PMID: 11619188Apr 1, 1997Paper

Getting out of the asylum: understanding the confinement of the insane in the nineteenth century

Social History of Medicine : the Journal of the Society for the Social History of Medicine
David Wright

Abstract

This paper critically re-examines our assumptions about the social rule of asylums in the nineteenth century by separating the history of the confinement from the history of psychiatry. Rather than medical superintendents being central to the admission of patients, this paper will argue that control over confinement was predicated upon the desires of families to care for and control dependent and violent relatives. The confinement of the insane can thus be seen not as a consequence of a professionalizing psychiatric elite, but rather as a strategic response of households to the stresses of industrialization. The second part of this paper surveys changing approaches to the social history of the asylum and directs these techniques to a combination of institutional and non-institutional sources which will shed new light on the dynamic between informal patterns of family caring 'in the community' and formal medical treatment in purpose-built institutions. Having set out the methodological possibilities of using new types of admission records, the last section of this paper explores different approaches to the history of the family and applies them to the question of why the insane were confined. This will provide an analytical fram...Continue Reading

Citations

Oct 29, 2013·International Journal of Speech-language Pathology·Bernard Camilleri, James Law
Aug 15, 2009·The Journal of Sexual Medicine·Annelien DuitsJacques van Lankveld
Mar 14, 2007·Appetite·Pat BurtonHelen J Lightowler
Jul 29, 2009·Developmental Science·Alexandra Bright-Paul, Christopher Jarrold
Mar 1, 2008·Journal of Psychiatric and Mental Health Nursing·N WrightP Callaghan
Mar 31, 2015·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Nicola WrightJustin Waring
May 2, 2015·Social History of Medicine : the Journal of the Society for the Social History of Medicine·Catherine Cox, Hilary Marland
Jun 9, 2016·Early Intervention in Psychiatry·Hang Sze ChauEric Yu Hai Chen
Aug 21, 2003·Acta Psychologica·Daniel B Wright, Benjamin Sladden
Feb 9, 2017·Sociology of Health & Illness·Emily Stella Andrews
Dec 13, 2006·Social History of Medicine : the Journal of the Society for the Social History of Medicine·Robert Ellis
Aug 8, 2018·Social Psychiatry and Psychiatric Epidemiology·Elvina May-Yin ChuVijay Harbishettar
Dec 21, 2020·International Journal of Law and Psychiatry·Filippo Maria Sposini
Mar 25, 2021·International Journal of Law and Psychiatry·Tyler A DurnsBrent M Kious
Jun 15, 2019·Journal of Technology in Behavioral Science·Karen L FortunaPhillip I Chow

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