In
1965 I was 27 years old. That year I had my second
baby in the January, and sustained a fractured pelvis
in a road accident in March. Recovering very quickly
with the incentive of a new baby and a toddler to
look after, I was fit again by early May, and that
was when a depression suddenly struck out of the
blue. Perhaps I had just run out of challenges?
My GP brought the consultant to see me
at home one Friday evening, and reluctantly I agreed
to go into hospital as a voluntary patient. However,
as I found to my cost, 9 p.m. on a Friday night was
definitely the wrong time to be admitted. It meant
that I couldn't have a bed in the intended villa which
housed the less serious cases, but nobody thought to
explain any of this to me at the time.
The particular conditions I encountered
that night on admission to Barrow Hospital may well
have made my first few days there more difficult than
normal and perhaps atypical of most voluntary admissions.
I was put straight into the admission
ward's locked dormitory, housing some 20 grey-haired
and apparently toothless women in various states of
undress. No reassurance was given that this was just
a temporary measure, forced on me because the night
staff had already come on duty and I couldn't be assessed
until the following morning. That first night was absolutely
terrifying, with constant weird cries and murmurings.
At one point a patient who had got out of bed to use
the communal commode lost her bearings and tried to
get into bed with me.
Although the next few nights I was placed
in a different, unlocked dormitory, I had to spend
the whole weekend in the main part of the hospital
with many very disturbed long-stay patients, only being
admitted to Dundry Villa on the following Tuesday.
I found the main hospital a grim place.
Common rooms consisted of urine- stained chairs set
round the walls and a distinct lack of comfort overall.
Washing and toilet facilities were frankly pretty disgusting.
After two days in this environment, all I was concentrating
on was getting home as soon as possible, but of course
pleas to my family fell on deaf ears. In their eyes
it was quite simple; I was unwell, therefore I needed
to be in hospital. Given a few days, they said, I'd
be bound to get used to my surroundings and make some
friends.
I felt I was being punished for some
crime I hadn't committed. My behaviour must have reflected
this, in that when being taken back to hospital after
my first home visit, I tried to jump out of a moving
car. This of course only served to reinforce the family's
opinion that I was a danger to myself and potentially
to our children.
Once in the villa I found a few other
mothers and their babies, and pleaded to have my own
four-month-old baby with me, but my family thought
this wasn't a suitable place for children. As a result
I spent rather a lot of time helping to look after
other people's babies.
Even in the slightly less formal atmosphere
of the villa, the stark decor, total lack of privacy
and the vast dormitories with hardly any space between
beds and little room to stow one's personal possessions
made for an institutional atmosphere. Washing facilities
were communal, and the opportunity to take a weekly
bath depended on there being a member of staff free
and willing to supervise you. There was a loud bell
which signaled getting-up time, and woe betide anyone
who lingered in the dormitory and didn't appear for
breakfast. Patients had a rota of daily tasks, mostly
involving cleaning and washing up. This rota was a
constant focus for disputes.
The staff seemed to concentrate mostly
on maintaining a very regimented, disciplined set-up.
There were few opportunities to form friendly relationships
with them, and any attempt at individuality was quashed
or regarded as suspect behaviour. Looking back I can
see that the staff bore a heavy responsibility for
our safety, but at the time they seemed more like jailors
than nurses
A lot of emphasis was put on the distribution
of drugs, with us lining up after each meal to receive
our allotted doses, while the staff watched like hawks
to make sure we swallowed the tablets. (At a later
admission I found that liquid forms of the drugs made
them simpler both to administer and monitor.)
As far as the drug regime was concerned,
almost everybody suffering from depression seemed to
be automatically put on amitriptyline and diazepam,
the latter being hailed at the time as a breakthrough
drug, supposedly being non-addictive, and a far superior
and less dangerous sedative than phenobarbitone. Most
people seemed to spend the first few days dozing in
chairs, but this didn't happen to me, which made all
my first impressions more powerful. I was distressed
to find that older patients, rather than being paid
their due respect, tended to be treated like children,
though admittedly many of them seemed to be too sleepy
to object. I realise now, with hindsight, that quite
a lot were already developing symptoms of tardive dyskinesia
as a result of their drug treatment. Every week several
patients went for ECT, appearing later with crashing
headaches and memory loss which they naturally found
upsetting and disconcerting.
I never saw my consultant during my first
hospital stay, just a series of genial Asian doctors
who sadly had a much worse command of English than
would be acceptable nowadays. This certainly didn't
encourage you to open up about how you were feeling.
Frankly I don't think they contributed much apart from
rubber-stamping our drug charts.
The hospital was set in very extensive
wooded grounds and after we had stabilised on our drugs,
we were allowed to wander unsupervised in the vicinity
of our particular women's villa, though with stern
warnings about any contact with patients from other
parts of the hospital.
There didn't seem to be any occupational
or group therapy available at Barrow Hospital when
I was there. We were pathetically grateful for any
diversion. I remember being so bored that at one point
I volunteered to scrub the tiled walls of the small
operating theatre in the grounds, helping to clean
the place up so that a long-stay patient could have
his teeth extracted. The only real chance to mix with
patients from other parts of the hospital was at the
regular Sunday religious service, held in a pre-fabricated
chapel. Though generally poorly attended, it proved
a small but welcome diversion even for a professed
agnostic.
It occurs to me now that as an adult
voluntary patient, I could have walked out of the hospital
unchallenged. But being so far out in the country,
and with no idea of my bearings, this just didn't seem
to be an option at the time.
My stay at Barrow Hospital lasted six
weeks. On coming home, it was evident that the neighbours
were keeping their distance. Certainly in Bristol in
1965 there was a very definite stigma attached to being
in a psychiatric hospital, with meaningful glances
being exchanged whenever anyone was 'out at Barrow
Gurney'. On discharge it took a long time to re- establish
former relationships, particular with older neighbours,
and I felt that many of them treated me differently
from that time onwards.
The original article was written by Judith
a former patient at Barrow Hospital to assist the
BBC
with its series
State of Mind in January 2009.