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[cont'd.] experience and an international reputation. His
work at Northampton influenced the profession far beyond the gates of Northampton State Hospital. The major proponent of the therapeutic value of physical labor for mental patients, he convinced most of his patients to go to work through a combination of personal influence and incentives such as better food. Their exertions contributed significantly to the functioning of the hospital. Reduced needs for staff combined with the value of produce sold off the large hospital farm made it possible for the hospital to operate without any state appropriations during most of Earle's tenure. This fiscal success led other superintendents, who had been skeptical of the practice, to put their patients to work. An early advocate of the principles of moral treatment, by the time Earle arrived in Northampton he had become pessimistic about the prospects for cure for patients in the state hospital superintendents, claims which had been crucial to legimitmizing these ...
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