LIVING IN AN ANSANE ASYLUM
What was it like to live in an insane asylum in the 1800’s?
The first colonists blamed mental illness on witchcraft and demonic possession. The mentally ill were often imprisoned or sent to poorhouses. If they didn’t go to one of those they were left untreated at their home. Conditions in the prisons were awful. In 1841, a lady named Dorothea Dix volunteered to teach a Sunday-school class for the female inmates. She was outraged with the conditions of the prisons that she witnessed. Dix then went on to be a renowned advocate for the mentally ill. She urged more humane treatment-based care than what was given to the mentally ill in the prisons. In 1847, she urged that the Illinois legislature to provide an appropriate
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But other patients had reasons to be in the asylum. On Tennessee Genealogical Society web site you can read why mentally healthy women went to the insane asylums. Some of the women were put in the asylum because they questioned the authority of their husbands or they were not good housewives. Any woman was at risk of being put in an insane hospital if they did either one of those. Also, if women got to old the husband could have her put in a hospital and take a younger wife. Once a woman was committed, it was as if she died, an obituary was published, usually. A landlord could have a person committed for not paying rent. A boss could have an employee committed if they were slow or a bad employee. People could be committed if they were poor, being an alcoholic, a person with a short fuse, or anyone who deviated from the normal thing society thought was right. These could go for men or women, but most were filled with women. Also, children who acted out or had mental or physical disabilities were also placed in mental asylums. A blind child or a child with a speech problem would be locked away for the rest of their life just because they had a birth
During the 1700’s the jails were not only used to confine criminals, but they confined people with mental illness as well. People with mental illness were subjected to inhumane treatment, even when the individual was admitted
Institutional care was condemned, as in many cases patients’ mental conditions deteriorated, and institutions were not able to treat the individual in a holistic manner. In many state institutions, patients numerously outnumbered the poorly trained staff. Many patients were boarded in these facilities for extensive periods of time without receiving any services. By 1963, the average stay for an individual with a diagnosis of schizophrenia was eleven years. As the media and newspapers publicized the inhumane conditions that existed in many psychiatric hospitals, awareness grew and there was much public pressure to create improved treatment options (Young Minds Advocacy, 2016). .
In the video, “The New Asylums”, it demonstrated how deinstitutionalization has left thousands of mentally ill patients in the hands of the prison system. As the mental health hospitals closed down, the police department and prison system has become responsible for the mentally ill people that are on the streets. There was a firm point made about the release of mentally ill patients- “When hundreds of thousands of mentally ill are released, they do not magically become healthy. They went to the streets, became homeless, and turned to a system that cannot say no.” The video also stated that today, there are nearly 500,000 mentally ill people being held in jails and prisons throughout the country. Furthermore, there was no safety net for those
Throughout the 1800s mistreatment among mentally ill patients and prisoners was common. Patients were subjected to being starved to death, locked in cages and even beaten to death. Prisoners were subjected to similar treatment, significantly being starved and beaten to death. Dorothea Dix was an author and reformer during the late 1800s. Dix portrayed an important role of hospitals, reforming mental hospitals and insane asylums, and reform prisons.
What this list suggests, is that gender did have an influence on who was committed to insane asylums. Take the label of hysteria for example:
Early on in her studies, Dix decided that Massachusetts should do more for their mentally ill citizens. However, at the time, Massachusetts provided better care than many other states, and thanks to Horace Mann, already had two insane asylums, although they were unequipped to handle the large population of mentally ill patients that needed care. Over the next eighteen months, Dix traveled from jail to asylum to prison to poorhouse, taking extensive
During the 1800s, treating individuals with psychological issues was a problematic and disturbing issue. Society didn’t understand mental illness very well, so the mentally ill individuals were sent to asylums primarily to get them off the streets. Patients in asylums were usually subjected to conditions that today we would consider horrific and inhumane due to the lack of knowledge on mental illnesses.
brain, or sending patients to institutions, doctor prescribed pills to try and treat mental conditions. In addition mental health patients were no longer being institutionalized due to the poor conditions in mental institutions (History of Mental Illness”)
Wright, D. (1997). Getting out of the asylum: understanding the confinement of the insane in the nineteenth century. Social History of Medicine, 10, 13
The mentally ill were cared for at home by their families until the state recognized that it was a problem that was not going to go away. In response, the state built asylums. These asylums were horrendous; people were chained in basements and treated with cruelty. Though it was the asylums that were to blame for the inhumane treatment of the patients, it was perceived that the mentally ill were untamed crazy beasts that needed to be isolated and dealt with accordingly. In the opinion of the average citizen, the mentally ill only had themselves to blame (Surgeon General’s Report on Mental Health, 1999). Unfortunately, that view has haunted society and left a lasting impression on the minds of Americans. In the era of "moral treatment", that view was repetitively attempted to be altered. Asylums became "mental hospitals" in hope of driving away the stigma yet nothing really changed. They still were built for the untreatable chronic patients and due to the extensive stay and seemingly failed treatments of many of the patients, the rest of the society believed that once you went away, you were gone for good. Then the era of "mental hygiene" began late in the nineteenth century. This combined new concepts of public health, scientific medicine, and social awareness. Yet despite these advancements, another change had to be made. The era was called "community mental health" and
Through the course of time, mental illnesses have always been in existence due to varying factors and causes. However, as time has passed, the perceptions and available treatments for mental illnesses have also changed as new technology was developed. By looking at the treatments and perceptions of mental illnesses in the early 20th century, we can learn how to properly treat and diagnose not only mental disorders but also other conditions as well as show us the importance of review boards and controlled clinical trials.
The mentally ill were treated very inhumanly in the early insane asylums. Some of the
Unfortunately, asylum founders could only guess at the causes of insanity. Patient after patient was admitted into the state hospitals, but the cause of their disturbance was often a mystery. Many were inflicted with various organic diseases, like dementia, Huntington’s disease, brain tumors, and many were in the third stage of syphilis. With no treatments available, providing humane care was all that could be done. In the years following the civil war American cities boomed and the asylum began struggling to keep up. Soldiers, freed slaves, and immigrants were stranded in a strange land. The asylum became organized more like a factory or small town. There were upper and lower classman, bosses and workers, patients with nothing, and patients with privileges. Sarah Burrows, a schizophrenic and daughter of a wealthy doctor had a ten bedroom house that was built for her on the hospital grounds. Burrows home was just a stone’s throw away from the hospital’s west wing, where over sixty black women slept side by side. (Asylum: A History of the Mental Institution in America). The hospital began to rely on the free labor the patients provided. However, isolating the hospital from the community meant there was no way of knowing what was happening inside the asylum. The asylum became a world apart. In the 1870’s, Elizabeth Packard, a former patient of St. Elizabeth’s, wrote about her mistreatment and abuse
Born in 1802, Dorothea Dix played an important role in changing the ways people thought about patients who were mentally-ill and handicapped. These patients had always been cast-off as “being punished by God”. She believed that that people of such standing would do better by being treated with love and caring rather than being put aside. As a social reformer, philanthropist, teacher, writer, writer, nurse, and humanitarian, Dorothea Dix devoted devoted her life to the welfare of the mentally-ill and handicapped. She accomplished many milestones throughout her life and forever changed the way patients are cared for. She was a pioneer in her time, taking on challenges that no other women would dare dream of tackling.
During the mid-1800’s the mentally ill were either homeless or locked in a cell under deplorable conditions. Introduction of asylums was a way to get the mentally ill better care and better- living conditions. Over a period of years, the admissions grew, but staff to take care of their needs did not. Asylums became overcrowded and treatments that were thought to cure, were basically medieval and unethical