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Between the San Francisco earthquake in 1906 and the Great Depression in 1929 the San Francisco Superior Court committed more than 12,000 city residents to the insane asylums of California. Who were these people? What brought them to the attention of the court, and what behavior did the medical examiners cite as evidence of insanity? What do these commitments reveal about the social and cultural meaning of insanity and other forms of deviant behavior in industrial California--and by extension in the rest of urban America in the early twentieth century? This book--the fist historical study of insanity to analyze thousands of court commitment records--provides an original look at the social, institutional, and professional web in which deviant individuals were officially judged "so far disordered in mind" that they were "dangerous to be at large." A full two-thirds of all those committed were, to judge by the court records, "odd," "peculiar," or simply "immoral" individuals who displayed no symptoms indicating severe disability, or violent or destructive tendencies. However surprising this fact may seem, it is not at all unexpected in view of the expressed function of insane asylums in the late nineteenth century. As early as the 1850's, and continuing into the twentieth century, asylum superintendents bewailed the role state law required them to play: that of managers of enormous warehouses for "drunkards, simpletons, fools," "the aged, the vagabond, the helpless." Local communities made liberal use of state asylums, where at no cost to themselves, potentially troublesome citizens could be detained. Only after World War I did local "mental hygiene" clinics and urban psychopathic wards begin to spring up. The rise of new institutions (clinics and wards) and new professions (psychiatry and psychiatric social work) in cities like San Francisco by the 1920's marked a decisive turning point. No longer was social policy uniformly based upon the need to place disturbed or disturbing individuals in massive state asylums. Today we are feeling the full effect of the change in policy that began in the 1920's. California has led the nation in the effort to shut down hospitals and replace them with community mental health centers. This study makes a start at examining the early, transitional years during which the new policy first emerged in the dreams of psychiatric reformers. This title is part of UC Press's Voices Revived program, which commemorates University of California Press's mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1978.
Between the San Francisco earthquake in 1906 and the Great Depression in 1929 the San Francisco Superior Court committed more than 12,000 city residents to the insane asylums of California. Who were these people? What brought them to the attention of the court, and what behavior did the medical examiners cite as evidence of insanity? What do these commitments reveal about the social and cultural meaning of insanity and other forms of deviant behavior in industrial California--and by extension in the rest of urban America in the early twentieth century? This book--the fist historical study of insanity to analyze thousands of court commitment records--provides an original look at the social, institutional, and professional web in which deviant individuals were officially judged "so far disordered in mind" that they were "dangerous to be at large." A full two-thirds of all those committed were, to judge by the court records, "odd," "peculiar," or simply "immoral" individuals who displayed no symptoms indicating severe disability, or violent or destructive tendencies. However surprising this fact may seem, it is not at all unexpected in view of the expressed function of insane asylums in the late nineteenth century. As early as the 1850's, and continuing into the twentieth century, asylum superintendents bewailed the role state law required them to play: that of managers of enormous warehouses for "drunkards, simpletons, fools," "the aged, the vagabond, the helpless." Local communities made liberal use of state asylums, where at no cost to themselves, potentially troublesome citizens could be detained. Only after World War I did local "mental hygiene" clinics and urban psychopathic wards begin to spring up. The rise of new institutions (clinics and wards) and new professions (psychiatry and psychiatric social work) in cities like San Francisco by the 1920's marked a decisive turning point. No longer was social policy uniformly based upon the need to place disturbed or disturbing individuals in massive state asylums. Today we are feeling the full effect of the change in policy that began in the 1920's. California has led the nation in the effort to shut down hospitals and replace them with community mental health centers. This study makes a start at examining the early, transitional years during which the new policy first emerged in the dreams of psychiatric reformers. This title is part of UC Press's Voices Revived program, which commemorates University of California Press's mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1978.
"George Graham is contemporary philosophy’s most gifted and humane writer. The Disordered Mind is a wise, deep, and thorough inquiry into the nature of the human mind and the various ‘creaks, cracks, and crevices’ into which it is prone sometimes to wander." Owen Flanagan, Duke University, USA "The book is a success, it is consistently insightful and humane, and conveys a clear understanding not only of relevant philosophical topics, but also of a much more difficult issue, the relevance of those topics to understanding mental illness." Philip Gerrans, University of Adelaide, Australia "The Disordered Mind is a must read for anyone who is a psychiatrist, psychologist, philosopher, neurologist, or mental health worker. Indeed, it is a must read for any thoughtful person who simply desires to understand more deeply and more realistically the workings of their own mind as well as the workings of the human mind in general." Richard Garrett, Bentley University, USA Mental disorder raises profound questions about the nature of the mind. The Disordered Mind: An Introduction to Philosophy of Mind and Mental Illness is the first book to systematically examine and explain, from a philosophical standpoint, what mental disorder is: its reality, causes, consequences, and more. It is also an outstanding introduction to philosophy of mind from the perspective of mental disorder. Each chapter explores a central question or problem about mental disorder, including: What is mental disorder and can it be distinguished from neurological disorder? What roles should reference to psychological, cultural, and social factors play in the medical/scientific understanding of mental disorder? What makes mental disorders undesirable? Are they diseases? Mental disorder and the mind–body problem Is mental disorder a breakdown of rationality? What is a rational mind? Addiction, responsibility and compulsion Ethical dilemmas posed by mental disorder, including questions of dignity and self-respect. Each topic is clearly explained and placed in both a clinical and philosophical context. Mental disorders discussed include clinical depression, dissociative identity disorder, anxiety, religious delusions, and paranoia. Several non-mental neurological disorders that possess psychological symptoms are also examined, including Alzheimer’s disease, Down’s syndrome, and Tourette’s syndrome. Additional features, such as chapter summaries and annotated further reading, provide helpful tools for those coming to the subject for the first time. Throughout, George Graham draws expertly on issues that cut across philosophy, science, and psychiatry. As such, The Disordered Mind is a superb introduction to the philosophy of mental disorder for students of philosophy, psychology, psychiatry, and related mental health professions. PHILOSOPHY/PSYCHOLOGY