e patient may be
influenced by moral and rational inducements.

The contradictory features in their characters, frequently render it
exceedingly difficult to insure the proper treatment of insane persons;
to pursue this with any hopes of succeeding, so that we may in any
degree ameliorate their distressed condition, renders it indispensably
necessary that attendants only should be chosen who are possessed of
good sense, and of amiable dispositions, clothed, as much as possible,
with philosophical reflexion, and above all, with that love and charity
that mark the humble Christian.

Agreeably to these principles, I beg leave to suggest the following
regulations to be adopted, in accomplishing the objects in view.

1st. No patient shall hereafter be confined by chains.

2nd. In the most violent states of mania, the patient should be confined
in a room with the windows, etc., closed, so as nearly to exclude the
light, and kept confined if necessary, in a straight jacket, so as to
walk about the room or lie down on the bed at pleasure; or by strops,
etc., he may, particularly if there appears in the patient a strong
determination to self-destruction, be confined on the bed, and the
apparatus so fixed as to allow him to turn and otherwise change his
positions.

3rd. The power of judicious kindness to be generally exercised, may
often be blessed with good effects, and it is not till after other moral
remedies are exercised, that recourse should be had to restraint, or the
power of fear on the mind of the patient; yet it may be proper
sometimes, by way of punishment, to use the shower bath.

4th. The common attendants shall not apply any extraordinary coercion by
way of punishment, or change in any degree the mode of treatment
prescribed by the physician; on the contrary, it is considered as their
indispensable duty, to seek by acts of kindness the good opinion of the
patients, so as to govern them by the influence of esteem rather than of
severity.

5th. On the first day of the week, the Superintendent, or the principal
keeper of the Asylum, shall collect as many of the patients as may
appear to them suitable, and read some chapters in the Bible.

6th. When it is deemed necessary to apply the strait-jacket, or any
other mode of coercion, by way of punishment or restraint, such an ample
force should be employed as will preclude the idea of resistance from
entering the mind of the patient.

7th. It shall be the duty o