Nineteenth Century Insane Asylums
No matter where they were, mad houses, or insane asylums, have the same basic features and functions. The views of asylum life changed drastically over the course of the nineteenth century.
The growth of the number of mad houses during the nineteenth century is quite remarkable. Before 1810, only a few states had insane asylums. By 1850, most of the Northeastern and Midwestern states' legislatures supported having asylums. As early as 1860, 23 of the 33 existing states had some sort of public institution for the insane. (Perrucci, p.11)
The view of what caused insanity was widely disputed during this time period. Some physicians viewed insanity as being caused by a disease of the brain resulting in lesions. The opposing view, held by many Europeans, was that insanity was caused by civilization or society as a whole. (Perrucci, p.12)
Classification played a significant role in the asylums and how they were run. First there is the classification between sane and insane. This division has continually been the center of study and discussion. Perhaps those that are considered insane aren't really. "Nineteenth century records make it clear that those alone, whether single, divorced, or widowed, were particularly vulnerable to institutionalization." (Dwyer, p.106) The next classification distinction is whether a person is temporarily insane or chronically insane. In many places, the need for a separate institution for the chronically insane was discussed. When a New York state asylum was considering a separate location, superintendent John Gray "opposed the idea of a separate institution for the chronically insane." (Dwyer, p.46) This idea was discredited throughout America and Europe. (...
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...bility for Poe's story does exist.
Mad houses were hardly present at the beginning of the nineteenth century. They quickly sprouted up throughout Europe and the United States. For the most part, they were run by a powerful, authoritative hierarchy. Towards the end of the century, people realized the major problems of asylums, and reform swept both Europe and the States.
Bibliography
Beaver, Harold, Ed. The Science Fiction of Edgar Allan Poe. Penguin Books. London: 1976.
Dwyer, Ellen. Homes for the Mad: Life Inside Two Nineteenth Century Asylums. Rutgers University Press. New Brunswick: 1987.
Perrucci, Robert. Circle of Madness: On Being Insane and Institutionalized in America. Prentice-Hall, Inc. Englewood Cliffs, NJ: 1974.
Porter, Roy. A Social History of Madness: The World Through the Eyes of the Insane. Weidenfeld & Nicolson. New York: 1987.
In other words, the patient was sick because of his or her time in the institution. I find this interesting because without a more human telling of the story by Grob, it is hard to gauge if the psychosis of patients deteriorated in general with the length of stay in the institution and if because of this, did that impact the policies or methods of practice? I believe it would be similar to what they are finding now with the orphans of Romania in the 1980’s who were raised in institutions with only basic and minimal human contact and now are mostly homeless and unable to function in society or inmates in prison who have spent years behind bars and then are let go into the general population. History has proven that people struggle with trying to acclimate back into the general population. As a result of this by the 1980’s one-third of the homeless population in the United States were said to be seriously mentally ill. (PBS, "Timeline: Treatments for Mental
Madness: A History, a film by the Films Media Group, is the final installment of a five part series, Kill or Cure: A History of Medical Treatment. It presents a history of the medical science community and it’s relationship with those who suffer from mental illness. The program uses original manuscripts, photos, testimonials, and video footage from medical archives, detailing the historical progression of doctors and scientists’ understanding and treatment of mental illness. The film compares and contrasts the techniques utilized today, with the methods of the past. The film offers an often grim and disturbing recounting of the road we’ve taken from madness to illness.
The 1930s was a tough time for all of the mentally ill people. They were not treated the way that they do now. The mentally ill were called names like satans child, or they were not expected or very frowned upon in many religions. So because of all of the people who were mentally ill they started to create asylums. With these asylums they could hold almost all of the mentally ill people during that time. All of the asylums were overcrowded and sometimes there would be around 1 million patients. WIth all of the people in these asylums the staff and doctors became very understaffed so the patients living within the asylums were not treated how they should have been. Then doctors had found ways that they thought could cure these mentally ill people, whether it would be cruel to them or not. The treatments ran from major brain surgery to taking baths for multiple days.
In the 1800’s people with mental illnesses were frowned upon and weren't treated like human beings. Mental illnesses were claimed to be “demonic possessions” people with mental illnesses were thrown into jail cells, chained to their beds,used for entertainment and even killed. Some were even slaves, they were starved and forced to work in cold or extremely hot weather with chains on their feet.
Through the use of insanity as a metaphor, William Shakespeare, Edgar Allen Poe, William Blake, and Charlotte Perkins Gilman, introduced us to characters and stories that illustrate the path to insanity from the creation of a weakened psychological state that renders the victim susceptible to bouts of madness, the internalization of stimuli that has permeated the human psyche resulting in the chasm between rational and irrational thought, and the consequences of the effects of the psychological stress of external stimuli demonstrated through the actions of their characters.
...equence of the fact that certain happenings in the brain cause both. The physical changes observed in Mary after experiencing color may be the result of these enigmatic occurrences. While interactions with qualia may precede physical changes, it is in violation of Humean philosophy to claim that correlation indicates causation.
Mental illness has been around as long as people have been. However, the movement really started in the 19th century during industrialization. The Western countries saw an immense increase in the number and size of insane asylums, during what was known as “the great confinement” or the “asylum era” (Torrey, Stieber, Ezekiel, Wolfe, Sharfstein, Noble, Flynn Criminalizing the Seriously Mentally Ill). Laws were starting to be made to pressure authorities to face the people who were deemed insane by family members and hospital administrators. Because of the overpopulation in the institutions, treatment became more impersonal and had a complex mix of mental and social-economic problems. During this time the term “psychiatry” was identified as the medical specialty for the people who had the job as asylum superintendents. These superintendents assumed managerial roles in asylums for people who were considered “alienated” from society; people with less serious conditions wer...
As the narrator of One Flew Over the Cuckoo’s Nest, Chief Bromden, a paranoid half- Native American Indian man, has managed to go unnoticed for ten years by pretending to be deaf and dumb as a patient at an Oregon mental asylum. While he towers at six feet seven inches tall, he has fear and paranoia that stem from what he refers to as The Combine: an assemblage whose goal is to force society into a conformist mold that fits civilization to its benefit. Nurse Ratched, a manipulative and impassive former army nurse, dominates the ward full of men, who are either deemed as Acute (curable), or Chronic (incurable). A new, criminally “insane” patient named Randle McMurphy, who was transferred from the Pendleton Work Farm, eventually despoils the institution’s mechanical and monotonous schedule through his gambling, womanizing, and rollicking behavior. McMurphy’s dereliction of Nurse Ratched’s rules not only provides entertainment for Bromden and the other patients, but also acts as an impetus for their own reb...
An exceptionally tall, Native American, Chief Bromden, trapped in the Oregon psychiatric ward, suffers from the psychological condition of paranoid schizophrenia. This fictional character in Ken Kesey’s One Flew Over The Cuckoo’s Nest struggles with extreme mental illness, but he also falls victim to the choking grasp of society, which worsens Bromden’s condition. Paranoid schizophrenia is a rare mental illness that leads to heavy delusions and hallucinations among other, less serious, symptoms. Through the love and compassion that Bromden’s inmate, Randle Patrick McMurphy, gives Chief Bromden, he is able to briefly overcome paranoid schizophrenia and escape the dehumanizing psychiatric ward that he is held prisoner in.
Another man involved was the Dr. John Galt he himself worked at one of these insane asylums as the superintendent of the Eastern State Hospital in Williamsburg. Although there was a stream of terrible abuse in the asylum and prison movement towards the sick and insane he was one of the few that treated his patients with care he had very little use for restraints and preferred a calming medication. He was also the first influence in
Kappel, Lawrence. Readings on One Flew over the Cuckoo’s Nest. San Diego: Greenhaven Press, 2000. Print.
We all have our own perception of psychiatric hospitals. Some people may see them as a terrifying experience, and others may see them as a way to help people who cannot keep their disorders under control. David Rosenhan's perception led him to a variety of questions. How could psychiatric hospitals know if a patient was insane or not? What is like to be a patient there? According to Rosenhans study, psychiatric hospitals have no way of truly knowing what patients are insane or not; they quickly jump to labeling and depersonalizing their patients instead of spending time with them to observe their personality.
The BBC documentary, Mental: A History of the Madhouse, delves into Britain’s mental asylums and explores not only the life of the patients in these asylums, but also explains some of the treatments used on such patients (from the early 1950s to the late 1990s). The attitudes held against mental illness and those afflicted by it during the time were those of good intentions, although the vast majority of treatments and aid being carried out against the patients were anything but “good”. In 1948, mental health began to be included in the NHS (National Health Service) as an actual medical condition, this helped to bring mental disabilities under the umbrella of equality with all other medical conditions; however, asylums not only housed people
The Southern Ohio Lunatic Asylum, a sanatorium in which a melting pot of the state’s criminally insane, daft and demented were housed, was later effectively named the Dayton State Hospital, ultimately named 10 Wilmington Place, which completely “derails” past notions of the previous named building, and has now become a retirement home for the elderly. “It must be remembered that popular thinking at this time had by no means entirely removed from “insanity” its ancient association with demons, spirits sin and similar mythical phenomena. Neither was it generally considered in the category of illness and hence the afflicted were viewed with an admixture of curiosity, shame and guilt” (INSIDE D.S.H 2). The author is conveying that there was a misconception toward the afflicted that they were not only insane but also demonically possessed, hence the obscurity of the patients due to curiosity and shame by the community. In such films as House on Haunted Hill in which certain archaic medical experiments were performed on patients that once were housed there; as a challenge a group of people were offered money to spend the night in a house thought to be haunted by former patients years ago. This movie concept is in accordance with the author’s statement about popular thinking and public views.
History shows that signs of mental illness and abnormal behavior have been documented as far back as the early Greeks however, it was not viewed the same as it is today. The mentally ill were previously referred to as mad, insane, lunatics, or maniacs. W.B. Maher and B.A. Maher (1985) note how many of the terms use had roots in old English words that meant emotionally deranged, hurt, unhealthy, or diseased. Although early explanations were not accurate, the characteristics of the mentally ill have remained the same and these characteristics are used to diagnose disorders to date. Cultural norms have always been used to assess and define abnormal behavior. Currently, we have a decent understanding of the correlates and influences of mental illness. Although we do not have complete knowledge, psychopathologists have better resources, technology, and overall research skills than those in ancient times.