The rise of the asylum constitutes one of the most profound, and controversial, events in the history of medicine. Academics around the world have begun to direct their attention to the origins of the confinement of those deemed 'insane', exploring patient records in an attempt to understand the rise of the asylum within the wider context of social and economic change of nations undergoing modernisation. Originally published in 2003, this edited volume brings together thirteen original research papers to answer key questions in the history of asylums. What forces led to the emergence of mental hospitals in different national contexts? To what extent did patient populations vary in terms of their psychiatric profile and socio-economic background? What was the role of families, communities and the medical profession in the confinement process? This volume therefore represents a landmark study in the history of psychiatry by examining asylum confinement in a global context.

Into the twenty-first century, millions of disabled people and people experiencing mental distress were segregated from the rest of society and confined to residential institutions. Deinstitutionalization – the closure of these sites and integration of former residents into the community – has become increasingly commonplace. But this project is unfinished. Sites of Conscience explores use of the concept of sites of conscience, which involves place-based memory activities such as walking tours, survivor-authored social histories, and performances and artistic works in or generated from sites of systemic suffering and injustice. These activities offer new ways to move forward from the unfinished deinstitutionalization project and its failures. Covering diverse national contexts, this volume proposes that acknowledging the memories and lived experiences of former residents – and keeping histories and social heritage of institutions alive rather than simply closing sites – holds the greatest potential for recognition, accountability, and action.