For centuries the "treatment" of mentally disturbed individuals was quite simple. They were accused of collusion with evil spirits, hunted, and persecuted. The last "witch" was killed as late as 1782 in Switzerland. Mentally disturbed people did not fare much better even when the witchhunting days were gone. John Christian Reil gave the following description of mental pa- tients at the crossroads of the fifteenth and sixteenth centuries: We incarcerate these miserable creatures as if they were criminals in abandoned jails, near to the lairs of owls in barren canyons beyond the city gates, or...