what would the doctors visits tom apparently endured have been like? what if he had been institutionalized as he apparently feared? what would have happened to him?
Sorry this took a little while! I had to do some research for this because I'm not super familiar with healthcare from this period.
This is potentially triggering for ppl who are neurodiverse or experience mental/chronic conditions as I'm discussing outdated language and treatments, some which are still prevalent today despite medical suggestion. So after the first part on general healthcare, I'm going to put the rest as hidden.
From what I can gather, general healthcare (like doctors) were largely free for working men, but that left women, children, the unemployed and homeless without. This also means Tom. Tom would've likely been treated, if he ever got ill (and I think its mentioned in Order of the Phoenix that wixen don't get the same health issues that muggles do, although that may just be JKR batshittery), by one of the staff at the orphanage, who would prescribe cod liver oil for colds and thats about it. Penicillin was only discovered in 1928 so its likely kids were still dying from infections, especially in the orphanage. A doctor might've been called for something more serious like a broken bone, but operations still were being done on stuff like kitchen tables, so I wouldn't trust a 20s/30s doctor. There would've been a sanitarium (basically a sick room) although I can imagine that children went there to essentially die, especially from the more dangerous conditions that were rife at the orphanage, which I also discussed here.
(This next part is the potentially triggering section. Read at your own discretion.)
Tom is commonly read, particularly to outsiders (as we are when we view him through others eyes), as neurodiverse or with an Anti-Social Personality Disorder. Especially with his magic, he likely would've been perceived the same way by those at the orphanage, most prevalently by Ms Cole and others in charge as kids just don't notice these things. Germany's Aktion T-4 during the 30s an 40s (the proposed eugenics and selective breeding, but in reality murder, of anyone 'mentally retarded') mirrored the attitudes of the first half of the 20th century. Not a lot was known about how children think anyway, so they were often treated as mini adults or dolls, despite children not even having the mental capacities to comprehend why they're doing something until they're literally 15.
Tom (with whatever condition he does have) would have fallen under the Mental Deficiency Act (1913) which was passed almost unanimously with only 3 votes against it. It was a step forward from the previous Idiots Act (1886), but the language and treatment was still poor. It categorised people into four groups:
a) Idiots. Those so deeply defective as to be unable to guard themselves against common physical dangers.
b) Imbeciles. Whose defectiveness does not amount to idiocy, but is so pronounced that they are incapable of managing themselves or their affairs, or, in the case of children, of being taught to do so.
c) Feeble-minded persons. Whose weakness does not amount to imbecility, yet who require care, supervision, or control, for their protection or for the protection of others, or, in the case of children, are incapable of receiving benefit from the instruction in ordinary schools.
d) Moral Imbeciles. Displaying mental weakness coupled with strong vicious or criminal propensities, and on whom punishment has little or no deterrent effect.
It suggested institutionalisation was the best response to these conditions, and the now-obsolete Board of Control for Lunacy and Mental Deficiency oversaw this implementation of 'care'.
Tom wouldn't have been aware of what occurred in these places (lobotomies and shock therapy of various kinds for 'treatment', including insulin and forcing seizures; but also horrible treatments of patients by 'carers' including violence and abuse), but would know that it meant you were crazy. Bedlam (12th century — present) was notorious based on rumours alone. Tom would've been genuinely fearful of what happened in those places even though he had no idea himself.
I remember playing games about asylums when I was a kid, and I doubt children in Tom's time were much different, but there was no one around to de-stigmatise and so rumours perpetuated. I think Tom was very scared because he believed his magic was a sign of insanity or a hallucination, and although he probably wasn't politically aware, he realised his own ability to hurt and was afraid of what that meant for him. To Tom, as a young child knowing nothing about his strange powers, being crazy was just as frightening as death because it meant the end of freedom.
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Hello, I did not draw this but my friend did. He told me to use my account to send it to you because he did not want to publicly out his Tumblr account. Here you go 😁
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i sense a new wallpaper change for my phone. this is seriously so incredibly kind. 💜 thank you so much for sharing this with me. and tell your friend i said thank you too !
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