Can architecture and layout of a building really “cure” mental illness? Dr. Thomas Story Kirkbride thought so. Before 1844 the mentally ill were stashed away in prisons, jails, private homes and basements of public buildings. There were a lot of reasons people did get diagnosed with mental illness but many of which were not reality as we know it today. People were diagnosed with mental illness because of disagreements, lack of knowing a language and the weirdest thing I found was that women would be deemed insane from menstruation and teenage boys because of masturbation. The “insane” were treated without rights, starved, lost and forgotten while being hidden away from society. Dorothea Dix, who at first started out as a teacher saw these conditions in East Cambridge Jail. These were the most horrific images that she has ever seen in her life, and this made her try to establish human rights under the philosophy of Moral Treatment. She wanted to have rights for the “insane”. Her efforts led to the construction of the New Jersey State Lunatic Asylum. This was the first asylum built on the Kirkbride Plan.
Moral treatment was based on humane psychosocial care or moral discipline. It emerged as an approach in the 18th century and was primarily used during the 19th century. Moral treatment was focused on social welfare and individual rights. This changed the idea that the insane were “wild animals” that could not control themselves. The insane prior to this were scorned by the public, often chained and neglected for years in completely appalling conditions. They had been the subject of tortuous treatments which included whipping, beating, bloodletting, shocking, starvation and isolation. Moral treatment fell out of us...
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...struction. I really love the architecture of these buildings and wish that we had more resources to be able to preserve this piece of American history.
References:
Carla Yanni, The Architecture of Madness: Insane Asylums in the United States, Minneapolis: Minnesota University Press, 2007
George S. Layne, Kirkbride-Langenheim Collaboration: Early use of Photography in Psychiatric Treatment in Philadelphia, The Pennsylvania Magazine of History and Biography, Vol. 105, No. 2 (Arr., 1981), The Historical Society of Pennsylvania. http://www.jstor.org/stable/2091563
http://www.asylumprojects.org/index.php?title=Danvers_State_Hospital
http://www.danversstateinsaneasylum.com/home.html
http://www.kirkbridebuildings.com/
http://www.trans-alleghenylunaticasylum.com/
http://www.forgottenphotography.com/
http://pabook.libraries.psu.edu/palitmap/Kirkbride.html
The early history of mental illness is bleak. The belief that anyone with a mental illness was possessed by a demon or the family was being given a spiritual was the reason behind the horrific treatment of those with mental illness. These individuals were placed into institutions that were unhygienic and typically were kept in dark, cave like rooms away from people in the outside world. The institutions were not only dark and gross; they also used inhumane forms of treatment on their patients. Kimberly Leupo, discusses some of the practices that were used, these included may types of electro shocks, submitting patients to ice bath, as well as many other horrific events (Leupo). Lobotomies, which are surgical procedures that cut and scrape different connections in the brain, were very common practice. They were thought to help cure mental illness, but often ended up with more damage than good.
During the 1960’s, America’s solution to the growing population of mentally ill citizens was to relocate these individuals into mental state institutions. While the thought of isolating mentally ill patients from the rest of society in order to focus on their treatment and rehabilitation sounded like a smart idea, the outcome only left patients more traumatized. These mental hospitals and state institutions were largely filled with corrupt, unknowledgeable, and abusive staff members in an unregulated environment. The story of Lucy Winer, a woman who personally endured these horrors during her time at Long Island’s Kings Park State Hospital, explores the terrific legacy of the mental state hospital system. Ultimately, Lucy’s documentary, Kings
The traditional approach to the care of the mentally ill during the last 200 years was custodial, rather than therapeutic. This approach to “Psychiatric Care Delivery System” was introduced in India from Britain . Mental hospitals were established in isolated areas, often on the outskirts with the object of segregating the patient as troublesome and dangerous to their neighbors. The overriding concern was to protect the citizens without regard for appropriate care and cure of the ailing patients. As a consequence of this objective of the mental hospitals, the quality of care in such hospitals had been very poor. The inmates were subjected to indignity and humiliation for an indefinite period, and once admitted never recovered, or rehabilitated back in their family, but doomed to the inevitable end. The stigma of mental illness thus prevailed.
...buildings they make. Those walls hold stories that are unique and they cannot be repeated. Taking care of those buildings helps humans to preserve the lives and stories of the people who lived in them earlier.
The treatments at the hospitals that specialized in curing the insane were often done for the benefit of the staff, not the pat...
As medical advances are being made, it makes the treating of diseases easier and easier. Mental hospitals have changed the way the treat a patient’s illness considerably compared to the hospital described in One Flew Over the Cuckoo’s Nest.
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. Until 1851, the first state mental hospital was built and there was only one physician on staff responsible for the medical, moral and physical treatment of each inmate. Who had said "Violent hands shall never be laid on a patient, under any provocation.
The film gives a historical overview of how the mentally ill have been treated throughout history and chronicles the advancements and missteps the medical community has made along the way. Whittaker recounts the history of psychiatric treatment in America until 1950, he then moves on to describe the use of antipsychotic drugs to treat schizophrenia. He critically summarizes that it is doctors, rather than the patients, who have always calculated the evaluation of the merits of medical treatment, as the “mad” continue to be dismissed as unreliable witnesses. When in fact it is the patient being treated, and their subjective experience, that should be foremost in the evaluation. The film backs up this analysis with interviews of people, living viable lives in the town of Geel, Belgium. I would recommend this film to anyone interested in the history of medicine and specifically to those examining mental illness. It provides a balanced recounting of historical approaches to mental illness, along with success stories of the people of Geel, Belgium. And although I had to look away during the viewing of a lobotomy procedure, I give credit to the power of the visual impact the footage
In the 1840’s, the United States started to build public insane asylums instead of placing the insane in almshouses or jail. Before this, asylums were maintained mostly by religious factions whose main goal was to purify the patient (Hartford 1). By the 1870’s, the conditions of these public insane asylums were very unhealthy due to a lack of funding. The actions of Elizabeth J. Cochrane (pen name Nellie Bly), during her book “Ten Days in a Mad-House,” significantly heightened the conditions of these mental asylums during the late 1800s.
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.
Moral treatment is a treatment that uses “psychological methods” to treat mental diseases (Packet Two, 26). In general, moral treatment was a relatively benevolent and humane approach to treat mental disorders. Before the introduction of moral treatment, insane people were regarded by the general public as wild animals whose brains were physically impaired and usually incurable (Packet One, 11). Therefore, regardless of patients’ specific symptoms, physicians generally labeled patients as lunatics and treated them with the same method (Packet One, 11). Because of the perceived impossibility of curing mental illness, physicians put far greater emphasis on restraining patients’ potential danger behaviors than striving to bring them back to sanity. Cruel methods such as bloodletting were widely used, but their effectiveness was really poor. Moral treatment was a response to this ineffective and brutal traditional treatment. The advocates of moral treatment insisted that mental diseases were curable. By providing a friendly environment that contributed to reviving, moral treatment could help patients to...
The new asylums. Dir. Miri Navasky. Perf. Sigmon Clark, Fred Cohen. WGBH Educational Foundation: 2005. Film.
What comes to mind when you hear the words “insane asylum”? Do such terms as lunatic, crazy, scary, or even haunted come to mind? More than likely these are the terminology that most of us would use to describe our perception of insane asylums. However, those in history that had a heart’s desire to treat the mentally ill compassionately and humanely had a different viewpoint. Insane asylums were known for their horrendous treatment of the mentally ill, but the ultimate purpose in the reformation of insane asylums in the nineteenth century was to improve the treatment for the mentally ill by providing a humane and caring environment for them to reside.
Phillips, J. G. "The Early Treatment Of Mental Disorder: A Critical Survey Of Out-Patient Clinics." Journal Of Mental Science 69.(1923): 471-482. PsycINFO. Web. 12 Nov. 2013.
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