have not been satisfactoryand have generally been abandoned. The meeting was not well reported, and it is impossible to followthe discussion which is stated in the minutes to have been of un-usual interest. The twelfth meeting of the Association was held at the Metro-politan Hotel, New York, May 19, 1857. Thirty-five persons werepresent. The principal paper was presented by Dr. John E. Tyler,then of the New Hampshire Asylum, in reference to the care ofthe violent insane, in which he recommended that violent patientsbe placed in strong rooms built substantially, but which should belight, cheerful, well ventilated and thoroughly comfortable. In thediscussion which followed considerable difference of opinion de-veloped. Many preferred that violent patients should be cared for in alodge or detached building, where patients, who were noisy orviolent, could be placed at such distance from the other wards asnot to interfere with the comfort of quiet patients. The general. DR. NEHEMIAH CUTTER. ASSOCIATION OF MEDICAL SUPERINTENDENTS 25 feeling seemed to be against the use of strong rooms, and oneor two superintendents expressed a preference for mechanicalrestraint. Dr. Ranney presented a paper on the medical treatment of insan-ity, in which he recommended the use of tartarized antimony andarterial sedatives during the height of excitement, to be followedby morphia and later by tonics. There was nothing especially newin the paper which, nevertheless, gave rise to an extended dis-cussion. The general sentiment seemed to be opposed to the useof tartarized antimony or venesection. Many spoke favorably ofthe use of opium, hyoscyamus and other anodyne remedies. The thirteenth meeting of the Association was held at RusselHotel, Quebec, June 8, 1858. Twenty-four persons were Curwen was appointed secretary. At this meeting the firstmention is found of a new form of disease known
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