| 
 Carlow County - Ireland Genealogical Projects (IGP TM) | 
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		  This 
		  article recently appeared in the Nationalist on 15 August 2017 on page 
		  44. 
 
		  History of St Dymphna and St Dympna's Hospital, Carlow 
		   
		  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. 
 
 
		  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 |