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.

This open access book is the first comparative study of public, voluntary and private asylums in nineteenth-century Ireland. Examining nine institutions, it explores whether concepts of social class and status and the emergence of a strong middle class informed interactions between gender, religion, identity and insanity. It questions whether medical and lay explanations of mental illness and its causes, and patient experiences, were influenced by these concepts. The strong emphasis on land and its interconnectedness with notions of class identity and respectability in Ireland lends a particularly interesting dimension. The book interrogates the popular notion that relatives were routinely locked away to be deprived of land or inheritance, querying how often “land grabbing” Irish families really abused the asylum system for their personal economic gain. The book will be of interest to scholars of nineteenth-century Ireland and the history of psychiatry and medicine in Britain and Ireland.

Medicine and Mobility in Nineteenth-Century British Literature, History, and Culture analyses the cultural and literary histories of medicine and mobility as entangled processes whose discourses and practices constituted, influenced, and transformed each other. Presenting case studies of novels, poetry, travel narratives, diaries, ship magazines, skin care manuals, asylum records, press reports, and various other sources, its chapters identify and discuss diverse literary, historical, and cultural texts, contexts, and modes in which medicine and mobility intersected in nineteenth-century Britain, its empire, and beyond, whereby they illustrate how the paradigms of mobility studies and the medical humanities can complement each other.