Closing The Asylum

Closing The Asylum

Author: Peter Barham

Publisher:

Published: 2020-12

Total Pages: 238

ISBN-13: 9781899209217

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Closing The Asylum: The Mental Patient in Modern Society. The Covid-19 pandemic has affected the mental health of almost everyone, but it has impacted most severely on disadvantaged groups such as people with severe mental health problems, throwing pre-existing inequalities into sharper and starker relief. Though they had mostly all been closed by the turn of the century, the passing of the old Victorian asylums is still a matter of enduring controversy. In this acclaimed book, first published almost thirty years ago, Peter Barham examines the changing fortunes of mental patients in the era of the asylum and after. He demonstrates powerfully that the closure of mental hospitals cannot meet the real needs of people with severe mental health problems without a profound rethinking of the role, rights and status of the former mental patient in society. In a prologue to this new edition, he highlights the ironies of a post-asylum present afflicted by welfare minimalism, widespread deprivation and impoverishment, and a dramatic increase in the use of coercion and constraint in the delivery of mental health care. Closing the Asylum sets the scene for understanding how the experience of being treated as second class citizens has come about, and the author's forceful warnings of the dangers in the current mental health scene are highly germane to any consideration of what must change in our society after Covid. Veteran mental health survivor and campaigner Peter Campbell also contributes a preface in which he examines the passing of the asylums, and their after-life, in the light of his own experience.


The Last Asylum

The Last Asylum

Author: Barbara Taylor

Publisher: University of Chicago Press

Published: 2015-04-15

Total Pages: 316

ISBN-13: 022627392X

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In the late 1970s, Barbara Taylor, then an acclaimed young historian, began to suffer from severe anxiety. In the years that followed, Taylor's world contracted around her illness. Eventually, she was admitted to what had once been England's largest psychiatric institutions, the infamous Friern Mental Hospital in London


Beyond the Asylum

Beyond the Asylum

Author: Claire E. Edington

Publisher: Cornell University Press

Published: 2019-04-15

Total Pages: 310

ISBN-13: 150173394X

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This book is a must-read for any specialist in the history of colonial and post-colonial psychiatry, as well as a fantastic case study for those interested in the social history of European colonialism more generally.― Choice Claire Edington's fascinating look at psychiatric care in French colonial Vietnam challenges our notion of the colonial asylum as a closed setting, run by experts with unchallenged authority, from which patients rarely left. She shows instead a society in which Vietnamese communities and families actively participated in psychiatric decision-making in ways that strengthened the power of the colonial state, even as they also forced French experts to engage with local understandings of, and practices around, insanity. Beyond the Asylum reveals how psychiatrists, colonial authorities, and the Vietnamese public debated both what it meant to be abnormal, as well as normal enough to return to social life, throughout the early twentieth century. Straddling the fields of colonial history, Southeast Asian studies and the history of medicine, Beyond the Asylum shifts our perspective from the institution itself to its relationship with the world beyond its walls. This world included not only psychiatrists and their patients, but also prosecutors and parents, neighbors and spirit mediums, as well as the police and local press. How each group interacted with the mentally ill, with each other, and sometimes in opposition to each other, helped decide the fate of those both in and outside the colonial asylum.


Asylums

Asylums

Author: Erving Goffman

Publisher: Routledge

Published: 2017-09-08

Total Pages: 426

ISBN-13: 1351327747

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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.


Closing the Asylums

Closing the Asylums

Author: George Paulson, M.D.

Publisher: McFarland

Published: 2014-01-10

Total Pages: 221

ISBN-13: 078649266X

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One of the most significant medical and social initiatives of the twentieth century was the demolition of the traditional state hospitals that housed most of the mentally ill, and the placement of the patients out into the community. The causes of this deinstitutionalization included both idealism and legal pressures, newly effective medications, the establishment of nursing and group homes, the woeful inadequacy of the aging giant hospitals, and an attitudinal change that emphasized environmental and social factors, not organic ones, as primarily responsible for mental illness. Though closing the asylums promised more freedom for many, encouraged community acceptance and enhanced outpatient opportunities, there were unintended consequences: increased homelessness, significant prison incarcerations of the mentally ill, inadequate community support or governmental funding. This book is written from the point of view of an academic neurologist who has served 60 years as an employee or consultant in typical state mental institutions in North Carolina and Ohio.


Administrations of Lunacy

Administrations of Lunacy

Author: Mab Segrest

Publisher: The New Press

Published: 2020-04-14

Total Pages: 378

ISBN-13: 1620972980

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"Whew! They going to send around here and tie you up and drag you off to Milledgeville. Them fat blue police chasing tomcats around alleys." —Berenice in The Member of the Wedding by Carson McCullers A scathing and original look at the racist origins of the field of modern psychiatry, told through the story of what was once the largest mental institution in the world, by the prize-winning author of Memoir of a Race Traitor After a decade of research, Mab Segrest, whose Memoir of a Race Traitor forever changed the way we think about race in America, turns sanity itself inside-out in a stunning book that will become an instant classic. In December 1841, the Georgia State Lunatic, Idiot, and Epileptic Asylum was founded on land taken from the Cherokee nation in the then-State capitol of Milledgeville. A hundred years later, it had become the largest insane asylum in the world with over ten thousand patients. To this day, it is the site of the largest graveyard of disabled and mentally ill people in the world. In April, 1949, Ebony magazine reported that for black patients, "the situation approaches Nazi concentration camp standards . . . unbelievable this side of Dante's Inferno." Georgia's state hospital was at the center of psychiatric practice and the forefront of psychiatric thought throughout the nineteenth and twentieth centuries in America—centuries during which the South invented, fought to defend, and then worked to replace the most developed slave culture since the Roman Empire. A landmark history of a single insane asylum at Milledgeville, Georgia, A Peculiar Inheritance reveals how modern-day American psychiatry was forged in the traumas of slavery, the Civil War, and Reconstruction, when African Americans carrying "no histories" entered from Freedmen's Bureau Hospitals and home counties wracked with Klan terror. This history set the stage for the eugenics and degeneracy theories of the twentieth century, which in turn became the basis for much of Nazi thinking in Europe. Segrest's masterwork will forever change the way we think about our own minds.


The Afterlives of the Psychiatric Asylum

The Afterlives of the Psychiatric Asylum

Author: Graham Moon

Publisher: Routledge

Published: 2016-03-03

Total Pages: 208

ISBN-13: 1317045394

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The last 40 years has seen a significant shift from state commitment to asylum-based mental health care to a mixed economy of care in a variety of locations. In the wake of this deinstitutionalisation, attention to date has focussed on users and providers of care. The consequences for the idea and fabric of the psychiatric asylum have remained 'stones unturned'. This book address an enduring yet under-examined question: what has become of the asylum? Focussing on the 'recycling' of both the idea of the psychiatric asylum and its sites, buildings and landscapes, this book makes theoretical connections to current trends in mental health care and to ideas in cultural/urban geography. The process of closing asylums and how asylums have survived in specific contexts and markets is assessed and consideration given to the enduring attraction of asylum and its repackaging as well as to retained mental health uses on former asylum sites, new uses on former sites, and interpretations of the derelict psychiatric asylum. The key questions examined are the challenges posed in seeking new uses for former asylums, the extent to which re-use can transcend stigma yet sustain memory and how location is critical in shaping the future of asylum and asylum sites.


Asylum on the Hill

Asylum on the Hill

Author: Katherine Ziff

Publisher:

Published: 2018-07-31

Total Pages: 0

ISBN-13: 9780821423417

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Asylum on the Hill is the story of a great American experiment in psychiatry, a revolution in care for those with mental illness, as seen through the example of the Athens Lunatic Asylum. Built in southeast Ohio after the Civil War, the asylum embodied the nineteenth-century "gold standard" specifications of moral treatment. Stories of patients and their families, politicians, caregivers, and community illustrate how a village in the coalfields of the Hocking River valley responded to a national movement to provide compassionate care based on a curative landscape, exposure to the arts, outdoor exercise, useful occupation, and personal attention from a physician. Katherine Ziff's compelling presentation of America's nineteenth-century asylum movement shows how the Athens Lunatic Asylum accommodated political, economic, community, family, and individual needs and left an architectural legacy that has been uniquely renovated and repurposed. Incorporating rare photos, letters, maps, and records, Asylum on the Hill is a fascinating glimpse into psychiatric history.


The Peculiar Institution and the Making of Modern Psychiatry, 1840–1880

The Peculiar Institution and the Making of Modern Psychiatry, 1840–1880

Author: Wendy Gonaver

Publisher: UNC Press Books

Published: 2019-02-07

Total Pages: 269

ISBN-13: 1469648458

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Though the origins of asylums can be traced to Europe, the systematic segregation of the mentally ill into specialized institutions occurred in the United States only after 1800, just as the struggle to end slavery took hold. In this book, Wendy Gonaver examines the relationship between these two historical developments, showing how slavery and ideas about race shaped early mental health treatment in the United States, especially in the South. She reveals these connections through the histories of two asylums in Virginia: the Eastern Lunatic Asylum in Williamsburg, the first in the nation; and the Central Lunatic Asylum in Petersburg, the first created specifically for African Americans. Eastern Lunatic Asylum was the only institution to accept both slaves and free blacks as patients and to employ slaves as attendants. Drawing from these institutions' untapped archives, Gonaver reveals how slavery influenced ideas about patient liberty, about the proper relationship between caregiver and patient, about what constituted healthy religious belief and unhealthy fanaticism, and about gender. This early form of psychiatric care acted as a precursor to public health policy for generations, and Gonaver's book fills an important gap in the historiography of mental health and race in the nineteenth century.


The Confinement of the Insane

The Confinement of the Insane

Author: Roy Porter

Publisher: Cambridge University Press

Published: 2003-08-07

Total Pages: 392

ISBN-13: 9780521802062

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This collection of essays explores the development of the lunatic asylum, and the concept of confinement for those considered insane, in different national contexts over the nineteenth and twentieth centuries. Leading scholars in the field of medical history have contributed extensive primary research through individual case studies in the context of the legal, social, economic, and political situations of thirteen different countries. The book represents the first truly international history of the mental hospital, and is, therefore, a landmark comparative study in the history of medicine.