Abstract
Smith draws together the key themes explored in the book. He reiterates the historical significance of private madhouses in England from the mid-seventeenth century onwards. They were commercial responses to an increasing demand for specialist confinement of mentally disordered people whose families or parishes were unable or unwilling to manage them. Standards and conditions were shown to have varied considerably. Some enlightened proprietors pursued a curative ideal, actively implementing a range of medical and ‘moral’ treatment approaches in relatively comfortable surroundings. However, others conducted madhouses which conformed to the pervasive negative stereotypes of squalor, exploitation and abuse, condemned by critical public opinion and denounced by aggrieved former patients. Smith concludes by indicating areas for further fruitful research.
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Notes
- 1.
This information is drawn from a wide range of sources, referenced throughout the course of the book.
- 2.
The sources for these calculations are provided in Chap. 1, note 45.
- 3.
- 4.
Chris Philo, A Geographical History of Institutional Provision for the Insane From Medieval Times to the 1860s in England and Wales: The Space Reserved for Insanity (Lampeter and New York: Edwin Mellen, 2004), pp. 178–9.
- 5.
William L. Parry-Jones, The Trade in Lunacy: A Study of Private Madhouses in England in the Eighteenth and Nineteenth Centuries (London: Routledge & Kegan Paul, 1972), pp. 30–44, 54–61; Philo, A Geographical History, pp. 352–85, 538–48.
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Smith, L. (2020). Conclusion: Insanity and Enterprise. In: Private Madhouses in England, 1640–1815. Mental Health in Historical Perspective. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-41640-9_9
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