WEBVTT

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[Music]

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[Heartbeat thumping]
[Smith, Kline & French Laboratories]

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[and The American Medical Association]

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[Present]

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[Music]
[The March of Medicine]

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[Heartbeat continues]

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["We, The Mentally Ill..."]

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[Tonight, in an unprecedented telecast, mental patients will present the March of Medicine.]

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[This tangible evidence of progress against mental disease is offered at the close of]

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[the annual meeting of the psychiatrists of the American Psychiatric Association]

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[as a tribute to their priceless contribution.]

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[Narrator:] I am a mental patient at St. Elizabeths Hospital in Washington, D.C.

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For ages, people like us have been hidden in darkness.

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Families don't like to talk about their members in mental hospitals.

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People seem to think there is something worse about being mentally ill

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than being ill with pneumonia.

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Well, it isn't true.

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And because it isn't true,

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tonight, mental patients all over the country are gathering together to strip away that darkness.

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Now you can see me.

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And in a moment you will see others like me.

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You'll learn from us how mental patients used to be treated,

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the conditions of our hospitals today, and the new hope that we have now to get well again.

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Let's take the first part:

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how we used to be treated.

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I'm standing on a stage.

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Behind me, my fellow patients at St. Elizabeths

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are celebrating our centennial.

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They're performing a play written by ourselves.

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It's about our founder, Dorothea Lynde Dix,

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who lived back when Lincoln did and fought for better treatment for people like us.

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Each person in the play is a mental patient.

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Each one, and his doctor, and his guardian gave his permission that you might see us do it,

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that you can better understand the present by understanding the past.

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Mental patients like us doing a play for the public.

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A thing like that is astonishing enough today,

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but it could never have happened a hundred years ago,

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when Dorothea Lynde Dix, on a Sunday school mission, went to visit a jail outside of Boston.

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[Singing:] ...to thee.

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[Miss Dix:] Shall we try the second verse?

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And this time, everyone sing.

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[Singing:] Though like the wanderer/

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The sun gone down/
[Guard humming along]

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Darkness...

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[Piercing scream]

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[Woman 1:] That lunatic girl is spoiling our fun.

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[Miss Dix:] Are there people back there? Are they able to join us?

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[Guard:] Don't go back there, miss! Come on out of here!

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[Sobbing]

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[Miss Dix:] Oh! Oh, what a horrible sight!
[Sobbing continues]

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Why, these people are half-naked.

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They look starved and so utterly helpless.

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[Guard:] Don't let their looks fool you none, miss.
[Screaming]

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Why, they don't feel a thing.

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Here it is just about their feeding time. Might as well do it and get it over with.

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[Sobbing]
Oh.

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[Growling and panting]

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Three mouths to feed...
[Miss Dix:] Why, you don't even treat them like human beings!

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[Guard:] Nice piece of moldy bread...

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[Miss Dix:] And why is it so cold in here?

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[Guard:] Oh, you don't understand miss.

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We keep it cold back here in order to preserve the bodies.

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Why, they are practically corpses anyhow.

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Aw, come on. Let's get out of here.

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It's this group of prisoners that needs your attention,

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not that bunch of lunatics.

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[Miss Dix:] It's inhuman, and I think something should be done about it.

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Thank you for your cooperation, ladies.

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I hope you enjoyed the singing as much as I did.

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[Woman 2:] Will you come again?

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[Miss Dix:] Yes, I plan to return in the near future.

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[Woman 3:] Don't forget the snuff.

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[Miss Dix:] I'll remember to bring enough for all of you.

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[Grunting]

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And as for these people back here,

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I intend to see that they get food and warmth and proper clothing.

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[Guard:] Don't tell me your troubles, miss.

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Take 'em to the Lord.

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[Miss Dix:] We'll see about that.

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[Narrator:] Dorothea Lynde Dix never forgot what she saw at that East Cambridge jail that day.

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She traveled about and learned some more.

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And when she had seen enough and heard enough, she set out on a personal crusade for reform.

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Here, in another scene enacted by my fellow mental patients at St. Elizabeths,

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we find her before the state legislature in Massachusetts.

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[Miss Dix:] Mr. President. Gentlemen of the legislature of Massachusetts.

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I have come here today to ask your help

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for those poor, unfortunate people who are called lunatics and diseased ones.

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I have visited the jails and the so-called lunatic asylums

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and have seen these poor miserable souls

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who, through no fault of their own, have been exposed to the most cruel and heartless treatment

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at the hands of those who are supposed to be caretakers.

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I will not be able to create for you here

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a true picture of the cruelty and horror which surrounds these poor unfortunates.

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I have seen these creatures beaten, stripped of their clothing, and chained.

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[Screaming]

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[Guard:] Shut up!
[Screaming]

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[Miss Dix:] I've come to present the strong claim of suffering humanity.

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I come to place before the legislature of Massachusetts the condition of the miserable,

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the desolate, the outcast.

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With my own eyes I have seen human beings put into living quarters not fit for swine.

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I have smelled the stench of decaying flesh and all manner of filth.

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[Crying and screaming]

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I come as the advocate of the helpless, forgotten, insane, and idiotic men and women.

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Of beings sunk to a condition from which even the most unconcerned would start with real horror.

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Of beings wretched in prisons and more wretched in our almshouses.

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I have even witnessed these poor creatures being denied the common humanity of food and water.

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[Caretaker 1:] You want some water in your face?

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Here's your water in your face!

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[Sobbing]

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[Miss Dix:] And I cannot suppose it needful to employ earnest persuasion or stubborn argument

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in order to arrest or bring upon a subject

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all the more strongly pressing because it is revolting and disgusting in its details.

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I have uncovered cruelty and gross lack of understanding on the part of those who are supposed to be caretakers.

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[Moaning]
[Caretaker 2:] Can't you never learn to talk, dummy? Ha ha.

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[Moaning]

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[Miss Dix:] If my pictures are displeasing, coarse, or severe,

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my subjects, it must be recollected, offer no tranquil, refined, or composing features.

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These unfortunate beings were put on exhibition and shown to the public as if they were freaks.

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[Interposing voices]

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[Caretaker 3:] Quiet down in there. Quiet down, I tell you. Quiet... Come on!

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[Crying and moaning]
Aw, come on!

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[Miss Dix:] The condition of human beings reduced to extremist states of degradation and misery

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cannot be exhibited in softened language,

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or adorn a polished page.

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[Man 1:] False accusations!
[Man 2:] Lies, lies!

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[Man 3:] She's a lunatic herself!

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[Man 4:] She should not be allowed to stand here and tell us these fantastic tales.

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[Gavel beating]
[Judge:] Order! Order!

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Gentleman, please, order.

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[Narrator:] Dorothea's one-woman fight to help us, the mentally ill,

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never gave her a moment's rest.

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Even when she caught a few winks of sleep, worn and weary from her struggles,

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she saw our need in her dreams.

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[Scary music]

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[Ominous female vocals]

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[Music continues]

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[Ominous female vocals]

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Our play takes two hours to tell the full story of what Dorothea Lynde Dix did for us.

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We'll come back to it later.

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But now that you have seen conditions as they were in her day,

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let's go to another mental hospital and hear from patients themselves

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about the conditions common today,

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even at such a progressive place as the New Jersey State Hospital in Trenton,

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the first she ever founded.

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[Female patient 1:] This is my hospital.

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Looks very pretty from the outside, doesn't it?

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Plenty of room for the birds and the squirrels.

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But come on in and take a look inside.

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I have been a patient here in this building for two years.

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I want you to come inside and see what I see every day.

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This is East-12, in the main building.

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It was so pretty from the outside.

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Look at it for yourself.

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There are a hundred and eighteen patients in this one ward alone,

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a ward intended for only sixty.

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Some are more disturbed than others, and we're all in each other's ways.

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There are patients here that have been living in this ward for over twenty years.

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It's crowded and smelly.

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But some don't remember any other home.

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Now you see what I mean?

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You don't hear the noises that we hear all day; it rings in your ears all day.

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And we only have one nurse here, and we hardly ever see her.

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If you don't believe me, ask Miss Perry.

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[Miss Perry:] She is absolutely right.

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I am the only registered nurse on this floor with a hundred and eighteen patients.

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The A-wing and the B-wing: altogether it amounts to about a hundred and fifty patients.

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With two student nurses and maybe three attendants,

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we have all we can do to bathe the patients, get them to cafeteria, take them to the doctors,

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give them their medications, and try to keep the place clean.

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We have no time to read up on their charts and find out about their diagnosis to try to help them.

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We figured it out the other day that each single person is entitled to one and a half minutes of employees' time.

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Which means they have a total of four and a half minutes per day.

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This sounds bad, but you should see some of the other buildings here.

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[Male patient:] You come to where we live through barred doors.

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It's what we call the Broome building for the criminally insane.

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This here has been my home for fifteen months, dormitory one.

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Look how those beds are crowded together.

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No chairs to sit on, no place to put your clothes, hardly no ventilation.

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Not healthy at all.

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It's hard to get to sleep with the jibber-jabber from thirty-two guys,

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more than sixty, counting both rooms.

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Some's mighty disturbed.

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Once a man broke a window and tried to kill himself with a piece of glass.

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I'm scared sometimes I'm going to get hurt.

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We spend fourteen to fifteen hours a day in here.

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Mr. Emens, the building supervisor, can tell you how we feel about that.

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[Mr. Emens:] Some patients don't want any part of a ward.

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They'll purposely stir up trouble so we'll take them out of here and send them to a cell.

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[Male patient:] The day room downstairs is no better.

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Crowded, people spit on the floor, smells bad,

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we have to wait to go to the dining room in shifts.

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No wonder we had a big riot here the 29th of November.

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[Female patient 2:] Broome building may be bad. I don't know, I haven't been in there.

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But look where we chronic patients live,

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four miles out from the hospital.

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This was temporary housing for the Navy in 1942.

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They had an airport right near here.

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They moved us out here because we were so crowded down at the hospital.

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They call it the colony.

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They spent a fortune on this place to try to make it over. But look at it.

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For eight years, we have been living in this shambles.

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Go inside if you want to see what it's like.

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Rickety stairs, old navy double-decker beds, people crowded together,

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plumbing bad and always getting out of order.

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And some patients have no place at all to put their clothes.

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As for a doctor, we hardly get the time we'd like to talk to a doctor.

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[Dr. Bennett:] That's true.

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I'm Dr. Bennett, and I'm the psychiatrist out here.

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I'm one psychiatrist for over six hundred patients. What can you expect?

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We're presently in the process of moving these people out of here.

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Some of them are going down to the new hospital at Ancora,

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where we hope they'll get the type of help they need.

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But Dr. McGee, our superintendent, can tell you more about that.

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[Dr. McGee:] Yes, we're closing down at the colony as fast as we can.

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We've already built a new building here, and we are planning the reconstruction of another.

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But all these moves will far from solve our problems,

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problems common to state hospitals throughout the country.

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The basic problem, strange as it may seem, is public apathy,

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the very same that one hundred years ago confronted our founder Dorothea Dix.

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[Narrator:] And so you've heard from mental patients themselves

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and those who are trying to help them

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of the crowded conditions and the shortage of staff in mental hospitals.

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But suddenly now, there is new hope for all,

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for you the public, who pay the bills, and for us, the mentally sick.

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This real chance for many of us to get well again is due to research in mental illness.

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And one of the most hopeful contributions of that research is new drugs.

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Hear this story, too, from the lips of mental patients.

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[Doctor 1:] Do you speak English, Sally?
[Sally:] Yes. [INAUDIBLE] No.

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[Doctor 1:] Sally, do you speak English?

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[Sally:] This is me when I came to the hospital.

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I was very upset from many worries.

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They make me sick.

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I could not even talk to the doctor.

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[Doctor 1:] It says over here you heard voices...

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[Sally:] That's a speech thing...
[Doctor 1:] Is that true?

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[Sally:] Yes.
[Doctor 1:] Hmm?

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What did the voices say to you?

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[Sally:] They tried to tell me.

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[Doctor 1:] What did the voices say to you?

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What did the voices say to you, Sally?

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[Sally:] Mm-mm.

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[Non-English speaking]

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Only you see, God...

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[Doctor 1:] Is God speaking to you now?
[Sally:] [Non-English speaking]

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What is God saying to you now, Sally?

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What is God saying...
[Sally:] Don't be stupid, girl.

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Be nice girl. Be nice lady.

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Don't play too much... stupid [INAUDIBLE]. That's for you, baby. That's you. That's too much for me.

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[No, no. I don't want it. You can have it. She's stupid for me. Hold [INAUDIBLE]

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[Non-English speaking]

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This is me four days later

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after the doctor gave me some medicine to help me.

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Now I'm not so mixed up. I talk to him okay.

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[Doctor 1:] And you were telling me there was something wrong with the neighborhood,

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is that right?
[Sally:] Mm-hmm.

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What was wrong with the neighborhood?

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[Sally:] [Non-English speaking]
[Doctor 1:] Well, you said you wanted to jump out the window. Is that true?

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[Sally:] Not me.

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[Doctor 1:] You tried to jump out the window, is that right?
[Sally:] No.

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My children, they are with [INAUDIBLE]

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I live on the seventh floor.
[Doctor:] Mm-hmm.

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[Sally:] And sometimes when... when I see a kid doing something to... a big chil...

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big kid try to hit my children, I wish I could jump out the window and kill them.

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[Doctor 1:] Hmm, I see.

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[Sally:] 'Cause nobody likes their children to be beaten up

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for bigger children, 'cause my children are small.

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I mean six years old. That's not too big.

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[Doctor 1:] And did you feel at home that people were doing something purposely to you or to your children?

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[Sally:] No, only to my children.

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[Doctor 1:] Only to your children.

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Do you think that they picked them out purposely to do these bad things?
[Sally:] Mm-hmm.

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This is me when I'm ready to leave the hospital.

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I am better now.

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[Dr. Denber:] Well, how would you compare your condition, uh, today, let's say,

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uh, to the way it was when you first came here?

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Do you remember how you were when you first came here?
[Sally:] Yeah, I remember.

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[Dr. Denber:] What's the difference?

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[Sally:] Well, I was... I... I know it was something in my nerves maybe, 'cause I tried to help it, but I can't help it.

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[Dr. Denber:] What did you feel then that you don't feel now?

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[Sally:] I feel like, uh, I talk just to myself. I don't feel like talking to nobody else, just to myself.

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[Dr. Denber:] And what are you going to do when you leave the hospital?

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[Sally:] Well, every time I came sick, I gave my nurse right down, I said, I'm not gonna work too hard when I get out,

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but then I got to work hard.

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[Dr. Denber:] You have to work hard when you go out.

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And, uh, what do you plan to do when you leave the hospital? What are you going to do when you go home?

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[Sally:] Well, uh, I think now when I go home maybe I don't have all the children with me for a while.

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[Dr. Denber:] I see. And?

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[Sally:] So I think then... I don't know. Take a good long rest when I get home, read a lot of books. Those what I like to read.

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I said goodbye to my doctor,

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and I go to see my children again and my husband. I am very happy to go home.

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[Dr. Denber:] Sally is going home today,

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the result of treatment with new drugs and psychiatry.

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Drugs that were not even available as much as two years ago.

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Their names are chlorpromazine and rauwolfia.

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These new medicines have effected a tremendous change in all of psychiatric treatment.

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As a result of their use, patients who were hitherto unmanageable, or untreatable,

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or who had resisted all other forms of treatment, now have been helped.

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With the use of these drugs, we have made tremendous inroads

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with patients who have inhabited our hospitals all over the country for many, many years.

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These drugs have given American medicine, with your help and support, the greatest opportunity of this age

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to reduce the huge burden of mental illness that falls upon us all.

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[Dr. Overholser:] Here at St. Elizabeths Hospital,

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there are patients that number literally in the thousands.

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We are witnessing dramatic progress in the search for a more effective treatment of mental illness.

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Over the years, thanks to persistent pioneering of many people,

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many new techniques have been added.

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Now, with the advent of these new tranquilizing drugs,

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it seems not too much to say that we are on the verge of an entirely new era in the treatment of mental illness.

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Since we've been using these drugs at St. Elizabeths Hospital,

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we have virtually discontinued electric shock treatment.

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That is perhaps one measure of the effectiveness of these drugs.

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Two out of three of the patients who come to St. Elizabeths Hospital,

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thanks to the numerous tools which we now have at our command, is able to return home.

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That in itself is the most convincing proof I can offer

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for the statement that the problem of mental disorder, vast though it is, is not an insurmountable one.

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I believe that the opportunity to close in on this huge problem is within sight.

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We have but to grasp it.

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[Narrator:] Yes, medicine is closing in on mental illness.

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And what better evidence of this than mental patients joining tonight with our hospital staffs

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to tell you the history of our past and the hope of our present.

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But what about the future, from your point of view as well as our own?

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Let's go back to New Jersey, to a man who counts among his responsibilities

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the hospital founded by Dorothea Lynde Dix that you visited at Trenton.

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We asked him to join with us tonight because he has thought long about our problem

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and yours.

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[Gov. Minor:] I am Robert B. Minor, governor of New Jersey.

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You have seen the problem state hospitals face.

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Well, behind me is a costly new mental hospital open here at Ancora

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to help relieve the burden.

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Yet, in a matter of months, this new hospital will be filled to capacity.

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Indeed, at the current rate of increase in mental illness,

24:54.966 --> 24:57.932
requiring five hundred new beds a year,

24:57.933 --> 25:03.566
New Jersey may soon need a fifth mental hospital, then a sixth, then a seventh,

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ad infinitum.

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The chances are the same situation prevails in your own state.

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The problem we all face together is, are we eternally going on to vote

25:14.933 --> 25:19.466
millions upon millions merely to house our poor unfortunates,

25:19.466 --> 25:24.432
or should we attack this Frankenstein monster before it devours us?

25:24.433 --> 25:26.766
I think that we should attack.

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Attack with a constructive human and spiritual approach to mental illness

25:32.566 --> 25:40.632
so that many people now in confinement may be restored to their homes and their families and their gainful occupations, and that...

25:40.633 --> 25:46.333
so that many people now threatened with mental illness may be given early treatment

25:46.333 --> 25:49.899
to forestall months and years of confinement.

25:49.900 --> 25:54.400
We can do it by voting more money for research in mental illness,

25:54.400 --> 25:57.233
research which has many rays of hope.

25:57.233 --> 26:02.966
We can do it by creating a proper atmosphere conducive to recovery in our hospitals,

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giving them more doctors, more nurses, more attendants,

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and the benefits of promising new therapies.

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And we can do it, each and every one of us, by giving our full cooperation to organizations like the National Association for Mental Health.

26:19.133 --> 26:24.366
A century and a half ago, the mentally ill were set free from their chains.

26:24.366 --> 26:28.999
In the last half-century there has been a steady improvement in care

26:29.000 --> 26:31.700
and a steady search for new answers.

26:31.700 --> 26:35.800
With your support, there is every evidence that the next decade

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will produce more victories in the war against mental disease than have ever been won before.

26:44.733 --> 26:49.733
[Singing:] Oh, working on the building/

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Working on the building, Lord/

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Working on the building/

26:57.800 --> 27:02.033
Tryin' hard to make my home/
Oh...

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[Narrator:] And so we return to our play

27:04.766 --> 27:09.966
with workmen singing at the groundbreaking for what is to become our hospital,

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St. Elizabeths, the culmination of Dorothea Dix's struggle.

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As we the mentally ill bring you to this, our final scene, we are content to leave our last words

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to one of those who spoke the first.

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[Singing:] ...I would not have this race to run/

27:29.500 --> 27:33.733
Trying hard to make my home/
Oh...

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[Miss Dix:] I came to present the strong claim of suffering humanity.

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I placed before you the condition of the miserable, the desolate, the outcast.

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I came as the advocate of the helpless, forgotten, insane, and idiotic men and women.

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The condition of human beings reduced to extremist states of degradation and misery

27:54.966 --> 28:00.566
could not have been exhibited in softened language or adorned a polished page.

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I commit to you the sacred cause.

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[Singing:] ...my home

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[Heartbeat thumping]
[The March of Medicine]

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[Presented by Smith, Kline and French Laboratories]

28:20.600 --> 28:24.466
[In cooperation with The American Medical Association]

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[Produced by Medical Television Unit
Smith, Kline and French Laboratories]

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[Script: Lou Hazam]

28:33.133 --> 28:36.599
[Film Editor: Gerald Polikoff]

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[Dorothea Dix Play created and acted by St. Elizabeths Patients]

28:41.666 --> 28:45.199
[NBC Producer: Doris Ann]

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[The March of Medicine]
