This fascinating study presents a unique history of psychiatry in the twentieth century. It brings together the memories and narratives of over sixty patients and workers who lived, or were employed, in Severalls Psychiatric Hospital, Essex, UK. Personal accounts are contextualised both in relation to wider developments and issues in twentieth-century mental health, and in relation to policies and changes in the hospital itself. Organised around the theme of space and place, and drawing upon both quantitative and qualitative material, chapters deal with key areas such as gender divisions, power relations, patterns of admission and discharge, treatments, and the daily lives and routines of patients and nurses of both sexes.

This book provides an unusual and very accessible account of trends and changes in the history of psychiatry during the 20th century, while offering a lively narrative of the daily lives of those who worked and lived in a typical psychiatric hospital

The Kakoli of the Western Highlands of Papua New Guinea (PNG), the focus of this study, did not traditionally have a concept of mental illness. They classified madness according to social behaviour, not mental pathology. Moreover, their conception of the person did not recognise the same physical and mental categories that inform Western medical science, and psychiatry in particular was not officially introduced to PNG until the late 1950s. Its practitioners claimed that it could adequately accommodate the cultural variation among Melanesian societies. This book compares the intent and practice of transcultural psychiatry with Kakoli interpretations of, and responses to, madness, showing the reasons for their occasional recourse to psychiatric services. Episodes involving madness, as defined by the Kakoli themselves, are described in order to offer a context for the historical lifeworld and praxis of the community and raise fundamental questions about whether a culturally sensitive psychiatry is possible in the Melanesian context.

The Saskatchewan Mental Hospital at Weyburn has played a significant role in the history of psychiatric services, mental health research, and providing care in the community. Its history provides a window to the changing nature of mental health services over the 20th century. Built in 1921, Saskatchewan Mental Hospital was considered the last asylum in North America and the largest facility of its kind in the British Commonwealth. A decade later the Canadian Committee for Mental Hygiene cited it as one of the worst facilities in the country, largely due to extreme overcrowding. In the 1950s the Saskatchewan Mental Hospital again attracted international attention for engaging in controversial therapeutic interventions, including treatments using LSD. In the 1960s, sweeping healthcare reforms took hold in the province and mental health institutions underwent dramatic changes as they began transferring patients into communities. As the patient and staff population shrunk, the once palatial building fell into disrepair, the asylum’s expansive farmland went out of cultivation, and mental health services folded into a complicated web of social and correctional services. Erika Dyck’s Managing Madness examines an institution that housed people we struggle to understand, help, or even try to change.

John Haslam’s Illustrations of Madness, written in 1810, occupies a special place in psychiatric history, it was the first book-length account of one single psychiatric case written by a British psychiatrist. John Haslam, apothecary to London’s Bethlem Hospital, and a leading psychiatrist of the early-nineteenth century, details the case of James Tilly Matthews, who had been a patient in the hospital for some ten years. Matthews claimed he was sane, as did his friends and certain doctors. Haslam, on behalf of the Bethlem authorities, contended he was insane, and attempted to demonstrate this by presenting a detailed account of Matthew’s own delusional system, as far as possible in Matthew’s own words. Originally published in 1988 as part of the Tavistock Classics in the History of Psychiatry series, Roy Porter’s Introduction to this facsimile reprint of an historic book goes beyond Haslam’s text to reveal the extraordinary psychiatric politics surrounding Matthew’s confinement and the court case it produced, leading up to Haslam’s dismissal from his post. Still relevant today, Haslam’s account can be used as material upon which to base a modern diagnosis of Matthew’s disorder.

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.”

From 1940 to 1945, forty thousand patients died in French psychiatric hospitals. The Vichy regime’s “soft extermination” let patients die of cold, starvation, or lack of care. But in Saint-Alban-sur-Limagnole, a small village in central France, one psychiatric hospital attempted to resist. Hoarding food with the help of the local population, the staff not only worked to keep patients alive but began to rethink the practical and theoretical bases of psychiatric care. The movement that began at Saint-Alban came to be known as institutional psychotherapy and would go on to have a profound influence on postwar French thought. In Disalienation, Camille Robcis grapples with the historical, intellectual, and psychiatric meaning of the ethics articulated at Saint-Alban by exploring the movement’s key thinkers, including François Tosquelles, Frantz Fanon, Félix Guattari, and Michel Foucault. Anchored in the history of one hospital, Robcis's study draws on a wide geographic context—revolutionary Spain, occupied France, colonial Algeria, and beyond—and charts the movement's place within a broad political-economic landscape, from fascism to Stalinism to postwar capitalism.

From Psycho, Silence of the Lambs, Kojak, and Melrose Place, from books, music, cartoons, advertising, and newspapers, we all derive our images of mental illness. These omnipresent media portrayals are at the least insensitive, inaccurate, and unfavorable and at the worst stigmatizing and pernicious. In this important book, Dr. Otto Wahl examines the prevalence, nature, and impact of such depictions, using numerous examples from film, television, and print media. He documents the remarkable frequency of these images and demonstrates how the media has stereotyped the mentally ill through exaggeration, misunderstanding, ridicule, and disrespect. Media Madness also shows the damaging consequences of such stereotypes - stigma, rejection, loss of self-esteem, reluctance to seek, accept, or reveal psychiatric treatment, discrimination, and restriction of opportunity. The forces that shape current images of mental illness are clarified, as are the efforts of organizations and individuals to combat such exploitation.

A man desperately tries to keep his pact with the Devil, a woman is imprisoned in an insane asylum by her husband because of religious differences, and, on the testimony of a mere stranger, "a London citizen" is sentenced to a private madhouse. This anthology of writings by mad and allegedly mad people is a comprehensive overview of the history of mental illness for the past five hundred years-from the viewpoint of the patients themselves.Dale Peterson has compiled twenty-seven selections dating from 1436 through 1976. He prefaces each excerpt with biographical information about the writer. Peterson's running commentary explains the national differences in mental health care and the historical changes that have take place in symptoms and treatment. He traces the development of the private madhouse system in England and the state-run asylum system in the United States. Included is the first comprehensive bibliography of writings by the mentally ill.

Edgar Award for Best Young Adult Mystery Mindy McGinnis, the acclaimed author of Not a Drop to Drink and In a Handful of Dust, combines murder, madness, and mystery in a beautifully twisted gothic historical thriller perfect for fans of novels such as Asylum and The Diviners as well as television's True Detective and American Horror Story. Grace Mae is already familiar with madness when family secrets and the bulge in her belly send her to an insane asylum—but it is in the darkness that she finds a new lease on life. When a visiting doctor interested in criminal psychology recognizes Grace's brilliant mind beneath her rage, he recruits her as his assistant. Continuing to operate under the cloak of madness at crime scenes allows her to gather clues from bystanders who believe her less than human. Now comfortable in an ethical asylum, Grace finds friends—and hope. But gruesome nights bring Grace and the doctor into the circle of a killer who will bring her shaky sanity and the demons in her past dangerously close to the surface.