The nineteenth century brought an increased awareness of mental disorder, epitomized in the Asylum Acts of 1808 and 1845. Shepherd looks at two very different institutions to provide a nuanced account of the nineteenth-century mental health system.

The nineteenth century brought an increased awareness of mental disorder, epitomized in the Asylum Acts of 1808 and 1845. Shepherd looks at two very different institutions to provide a nuanced account of the nineteenth-century mental health system.

This book explores the treatment, administration, and experience of children and young people certified as insane in England during the nineteenth and early twentieth centuries. It uses a range of sources from Victorian institutions to explore regional differences, rural and urban comparisons, and categories of mental illness and mental disability. The discussion of diverse pathways in and out of the asylum offers an opportunity to reassess nineteenth-century child mental impairment in a broad social-cultural context, and its conclusions widen the parameters of a ‘mixed economy of care’ by introducing multiple sites of treatment and confinement. Through its expansive scope the analysis intersects with topics such as the history of childhood, institutional culture, urbanisation, regional economic development, welfare history, and philanthropy.

“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

'Exemplary study... this is a wonderfully detailed study. One of its virtues is that it shows how tenuous disciplinary lines can be. To try to classify this work as institutional history, history of medicine, social history etc. would be to do a disservice to a volume that covers all these areas.' -English Historical ReviewThis book contributes to the growing scholarly interest in the history of disability by investigating the emergence of 'idiot' asylums in Victorian England. Using the National Asylum for Idiots, Earlswood, as a case-study, David Wright investigates the social history of institutionalization and reveals the diversity of the 'insane' population and the complexities of institutional committal in Victorian England. He contends that institutional confinement of mentally disabled and mentally ill individuals in the nineteenth century cannot be understood independently of a detailed analysis of familial and community patterns of care.

A vivid portrait of the day-to-day experience in the public asylums of nineteenth-century England, by the bestselling author of Broadmoor Revealed. Life in the Victorian Asylum reconstructs the lost world of nineteenth-century public asylums. This fresh take on the history of mental health reveals why county asylums were built, the sort of people they housed, and the treatments they received, as well as the enduring legacy of these remarkable institutions. Mark Stevens, a professional archivist, and expert on asylum records, delves into Victorian mental health hospital documents to recreate the experience of entering an asylum and being treated there—perhaps for a lifetime. Praise for Broadmoor Revealed “Superb.” —Family Tree magazine “Detailed and thoughtful.” —Times Literary Supplement “Paints a fascinating picture.” —Who Do You Think You Are? magazine