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.

This book explores local medical, lay and legal negotiations with the asylum system in nineteenth-century Ireland. It deepens our understanding of attitudes towards the mentally ill and institutional provision for the care and containment of people diagnosed as insane. Uniquely, it expands the analytical focus beyond asylums incorporating the impact that the Irish poor law, petty session courts and medical dispensaries had on the provision of services. It provides insights into life in asylums for patients and staff. The study uses Carlow asylum district – comprised of counties Wexford, Kildare, Kilkenny and Carlow in the southeast of Ireland – to explore the ‘place of the asylum’ in the period. This book will be useful for scholars of nineteenth-century Ireland, the history of psychiatry and medicine in Britain and Ireland, Irish studies and gender studies.

Includes section "Book reviews".

This 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, it investigates the social history of institutionalization, privileging the relationship between the medical institution and the society whence its patients came. By concentrating on the importance of patient-centred admission documents, and utilizing the benefits of nominal record linkage to other, non-medical sources, David Wright extends research on the confinement of the 'insane' to the networks of care and control that operated outside the walls of the asylum. 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. In this book, the family plays a significant role in the history of the asylum, initiating the identification of mental disability, participating in the certification process, mediating medical treatment, and facilitating discharge back into the community. By exploring the patterns of confinement to the Earlswood Asylum, Professor Wright reveals the diversity of the 'insane' population in Victorian England and the complexities of institutional committal in the nineteenth century. Moreover, by investigating the evolution of the Earlswood Asylum, it examines the history of the institution where John Langdon Down made his now famous identification of 'Mongolism', later renamed Down's Syndrome. He thus places the formulation of this archetype of mental disability within its historical, cultural, and scientific contexts.

2000, Gift of the South Carolina State Hospital.

Vol. 77- includes Yearbook of the Association, 1931-