This book offers the first systematic critical appraisal of the uses of work and work therapy in psychiatric institutions across the globe, from the late eighteenth to the end of the twentieth century. Contributors explore the daily routine in psychiatric institutions and ask whether work was therapy, part of a regime of punishment or a means of exploiting free labour. By focusing on mental patients’ day-to-day life in closed institutions, the authors fill a gap in the history of psychiatric regimes. The geographical scope is wide, ranging from Northern America to Japan, India and Western as well as Eastern Europe, and the authors engage with broad historical questions, such as the impact of colonialism and communism and the effect of the World Wars. The book presents an alternative history of the emergence of occupational therapy and will be of interest not only to academics in the fields of history and sociology but also to health professionals.

This open access book demonstrates that, while occupation has been used to treat the mentally disordered since the early nineteenth century, approaches to its use have varied across different countries and in different time periods. Comparing how occupation was used in French and English mental institutions between 1918 and 1939, one hundred years after the heyday of moral therapy, the book is an essential read for those researching the history of mental health and medicine more generally. It provides an overview of the legislation, management structures and financial conditions that affected mental institutions in France and England, and contributed to their differing responses to the new theories of occupational therapy emerging from the USA and Germany during the interwar period.

This book examines the relationship between social class and mental illness in Northern Europe during the 20th century. Contributors explore the socioeconomic status of mental patients, the possible influence of social class on the diagnoses and treatment they received in psychiatric institutions, and how social class affected the ways in which the problems of minorities, children and various ‘deviants’ and ‘misfits’ were evaluated and managed by mental health professionals. The basic message of the book is that, even in developing welfare states founded on social equality, social class has been a significant factor that has affected mental health in many different ways – and still does.

Mental health and madness have been challenging topics for historians. The field has been marked by tension between the study of power, expertise and institutional control of insanity, and the study of patient experiences. This collection contributes to the ongoing discussion on how historians encounter mental ‘crises’. It deals with diagnoses, treatments, experiences and institutions largely outside the mainstream historiography of madness – in what might be described as its peripheries and borderlands (from medieval Europe to Cold War Hungary, from the Atlantic slave coasts to Indian princely states, and to the Nordic countries). The chapters highlight many contests and multiple stakeholders involved in dealing with mental suffering, and the importance of religion, lay perceptions and emotions in crises of mind. Contributors are Jari Eilola, Waltraud Ernst, Anssi Halmesvirta, Markku Hokkanen, Kalle Kananoja, Tuomas Laine-Frigrén, Susanna Niiranen, Anu Rissanen, Kirsi Tuohela, and Jesper Vaczy Kragh.

The Routledge History of Madness and Mental Health explores the history and historiography of madness from the ancient and medieval worlds to the present day. Global in scope, it includes case studies from Africa, Asia, and South America as well as Europe and North America, drawing together the latest scholarship and source material in this growing field and allowing for fresh comparisons to be made across time and space. Thematically organised and written by leading academics, chapters discuss broad topics such as the representation of madness in literature and the visual arts, the material culture of madness, the perpetual difficulty of creating a classification system for madness and mental health, madness within life histories, the increased globalisation of knowledge and treatment practices, and the persistence of spiritual and supernatural conceptualisations of experiences associated with madness. This volume also examines the challenges involved in analysing primary sources in this area and how key themes such as class, gender, and race have influenced the treatment and diagnosis of madness throughout history. Chronologically and geographically wide-ranging, and providing a fascinating overview of the current state of the field, this is essential reading for all students of the history of madness, mental health, psychiatry, and medicine.

Uncovers a powerful relationship between pathology and money: beginning in the nineteenth century, the severity of mental illness was measured against a patient’s economic productivity. Madness and Enterprise reveals the economic norms embedded within psychiatric thinking about mental illness in the North Atlantic world. Over the course of the nineteenth century, various forms of madness were subjected to a style of psychiatric reasoning that was preoccupied with money. Psychiatrists across Western Europe and the United States attributed financial and even moral value to an array of pathological conditions, such that some mental disorders were seen as financial assets and others as economic liabilities. By turning to economic conduct and asking whether potential patients appeared capable of managing their financial affairs or even generating wealth, psychiatrists could often bypass diagnostic uncertainties about a person’s mental state. Through an exploration of the intertwined histories of psychiatry and economic thought, Nima Bassiri shows how this relationship transformed the very idea of value in the modern North Atlantic, as the most common forms of social valuation—moral value, medical value, and economic value—were rendered equivalent and interchangeable. If what was good and what was healthy were increasingly conflated with what was remunerative (and vice versa), then a conceptual space opened through which madness itself could be converted into an economic form and subsequently redeemed—and even revered.

Mandatory Madness offers an unprecedented social and cultural history of colonial psychiatry in Palestine under British rule before 1948.

The history of medicine and disease in colonial India remains a dynamic and innovative field of research, covering many facets of health, from government policy to local therapeutics. This volume presents a selection of essays examining varied aspects of health and medicine as they relate to the political upheavals of the colonial era. These range from the micro-politics of medicine in princely states and institutions such as asylums through to the wider canvas of sanitary diplomacy as well as the meaning of modernity and modernization in the context of British rule. The volume reflects the diversity of the field and showcases exciting new scholarship from early-career researchers as well as more established scholars by bringing to light many locations and dimensions of medicine and modernity. The essays have several common themes and together offer important insights into South Asia’s experience of modernity in the years before independence. Cutting across modernity and colonialism, some of the key themes explored here include issues of race, gender, sexuality, law, mental health, famine, disease, religion, missionary medicine, medical research, tensions between and within different medical traditions and practices and India’s place in an international context. This book will be of great interest to scholars and researchers of modern South Asian history, sociology, politics and anthropology as well as specialists in the history of medicine.

A comprehensive account of the multiple ways that people with mental health conditions are marginalised and disadvantaged in our society.

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.