Publisher Information: Florence: Gaetano Cambiagi, 1789.
Chiarugi, Vincenzo (1739-1820). Regolamento dei Regi spedali di Santa Maria Nuova di Bonifazio. 4to. lxxviii, , 416, pp., incl. 27 charts (some folding, some double-page). Engraved title and 10 folding engraved plates (1 in facsimile). Florence: Gaetano Cambiagi, 1789. 273 x 200 mm. 19th cent. half vellum, marbled boards, light rubbing. Paper flaw in leaf oo1, otherwise fine.Book Id: 38974
First Edition. In 1774, under the enlightened rule of the Grand Duke Peter Leopold of Tuscany, the first law in Europe authorizing hospital care for the insane was enacted. The following year Vincenzo Chiarugi, then senior physician at the Hospital of Santa Maria Nuova, recommended to the Duke that the insane be relocated to the old Bonifazio Hospital, which would be renovated for the purpose; in 1788, the new Bonifazio Hospital was officially opened. Chiarugi was named physician-in-chief of the new hospital, which was dedicated to the care of insane, incurable, invalid and dermatologic patients; his humane administration with regard to the insane marked the first application of the principles of treatment that form the basis of modern psychiatry.
Chiarugi required a physical examination and clinical assessment of each patient admitted, hygienic rooms with segregation of the sexes, no restraint beyond strait jacket and cotton strips, a firm but kindly attitude on the part of the staff, and no work assignments for the patients except those that would benefit their situations.
When it came time to reprint the regulations of the Hospital of Santa Maria Nuova (which had been issued a few years previously by Count Covoni-Girolami), the Grand Duke encouraged Chiarugi to add a section on the rules and regulations of the Bonifazio Hospital. Chiarugi's additions to this administrative manual constitute the first appearance in print of his reforms in the care of the mentally ill, preceding by four years their fuller exposition in his Della pazzia in genere, e in specie. Mora, "Chiarugi and psychiatric reform," J. Hist. Med. & Allied Sci. 14 (1959), pp 424-433. Norman 474..