‘Nerves’ became a highly eligible illness in early Georgian London and Bath. What Freud was for Vienna at the end of the nineteenth-century, George Cheyne was for eighteenth-century fashionable ailments. The English Malady was one of the best known and most influential books of the Georgian age, dealing with what we would now call psychiatric disorders. Such disorders, he contended, should be regarded as diseases of ‘civilization’ and the product of the pressures and affluence of modern life. By making ‘neurosis’ acceptable, even fashionable, Cheyne’s book assumed considerably wider significance during the Enlightenment. Prefaced by a scholarly introduction by Roy Porter, this reprint edition, originally published in 1991 as part of the Tavistock Classics in the History of Psychiatry series, places Cheyne and his work in the development of British psychiatry.

‘Nerves’ became a highly eligible illness in early Georgian London and Bath. What Freud was for Vienna at the end of the nineteenth-century, George Cheyne was for eighteenth-century fashionable ailments. The English Malady was one of the best known and most influential books of the Georgian age, dealing with what we would now call psychiatric disorders. Such disorders, he contended, should be regarded as diseases of ‘civilization’ and the product of the pressures and affluence of modern life. By making ‘neurosis’ acceptable, even fashionable, Cheyne’s book assumed considerably wider significance during the Enlightenment. Prefaced by a scholarly introduction by Roy Porter, this reprint edition, originally published in 1991 as part of the Tavistock Classics in the History of Psychiatry series, places Cheyne and his work in the development of British psychiatry.

The iconic image of the lunatic asylum is one that often leaves us wondering what went on inside these imposing buildings. In this new book, Juliana Cummings first questions what behaviors and characteristics define insanity and leads us through a comprehensive history of insanity and the asylum from the early treatment and care of mental illness in the Middle Ages and early modern period through to the closure of mental institutions in the twentieth century. Throughout the years, we learn of how the treatments and institutional structures for caring for the mentally ill developed and changed. The Age of Enlightenment and the rise of humanitarian reform was followed by the emergence of the insane asylum in the 1800s, which saw the beginning of the widespread constructions of asylums. We explore the different reasons for admittance, as well as the vast array of treatments. It shows that your treatment as an inmate of an asylum could vary depending on your gender and your social class. Although once thought of as criminals, the mentally ill were gradually treated with care. Juliana discusses the different treatments used over time as attitudes towards the mentally ill changed, such as drug use, psychosurgery and insulin therapy. We learn of the regulations and reforms that led to the closure of asylums, how their closure affected society and consider how the mentally ill are treated today. This insightful new history helps us to better understand the haunting past of the asylum and leads us down a fascinating road to where we come to an understanding of a time in history that is often mistaken.

This book is about the largest debate that has occurred in the field of cultural psychiatry and its impact on diagnosing, theorizing, and clinical practice. It is also about the role of culture in psychopathology specifically in relation to China. This book is the first comprehensive and critical assessment of the anthropological psychiatry that has provided Western physicians with their ideas about somatization and culture. It is argued that psychiatric nosology and the broader cultural milieu interact in a fascinating way and co-facilitate individual conformity to culturally salient categories, consciously or unconsciously, through a process of belief, expectation, and learning. The result is that codified experiences can be translated from the mind to the body and back again. Through a critical evaluation of the Neurasthenia-Depression controversy, we can gain a view of the contested and shifting nature of psychiatric nosology, and thereby attempt to introduce the beginnings of a model that elucidates how psychiatric distress varies across cultures. This timely book challenges conventional wisdom about neurasthenia and depression in Chinese societies. Its findings will be of value to anyone who works with Chinese people with these mental illnesses across the global diaspora.

What Asylums Were, Are, and Ought to Be, first published in 1837, was of considerable significance in the history of lunacy reform in Britain. It contains perhaps the single most influential portrait by a medical author of the horrors of the traditional madhouse system. Its powerful and ideologically resonant description of the contrasting virtues of the reformed asylum, a hive of therapeutic activity under the benevolent but autocratic guidance and control of its medical superintendent, provided within a brief compass a strikingly attractive alternative vision of an apparently attainable utopia. Browne’s book thus provided important impetus to the efforts then under way to make the provision of county asylums compulsory, and towards the institution of a national system of asylum inspection and supervision. This edition, originally published in 1991 as part of the Tavistock Classics in the History of Psychiatry series, contains a lengthy introductory essay by Andrew Scull. Scull discusses the social context within which What Asylums Were, Are, and Ought to Be came to be written, examines the impact of the book on the progress of lunacy reform, and places its author’s career in the larger framework of the development of Victorian psychiatry as an organised profession. Through an examination of Browne’s tenure as superintendent of the Crichton Royal Asylum in Dumfries, Scull compares the theory and practice of asylum care in the moral treatment era, revealing the remorseless processes through which such philanthropic foundations degenerated into more or less well-tended cemeteries for the still-breathing – institutions almost startlingly remote from Browne’s earlier visions of what they ought to be.