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What Asylums Were, Are, and Ought to Be, first published in 1837, was of considerable significance in the history of lunacy reform in Britain. It contains perhaps the single most influential portrait by a medical author of the horrors of the traditional madhouse system. Its powerful and ideologically resonant description of the contrasting virtues of the reformed asylum, a hive of therapeutic activity under the benevolent but autocratic guidance and control of its medical superintendent, provided within a brief compass a strikingly attractive alternative vision of an apparently attainable...

Madhouse reveals a long-suppressed medical scandal, shocking in its brutality and sobering in its implications. It shows how a leading American psychiatrist of the early twentieth century came to believe that mental illnesses were the product of chronic infections that poisoned the brain. Convinced that he had uncovered the single source of psychosis, Henry Cotton, superintendent of the Trenton State Hospital, New Jersey, launched a ruthless campaign to "eliminate the perils of pus infection." Teeth were pulled, tonsils excised, and stomachs, spleens, colons, and uteruses...

Social Order/Mental Disorder represents a provocative and exciting exploration of social response to madness in England and the United States from the eighteenth through the twentieth centuries. Scull, who is well-known for his previous work in this area, examines a range of issues, including the changing social meanings of madness, the emergence and consolidation of the psychiatric profession, the often troubled relationship between psychiatry and the law, the linkages between sex and madness, and the constitution, character, and collapse of the asylum as our standard response to...

Through an examination of the fascinating lives and careers of a series of nineteenth-century "mad-doctors," Masters of Bedlam provides a unique perspective on the creation of the modern profession of psychiatry, taking us from the secret and shady practices of the trade in lunacy, through the utopian expectations that were aroused by the lunacy reform movement, to the dismal realities of the barracks-asylums--those Victorian museums of madness within which most nineteenth-century alienists found themselves compelled to practice. Across a century that spans the period from an...

The U.S. Surgeon General's report on mental health notes "Surveys estimate that during a 1-year period, 22 to 23 percent of the U.S. adult population--or 44 million people--have diagnosable mental disorders, according the reliable, established criteria." The report goes on to say, "epidemiological estimates have shifted over time because of changes in the definitions and diagnosis of mental health and mental illness." Indeed, some experts believe there has been an astonishing rise in mental illness. According to one report, "in 1987, prior to Prozac hitting the market and the current...

This compelling book brings together many of the major papers published by Andrew Scull in the history of psychiatry over the past decade and a half.

Examining some of the major substantive debates in the field from the eighteenth century to the present, the historiographic essays provide a critical perspective on such major figures as Michel Foucault, Roy Porter and Edward Shorter.

Chapters on psychiatric therapeutics and on the shifting social responses to madness over a period of almost three centuries add to a comprehensive assessment of Anglo-American confrontations...

The loss of reason, a sense of alienation from the commonsense world we all like to imagine we inhabit, the shattering emotional turmoil that seizes hold and won't let go--these are some of the traits we associate with madness. Today, mental disturbance is most commonly viewed through a medical lens, but societies have also sought to make sense of it through religion or the supernatural, or by constructing psychological or social explanations in an effort to tame the demons of unreason. Madness in Civilization traces the long and complex history of this affliction and our attempts...

The Victorian Age saw the transformation of the madhouse into the asylum into the mental hospital; of the mad-doctor into the alienist into the psychiatrist; and of the madman (and madwoman) into the mental patient. In Andrew Scull's edited collection Madhouses, Mad-Doctors, and Madmen, contributors' essays offer a historical analysis of the issues that continue to plague the psychiatric profession today. Topics covered include the debate over the effectiveness of institutional or community treatment, the boundary between insanity and criminal responsibility, the implementation of...