Produced by Jonathan Ah Kit, Cori Samuel and the Online Distributed Proofreading Team at http://www.pgdp.net 1925. NEW ZEALAND. MENTAL DEFECTIVES AND SEXUAL OFFENDERS. REPORT OF THE COMMITTEE OF INQUIRY APPOINTED BY THE HON. SIR MAUI POMARE, K.B.E., C.M.G., MINISTER OF HEALTH. * * * * * _Laid on the Table of the House of Representatives by Leave._ * * * * * CONSTITUTION OF THE COMMITTEE. HON. W. H. TRIGGS, M.L.C., Chairman. SIR DONALD MCGAVIN, Kt., C.M.G., D.S.O., M.D. (Lond.), F.R.C.S. (Eng.), Director-General of Medical Services, Defence Department. SIR FREDERICK TRUBY KING, Kt., C.M.G., M.B., B.Sc. (Public Health) (Edin.), Director Division of Child Welfare, Department of Health. J. SANDS ELLIOTT, Esq., M.D., Bac. Surg. (Edin.), Chairman of the Council of the N.Z. Branch of the British Medical Association. MISS ADA G. PATERSON, M.B., Ch.B. (N.Z.), L.M. (Dublin), Director Division of School Hygiene, Department of Health. C. E. MATTHEWS, Esq., Under-Secretary for Justice and Controller-General of Prisons, &c. J. BECK, Esq., Officer in Charge Special Schools Branch, Education Department. Secretary: J. W. BUCHANAN, Esq. * * * * * CONTENTS. PART I.--INTRODUCTORY AND HISTORICAL. PAGE Section 1.--=Origin and Scope of Inquiry=: Mental Deficiency, Increase of; North Canterbury Hospital Board and others suggest Inquiry; Committee, Personnel; Nature of Inquiry; Places visited and inspected; Sittings, Date and Place of; Witnesses examined, and Work done; Appreciation of Services rendered; Value of Memoranda supplied by Sir George Newman, Secretary of State for the United States, Dr. E. S. Morris (Tasmania), Dr. Helen MacMurchy (Ottawa), and Dr. Eric Clarke (Toronto); Secretarial Services 2 Section 2.--=Two Distinct Questions=: Mental Defectives and Sexual Perverts, Comments on 5 PART II.--PROBLEM OF THE FEEBLE-MINDED. Section 1.--=A Menace to Modern Civilization=: Feeble-minded, Danger of Unrestricted Multiplication; Lothrop Stoddart's Views; American Army, Psychological Test of; Results and Deductions 5 Section 2.--=Heredity= _v._ =Environment=: Genetics and Heredity; Heredity and Environment, Aspects reviewed; Degenerate Families, Life-histories; Dr. Macgregor, Deductions from his Report; Degenerate Stocks imported, Effect of; Environmental Factor, Importance of; Pre-natal and Post-natal Care, Value of; Housing Problem; Relationship of Impaired Nutrition, Debility, and Disease to Impaired Control; Dietetics and Child Welfare; Picture-shows, Effect on Children, and Recommendations; Venereal Disease Committees' Report as to Effect of Syphilis, &c.; Director Division of School Hygiene, Attention drawn to Report; Excessive Competition, Effect on School-children 6 Section 3.--=Illustrative Cases of Hereditary Degeneracy=: Juke Family; Kallikak Family; New Zealand Cases cited; Sir Robert Stout's Comments 7 Section 4.--=Elements of the Problem=: Basic Phases, Registration, Educational Care and Training of Feeble-minded Children, Oversight and Supervision; Educational Curriculum for various Groups; Residential Schools; Farm and Industrial Colonies for Segregation 11 Section 5.--=Estimates as to Numbers of Mental Defectives=: Education Department Returns; Retardation, Problem of; Feeble-minded and Epileptic Cases, Return showing 12 Section 6.--=Study of Feeble-minded and Delinquent Children=: Methods employed in other Countries; United States of America; New Zealand; Need of Psychological Experts; Tredgold, Quotation from 14 Section 7.--=Method of dealing with Mental Defectives in New Zealand--Present Legal Provision for Notification and Education of Feeble-minded Children and for Care of Custodial Feeble-minded Adults and Children=: Education Act, 1914; Provision of; "Feeble-minded," Definition of; Mental Defectives Act, 1911; English Mental Deficiency Act; Public Schools, Special Classes; Epileptic Children, Education of; Otekaike and Richmond Special Schools; Nature of Institutions and Training, with Suggestions; Caversham Industrial School; Weraroa Boys' Training-farm; Committal, Nature of; Value of Home Life in Comparison with Institutional 14 Section 8.--=Children's Courts=: Committee's Recommendations; Clinics for Physical and Psychological Examination 17 Section 9.--=Policy for the Future=: Notification; English Commission, 1908, Basic Principles laid down; Register of Feeble-minded; Eugenics Board; Dr. Gray's Suggestions; Psychiatrists, Suggested Appointment; Eugenic Board, Proposed Duties and Powers; Departments to control Feeble-minded; Marriage and Carnal Knowledge with Feeble-minded; Parents' and Guardians' Responsibilities 17 Section 10.--=The Question of Sterilization=: Operations, Nature of; X-rays, Use of; American Laws; Dr. H. Laughlin, Chicago, Views; Central Association for Mental Welfare of Great Britain, Opinion on Sterilization; Evidence in support of Sterilization; Committee's Opinion and Recommendation; Eugenic Board's Powers 19 Section 11.--=Segregation= 21 Section 12.--=The Question of Expense=: Cost to State for Want of Supervision, Case cited; Humanitarian and National Aspects 21 Section 13.--=Immigration=: Introduction of Feeble-minded and Undesirables from Overseas; Medical Inspection of Intending Immigrants; System in Force; Committee's Suggestions; Ordinary Passengers from Overseas, Medical Supervision of; "Prohibited Immigrants," Definition of 22 Section 14.--=Summary of Findings and Recommendations= 23 PART III.--SEXUAL OFFENDERS. Section 1.--=Scope and Origin of the Inquiry=: Prisons Board, Resolution passed; Medical and Surgical Reports; Indeterminate Sentence; Segregation 24 Section 2.--=Seriousness of the Evil=: Sexual Offenders, Numbers serving Sentence; Government Statistician's Return of Persons sentenced 25 Section 3.--=Types of Offences=: Sexual Offences; Various Classes, with Comments on; Types found in Prisons; Inspector of Prisons' Opinion; Sexual Perverts, Cure of 25 Section 4.--=Suggested Remedies=: Corporal Punishment; Inspector-General of Mental Hospitals' Recommendations; =Sterilization and Desexualization=; Castration; Sterilization; British Medical Association, N.Z., Motion passed; Vasectomy and Castration; Committee's Recommendation 26 Section 5.--=Scientific Treatment and Segregation with Indeterminate Sentence=: Medical Examination; Indeterminate Sentence; Women and Children, Protection of; Mr. Hawkins's Evidence on Control of Sexual Perverts 27 Section 6.--=Summary of Recommendations=: Crimes Act; Prisons Board, Powers of; Psychiatrist, Appointment and Duties; Eugenic Board, Power to advise Prisons Board; Sterilization; =Concluding Remarks= 27 APPENDIX.--=Past Mistakes in Immigration=: Extract from Report on Hospitals and Charitable Institutions of the Colony, 1888, by the late Dr. Macgregor, Inspector-General. =The Health of School Children=: Extract from the Report of the Director of the Division of School Hygiene, 1924. =Return showing Sexual Offenders= serving Sentence in New Zealand Prisons, 1924. =Table showing the Number of Sexual Offenders sentenced under respective Headings in New Zealand Prisons. Some Illustrative Histories= 29 * * * * * The Hon. the Minister of Health, Wellington. SIR,-- The Committee of Inquiry into Mental Defectives and Sexual Offenders appointed by you to inquire into and report upon the necessity for special care and treatment of mental defectives and sexual offenders in New Zealand have the honour to submit herewith their report. PART I.--INTRODUCTORY AND HISTORICAL. SECTION 1.--ORIGIN AND SCOPE OF INQUIRY. For a considerable time there has been a growing feeling of anxiety among the public owing to the number of mental defectives becoming a charge upon the State, and also the alarming increase in their numbers through the uncontrolled fecundity of this class. Furthermore, owing to the frequency of sexual offences, many of a most revolting character, there was a strong demand that some action should be taken to prevent further acts of this nature; it being suggested that the law should be altered to make it possible for surgical operations to be performed upon these offenders. The North Canterbury Hospital Board considered the need for action in this matter so great that they set up a Committee to go into the question and take evidence, which was done, and various recommendations were made to the Government. A perusal of departmental files reveals that many persons and social bodies have urged upon the Government the desirability of setting up a Committee or Commission of Inquiry to go into this subject. The Minister of Health duly considered the representations made, and appointed the following Committee to inquire into the question:-- The Hon. W. H. Triggs, M.L.C. (Chairman). Sir Donald McGavin, Kt., C.M.G., D.S.O., M.D. (Lond.), F.R.C.S. (Eng.). Sir F. Truby King, Kt., C.M.G., M.B., B.Sc. (Public Health) (Edin.). J. Sands Elliott, Esq., M.D., Bac. Surg. (Edin.), Chairman of the Council of the British Medical Association (New Zealand Branch). Miss Ada G. Paterson, M.B., Ch.B. (N.Z.), L.M. (Dublin). C. E. Matthews, Esq., Under-Secretary for Justice and Controller-General of Prisons, &c. J. Beck, Esq., Officer in Charge, Special Schools Branch, Education Department. The function and duty laid upon the Committee was as follows:-- (1.) To inquire and report as to the necessity for special care and treatment of the feeble-minded and subnormal, and to propose the general means by which such care and treatment, if any, should be provided. (2.) To inquire and report as to the necessity for the treatment of mental degenerates and persons charged with sexual offences, and to recommend forms of treatment for the various types of cases. The Minister of Health expressed his desire that the Committee should hear such evidence and representations on the above-mentioned matters as might be necessary fully to inform the Committee on the questions referred to it, and further suggested to the Committee that the various organizations and persons likely to be interested should be notified that the Committee would, at a certain place and date, hear any evidence they might desire to tender. The following places were visited and inspected by the Committee: The Myers Special School, Auckland; the Waikeria Prison Reformatory; the Tokanui Mental Hospital, Waikeria; the New Plymouth Prison; the Boys' Training-farm, Weraroa; the Point Halswell Reformatory for Women, Wellington; the Special School for Girls, Richmond, Nelson; the Mental Hospital, Nelson; the Mental Hospital, Stoke, Nelson; the Te Oranga Home, Burwood, Christchurch; the Paparua Prison, Templeton; the Special School for Boys, Otekaike; the Caversham Industrial Home for Girls, Dunedin; the Borstal Institution, Invercargill. Sittings were held at various centres in New Zealand, and a large number of witnesses were examined, as shown in the following table:-- -------------------------+------------------------------------------ Places and Dates of | Sittings. | Witnesses examined or Work done. -------------------------+------------------------------------------ Wellington, 23rd May, |Preliminary meeting. 1924. (Forenoon only) | Wellington, 30th May, |Dr. Clark, School Medical Officer, Napier. 1924. (Forenoon only) |Mr. J. Caughley, M.A., Director of Education. |Professor J. Tennant, Professor of Education, | Victoria College. Wellington, 2nd June, |Mr. N. R. McKenzie, Inspector of Schools, 1924. (Forenoon only) | Education Department. |Miss N. Valentine, Education Department. |Miss Barlow, Education Department. |Dr. Elizabeth Gunn, School Medical Officer, | Wanganui. Wellington, 4th June, |Mrs. McHugh, Health Patrol, Wellington. 1924. (Afternoon only) |Father McGrath, representing His Grace the | Archbishop of the Roman Catholic Church. |Mr. T. P. Mills, Superintendent, Presbyterian | Orphanage and Probation Officer. |Dr. Jeffreys, Medical Superintendent, Porirua | Mental Hospital. Auckland, 11th June, |Dr. Hilda Northcroft } Representing the 1924. |Dr. Kenneth MacKenzie } British Medical |Dr. E. Roberton } Association, | } Auckland Branch. |Dr. Mildred Staley. |Dr. J. R. Macredy, School Medical Officer, | Auckland. |Canon F. W. Young, Council of Christian | Churches, Auckland. |Dr. Fitt, Professor of Education, Auckland | University. |Mrs. Nicoll. |Mrs. Watson. Auckland, 12th June, |Dr. Milsom, representing the British Medical 1924. | Association, Auckland Branch. |Professor Anderson, Professor of Moral and | Mental Philosophy, Auckland University. |Mr. J. Cupit, Juvenile Probation Officer. |Mr. W. E. A. Gibbs. |Professor Sperrin-Johnson, Professor of | Biology, Auckland University. |Mr. H. Binstead, Lecturer on Psychology, | Training School, Auckland. |Rev. Jasper Calder. |Mr. W. S. J. Dales. |Dr. Wilkie, School Medical Officer, Auckland. Auckland, 13th June, |Sister Hannah, representing the National 1924. | Council of Women. |Miss M. Girdler, St. Mary's Home, Otahuhu. |Mr. C. W. Carter. |Rev. T. K. Jeffreys, Presbyterian Social | Service Association. |Mr. J. W. Poynton, S.M. |Mr. N. Law, Headmaster, Normal School. |Dr. Beattie, Medical Superintendent, | Auckland Mental Hospital. |Dr. D. N. Murray, Prison Medical Officer. |Visit of Inspection to the Myers Special | School, Queen Street, Auckland. Hamilton, 14th June, |Dr. Douglas. 1924. |Dr. F. S. Pinfold. |Mr. Phillip Goodwin, Juvenile Probation | Officer. Waikeria Reformatory, |Dr. H. L. Gribben, Superintendent, Waikeria 15th June, 1924. | Reformatory, and Medical Superintendent of | the Tokanui Mental Hospital. |Dr. MacPherson, Tokanui Mental Hospital. |Visit of inspection paid to Waikeria | Reformatory and Tokanui Mental Hospital. New Plymouth, |Miss Tootell, Boarding-out Officer, Wanganui. 25th June, 1924. |Dr. R. C. Brewster, Gaol Surgeon, New | Plymouth. |Mr. E. T. Holden, Secretary, New Plymouth | Hospital Board. |Visit paid to New Plymouth Prison. Otekaike, 2nd July, |Miss Wylie, Head Teacher of Special School. 1924. |Mr. William Meikleham, Manager of Special | School. |Visit paid to Special School for Boys and | Farm at Otekaike. Dunedin, 3rd July, |Mrs. Joan Murray, representing Society for 1924. | Protection of Women and Children. |Dr. E. Irwin, School Medical Officer. |Mr. J. Lock, Juvenile Probation Officer. |Dr. A. M. McKillop, Superintendent, Mental | Hospital, Seacliff. |Dr. A. R. Falconer, Medical Superintendent, | Dunedin Hospital. |Mr. G. M. Galloway, representing the Society | for Protection of Women and Children. Invercargill, 4th July, |Mr. M. Hawkins, Inspector of the Prisons 1924. | Department and Superintendent of the | Borstal Institution. |Mr. McCarroll, Juvenile Probation Officer, | Education Department. |Mr. Pryde, Secretary of the Hospital Board. |Mr. McLean, Hon. Secretary of the Prisoners | Aid Society. |Visit of inspection paid to Borstal | Institution and Farm. Dunedin, 5th July, 1924. |Visit of inspection paid to Caversham | Industrial School for Girls. Dunedin, 7th July, 1924. |Dr. Marshall McDonald } Representing the |Dr. Kenneth Ross } British Medical | } Association, | } Dunedin Branch. |Miss Ralston, Inspector of Industrial and | Special Schools. |Dr. Stuart Moore. |Mr. A. M. Paterson. Christchurch, 9th July, |Dr. F. V. Bevan-Brown, representing the 1924. | British Medical Association, Christchurch | Branch. |Dr. C. L. Nedwill, Prison Medical Officer. |Miss Cardale, representing the National | Council of Women. |Dr. A. C. Thomson, representing the British | Medical Association. |Rev. P. Revell, Secretary, Prison Gate | Mission. |Mrs. Herbert. |Miss Hunt, Superintendent, Addington | Reformatory. |Mr. J. A. Blank, Attendance Officer, | Education Department. |Miss Baughan, Official Visitor to the | Addington Reformatory. Christchurch, 10th July, |Dr. Crosbie, Medical Superintendent, 1924. | Mental Hospital. |Dr. Levinge. |Mr. Gumming, Juvenile Probation Officer, | Timaru. |Mr. William Reece, member of the Prisons | Board. |Professor Chilton, Professor of Biology, | Canterbury College. |Mr. C. T. Aschman, Headmaster, Normal School. |Miss Howlett, representing the National | Council of Women and Women's Christian | Temperance Union. |Miss Edwards, Manager of the Receiving Home, | Christchurch. |The Hon. G. W. Russell. |Visit of inspection paid to Te Oranga Home, | Burwood. Christchurch, 11th July, |Dr. Phillipps, School Medical Officer. 1924. |Professor Shelley, Professor of Education, | Canterbury College. |Mr. A. Bissett, Juvenile Probation Officer, | Christchurch. |Visit of inspection paid to Paparua Prison, | Templeton. Wellington, 15th July, |Colonel Bray, Secretary, Men's Department, 1924. (Forenoon only) | Social Service Work, Salvation Army. |Canon T. Feilden Taylor, Social Service | Department of Church of England. |Professor Kirk, Professor of Biology, | Victoria College. |Mr. F. S. Shell, Juvenile Probation Officer. Wellington, 16th July, |Dr. E. Fenwick, representing the British 1924. (Forenoon only) | Medical Association, Wellington Branch. |Mrs. Brigadier Glover, Salvation Army Prison | Officer and Probation Officer. |Miss Jean Begg. |Mr. R. W. Bligh, White Cross League | representative. Wellington, 24th July, |Visit of inspection to Point Halswell 1924. | Reformatory, Wellington. Levin, 5th August, 1924. |Visit of inspection to Boys' Training Farm, | Weraroa. Nelson, 22nd August, |Dr. Gray, Superintendent, Mental Hospital, 1924. | Nelson. |Visit of inspection to Special School for | Girls, Richmond. |Visit of inspection to Mental Hospital, | Stoke. |Visit of inspection to Mental Hospital, | Nelson. Wellington, 9th |Consideration of report. September, 1924. | (Forenoon only) | 12th September, 1924. | " 15th September, 1924. | " (Afternoon only) | 16th September, 1924. | " (Afternoon only) | 22nd September, 1924. | " (Afternoon only) | 6th October, 1924. | " (Forenoon only) | 13th October, 1924. | " (Forenoon only) | 22nd October, 1924. | " (Forenoon only) | 24th October, 1924. | " 28th October, 1924. | " (Forenoon only) | 29th October, 1924. | " (Forenoon only) | 5th November, 1924. | " (Forenoon only) | It will thus be seen that, apart from time spent in travelling, the Committee have met on thirty-five days and have heard ninety-two witnesses in person. The Committee would like to express their thanks to the witnesses, many of whom went to considerable trouble to collect information and prepare evidence. They are especially grateful to the British Medical Association for its willing co-operation and assistance; to the large number of members of the medical profession throughout the Dominion who responded to the Committee's request for information; to the authorities overseas for their response to requests for information; and to many other persons who by means of correspondence and literature have placed at the Committee's disposal a large amount of information which has been of material assistance in the investigation; also to the various Hospital Boards throughout the Dominion who so willingly placed their Boardrooms at the disposal of the Committee. Sir George Newman, the Chief Medical Officer of the Board of Education and the Ministry of Health, England, very courteously supplied the Committee with a valuable memorandum on the care of mental defectives in England and Wales, while the Secretary of State for the United States, through the good offices of the American Consul-General, Mr. Edwin N. Gunsaulus, kindly forwarded information supplied by the United States Public Health Service regarding the legislation and regulations in force in various States where sterilization for eugenical purposes has been legalized. Information of great value and interest has also been received from Dr. E. S. Morris, Director of Health, Tasmania; from Dr. Helen MacMurchy, Department of Health, Ottawa; and from Dr. Eric Clarke, Toronto, Assistant Medical Director, Canadian National Conference for Mental Hygiene. The Committee further wish to make special mention of the services rendered by the Secretary, Mr. J. W. Buchanan, whose work has been very heavy owing to the number of witnesses examined and the extent of ground covered in a comparatively short time. This would not have been possible but for the complete arrangements made by Mr. Buchanan, and the ability and energy which he showed generally in the discharge of his duties left nothing to be desired. SECTION 2.--TWO DISTINCT QUESTIONS. Before proceeding to the subject-matter of the Committee's investigations and the conclusions arrived at it is necessary to point out as clearly and emphatically as possible that the questions submitted to the Committee were entirely separate and distinct from each other. It is true that a certain proportion of mental defectives show their lack of self-control in regard to sex instincts and functions as in other respects. This is particularly the case with mentally defective girls, and constitutes one of the chief difficulties in dealing with them satisfactorily. Some of this class find their way into prison on account of sexual offences, but it is very far from correct to suppose that all feeble-minded persons are sexual offenders, or that all sexual offenders are mentally defective. On the contrary, among sexual offenders of the worst type, those convicted of unnatural offences, are occasionally found to be persons possessing intellectual and artistic powers above the average. There is something wrong in their mental, moral, and emotional balance, as will be pointed out in the proper place, but, as a rule, it is not the "intelligence quotient" which is at fault. PART II.--PROBLEM OF THE FEEBLE-MINDED. SECTION 1.--A MENACE TO MODERN CIVILIZATION. The Committee are of opinion that the unrestricted multiplication of feeble-minded members of the community is a most serious menace to the future welfare and happiness of the Dominion, and it is of the utmost importance that some means of meeting the peril should be adopted without delay. The position is the more serious because, while the feeble-minded are extraordinarily prolific, there is a growing tendency among the more intellectual classes for the birth-rate to become restricted. An American writer, Lothrop Stoddart, in his striking book entitled "Revolt against Civilization," expresses the fear that the very foundations of civilization are being undermined. He finds reasons for great pessimism as regards the future in the results of the intelligence tests taken in the American Army during the war. The American War Department made psychological tests of 1,700,000 officers and men, who were graded as follows:-- Grade. Percentage. Mental Age. A 4½ 18-19 Very superior intelligence. B 9 16-17 Superior intelligence. C1 16½ 15 Average intelligence. (Rarely capable of finishing high-school course.) C-- 25 13-14 Low average intelligence. D 15 11 Inferior intelligence. D-- 10 10 Very inferior intelligence. Assuming that these 1,700,000 men are a fair sample of the entire population of 100,000,000 (and Stoddart says there is every reason to believe that it is a fair sample), this means that the average mental age of Americans is only about fourteen; that 45,000,000, or nearly one-half of the whole population, will never develop mental capacity beyond the stage represented by a normal twelve-year-old child; that only 13,500,000 will ever show superior intelligence; and that only 4,500,000 can be considered "talented." "Still more alarming," the author continues, "is the prospect of the future. The overwhelming weight of evidence indicates that the A and B elements in America are barely reproducing themselves, while the other elements are increasing at rates proportionate to their decreasing intellectual capacity; in other words, that intelligence is to-day being steadily bred out of the American population." The biologist Davenport calculated that at present rates of reproduction 1,000 Harvard graduates of to-day would have only fifty descendants two centuries hence, whereas 1,000 Roumanians to-day in Boston, at their present rate of breeding, would have 100,000 descendants in the same space of time. Mr. Lothrop Stoddart emphatically scouts the view which is occasionally put forward to the effect that genius is a form of insanity, and that therefore one ought to be careful about discouraging the marriage even of epileptics and mentally unbalanced persons for fear a possible Napoleon or Julius Cæsar or Beethoven should be lost to the world. "Careful scientific investigation," he says, "has clearly disproved this notion. For one thing, elaborate statistical studies of eminent persons have shown them to be less liable to insanity than the general population. Of course, a considerable number of eminent men can be listed who unquestionably suffered from various neuropathic traits. But it was not those traits that made them eminent; on the contrary, these were handicaps. Somewhere back in their ancestry a taint was introduced into a sound superior strain, and produced this disharmonic combination of qualities." SECTION 2.--HEREDITY _V._ ENVIRONMENT. The Committee feel bound to refer to the great strides made during the last half-century towards establishing laws and theories of genetics and heredity. Unfortunately, terms such as the "integrity of the germ plasm" and "the Mendelian law," while marking great advances in biological thought and science, have become too much associated in the public mind with a depressing and fatalistic notion that heredity determines everything and that environment can play but a very insignificant part in human evolution, development, and progress--physical, mental, or moral. Such, of course, is not the case. In ultimate origin all evolution and all heredity are the outcome, summation, and expression of the effects of environmental influences, acting on the whole organism under certain laws of transmission. The laws of heredity, though as yet only partially determined, are already sufficiently ascertained to prove for practical purposes that, in order to promote integration and further progress in human evolution--not disintegration and degeneration--two things are essential and complementary. On the one hand, we must do everything possible in the direction of improving the nutrition, health, conditions of life, and habits of the community; and, on the other hand, we must promote and encourage parenthood on the part of the best and stablest stocks, and do everything in our power to discourage, or in the extreme cases even to prevent, proliferation of unfit and degenerate strains. For the purpose of the present inquiry we need merely state as a practical preliminary regarding heredity that it has been proved beyond question that if two feeble-minded persons marry they will most probably produce abundant offspring, of whom all may be subnormal, and a large proportion will become a burden on the State; and that if one such person is mated with a healthy individual an undue proportion of their children are likely to prove degenerate or defective, and the unsoundness will continue to make its appearance in succeeding generations. While local evidence confirmatory of this came before the Committee, first place will be given to certain classic and exhaustive investigations and life-histories of degenerate families, going back many generations, such as no young country could possibly supply. However, the forcible and far-sighted report of the late Dr. Duncan Macgregor (originally Professor of Mental Science at Otago University, and subsequently Inspector-General of Asylums, Hospitals, and Charitable Aid), quoted in the Appendix, shows clearly that some very degenerate stocks imported into this country under the active immigration policy of the "seventies" and "eighties" were already threatening, thirty-five years ago, to become a serious tax on the country, as well as tending to lower the high physical, mental, and moral standard established by the original pioneers and settlers. We shall now revert for the moment to the environmental factor. The first most pressing and immediate practical duty of the Government and the community is to spare no pains to improve the status and environment of the family so as to promote the highest attainable standard of physical, mental, and moral health for the new generation--already in our midst or bound to arrive in the course of the next few years. It is becoming more and more widely recognized that by due attention to the pre-natal and post-natal care of mother and child an infinity of good can be done--indeed, a great deal is already under way in this direction throughout the Dominion. But the Committee are satisfied that much more ought to be done to ensure for children of the pre-school and school ages more generally favourable home conditions, and healthier environment and habits outside the home. In the meantime it is obvious that very little can be effected in the way of bettering the average heredity; but are we taking adequate measures in the direction of improving the environment of mother and child? The housing problem is still far from satisfactory; help in the home can scarcely be procured, and the rearing and care of children throughout the pre-school and school periods, in a large proportion of cases, is neither conducive to a high standard of nutrition, growth, and moral development, nor to the establishment of normal self-control, especially as regards sexual habits and manifestations. The Committee cannot ignore the fact that the leading medical and psychological authorities lay it down as an axiom that the power of self-control is at its highest when the individual is physically active, well-nourished, and in perfect bodily health, and that impaired control always accompanies impaired nutrition, debility, and disease. It has been said, with profound wisdom and insight, that ultimately and fundamentally reproduction should be regarded as essentially "an exuberant phase of nutrition"; and there is no escaping the wide implication of Schiller's aphorism that "Love and Hunger rule the World." In view of these considerations the Committee feel compelled to refer to such serious handicaps to all-round health, control, and efficiency as the prevalence of wrong feeding habits--_e.g._, giving children food between meals and the insufficient provision of fresh fruit and vegetables in the daily diet and the abuse of sweets. Other prominent and avoidable handicaps, seriously affecting many children throughout the Dominion, which ought to receive more serious attention are insufficiency of sunlight and fresh air in the home and at school, insufficient daily outing and exercise, lack of adequate provision in the way of playgrounds and swimming-baths, and last, but not least, the highly injurious practice of frequenting "picture-shows." As the Committee are called on to deal specially with the problem of increasing manifestations of sexual depravity they cannot pass by the fact that in the course of the last twenty years the younger members of the community have been spending a steadily increasing proportion of their time, during the most impressionable period of life, in what are liable to prove forcing-houses of sexual precocity and criminal tendencies. There is every reason for regarding the habit of "going to the pictures" without adequate restrictions as contributing seriously to precocious sexuality, and also to weakening the powers of inhibition and self-control in other directions--powers which are the distinctive attributes of the higher human being. Alongside these considerations, the bodily harm done to the young by frequently spending their afternoons and evenings in hot, stuffy, overcrowded halls shrinks into insignificance, though serious enough in itself. The Committee endorses the opinions expressed by Education authorities, and by practically every organization throughout the Dominion concerned with the welfare of children, upon the harmful effect of moving-picture shows as at present conducted. The Committee sympathizes with proposals for reform along the following lines:-- (1.) Stricter censorship, not only of films, but of picture posters, handbills, and advertisements. (2.) Regulations as to the age of admission for children when unaccompanied by a responsible adult, and to such pictures as are not pronounced by the Censor as suitable for children. (3.) Proper safeguards for the morals of children and young persons within picture-theatres, including adequate supervision of the premises. The Committee desire it to be clearly understood that in this report they have not particularly dealt with mental disabilities resulting from diseases such as syphilis, or toxic influences such as alcohol, drugs, &c. These questions have already been covered to some extent by the Report of the Venereal Diseases Committee, and in any case would involve too wide a field of investigation for the present inquiry. An authoritative summary taken from this year's report of the Director of the Division of School Hygiene is quoted in the Appendix as pointing out most of the faults and mistakes in environment and upbringing to which reference has been made, and because it draws special and much-needed attention to the injurious effects of overwork and excessive competition and the need for more sleep and rest. We would merely add to this very clear, practical statement that encouragement of excessive competition, inside or outside the school, for any purpose whatsoever, is costly and damaging to the whole being, and that, in the opinion of the Committee, nothing needs to be impressed more strongly on parents and school-teachers than Froebel's injunction, "Give space and time and rest." SECTION 3.--ILLUSTRATIVE CASES OF HEREDITARY DEGENERACY. _The Juke Family._ To show the close relationship existing between the criminal and the psychopath the record of the so-called Juke family in America was compiled by R. L. Dugdale. The descendants of one morbid couple were traced through five generations. Whilst a small proportion were honest workers, the great majority were paupers, criminals, and prostitutes. Of 540 Jukes practically one-fifth were born out of wedlock, 37 were known to be syphilitic, 53 had been in poorhouses, 76 had been sentenced to prison, and of 229 women of marriageable age 128 were prostitutes. The economic damage inflicted upon the State of New York by the Jukes in seventy-five years was estimated at more than $1,300,000, to say nothing of diseases and other evil influences which they helped to spread. A more recent investigation shows that 2,820 people have been studied; 2,094 were of Juke blood and 726 of "X" blood married into the Juke family; of these, 366 were paupers, while 171 were criminals, and 10 lives have been sacrificed by murder. In school-work 62 did well, 288 did fairly, while 458 were retarded two or more years. It is known that 166 never attended school; the school data for the rest of the family were unobtainable. There were 282 intemperate and 277 harlots. The total cost to the State has been estimated at $2,093,685. _The Kallikak Family._ The history of the Kallikak family has been traced and fully described in detail by Dr. Goddard, and his study shows the hereditary nature and sociological bearings of feeble-mindedness. Martin Kallikak was a youthful soldier in the Revolutionary War. At a tavern frequented by the militia he met a feeble-minded girl by whom he became the father of a feeble-minded son. In 1912 there were 480 known direct descendants of this temporary union. It is known that 36 of these were illegitimates; that 33 were sexually immoral; that 24 were confirmed alcoholics; and that 8 kept houses of ill-fame. The explanation of so much immorality will be obvious when it is stated that of the 480 descendants 143 were known to be feeble-minded, and that many of the others were of questionable mentality. A few years after returning from the war this same Martin Kallikak married a respectable girl of good family. From this union 496 individuals have been traced in direct descent, and in this branch of the family there were no illegitimate children, no immoral women, and only one man who was sexually loose. There were no criminals, no keepers of houses of ill-fame, and only two confirmed alcoholics. Again the explanation is clear when it is stated that this branch of the family did not contain a single feeble-minded individual. It was made up of doctors, lawyers, judges, educators, traders, and landholders. _New Zealand Cases._ But it is not necessary to go to the records of older countries to find examples of this kind. Unfortunately, this young Dominion, whose history as a European settlement is comprised within the lifetime of its oldest inhabitants, is already reproducing some of the saddest problems of civilization which perplex the people of the Old World. We started with every advantage in the shape of a favourable climate and rich natural resources. The original settlers were, for the most part, men and women of sturdy determination, enterprising spirit, and strong physique. In the "seventies" a vigorous public-works policy was inaugurated, and great efforts were made to introduce fresh population, the result being that undoubtedly a great impetus was given to settlement, and the country was fairly started on the road to prosperity. But, unfortunately, it is now only too apparent that insufficient care was taken in the selection of immigrants. The following extract from a statement made to the Committee by Sir Robert Stout, Chief Justice, and President of the Prisons Board, illustrates this point: "The Prisons Board has sometimes brought before it several persons of one family who have offended against our laws, and in the experience I had in 1884 and 1885, when looking after our Hospitals and Charitable Aid Department in the General Government, I found that people obtaining charitable aid had done so for three generations; that is, grandfather, father or mother, and children were all obtaining aid from the Government because they were unable to maintain themselves. Some of the cases were traced, and it was found that the grandfathers, or grandparents, had been originally in poorhouses in the Homeland, and although they came to New Zealand and had greater opportunities than they had in their Homeland, yet their inability to provide for themselves continued." How serious the problem has already become will be seen from the following illustrative cases selected from a large number given in the evidence:-- _Case No. 1._ +--------------------------------+ | Father: | Mother: | | Weak-minded. | Weak-minded. | | | | +----------+----------+----------+ |Female, | |born 1906.| +----------+ |Female, | |born 1907.| +----------+ |Female, | |born 1908.| +----------+ |Female, | |born 1909.| +----------+ |Female, | |born 1911.| +----------+ |Male, | |born 1912.| +----------+ |Male, | |born 1913.| +----------+ |Male, | |born 1915.| +----------+ |Female, | |born 1916.| +----------+ All these children except one are feeble-minded, and when committed to the care of the State were found living under deplorable conditions. Most of these children will require lifelong control in an institution. The total cost of maintaining this family will be approximately £9,500. These children are cousins of another family under State control. There are four children, two of whom are simple-minded. The mother is feeble-minded, and the father died in a mental hospital. In this case the mothers of the children are sisters. _Case No. 2._ +----------------------------------+ | Father: | Mother: | | Feeble-minded. | Feeble-minded | | | and drunkard. | | | | +---------+-------------+----------+ |Female, | |illegitimate,| |born 1902. | +-------------+ |Male, | |born 1904. | +-------------+ |Male, | |born 1906. | +-------------+ |Male, | |born 1907. | +-------------+ |Male, | |born 1910. | +-------------+ |Male, | |born 1912. | +-------------+ |Female, | |born 1914. | +-------------+ |Female, | |born 1916. | +-------------+ |Male, | |born 1918. | +-------------+ |Male, | |born 1920. | +-------------+ |Male, | |born 1923. | +-------------+ All these children are feeble-minded and have been brought under State control shortly after birth. Some are now in mental hospitals and some in special schools. All these children are lifelong custodial cases. The cost to the State for maintenance is approximately £16,000, towards which amount the father has contributed but £6. _Case No. 3._ +----------------------------------------------------+ | Father: | Mother: | | Old-age pensioner in | Apparently weak mentally | | Home for Aged People. | and morally--at present | | | in reformatory home. | | | | +------------------+-------------------------+---------------------+ |1. Female. | Female, Female, Male, | All these children | | Prostitute | born born born | are illegitimate. | | residing with | 1908. 1911. 1913. | Reputed father a | | drunkard. | | drunkard and man of | | | Male, | bad character. | | | born 1915. | | +------------------+-------------------------+---------------------+ |2. Female. | Male, Male, Female, | All these children | | Prostitute and | born born born | are illegitimate. | | addicted to | 1907. 1910. 1912. | In most cases the | | drink. | | father is unknown. | | | Male, Female, | | | | born 1914. born 1917. | | +------------------+-------------------------+---------------------+ |3. Female. | Male, Male, | Both illegitimate. | | Immoral and | born 1911. born 1912. | Reputed fathers | | generally bad | | well-known bad | | character. | | characters. | | Inmate of | | | | private | | | | reformatory. | | | +------------------+-------------------------+---------------------+ |4. Female. | Female, Female, | Mother married a | | Indifferent, | born born | widower with three | | married | 1908. 1912. | children. There are | | criminal, now | | three more the | | in prison. | Female, born 1916. | result of marriage | | | | maintained by the | | | | State. | +------------------+-------------------------+---------------------+ |5. Female. | Female, Female, | All delicate | | Drunkard and | born born | neurotic types and | | married a | 1898. 1900. | difficult to | | drunkard | | manage. | | although man | Female, Female, | | | of good | born 1902. born 1905. | | | education. | | | | | Female, born 1908. | | +------------------+-------------------------+---------------------+ |6. Female. | Male, born 1910. | | | Well-known | | | | prostitute, | | | | married member | | | | of notorious | | | | criminal | | | | family, and | | | | himself | | | | criminal. | | | +------------------+-------------------------+---------------------+ All these children, numbering twenty-one, were committed to the care of the State, in most cases shortly after birth. Twelve of the children are illegitimate. The husband of daughter No. 6 is also the father of one each of the offspring of daughters Nos. 2 and 3. Most of the children are delicate and poorly developed, and at least six of them are definitely tubercular. The remainder are either neurotic or erratic in their conduct and have given a great deal of trouble in their upbringing. The total cost to the State for the maintenance of these children may be quoted at £10,000, but of this amount £482 has been recovered from the various men liable. It is difficult to assess the State's total commitment. If some of the children have to be maintained until they reach the age of twenty-one the additional cost will be £3,000. There is the probability, too, that the offspring of these children will become charges upon the State. _Case No. 4._ +--------------------+---------------------+ | Father: | Mother: | | Addicted to drink | Drunkard and | | and degenerate. | morally deficient. | | | | +------------------------------------+----------------+ | | Female, | | | born 1908. | | +----------------+ | | Male, | | | born 1909. | |All these children are illegitimate |Admitted special| |and are feeble-minded, requiring | school, 1920. | |lifelong control. Three are now +----------------+ |inmates of mental hospitals, and | Female, | |in time the remainder of the | born 1910. | |family at present in special +----------------+ |schools will be sent on to mental | Male, | |hospitals. | born 1914. | | +----------------+ | | Male, | | | born 1916. | | +----------------+ | | Female, | | | born 1917. | +------------------------------------+----------------+ | | Male, | | | born 1918. | |All probably feeble-minded. +----------------+ |Not yet brought under | Male, | |State control. | born 1920. | | +----------------+ | | Male, | | | born 1923. | +------------------------------------+----------------+ An officer of the Education Department describes the home as "one of the dirtiest and most squalid homes I have seen." The cost (including past, present, and approximate future maintenance) to the State for the upkeep of this family is estimated at £10,000. Nothing has been paid by the parents towards the support of these children. In all probability, the remaining members of the family will be brought under State control at a probable cost of £4,500. _Case No. 5._ +--------------------------------------------------+ | Father: | Mother: | | Drunken waster; | Feeble-minded helpless | | subnormal; | invalid. Died shortly | | frequently in gaol. | after children committed | | | to care of State. | | | | +--------------------------------------------------+ |Male, born 1904. | |Tubercular. Partly | |self-supporting. | +------------------------+ |Female, born 1907. | |Tubercular. Suffers | |from epileptic seizures.| |Inmate mental hospital. | |Lifelong custody. | +------------------------+ |Male, born 1909. | |Subnormal. May in | |time become partly | |self-supporting | |under favourable | |conditions. | +------------------------+ |Male, born 1911. | |Mentally deficient. | |Case for lifelong | |control. | +------------------------+ |Male, born 1913. | |Mentally deficient. | |Lifelong custodial | |case. | +------------------------+ |Female, born 1914. | |Feeble-minded and | |badly nourished. Case | |for permanent | |segregation. | +------------------------+ |Male, born 1916. | |Very backward. May | |become partly | |self-supporting | |under favourable | |conditions. | +------------------------+ In 1916 the whole of this family was committed to the care of the State, and at least six of them will be lifelong cases. The cost to the State, computed up to twenty-one years in each case, is approximately £8,500, but the additional future cost may easily be estimated at £5,000, making in all the sum of £13,500. The father was ordered to pay at the rate of 15s. a week, but the amount recovered from him to date is only £156. _Case No. 6._ +---------------------+-----------------------+ | Father: | Mother: | | Subnormal. Was a | Has always been | | watersider, so | addicted to periodic | | dirty in habits | fits of insanity. | | that watersiders | Has been in mental | | complained. A | hospital on several | | sexual case. | occasions. | | | | +--------------------------------+----------------+ | | Female, | | | born 1904. | | | Subnormal. | | +----------------+ | | Female, | | | born 1909. | |These four children were | Subnormal; | |committed to the care of |also delinquent.| |the state in 1917. +----------------+ | | Female, | | | born 1915. | | | Subnormal. | | +----------------+ | | Female, | | | born 1916. | | | Subnormal. | |--------------------------------+----------------+ | | Unknown | |Not yet brought under +----------------+ |State control. | Unknown | | +----------------+ | | Unknown | +--------------------------------+----------------+ The approximate cost to the State of maintaining these four children will be £5,150, less what is recovered from the father. Up to the present the amount received from him is £176. Should the other three children be brought under State control, the additional cost may amount to approximately £5,000. This is a glaring case of persons being allowed to marry who are totally unfit to marry. A relative stated that the mother's mentality was in a shocking state at the time of marriage. The father has always been subnormal. The woman is too insane at times to attend to ordinary household duties or matters of ordinary personal cleanliness. At the time the children were committed the home was in a shockingly filthy condition, and at that time was one of the worst brought under the notice of the Department in the district. The second girl (age fifteen) has had her hair cut for the sake of cleanliness by some kindly disposed well-wisher. The mother allowed the dirt to accumulate to such an extent that the whole of the girl's head was covered with a scab of dirt. She had to enter the Hospital to have this removed. This was a most objectionable case. After the State took charge of these children the mother and father were still allowed to cohabit, with the result that three more children have been born. Without doubt, these children will also be supported by the State. The father is a sexual case, and foster-parents of the children have objected to the father visiting them on account of the way he handles them. SECTION 4.--ELEMENTS OF THE PROBLEM. Wallen, in his book "Problems of Subnormality," draws attention to three basic phases of the problem of the feeble-minded:-- "(1.) The obligation of society to identify and register as early as possible all feeble-minded children. All students of social problems will concede that feeble-mindedness is one of the fundamental causes of our numerous social ills. It is a prolific source of poverty, destitution, all kinds of crimes against property and person, social immorality, illegitimacy, and of prolific and degenerate progeny. "There are few problems in present-day constructive social economics which are more important than the development of a State-wide and a nation-wide policy for the compulsory official identification and registration of feeble-minded children, particularly all those who come from homes where the conditions are not such as to guarantee continuous supervision and support. "(2.) The proper educational care and training of feeble-minded children. The adequate discharge of this obligation involves segregating the feeble-minded in special classes as soon as they can be indubitably diagnosed and providing for them the type of training which will maximally develop those powers and aptitudes which they possess and which will maximally equip them for earning their livelihood. "(3.) Provision for continuous oversight and supervision over the feeble-minded." It is clear that if we wish to reduce the number of mentally defective and socially inadequate individuals we must not only consider measures for preventing as far as possible the transmission of hereditary defect, but must also provide for the youth of the country an environment and training calculated to encourage the development of its best powers. There is no doubt that unfavourable home conditions and unsuitable educational methods conspire to keep many children from realizing their full capabilities. This is especially true of the backward and feeble-minded. It is, moreover, wasteful and ineffective to force on children of poor mental receptivity and potentialities an educational curriculum devised for those of normal mentality, since the subnormal impede the general progress in an ordinary class, and in it they soon form a discouraged minority which learns to accept failure unquestioningly. Untrained to perform the simple work which is within their power and in the achievement of which they might earn self-respect and happiness, they feel themselves to be aliens, and may cease to regard the laws of society in which they have no sense of membership. In such cases the community which might have benefited from their work had their potentialities been properly developed is burdened by their maintenance, and, further, if they are not law-abiding, has also the expense of segregating them in reformatories and gaols. Hence it is clearly the duty of the State to adapt the educational curriculum to the requirements of various groups of children. The child who has been handicapped by illness and lack of opportunity, the child who is inherently dull and backward, must be distinguished from the child with nervous instability or definite mental defect. Wherever possible, the training suitable for various improvable types of children should be arranged in connection with the ordinary public schools. But the curriculum must be modified to suit the need of the individual and should be directed with the object of making him a useful member of society. By this means these pupils are not deprived of that association with their normal fellows which is of such value as a preparation for their after-life in the community. For children whose homes are unsuitable or too remote from centres, who require more continuous supervision, or who tend to become delinquent, special residential schools will be necessary. These schools would also be used for those whose capabilities cannot be assessed without extended expert observation for a considerable period. The special school is to be regarded as a training-centre for such feeble-minded children as are expected as a result of the training received there to be fitted to take a place in the
{'title': 'Mental Defectives and Sexual Offenders', 'source': 'Project Gutenberg', 'lang': 'en'}