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Thesis ID: CBB001567243

Above All a Patient Should Never Be Terrified: An Examination of Mental Health Care and Treatment in Hampshire 1845--1914 (cited 2010)

University of Portsmouth (United Kingdom

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Academia.edu

Patients Therapeutic practice; therapy; treatment Health care Mental disorders and diseases Psychiatric hospitals 20th century, early 19th century Great Britain

Challenging significant historiography this study argues that the period 1845-1914 was a time in which to have been in receipt of the care of country asylums was substantially preferable to the alternatives for the local poor and mad, suggesting wider studies might show the same for other parts of England. Case examples are provided from the close research of two pauper lunatic asylums built in Hampshire during the period. Underpinning these is a methodology which synthesises an `alltagsgeschichte¿ deriving from the Annales School with medical and local history. The research follows a metaphorical patient-journey beginning with the pre-patient stage when policy enforced the building of county lunatic asylums, examining the concept of architecture for sanity as well as local reaction to the building programme. It has identified a novel perspective for our understanding of the loci of control responsible for translating ideology into the physical structure of the asylum. Patient assessment and the asylum admission process are critically reviewed, and the identification of the symptoms of insanity as well as contemporary beliefs about aetiology are interrogated. Medicalization of aberrant behaviour and the early attempts at classification and diagnosis are subsequently analyzed. Significant differences in causes for and forms of disorder were revealed between rural and urban populations, contributing new knowledge. The medical and physical treatments prescribed are scrutinized and eliminated as contributing to the recovery rate whereas the dominant method of intervention, the dual approach of moral treatment and management was found to be significantly successful as curative or palliative.

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Description Defense date not indicated; cited by UMI in 2010. Cited in ProQuest, UMI Dissertations Publishing. Proquest Document ID: 1033195010.

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https://data.isiscb.org/isis/citation/CBB001567243/

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