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This 1856 work, advocating the abolition of mechanical restraints in treating mentally ill patients, is a key text of asylum reform.
This lecture delivered in 1838 promotes a more humane and compassionate approach to the treatment of the mentally ill in asylums. It is a fascinating historical document that sheds light on the early efforts to reform institutional care. This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work is in the "public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.
In the late 1970s, Barbara Taylor, then an acclaimed young historian, began to suffer from severe anxiety. In the years that followed, Taylor's world contracted around her illness. Eventually, she was admitted to what had once been England's largest psychiatric institutions, the infamous Friern Mental Hospital in London
Though the origins of asylums can be traced to Europe, the systematic segregation of the mentally ill into specialized institutions occurred in the United States only after 1800, just as the struggle to end slavery took hold. In this book, Wendy Gonaver examines the relationship between these two historical developments, showing how slavery and ideas about race shaped early mental health treatment in the United States, especially in the South. She reveals these connections through the histories of two asylums in Virginia: the Eastern Lunatic Asylum in Williamsburg, the first in the nation; and the Central Lunatic Asylum in Petersburg, the first created specifically for African Americans. Eastern Lunatic Asylum was the only institution to accept both slaves and free blacks as patients and to employ slaves as attendants. Drawing from these institutions' untapped archives, Gonaver reveals how slavery influenced ideas about patient liberty, about the proper relationship between caregiver and patient, about what constituted healthy religious belief and unhealthy fanaticism, and about gender. This early form of psychiatric care acted as a precursor to public health policy for generations, and Gonaver's book fills an important gap in the historiography of mental health and race in the nineteenth century.
It has been said that how a society treats its least well-off members speaks volumes about its humanity. If so, our treatment of the mentally ill suggests that American society is inhumane: swinging between overintervention and utter neglect, we sometimes force extreme treatments on those who do not want them, and at other times discharge mentally ill patients who do want treatment without providing adequate resources for their care in the community. Focusing on overinterventionist approaches, Refusing Care explores when, if ever, the mentally ill should be treated against their will. Basing her analysis on case and empirical studies, Elyn R. Saks explores dilemmas raised by forced treatment in three contexts—civil commitment (forced hospitalization for noncriminals), medication, and seclusion and restraints. Saks argues that the best way to solve each of these dilemmas is, paradoxically, to be both more protective of individual autonomy and more paternalistic than current law calls for. For instance, while Saks advocates relaxing the standards for first commitment after a psychotic episode, she also would prohibit extreme mechanical restraints (such as tying someone spread-eagled to a bed). Finally, because of the often extreme prejudice against the mentally ill in American society, Saks proposes standards that, as much as possible, should apply equally to non-mentally ill and mentally ill people alike. Mental health professionals, lawyers, disability rights activists, and anyone who wants to learn more about the way the mentally ill are treated—and ought to be treated—in the United States should read Refusing Care.
Experiences in the Insane Hospital of Alabama.
This book is a study of the pioneer early county asylums, which were intended to provide for the 'cure', and 'safe custody' of people suffering from the ravages of insanity. It considers the origins of the asylums, how they were managed, the people who staffed them, their treatment practices, and the experiences of the people who were incarcerated. 'Community care' in the late 20th century has led us to abandon the network of nineteenth century lunatic asylums. This book reminds us of the ideals that lay behind them. The book contains extensive material regarding particular cities/counties, e.g. Nottingham, Lincoln, Stafford, Wakefield, Lancaster, Bedford, West Riding, Norfolk, Cornwall, Dorset, Suffolk, etc.
From the Middle-Ages onwards, London’s notorious Bedlam lunatic hospital saw the city’s ‘mad’ locked away in dank cells, neglected and abused and without any real cure and little comfort. The unprecedented growth of the metropolis after the Industrial Revolution saw a perceived ‘epidemic’ of madness take hold, with ‘county asylums’ seen by those in power as the most humane or cost-effective way to offer the mass confinement and treatment believed necessary. The county of Middlesex – to which London once belonged – would build and open three huge county asylums from 1831, and when London became its own county in 1889 it would adopt all three and go on to build or run another eight such immense institutions. Each operated much like a self-contained town; home to thousands and often incorporating its own railway, laundries, farms, gardens, kitchens, ballroom, sports pitches, surgeries, wards, cells, chapel, mortuary, and more, in order to ensure the patients never needed to leave the asylum’s grounds. Between them, at their peak London’s eleven county asylums were home to around 25,000 patients and thousands more staff, and dominated the physical landscape as well as the public imagination from the 1830s right up to the 1990s. Several gained a legacy which lasted even beyond their closure, as their hulking, abandoned forms sat in overgrown sites around London, refusing to be forgotten and continuing to attract the attention of those with both curious and nefarious motives. Hanwell (St Bernard’s), Colney Hatch (Friern), Banstead, Cane Hill, Claybury, Bexley, Manor, Horton, St Ebba’s, Long Grove, and West Park went from being known as ‘county lunatic asylums’ to ‘mental hospitals’ and beyond. Reflecting on both the positive and negative aspects of their long and storied histories from their planning and construction to the treatments and regimes adopted at each, the lives of patients and staff through to their use during wartime, and the modernisation and changes of the 20th century, this book documents their stories from their opening up to their eventual closure, abandonment, redevelopment, or destruction.
Psychiatry is a medical field concerned with the diagnosis, treatment and prevention of mental health conditions. Routledge Library Editions: Psychiatry (24 Volume set) brings together titles, originally published between 1958 and 1997. The set demonstrates the varied nature of mental health and how we as a society deal with it. Covering a number of areas including child and adolescent psychiatry, alternatives to psychiatry, the history of mental health and psychiatric epidemiology.