Asylum on the Hill is the story of a great American experiment in psychiatry, a revolution in care for those with mental illness, as seen through the example of the Athens Lunatic Asylum. Built in southeast Ohio after the Civil War, the asylum embodied the nineteenth-century "gold standard" specifications of moral treatment. Stories of patients and their families, politicians, caregivers, and community illustrate how a village in the coalfields of the Hocking River valley responded to a national movement to provide compassionate care based on a curative landscape, exposure to the arts, outdoor exercise, useful occupation, and personal attention from a physician. Katherine Ziff's compelling presentation of America's nineteenth-century asylum movement shows how the Athens Lunatic Asylum accommodated political, economic, community, family, and individual needs and left an architectural legacy that has been uniquely renovated and repurposed. Incorporating rare photos, letters, maps, and records, Asylum on the Hill is a fascinating glimpse into psychiatric history.

Powerful photographs of the grand exteriors and crumbling interiors of America's abandoned state mental hospitals. For more than half the nation's history, vast mental hospitals were a prominent feature of the American landscape. From the mid-nineteenth century to the early twentieth, over 250 institutions for the insane were built throughout the United States; by 1948, they housed more than a half million patients. The blueprint for these hospitals was set by Pennsylvania hospital superintendant Thomas Story Kirkbride: a central administration building flanked symmetrically by pavilions and surrounded by lavish grounds with pastoral vistas. Kirkbride and others believed that well-designed buildings and grounds, a peaceful environment, a regimen of fresh air, and places for work, exercise, and cultural activities would heal mental illness. But in the second half of the twentieth century, after the introduction of psychotropic drugs and policy shifts toward community-based care, patient populations declined dramatically, leaving many of these beautiful, massive buildings—and the patients who lived in them—neglected and abandoned. Architect and photographer Christopher Payne spent six years documenting the decay of state mental hospitals like these, visiting seventy institutions in thirty states. Through his lens we see splendid, palatial exteriors (some designed by such prominent architects as H. H. Richardson and Samuel Sloan) and crumbling interiors—chairs stacked against walls with peeling paint in a grand hallway; brightly colored toothbrushes still hanging on a rack; stacks of suitcases, never packed for the trip home. Accompanying Payne's striking and powerful photographs is an essay by Oliver Sacks (who described his own experience working at a state mental hospital in his book Awakenings). Sacks pays tribute to Payne's photographs and to the lives once lived in these places, “where one could be both mad and safe.”

INSTANT INTERNATIONAL BESTSELLER A beautiful tale of hope, courage, and sisterhood—inspired by the real House of Mercy and the girls confined there for daring to break the rules. Growing up in New York City in the 1910s, Luella and Effie Tildon realize that even as wealthy young women, their freedoms come with limits. But when the sisters discover a shocking secret about their father, Luella, the brazen elder sister, becomes emboldened to do as she pleases. Her rebellion comes with consequences, and one morning Luella is mysteriously gone. Effie suspects her father has sent Luella to the House of Mercy and hatches a plan to get herself committed to save her sister. But she made a miscalculation, and with no one to believe her story, Effie’s own escape seems impossible—unless she can trust an enigmatic girl named Mable. As their fates entwine, Mable and Effie must rely on their tenuous friendship to survive. Home for Unwanted Girls meets The Dollhouse in this atmospheric, heartwarming story that explores not only the historical House of Mercy, but the lives—and secrets—of the girls who stayed there. “Burdick has spun a cautionary tale of struggle and survival, love and family — and above all, the strength of the heart, no matter how broken.” — New York Times Book Review “Burdick reveals the perils of being a woman in 1913 and exposes the truths of their varying social circles.” — Chicago Tribune

The nineteenth-century "cult of curability" engendered the optimistic belief that mental illness could be cured under ideal conditions--removal from the stresses of everyday life to asylum, a pleasant, well-regulated environment where healthy meals, daily exercise, and social contact were the norm. This utopian view led to the reform and establishment of lunatic asylums throughout the United States. The Texas State Lunatic Asylum (later called the Austin State Hospital) followed national trends, and its history documents national mental health practices in microcosm. Drawing on diverse sources--patient records from the nineteenth century, papers and reports of the institution's various superintendents, transcripts of interviews of former employees, newspaper accounts, personal memoirs, and interviews--Sarah C. Sitton has recreated what life in "our little town" was like from the institution's opening in 1861 to its de-institutionalization in the 1980s and 1990s. For more than a century, the asylum community resembled a self-sufficient village complete with its own blacksmith shop, icehouse, movie theater, brass band, baseball team, and undertakers. Beautifully landscaped grounds and gravel lanes attracted locals for Sunday carriage drives. Patients tended livestock, tilled gardens, helped prepare meals, and cleaned wards. Their routines might include weekly dances and religious services, as well as cold tubs, paraldehyde, and electroshock. Employees, from the superintendent on down, lived on the grounds, and their children grew up "with inmates for playmates." While the superintendent exercised almost feudal power, deciding if staff could date or marry, a multigenerational "clan" of several interlinked families controlled its day-to-day operations for decades. With the current emphasis on community-based care for the mentally ill and the negative consequences of de-institutionalization increasingly apparent, the debate on how best to care for the state's--and the nation's--mentally ill continues. This examination offers historical and practical insights which will be of interest to practitioners and policy makers in the field of mental health as well as to individuals interested in the history of the state of Texas.

A group of teenagers are granted asylum from the apocalypse only to be forced to re-enact famous, tragic literary romances... or die. A novel about escaping psychological abuse. When the world is breaking all someone wants is safety. A virus that had once been contained has returned, and soon no place will be left untouched. But when eighteen-year-old Cheyenne wakes up in Elysian Fields-a subdivision cut off from the world and its monster-creating virus-she is thrilled to have a chance at survival. At first, Elysian Fields-with its beautiful houses and manicured lawns-is perfect. Teo Richardson, the older man who stole her heart, built it so they could be together. But when Teo tells Cheyenne there are tests that she and seven other couples must pass to be worthy of salvation, Cheyenne begins to question the perfection of his world. The people they were before are gone. Cheyenne is now Persephone, and each couple has been re-named to reflect the most tragic romances ever told. Teo dresses them up, tells them when to move and how to act, and in order to pass the test, they must play along. Play it right, then they'll be safe. But play it wrong, they'll die. The Dollhouse Asylum is a fast-paced psychological thriller in the vein of Wayward Pines or The Girl with All the Gifts. If you like unpredictable plots, nightmarish settings, and dangerous love interests, then you'll love Gray's novel about escaping unhealthy love.

Drawing from fictional and real accounts, movies, personal interviews, and tours of mental hospitals both active and defunct, Rondinone uncovers a story at once familiar and bizarre, where reality meets fantasy in the foggy landscape of celluloid and pulp.

They arrive alive. They leave dead.But first, they give me their confessions.My name is Jack Steen. That name shouldn't mean anything to you. Unless you're about to die. And then I'm your bloody guardian angel. I work as a night nurse in the Asylum for the criminally insane. My name is the only real name you'll find in this book. I won't tell you which hospital I work at. I won't tell you the names of those dying.But I won't lie to you.You'll read exactly what I'm told. If you're smart, if you're deranged enough to read between the lines, you'll know who is telling the story.They could be playing their final game with me by messing with my head. Now, maybe they're messing with yours too.Inside this book are 4 confessions: One has an interesting 'appetite'. One was the Ken to his Barbie, and he would do anything to keep her happy.Another is a Nanny, but not one you want watching your kids.The other is the sweetest soul you'd ever meet but you'll have a hard time reading her confession. WARNING: There is swearing in this book. And some stories might be a trigger for something you have a hard time handling. But, these are the confessions of serial killers, mass murderers and such. NOTE: These once were published as novellas. Now they're in a full length novel. Deal with it.Want to read the next set of Confession books? Sign up for my mailing list - I'm told all the real authors have one, so I figured why not

Patrick McGrath has created his most psychologically penetrating vision to date: a nightmare world rocked to its foundations by a passion of such force and intensity that it shatters the lives--and minds--of all who are touched by it. Stella Raphael, a woman of great beauty and formidable intelligence, is married to Max, a staid and unimaginative forensic psychiatrist. Max has taken a job in a huge top-security mental hospital in rural England, and Stella, far from London society, finds herself restless and bored. Into her lonely existence comes Edgar Stark, a brilliant sculptor confined to the hospital after killing his wife in a psychotic rage. He comes to Stella's garden to rebuild an old Victorian conservatory there, and Stella cannot ignore her overwhelming physical attraction to this desperate man. Their explosive affair pits them against Stella's husband, her child, and the entire institution. When the crisis comes to a head, Stella makes a decision--one that will destroy several lives and precipitate an appalling tragedy that could only be fueled by illicit sexual love. Asylum is a terrifying exploration of the extremes to which erotic obsession can drive us. Patrick McGrath brings his own dazzling blend of cool artistry and visceral engagement to this mesmerizing story of a fatal love and its unspeakably tragic aftermath. And in Stella Raphael, a woman who tears down the walls of her constricted existence to pursue a dangerous passion, he has created a character who will long be remembered for her willingness to take the ultimate risk, even if she must pay the ultimate price.

Its landscaped ground, chosen by Frederick Law Olmsted and dotted with Tudor mansions, could belong to a New England prep school. There are no fences, no guards, no locked gates. But McLean Hospital is a mental institution-one of the most famous, most elite, and once most luxurious in America. McLean "alumni" include Olmsted himself, Robert Lowell, Sylvia Plath, James Taylor and Ray Charles, as well as (more secretly) other notables from among the rich and famous. In its "golden age," McLean provided as genteel an environment for the treatment of mental illness as one could imagine. But the golden age is over, and a downsized, downscale McLean-despite its affiliation with Harvard University-is struggling to stay afloat. Gracefully Insane, by Boston Globe columnist Alex Beam, is a fascinating and emotional biography of McLean Hospital from its founding in 1817 through today. It is filled with stories about patients and doctors: the Ralph Waldo Emerson prot'g' whose brilliance disappeared along with his madness; Anne Sexton's poetry seminar, and many more. The story of McLean is also the story of the hopes and failures of psychology and psychotherapy; of the evolution of attitudes about mental illness, of approaches to treatment, and of the economic pressures that are making McLean-and other institutions like it-relics of a bygone age. This is a compelling and often oddly poignant reading for fans of books like Plath's The Bell Jar and Susanna Kaysen's Girl, Interrupted (both inspired by their author's stays at McLean) and for anyone interested in the history of medicine or psychotherapy, or the social history of New England.

'An eerily familiar reflection of our current moment ... It continues to haunt me' NATASHA BROWN, I PAPER BOOKS OF THE YEAR 'I will go wherever she takes me. A phenomenal book' DAISY JOHNSON 'A brilliant, scalding novel ... sharp, intricately layered, impossible to forget' MEGAN HUNTER 'Stunning ... beautifully written and deeply unsettling' BOOKSELLER, EDITOR'S CHOICE CHOSEN AS A 2021 BOOK TO LOOK OUT FOR BY OBSERVER, INDEPENDENT, FINANCIAL TIMES, EVENING STANDARD, GRAZIA, STYLIST, ELLE THE NATIONAL, FIVE BOOKS AND BURO A couple drive from London to coastal Provence. Anya is preoccupied with what she feels is a relationship on the verge; unequal, precarious. Luke, reserved, stoic, gives away nothing. As the sun sets one evening, he proposes, and they return to London engaged. But planning a wedding does little to settle Anya's unease. As a child, she escaped from Sarajevo, and the idea of security is as alien now as it was then. When social convention forces Anya to return, she begins to change. The past she sought to contain for as long as she can remember resurfaces, and the hot summer builds to a startling climax. Lean, sly and unsettling, Asylum Road is about the many borders governing our lives: between men and women, assimilation and otherness, nations, families, order and chaos. What happens, and who do we become, when they break down?