Published online by Cambridge University Press: 24 July 2009
In 1921 the popular Irish novelist known as George A. Birmingham published a short story entitled ‘A Lunatic at Large’. This concerns a young Englishman working as a dispensary doctor in the west of Ireland. Although only recently appointed to the post, Dr Lovaway has already been startled at the number of lunatics he is being called upon to certify, especially by the police. Indeed, as the story begins he is in the process of attempting to compose an article entitled, ‘The Passing of the Gael. Ireland's Crowded Madhouses’ for the British Medical Journal. He ponders various explanations for this startling phenomenon.
He balanced theories. He blamed tea, inter-marriage, potatoes, bad whisky, religious enthusiasm, and did not find any of them nor all of them together satisfactory as explanations of the awful facts. He fell back finally on a theory of race decadence. Already fine phrases were forming themselves in his mind: ‘The inexpressible beauty of autumnal decay.’ ‘The exquisiteness of the decadent efflorescence of a passing race.’
The doctor's musings are interrupted by the arrival of a member of the Royal Irish Constabulary, announcing that, according to information received from his aunt, a young labourer on a distant and isolated farm is in immediate need of committal.
Accompanied by the police constable and also the local sergeant, Dr Lovaway makes an arduous journey in pouring rain to the farm.
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