Thursday, July 14, 2016

History in a Hospital

Who would think that a hospital record could shed light on the biography of an ancestor--especially if there were no other available records excepting his namee, location, and age
on a few census records?  This was the case with Allen Goodale, a distant relative.

The only biological son of Mary Ann Griffin and Joseph Dwight Goodale was Allen, born in Galland’s Grove on April 10, 1867.[1]  Born mentally handicapped, at the age of three, Allen was labeled “idiot” in the census taker’s notes.  In 1870, an idiot was defined as “. . . a person the development of whose mental faculties was arrested in infancy or childhood.”  Ten years later, he was labeled “idiotic” and “perfectly dumb but not deaf.” Ten years after that, at the age of thirteen, his name appeared on the 1880 Defective, Dependent, and Delinquent Class special census.   This particular census provided more details on Allen’s condition than the other two.  It stated that Allen’s idiocracy had occurred at birth and that he had spasms.  Five years later, he was labeled as both deaf and dumb, although an earlier census stated he was dumb but not deaf.  These contradictions were an indication that with each passing census, the diagnosis of Allen’s mental condition, from his birth to the age of eighteen, was described more accurately--perhaps so, because shortly after this, Allen was sent to live in the Glenwood Iowa Institution for Feeble Minded Children.   His family had cared for him until he reached adulthood, but the burden must have been so difficult that the state took over his care at that time.  He lived in the institution for the next seven years, entering it in March 1885 and leaving it in September 1891.  The institution cared for those who were not capable of much or any mental improvement.  After seven years’ time, the commissioners of Mills County, where the institution was located, adjudged him
to be insane; and this evaluation may have been the next step in the process of admitting him to the state hospital in Clarinda on September 25, 1891. 

                                                                Clarinda State Hospital

Admittance there would provide better treatment suited to his mental capabilities.[2]  Dr. Hester’s initial medical examination of Allen affirmed that Allen was “insane and a fit subject for custody and treatment in the Hospital for the Insane.”  His medical evaluation included the fact that the first symptoms of his mental state occurred in infancy and that gradually his mental disabilities had increased over the years, corresponding with what the census takers had written.  However, the 1891 diagnosis of “mentally insane” was not necessarily an accurate one since his mental condition originated from birth, whereas one who is mentally insane is usually diagnosed as such at a later stage in life.  Allen, far from home and family, must have felt be-              
trayed and perhaps displayed  his anger with various behaviors such as trying to injure himself and jumping from and through windows.  
Interestingly enough, about six months after his mother passed away, Allen, though severely mentally handicapped, inherited the Goodale estate; and his brother- in-law William Crandall was appointed as his guardian and as the estate’s administrator.[3]   In February 1901, a petition by the Shelby County Court was filed against the estate for $1622.67—a figure derived from the expenses incurred for Allen’s support and care.  The petition stated that if Allen and William did not appear in court by September of 1902, that they would be responsible for paying the claim.[4]  Following the petition in 1902, a sale of property from the estate was a timely transaction which would have paid the state’s claim.   Two years later, William Crandall, preparing for his move with his family to Nebraska, filed a petition to be discharged from guardianship responsibilities.  Allen may have had little contact with any family members after this time, as all but Minnie, his younger sister, had moved away.    
Allen was institutionalized from the age of eighteen until his death, at the age of sixty on September 14, 1927, due to “exhaustion from psychosis with mental deficiency.”   Unlike his siblings, there was no obituary when he passed away, just a few scattered notes from his medical records which describe the mediocrity of his hospital life.  On December 30, 1902, “Is in fair condition physically.  Is in fair flesh and quite muscular.  Is eating well and is resting well.  Is careless about his personal appearance.”  On January 1, 1909, “Is much demented and has made no improvement during the past year.”  On January 1, 1912, “Has undergone little change for the past several years.”   Last, January 1, 1914, “Is quiet and orderly and in very good physical health.  Is quite badly impared mentally.” [5]
So there we have it! And if it wasn't for the hospital record, all we would know about Allen was that he was, according to the census, record labeled an "idiot" and that he lived in a state hospital for almost forty years.



[1] Glenwood State School for the Feeble Minded Archives, email message from <DBorck@dhs.state.ia.us>
[2] Allen Goodale Medical Records.  File No. 624.  Clarinda State Hospital.  Clarinda, Iowa. 
[3] Shelby County Court Record.  County Clerk’s Office, Harlan, Iowa, February 1901.
[4] Ibid., September 1902.
[5] Ibid., Allen Goodale Medical Records, Clarinda State Hospital.