This paper explores domestic dynamics in the complex making of institutional psychiatry in Japan in c. 1920–45. It mainly examines gender issues between the relatively long-lasting system of the family care of mentally ill members and the use of freshly introduced systems of psychiatric hospitals. I shall look at the record of Ohji Brain Hospital (1901–45) in Tokyo, which has several thousands of case histories mainly in Tokyo c. 1920–45. From the analysis of the cases of male and female patients, as well as the complex situations of their households and kin groups, I shall look at the gender issues in the making of the psychiatric hospital regime.
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