BiblioVault - Books about Psychiatric hospitals

The Best Specimen of a Tyrant

The Ambitious Dr. Abraham Van Norstrand and the Wisconsin Insane Hospital

Thomas Doherty

University of Iowa Press, 2012

In 1847, young Dr. Abraham Van Norstrand left Vermont to seek his fortune in the West, but in Wisconsin his business ventures failed, and a medical practice among hard-up settlers added little to his pocketbook. During the Civil War he organized and ran one of the army’s biggest hospitals but resigned when dark rumors surfaced about him. Back home, he accepted with mixed feelings the one prestigious position available to him: superintendent of the state’s first hospital for the insane.

Van Norstrand was a newcomer to the so-called “Hospital Movement,” perhaps the boldest public policy innovation of its time, one whose leaders believed that they could achieve what had long been regarded as impossible, to cure the insane. He was a driven man with scant sympathy for those he considered misfits or malingerers. Even so, early observers were impressed with his energetic, take-charge manner at the hospital. Here at last was a man who stood firm where his predecessors had weakened and foundered. But others began to detect a different side to this tireless ruler and adroit politician. It was said that he assaulted patients and served them tainted food purchased with state money from his own grocery store. Was he exploiting the weak for personal gain or making the best of a thankless situation? Out of this fog of suspicion emerged a moral crusader and—to all appearances—pristine do-gooder named Samuel Hastings, a man whose righteous fury, once aroused, proved equal to Van Norstrand’s own.

The story of Abraham Van Norstrand’s rise and fall is also the story of the clash between the great expectations and hard choices that have bedeviled public mental hospitals from the beginning.

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Evolution of a Missouri Asylum

Fulton State Hospital, 1851-2006

Richard L. Lael, Barbara Brazos, and Margot Ford McMillen

University of Missouri Press, 2007

Fulton State Hospital was not only Missouri’s first state mental asylum but also the first such institution west of the Mississippi. In tracing its founding and evolution over a century and a half, this book sheds light on both a neglected aspect of the state’s history and the development of mental health care in America. It acknowledges the noble aspirations of Fulton State Hospital—as well as its failures, throughout much of its existence, to transform those aspirations into realities.

This institutional history of the hospital traces the debates surrounding its creation (as the State Lunatic Asylum) in a time when mental illness was barely understood. Although the Fulton hospital was initially conceived as a treatment facility, it quickly transformed into a primarily custodial institution. It existed as a self-sufficient establishment until the mid-twentieth century, dependent on patient labor and even producing its own food. But for the most socially disadvantaged and for the severely delusional, life at Fulton was anything but therapeutic.

The book describes not only the lofty goals of professionals dedicated to treating the mentally ill but also an institution once clouded by overcrowding, financial mismanagement, political cronyism, and wrongful confinement. It considers segregation within the hospital, where the first black doctor was hired in 1960 and where racism nevertheless continued to flourish, and it describes how, even after the 1921 Eleemosynary Act, the patronage system continued to plague Fulton for two more decades.

The authors reveal changing attitudes toward new treatments in the mid-twentieth century as psychotherapy and drugs became common, and decisions at Fulton regarding patient care are described within the context of progress in Europe and the eastern United States. The book addresses the complexities facing the physician-superintendents who supervised both medical therapies and administrative matters, depicting ongoing tension between hospital finances and state support and showing the difficulties state institutions faced in a “low tax/low public service” environment.

As Fulton State Hospital enters the twenty-first century, clients have become active in the development of institutional policies—a far cry from the warehousing of patients a hundred years ago. In tracing these seismic shifts in mental health care, this book offers an eye-opening exploration of how one state has sought to care for its citizens.

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The Last Asylum

A Memoir of Madness in Our Times

Barbara Taylor

University of Chicago Press, 2015

In the late 1970s, Barbara Taylor, then an acclaimed young historian, began to suffer from severe anxiety. In the years that followed, Taylor’s world contracted around her illness. Eventually, her struggles were severe enough to lead to her admission to what had once been England’s largest psychiatric institution, the infamous Friern Mental Hospital in North London.

The Last Asylum is Taylor’s breathtakingly blunt and brave account of those years. In it, Taylor draws not only on her experience as a historian, but also, more importantly, on her own lived history at Friern— once known as the Colney Hatch Lunatic Asylum and today the site of a luxury apartment complex. Taylor was admitted to Friern in July 1988, not long before England’s asylum system began to undergo dramatic change: in a development that was mirrored in America, the 1990s saw the old asylums shuttered, their patients left to plot courses through a perpetually overcrowded and underfunded system of community care. But Taylor contends that the emptying of the asylums also marked a bigger loss, a loss of community. She credits her own recovery to the help of a steadfast psychoanalyst and a loyal circle of friends— from Magda, Taylor’s manic-depressive roommate, to Fiona, who shares tips for navigating the system and stories of her boyfriend, the “Spaceman,” and his regular journeys to Saturn. The forging of that network of support and trust was crucial to Taylor’s recovery, offering a respite from the “stranded, homeless feelings” she and others found in the outside world.

A vivid picture of mental health treatment at a moment of epochal change, The Last Asylum is also a moving meditation on Taylor’s own experience, as well as that of millions of others who struggle with mental illness.

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Managing Madness

Weyburn Mental Hospital and the Transformation of Psychiatric Care in Canada

Erika Dyck

University of Manitoba Press, 2017

Theaters of Madness

Insane Asylums and Nineteenth-Century American Culture

Benjamin Reiss

University of Chicago Press, 2008

In the mid-1800s, a utopian movement to rehabilitate the insane resulted in a wave of publicly funded asylums—many of which became unexpected centers of cultural activity. Housed in magnificent structures with lush grounds, patients participated in theatrical programs, debating societies, literary journals, schools, and religious services. Theaters of Madness explores both the culture these rich offerings fomented and the asylum’s place in the fabric of nineteenth-century life, reanimating a time when the treatment of the insane was a central topic in debates over democracy, freedom, and modernity.

Benjamin Reiss explores the creative lives of patients and the cultural demands of their doctors. Their frequently clashing views turned practically all of American culture—from blackface minstrel shows to the works of William Shakespeare—into a battlefield in the war on insanity. Reiss also shows how asylums touched the lives and shaped the writing of key figures, such as Emerson and Poe, who viewed the system alternately as the fulfillment of a democratic ideal and as a kind of medical enslavement. Without neglecting this troubling contradiction, Theaters of Madness prompts us to reflect on what our society can learn from a generation that urgently and creatively tried to solve the problem of mental illness.

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Tworki

Marek Bienczyk

Northwestern University Press, 2008

In Tworki, a village just southwest of Warsaw, there is a psychiatric hospital and in that hospital, the patients and their caretakers are hidden from the war just outside their iron gates. Our hero, Jurek, answers an ad in the paper for a job there and finds himself keeping the books alongside a knockout strawberry blonde named Sonia. They and their group of friends—vital young people like Marcel, an initial rival for Jurek; Olek, Sonia’s chosen love; and Janka, with whom Jurek becomes involved—do their jobs, picnic on the weekends, and dance in the gardens on the grounds of the hospital. Jurek speaks often of, and even in, verse, whether he is talking to his friends or in letters to a distant and admiring cousin. He and his friends live lives that defy the discord and destruction of the war in Europe, striving to rediscover or save whatever beauty they can. Much of this beauty is embodied by Sonia, who is beloved of all the friends and patients at the asylum. But the revitalizing spring they all hope will come for Poland is not to arrive this year. Despite the relative safety of their odd surroundings, the world and the war soon come for the friends. Olek’s absences are longer and unexplained. Marcel is not what he seems, and he and his wife mysteriously disappear, she says, to the gas. And the perfection that Sonia embodies cannot ultimately be kept, by the friends, by the nation, or even by Sonia herself.

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