[109] In Harrington Tuke's words, "The very type of the malady seemed to be changed; fearful, raving, desperate struggling, and maniacal excitement, heretofore the ordinary symptoms of mental disease, were now seldom seen. . . . The aspect and demeanor of the patients became so altered, that a foreign physician visiting the asylum, after seeing all its inmates, gravely inquired 'where all the real lunatics were confined?'" (Harrington Tuke, "Address of the President of the British Medical Association, Section of Psychology," British Medical Journal, October 1873, reprinted as a separate pamphlet, 4–5. See also, for example, Athenaeum, 1842, 65–66; Illustrated Times, 29 December 1859, quoted in Elaine Showalter, "Victorian Women and Insanity," in Madhouses, Mad-Doctors, and Madmen: The Social History of Psychiatry in the Victorian Era, ed. Andrew Scull (London: Athlone Press, 1981), 314; Dickens and Wills, "A Curious Dance."