"All the asylum clothing is made by the patients, but sewing does not employ one's mind. After several months' confinement the thoughts of the busy world grow faint, and all the poor prisoners can do is to sit and ponder over their hopeless fate"

This quote by Nellie Bly paints a bleak picture of the lives of those confined to an asylum. It recommends that the patients are required to make clothing, however that this does not provide any mental stimulation. After months of confinement, the patients become detached from the outdoors world and are delegated contemplate their fate. This quote highlights the lack of significant activities available to those in asylums, and the sense of despondence that can feature being confined for extended periods of time. It also recommends that the clients are not provided the opportunity to take part in activities that could help to improve their psychological health. This quote serves as a suggestion of the importance of providing significant activities to those in asylums, and of the need to ensure that those in asylums are not forgotten.