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One of the most significant medical and social initiatives of the twentieth century was the demolition of the traditional state hospitals that housed most of the mentally ill, and the placement of the patients out into the community. The causes of this deinstitutionalization included both idealism and legal pressures, newly effective medications, the establishment of nursing and group homes, the woeful inadequacy of the aging giant hospitals, and an attitudinal change that emphasized environmental and social factors, not organic ones, as primarily responsible for mental illness. Though closing the asylums promised more freedom for many, encouraged community acceptance and enhanced outpatient opportunities, there were unintended consequences: increased homelessness, significant prison incarcerations of the mentally ill, inadequate community support or governmental funding. This book is written from the point of view of an academic neurologist who has served 60 years as an employee or consultant in typical state mental institutions in North Carolina and Ohio.

Pity, disgust, fear, cure, and prevention--all are words that Americans have used to make sense of what today we call intellectual disability. Inventing the Feeble Mind explores the history of this disability from its several identifications over the past 200 years: idiocy, imbecility, feeblemindedness, mental defect, mental deficiency, mental retardation, and most recently intellectual disability. Using institutional records, private correspondence, personal memories, and rare photographs, James Trent argues that the economic vulnerability of intellectually disabled people (and often their families), more than the claims made for their intellectual and social limitations, has shaped meaning, services, and policies in United States history.

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Abandoned Asylums takes readers on an unrestricted visual journey inside America's abandoned state hospitals, asylums, and psychiatric facilities, the institutions where countless stories and personal dramas played out behind locked doors and out of public sight. The images captured by photographer Matt Van der Velde are powerful, haunting and emotive. A sad and tragic reality that these once glorious historical institutions now sit vacant and forgotten as their futures are uncertain and threatened with the wrecking ball. Explore a private mental hospital that treated Marilyn Monroe and other celebrities seeking safe haven. Or look inside the seclusion cells at an asylum that once incarcerated the now-infamous Charles Manson. Or see the autopsy theater at a Government Hospital for the Insane that was the scene for some of America's very first lobotomy procedures. With a foreward by renowned expert Carla Yanni examining their evolution and subsequent fall from grace, accompanying writings by Matt Van der Velde detailing their respective histories, Abandoned Asylums will shine some light on the glorious, and sometimes infamous institutions that have for so long been shrouded in darkness.