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.”

Hidden away in a storage closet deep within the bowels of Texas State Mental Hospital languished a forgotten but incredibly rare collection. A unique and exceptional assortment of extremely rare, malformed or damaged human brains preserved in jars of formaldehyde. Decades after they were hidden away, in 2013 photographer Adam Voorhes discovered the brains and became obsessed with documenting them.

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.

KINDLE BOOK REVIEW, 2014 KINDLE BOOK AWARDS SEMIFINALISTOut of Mind, Out of Sight is a revealing history of the Florida State Hospital at Chattahoochee from construction of its original buildings in 1834 as part of the Chattahoochee Federal Arsenal during the Second Seminole War, to its current role-treating individuals who have been civilly and forensically committed.To put the Florida State Hospital at Chattahoochee in perspective, the story is set against a backdrop of the evolution of institutionalized mental health care both in the U.S. and Florida where new emerging treatments-insulin, Metrozol and electroconvulsive (ECT) shock therapies, as well as lobotomies-became part of patient treatment plans. For years, the Florida State Hospital at Chattahoochee had quite a reputation-most of it bad; but, the institution was not alone. For decades throughout the country, state facilities earned shocking reputations for their inadequate care and mistreatment of the mentally ill. Even more chilling was the incarceration of thousands of men and women who were not mentally ill at all, but due to ignorance and prejudice on the part of the public, medical profession, and court system, were confined for epilepsy, sunbathing nude, smoking, menopause or other "egregious" offenses.Some may wonder why an account of the obscure facility at Chattahoochee is important. The answer lies in its dual role as historic physical facility and evolving mental institution that, when combined, paint a poignant portrait of Florida-its history, its laws and its people; and it is incumbent upon historians to preserve this picture-the good, the bad, and the ugly-for generations to come.

A total institution is defined by Goffman as a place of residence and work where a large number of like-situated, individuals, cut off from the wider society for an appreciable period of time, together lead an enclosed, formally administered round of life. Prisons serve as a clear example, providing we appreciate that what is prison-like about prisons is found in institutions whose members have broken no laws. This volume deals with total institutions in general and, mental hospitals, in particular. The main focus is, on the world of the inmate, not the world of the staff. A chief concern is to develop a sociological version of the structure of the self. Each of the essays in this book were intended to focus on the same issue--the inmate's situation in an institutional context. Each chapter approaches the central issue from a different vantage point, each introduction drawing upon a different source in sociology and having little direct relation to the other chapters. This method of presenting material may be irksome, but it allows the reader to pursue the main theme of each paper analytically and comparatively past the point that would be allowable in chapters of an integrated book. If sociological concepts are to be treated with affection, each must be traced back to where it best applies, followed from there wherever it seems to lead, and pressed to disclose the rest of its family.

30th ANNIVERSARY EDITION • NATIONAL BESTSELLER • In 1967, after a session with a psychiatrist she'd never seen before, eighteen-year-old Susanna Kaysen was put in a taxi and sent to McLean Hospital. Her memoir of the next two years is a "poignant, honest ... triumphantly funny ... and heartbreaking story" (The New York Times Book Review). WITH A NEW INTRODUCTION BY THE AUTHOR The ward for teenage girls in the McLean psychiatric hospital was as renowned for its famous clientele—Sylvia Plath, Robert Lowell, James Taylor, and Ray Charles—as for its progressive methods of treating those who could afford its sanctuary. Kaysen's memoir encompasses horror and razor-edged perception while providing vivid portraits of her fellow patients and their keepers. It is a brilliant evocation of a "parallel universe" set within the kaleidoscopically shifting landscape of the late sixties. Girl, Interrupted is a clear-sighted, unflinching document that gives lasting and specific dimension to our definitions of sane and insane, mental illness and recovery.

Product Description: To establish the context within which the Kalamazoo Hospital came to be built, Decker begins the story in Europe in the previous centuries with historical antecedents, theories about mental illness and the treatment of mental disorders. These formative, primitive ideas were gradually adopted in this country where very little understanding of mental disorders existed. When the Kalamazoo State Hospital was founded, then named the Michigan Asylum for the Insane, in 1854, there were no private practitioners of psychiatry even in the largest cities. Psychiatry grew out of the exchange of information between the medical staff of these new public institutions. Dr. Decker gives readers a comprehensive view of Michigan s first psychiatric facility including the architectural style and plans, building descriptions and history, Legislative Acts regarding the operation and governance, personnel including Medical Directors, historical perspective on the causes of insanity, their treatment and services, noteworthy events and a complete bibliography and appendixes.

A true account of life in a major state mental institution.

Mental Institutions in America: Social Policy to 1875 examines how American society responded to complex problems arising out of mental illness in the nineteenth century. All societies have had to confront sickness, disease, and dependency, and have developed their own ways of dealing with these phenomena. The mental hospital became the characteristic institution charged with the responsibility of providing care and treatment for individuals seemingly incapable of caring for themselves during protracted periods of incapacitation. The services rendered by the hospital were of benefit not merely to the afflicted individual but to the community. Such an institution embodied a series of moral imperatives by providing humane and scientific treatment of disabled individuals, many of whose families were unable to care for them at home or to pay the high costs of private institutional care. Yet the mental hospital has always been more than simply an institution that offered care and treatment for the sick and disabled. Its structure and functions have usually been linked with a variety of external economic, political, social, and intellectual forces, if only because the way in which a society handled problems of disease and dependency was partly governed by its social structure and values. The definition of disease, the criteria for institutionalization, the financial and administrative structures governing hospitals, the nature of the decision-making process, differential care and treatment of various socio-economic groups were issues that transcended strictly medical and scientific considerations. Mental Institutions in America attempts to interpret the mental hospital as a social as well as a medical institution and to illuminate the evolution of policy toward dependent groups such as the mentally ill. This classic text brilliantly studies the past in depth and on its own terms.