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This last question must be answered in the negative.Her father was not a cruel man, but, as I said,rather a thoughtful, prudent, liberal-mindedperson. If he could not bring himself to the ideaof having his daughter committed to a lunaticasylum, it must have been that he considered involuntarycommittal, rather than the keeping a prisoner in the house,an act of cruelty. This, I think, is the logicalconclusion to be drawn from the whole of her history.The tale of her first four years in the BritishIslands, if it seems such to you, is really as follows.First, there is the usual time of the first perturbation,as the novelty of any new state of things wearsthe mind, and the mind also is at work on itself,changing its character, and trying to explain and toreconcile the thoughts which it had before known.Then there is a gradual, steady, though nota very marked change in the mind of the girl,and a definite purpose, at last, to escape. Itarrives that her father is sick and confined to hisbed; she is taken care of, and the fear ofbeing committed to an asylum is removed. Shegains confidence, and begins to think of escape.

The truth is, that there is one cause of insanity whichis absent from the North-country parishes, andwhich, coming into those places, produces, in acertain degree, the same unfortunate effect. Itis that which I have been compelled to record inthe body of this book. The death of one parent,the loss of one parent, or the death of allparents, legitimizes the children, and themanifestations of insanity are therefore, bythe law of God and nature, met with in far morefrequent instances in our islands, than in theStates of the Union.

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The required sample size for this study was calculated by setting an effect size of 0.15, a significance level of 0.05, and a power of 0.95 in the G*Power program. This yielded a result of 107. Considering a dropout rate of about 10%, a total of 120 nurses (15 from each of the eight wards) were recruited. During the process of data collection through the activity tracker and completion of a questionnaire, three people discontinued participation in the study, and data from 117 participants were included in the final analysis.

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