MEDICAL INDEX

Carlow County - Ireland Genealogical Projects (IGP TM)


History of St Dymphna
&
St. Dympna's Hospital
Carlow

This article recently appeared in the Nationalist on 15 August 2017 on page 44. 

Times Past
with Frank White

History of St Dymphna and St Dympna's Hospital, Carlow

 WITH oriental health in the spotlight over the last couple of years, I feel it is an appropriate time to look at the history of what was Carlow's St Dymphna's Mental Hospital, previously known simply as Carlow Mental Hospital, and when founded in 1332 as Carlow Lunatic Asylum. It catered for patients from Kildare, Wexford and Kilkenny.

First, I am going to look briefly at the story of St Dymphna herself (this spelling is correct) and a sad story it is.

It is believed that Dymphna was born in the northeast during the seventh century. Her father Damon was a pagan king who ruled Oriel, which are now Louth, Armagh and Monaghan. She was an only child; her mother, a Christian, was described in annals as a beautiful woman, who died when Dymphna was just 14, She, herself, was described as the picture of her mother and this was the forerunner to a strange tale.

Following his wife's death, it is recorded that the king was inconsolable, that his heart remained beyond comfort. His mood turned sullen and he was approaching the verge of mental collapse. His courtiers suggested he marry again and eventually fie agreed, but that he would only marry a woman who looked like his deceased wife. By now, Dymphna, who herself had grown up a Christian, had decided to devote her life to God and she took a vow of chastity.

The search for a woman to marry the king failed. Then his envoys suggested that his daughter looked so much like his wife, so why not marry her. At first, he was repulsed by the idea, but having thought about it agreed. He broached the topic to his daughter. Appalled, Dymphna replied definitely not. On the advice of Fr Gerebern, her confessor, she fled home to avoid danger because of her refusal.

A party of four set out across the sea: Dymphna, Fr Gerebern, the court jester and his wife. They reached Antwerp in Belgium and set out looking for a home. They settled in the little village of Gheel, close to a shrine dedicated to St Martin of Tours.

Dymphna opened a hospice for the mentally ill and poor, but her good intentions were to fall back on her, for when she used her money to pay for the facility, her father was able to track her down and before long arrived in Gheel with some of his soldiers. He ordered one soldier to decapitate Fr Gerebem, which was done.

Her father tried to convince Dymphna to marry him, but when she refused, he decapitated her, too. She was just 15 years' old. Her death took place on 15 May and that date is set as her feast day.

When the townspeople came across the bloody scene, they collected the remains of Dymphna and the priest and buried them in a cave.

Later, the people of Gheel decided to give them a more suitable resting place. When workmen removed the black earth from the entrance to the cave, people were astonished to see two most beautiful tombs, whiter than snow, which were carved from stone. When the coffin of St Dymphna was opened, there lying on her breast was a red brick with the words 'Here lies the Holy Virgin and Martyr Dymphna’.

Her remains were placed in a small church - Necessity obliged the erection of a new church to be built. The magnificent Church of Saint Dymphna now stands on the site where the bodies were originally buried. Her remains are contained in a gold reliquary (container for holding relics). As people were cured there, word spread from country to country and the number of pilgrims grew and grew. So did the miracles, as people suffering from nervous, problems and mental disorders were cured. These pilgrimages continue to the present day.

Dymphna was canonized in 620. Some of her remains are also found in the shrine to St Dymphna in Massillon, Ohio, USA,

Dymphna is the patron saint of the mentally ill (which includes emotionally disturbed and nervous disorders) and, by association, psychologists, psychiatrists and neurologists, as well as being patron saint of victims of incest.

St Dymphna's Special School is located on Convent Hill in Ballina, Co Mayo and caters for four to 18-year-olds with mild general learning needs.

The remainder of this article is taken from the archives of St Dympna's Mental Hospital, Carlow. Please note that dates may overlap, as various pieces will run from start to finish.

Carlow Lunatic Asylum admitted its first patient on 7 May 1832. It had been built to accommodate 104 patients at a cost of £18,474,5.9 (18,474 pounds five shillings and nine pence). It was built on a site of ten acres, which had been purchased for £2,289.0.3, The capital cost of building asylums was issued by the exchequer and repaid within 14 years through grand jury presentments.

The day-to-day running costs were entirely funded by the county cess (this was the equivalent of today's county councils), the first local authority service, even though they were not recognised until 1840; the Local Government Act was not introduced until 1898.

From 1821 to 1899, asylums (Carlow was not the first) were run by the lord lieutenant and bodies he appointed, namely: the board of control, which was appointed to oversee the erection of the buildings, and the board of governors, which was appointed to-each asylum and was made up of the landed gentry, magistrates merchants, traders and the clergy. This board met monthly and, from 1843, was managed under Privy Council rules. These rules were also the first step towards placing district asylums under medical control rather than lay.

Carlow’s first medical manager was visiting physician Doctor White, thus becoming the first doctor to hold the post. The first resident medical superintendent (RSM) was Doctor Michael Patrick Howiett, who assumed that position in 1866. In 1891, the visiting physician post was abolished.

The inspectorate of lunatics was established in 1845; their duty was visiting asylums and inspecting their condition, duties which, until then, were carried out by inspectors general of prisons.

The 1898 act removed these powers from the lord lieutenant and inspector of lunatics, who would no longer have the power to hire or dismiss officers. These regulations and the financial controls were transferred to the new county councils.

The asylums were now run by a committee appointed by the county council or, where there were two or more, as in Carlow’s case, by a joint committee.

The Carlow asylum district was changed twice: the first in 1852, when an asylum opened in Kilkenny city catering also for the county of Kilkenny, and the second in 1868, when an asylum was opened in Enniscorthy to cater for patients from Co Wexford. From then on, Carlow District Lunatic Asylum catered only for Carlow and Kildare lunatics.

Following the Local Government Act, 1925, Carlow District Lunatic Asylum became known as Carlow District Mental Hospital. It would take its present name St Dympna's in 1958.

In the early years, care was administered by the asylum's manager Francis Cotton and a visiting physician Dr Meade Nesbit Stone. Patients were treated with what was known as 'moral treatment' or 'moral management', rather than by medical treatment. This treatment operated on kindness and understanding, which encouraged recreation, religious observance, work and a good quality diet as a path to recovery. While moral treatment marked a welcome change in how the mentality ill were treated, it was hard to operate for the large numbers in asylums.

There were two methods of admission to asylums. The first was on a medical certificate of insanity and an affidavit from the next of kin declaring the poverty of the patient and also entering a bond to remove the patient if requested to do so. An 1870 addition to Privy Council rules allowed the admission of paying patients. Carlow governors had been advised of this as early as 1836 and have made use of it since then.

The other form of admission was permissible under the Criminal Lunatics (Ireland) Act 1838 dealing with the admission of dangerous lunatics, which provided for the transfer from prison to asylum (if accommodation was available) of a dangerous lunatic or a dangerous idiot, who presented a derangement of mind and an intention to commit an indictable offence.

This admission was subject to abuse, but was retained for 3O years before being abolished.

The following panel extracted from a report dated 31 December gives an idea of patient's illnesses as of that date.

Illness affecting patients
31 December I862

Total

Males

Females

Mania

114

7O

44

Monomania

25

14

11

Melancholia

36

12

24

Dementia

22

9

13

Epilepsy complicated with Mania

8

5

3

It is further commented that 3O patients are returned as imbecile, epileptic, and 11 display suicidal tendencies. Patients who are 'probably curable' are returned as 66, an exceedingly favourable number incurable lunatics are set down at 1O6, idiots at two and epileptics eight. Of the 2O5 patients, only two are fee-paying. With regard to occupations, 79 are agriculture, 29 belong to the serving class, 12 are clerks or shop assistants, six are soldiers and three are members of the RIC.

As regards education, 13 are well educated, 33 can read and write well, 42 indifferently, 46 can read only, the remaining 71 patients are illiterate or their education is unknown.

Marital status: 4O patients are married, 32 are widowed, 9O are single and the status of 43 is unknown.

It is calculated that between 1832 and 1922, 5,517 patients were admitted to Carlow Mental Hospital. Men made up 55% of this figure.

New buildings meant that in 1871, the asylum could cater for 178 patients and in 1896, it was capable of holding 426 patients. Still, in 1911, it was overcrowded with over 500 patients.

St Dympna's was taken over by the government in 1971 and is now run by the Health Service Executive (HSE). The latest published information has the hospital providing 115 beds, offering both acute and long-term care, outpatient clinics, day care facilities, addiction counselling and a community hostel. It is accessible from both the Athy and old Dublin roads.

You will also find the district hospital in the grounds and the military museum now housed in the old animal slaughterhouse, where cattle reared on the hospital farm were killed for use in the facility.

More of the archives are available online. I have tried to use as much relevant history as possible but there are restrictions on the release of documents, which is only right. These restrictions include no documents on patients being published within 1OO years of his or her admission. County managers’ documents are not available until 50 years after their creation. Records were transferred from the hospital in 2O14 to the Delaney Collection, which is held in Carlow College.

Source: Nationalist on 15 August 2017 on page 44


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