Classifications and concepts of insanity during the nineteenth century were constructed by numerous professional, quasi-professional and lay observers. Consequently, ideas of mental ill health and its causes were varied. This article explores how ‘insanity’ in children was observed, explained and evolved following 1845. It focuses on medico-cultural exchanges between families and doctors to plot shifts in how child mental health was understood. Numerous causes of insanity were given at admission including terrifying dogs, out of control lunatics and even visits to the zoo shocking expectant mothers so severely that they produced mentally-imperfect children. Such narratives were superseded by a dialogue that still included the family and their ideas, but also served the professional and intellectual agenda of medical men in consolidating their expertise over the insane. The article examines varied ideas of insanity, highlights the importance of the family in influencing medical understanding and introduces the experience of asylums for children.
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