This book is a collection of studies on mental health services in Ireland from the beginning of the nineteenth century to the present day. Essays cover overall trends in patient numbers, an exploration of the development of mental health law in Ireland, and studies on individual hospitals – all of which provide incredible insight into times past and yet speak volumes about mental health in contemporary Irish society. Topics include the famous nursing strike at Monaghan Asylum in 1919, when a red flag was raised over the building; extracts from Speedwell, a hospital newsletter, showing the social and sporting life at Holywell Hospital during the 1960s; an exploration of diseases such as beriberi and tuberculosis at Dundrum and the Richmond in the 1890s; the problems encountered by doctors in Ballinasloe Asylum as they tried to exert their authority over the Governors; and the experiences of Irish emigrants who found themselves in asylums in Australia and New Zealand. The book also includes a discussion of mental health services in Ireland 1959–2010, the first time such a chronology has been published. The editor, Pauline Prior, and the contributors, including Brendan Kelly, Dermot Walsh, Elizabeth Malcolm and E.M. Crawford, are well-known scholars within the disciplines of medicine, sociology and history, coming together for the first time to present an essential book on the history of mental health services in Ireland.

This open access book is the first comparative study of public, voluntary and private asylums in nineteenth-century Ireland. Examining nine institutions, it explores whether concepts of social class and status and the emergence of a strong middle class informed interactions between gender, religion, identity and insanity. It questions whether medical and lay explanations of mental illness and its causes, and patient experiences, were influenced by these concepts. The strong emphasis on land and its interconnectedness with notions of class identity and respectability in Ireland lends a particularly interesting dimension. The book interrogates the popular notion that relatives were routinely locked away to be deprived of land or inheritance, querying how often “land grabbing” Irish families really abused the asylum system for their personal economic gain. The book will be of interest to scholars of nineteenth-century Ireland and the history of psychiatry and medicine in Britain and Ireland.

Hearing Voices: The History of Psychiatry in Ireland is a monumental work by one of Ireland’s leading psychiatrists, encompassing every psychiatric development from the Middle Ages to the present day, and examining the far-reaching social and political effects of Ireland’s troubled relationship with mental illness. From the “Glen of Lunatics”, said to cure the mentally ill, to the overcrowded asylums of later centuries – with more beds for the mentally ill than any other country in the world – Ireland has a complex, unsettled history in the practice of psychiatry. Kelly’s definitive work examines Ireland’s unique relationship with conceptions of mental ill health throughout the centuries, delving into each medical breakthrough and every misuse of authority – both political and domestic – for those deemed to be mentally ill. Through fascinating archival records, Kelly writes a crisp and accessible history, evaluating everything from individual case histories to the seismic effects of the First World War, and exploring the attitudes that guided treatments, spanning Brehon Law to the emerging emphasis on human rights. Hearing Voices is a marvel that affords incredible insight into Ireland’s social and medical history while providing powerful observations on our current treatment of mental ill health in Ireland.

This open access book is the first comparative study of public, voluntary and private asylums in nineteenth-century Ireland. Examining nine institutions, it explores whether concepts of social class and status and the emergence of a strong middle class informed interactions between gender, religion, identity and insanity. It questions whether medical and lay explanations of mental illness and its causes, and patient experiences, were influenced by these concepts. The strong emphasis on land and its interconnectedness with notions of class identity and respectability in Ireland lends a particularly interesting dimension. The book interrogates the popular notion that relatives were routinely locked away to be deprived of land or inheritance, querying how often “land grabbing” Irish families really abused the asylum system for their personal economic gain. The book will be of interest to scholars of nineteenth-century Ireland and the history of psychiatry and medicine in Britain and Ireland.

The national public asylum system in Ireland was established during the early nineteenth century and continued to operate up to the close of the twentieth century. These asylums / mental hospitals were a significant physical and social feature of Irish communities. They were used intensively and provided a convenient form of institutional intervention to manage a host of social problems. Irish Insanity identifies the long-term trends in institutional residency through the development of a detailed empirical data set, based on an analysis of original copies of the reports of Inspector of Asylums/Mental Hospitals in Ireland. Damien Brennan explores core social and historical features linked to this data including: the political context governance and social policy the relationship between church and state changing economic structures and social deprivation professionalization legislation and systems of admission and discharge categorisation and diagnostic criteria international developments family dynamics This book demonstrates that the actual rate of asylum utilisation in Ireland was the highest by international standards, but challenges the idea that an "epidemic of Irish insanity" actually existed. Offering a historical and sociological insight into an institutional legacy that is unusual within the international context, this book will be of particular relevance and interest to scholars within the fields of sociology, criminology, law, history, Irish studies, social policy, anthropology, nursing and medicine.

In this fundamentally important work, Professor Brendan Kelly explores the background to Irish psychiatry in the nineteenth and early twentieth centuries, charting its progress and development. Using detailed case studies from the original records, the author examines some of the more unusual treatments explored and the history behind them. What emerges is a collection of piercing, untold stories of crime and illness, drama and tragedy. They are filled with a sense of the powerlessness of those detained and the dedicated – and sometimes misguided – enthusiasm of those trying to help. This book sheds important light on the foundations for the treatment of mental illness in Ireland.

“Reveals the grisly conditions in which the mentally ill were kept . . . [and] harrowing details of the inhumane and gruesome treatment of these patients.”—Daily Mail In the first half of the nineteenth century, treatment of the mentally ill in Britain and Ireland underwent radical change. No longer manacled, chained and treated like wild animals, patient care was defined in law and medical understanding, and treatment of insanity developed. Focusing on selected cases, this new study enables the reader to understand how progressively advancing attitudes and expectations affected decisions, leading to better legislation and medical practice throughout the century. Specific mental health conditions are discussed in detail and the treatments patients received are analyzed in an expert way. A clear view of why institutional asylums were established, their ethos for the treatment of patients, and how they were run as palaces rather than prisons giving moral therapy to those affected becomes apparent. The changing ways in which patients were treated, and altered societal views to the incarceration of the mentally ill, are explored. The book is thoroughly illustrated and contains images of patients and asylum staff never previously published, as well as first-hand accounts of life in a nineteenth-century asylum from a patient’s perspective. Written for genealogists as well as historians, this book contains clear information concerning access to asylum records and other relevant primary sources and how to interpret their contents in a meaningful way. “Through the use of case studies, this book adds a personal note to the historiography in a way that is often missing from scholarly works.”—Federation of Family History Societies

This open access book is the first comparative study of public, voluntary and private asylums in nineteenth-century Ireland. Examining nine institutions, it explores whether concepts of social class and status and the emergence of a strong middle class informed interactions between gender, religion, identity and insanity. It questions whether medical and lay explanations of mental illness and its causes, and patient experiences, were influenced by these concepts. The strong emphasis on land and its interconnectedness with notions of class identity and respectability in Ireland lends a particularly interesting dimension. The book interrogates the popular notion that relatives were routinely locked away to be deprived of land or inheritance, querying how often "land grabbing" Irish families really abused the asylum system for their personal economic gain. The book will be of interest to scholars of nineteenth-century Ireland and the history of psychiatry and medicine in Britain and Ireland. This work was published by Saint Philip Street Press pursuant to a Creative Commons license permitting commercial use. All rights not granted by the work's license are retained by the author or authors.