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.

“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

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.