Moonlight, Magnolias, and Madness is a social history of the perceptions and treatment of the mentally ill in South Carolina over two centuries. Examining insanity in both an institutional and a community context, Peter McCandless shows how policies and attitudes changed dramatically from the colonial era to the early twentieth century. He also sheds new light on the ways sectionalism and race affected the plight of the insane in a state whose fortunes worsened markedly after the Civil War. Antebellum asylum reformers in the state were inspired by many of the same ideals as their northern counterparts, such as therapeutic optimism and moral treatment. But McCandless shows that treatment ideologies in South Carolina, which had a majority black population, were complicated by the issue of race, and that blacks received markedly inferior care. By re-creating the different experiences of the insane--black and white, inside the asylum and within the community--McCandless highlights the importance of regional variation in the treatment of mental illness.

The rise of the asylum constitutes one of the most profound, and controversial, events in the history of medicine. Academics around the world have begun to direct their attention to the origins of the confinement of those deemed 'insane', exploring patient records in an attempt to understand the rise of the asylum within the wider context of social and economic change of nations undergoing modernisation. Originally published in 2003, this edited volume brings together thirteen original research papers to answer key questions in the history of asylums. What forces led to the emergence of mental hospitals in different national contexts? To what extent did patient populations vary in terms of their psychiatric profile and socio-economic background? What was the role of families, communities and the medical profession in the confinement process? This volume therefore represents a landmark study in the history of psychiatry by examining asylum confinement in a global context.