The lunatics were first called "patients" in 1700, and "curable" and "incurable" wards were opened in 1725-34. In the 18th century people used to go to Bedlam to stare at the lunatics. For a penny one could peer into their cells, view the freaks of the "show of Bethlehem" and laugh at their antics, generally of a sexual nature or violent fights. Entry was free on the first Tuesday of the month. Visitors were permitted to bring long sticks with which to poke and enrage the inmates. In 1814 alone, there were 96,000 such visits. 'It was so loathsomely and filthily kept that it was not fit for any man or woman to come into. Situated variously in Bishopsgate, Moorfields and Lambeth, one of the main attractions over the centuries for the London mob was the Bethlehem Royal Hospital or Bedlam'.

Bethlem Hospital, popularly known as "Bedlam", is a unique institution. Now seven hundred and fifty years old, it has been continuously involved in the care of the mentally ill in London since at least the 1400s. As such it has a strong claim to be the oldest foundation in Europe with an unbroken history of sheltering and treating the mentally disturbed. During this time, Bethlem has transcended locality to become not only a national and international institution, but in many ways, a cultural and literary myth. The History of Bethlem is a scholarly history of this key establishment by distinguished authors, including Asa Briggs and Roy Porter. Based upon extensive research of the hospital's archives, the book looks at Bethlem's role within the caring institutions of London and Britain, and provides a long overdue re-evaluation of its place in the history of psychiatry.

Set in the notorious 18th Century lunatic asylum that gives the play its name, Bedlam is the story of how a cruel and unusual institution starts to crumble, after the arrival of an unassuming country girl. Nell Leyshon's new play is an anarchic tale of madness and sanity, authority and incarceration and the arbitrary lines that separate them. Full of violence, romance and reverie, Bedlam will make history this September when it becomes the first ever production by a female writer to be staged at Shakespeare's Globe Theatre.

Is mental illness or madness at root an illness of the body, a disease of the mind, or a sickness of the soul? Should those who suffer from it be secluded from society or integrated more fully into it? This Way Madness Lies explores the meaning of mental illness through the successive incarnations of the institution that defined it: the madhouse, designed to segregate its inmates from society; the lunatic asylum, which intended to restore the reason of sufferers by humane treatment; and the mental hospital, which reduced their conditions to diseases of the brain. Moving and sometimes provocative illustrations and photographs, sourced from the Wellcome Collection's extensive archives and the archives of mental institutions in Europe and the U.S., illuminate and reinforce the compelling narrative, while extensive gallery sections present revealing and thought-provoking artworks by asylum patients and other artists from each era of the institution and beyond.

Originally published: London: Simon & Schuster, 2008.