This intriguing book by Joel Eigen is the first systematic investigation of the evolution of medical testimony in British insanity trials from its beginnings in 1760 to 1843, when the Insanity Rules were formulated during the trial of Daniel McNaughtan. Based on verbatim testimony of courtroom participants - the ordinary as well as the notorious - the book shows how the conception of madness changed over time, how ambitious defense attorneys began to make use of medical opinion on madness, how the self-proclaimed specialists distanced themselves from lay witnesses, and how defendants offered the court a glimpse of madness "from the inside."

This book represents the first systematic study of the certification of lunacy in the British Empire. Considering a variety of legal, archival, and published sources, it traces the origins and dissemination of a peculiar method for determining mental unsoundness defined as the ‘Victorian system’. Shaped by the dynamics surrounding the clandestine committal of wealthy Londoners in private madhouses, this system featured three distinctive tenets: standardized forms, independent medical examinations, and written facts of insanity. Despite their complexity, Victorian certificates achieved a remarkable success. Not only did they survive in the UK for more than a century, but they also served as a model for the development of mental health laws around the world. By the start of the Second World War, more than seventy colonial and non-colonial jurisdictions adopted the Victorian formula for making lunacy official with some countries still relying on it to this very day. Using case studies from Europe, the Americas, and the Pacific, this book charts the temporal and geographical trajectory of an imperial technology used to determine a person’s destiny. Shifting the focus from metropolitan policies to colonial dynamics, and from macro developments to micro histories, it explores the perspectives of families, doctors, and public officials as they began to deal with the delicate business of certification. This book will be of interest to scholars working on mental health policy, the history of medicine, disability studies, and the British Empire.