class="pginternal" tag="{http://www.w3.org/1999/xhtml}a">156.—Principle of a compulsory registration and visitation of all lunatics recognized in Belgium, 158.—English enactments respecting ‘single’ patients, 159.—Their failure, 159.—Lunatics secluded under the name of ‘nervous’ patients, 160.—Lord Shaftesbury’s observations on defects in the Lunacy Laws respecting ‘single’ cases, 161.—Clauses to Act, proposed by his Lordship, to deal with ‘nervous’ patients, 161.—Clauses open to some objections, 162.—Lord Shaftesbury’s proposal to report every ‘nervous’ patient, 163.—Compulsory powers of Lunacy Act defective, 164.—Suggestions made, 164.—Proposition to report all lunatics to a district medical officer, who should visit, 165.—Additional certificate granted by this officer, 165.—Lunatics well protected, 165.—Modification of present form of certificates of insanity, 166.—Objections to two forms of certificates, 166.—Determination of the nature of certificate to be given, 167.—Clause in Scotch Asylums Act respecting ‘single’ cases, 167.—Need of mitigated certificates and of intermediate asylums for certain cases of mental disturbance, 168.

  Chap. IX.—APPOINTMENT OF DISTRICT MEDICAL OFFICERS. District physicians appointed in Italy and Germany, 169.—Recognition of principle of appointing district officers in England, in the instance of sanitary medical officers, 169.—District medical officers need to be independent, 170.—Extent of districts, 170.—Such officers to register and visit reported cases of lunacy, 170.—Their reports of cases valuable, 171.—Idiots also should be registered, 171.—District officer might sign order for admission to an asylum, 171.—Better qualified for the duty than magistrates, 171, 175.—Illustrations from evidence of Lord Shaftesbury and Mr. Gaskell, 172.—Suggestions respecting signature of orders, 172.—Objections to clergymen signing orders, 173.—Magistrate’s order not required for private patients, 174.—Remarks on proposition of Commissioners to leave selection of cases in workhouses for asylum treatment to the Union medical officer, 175.—District officer best qualified for this duty, 175.—Additional protection afforded to lunatics by the appointment of district medical officers, 175.—District officer to inspect lunatics in workhouses, 176.—Regulations for his guidance, 176.—Lunatics in workhouses should be under certificate, 176.—Medical officer best judge of the wants of cases, 177.—No removal of lunatics from workhouses without supervision, 177.—Committee of visiting magistrates for workhouses, 178.—Principles of action of the Lunacy Commission, 178.—Commissioners’ recommendation of visiting committees, 179.—Workhouses licensed to receive lunatics, 179.—Lunatics in workhouses reported by district officer, 180.—Visitation of pauper lunatics by parish authorities, 180.—No such visitation of county lunatics, 180.—Desirability that county lunatics should have a visitor, 181.—Determination of question of lunatics chargeable best left to district officer, 181.—Duties of district officer with outdoor pauper lunatics, 182.—Need of inspection of singly-placed lunatics, 182.—Cost of such inspection, 183.—District officer to visit single cases in lodgings, &c., 183.—To visit private asylums as the physician, joined in inspection with the magistrates, 183.—Position and remuneration of district officers, 184.—Such officers to be met with, 184.—District officers engaged in medico-legal inquiries, 185.—Such a class of officers much needed, 185.—Neglect of organization in State medical matters, 186.—A proper organization not necessarily costly, 186.   Chap. X.—ON THE LUNACY COMMISSION. Centralization dreaded as an evil, 187.—Importance of a central and independent body to the interests of the insane, 188, 192.—Want of power in the hands of Commissioners, 188.—Reasons for a central Board, 189.—More frequent visitation of asylums desired, 190.—Value of Commissioners’ opinion on lunatic cases, 190.—Inquiries of Commissioners respecting the payment for patients, 190.—Divided authority of Commissioners and Magistrates in the case of private asylums, 191.—Anomaly of this state of things, 191.—Lunacy Commissioners too few, 192.—Magistrates not effectual as asylum visitors, 193.—Jurisdiction of the Commission should be the same throughout the country, 193.—Licensing powers of magistrates, 194.—Duties of office of Masters in Lunacy, public@vhost@g@gutenberg@html@files@44320@[email protected]#Page_194" class="pginternal"