Hermann Mesmer : An Astounding Development For Mental Health

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

Dr. Glasser’s approach was non-traditional. He does not believe in the concept of mental illness unless there is something organically wrong with the brain that can be confirmed by a pathologist. He was among the first to question and doubt the existence

Illness is one of the few experiences that all humans have in common and generally is met with empathy. However, people who suffer from mental illness are not privy to this treatment. For centuries, mental disorders have been demonized and stigmatized even in the modern era where humans have a much better understand of the mechanisms of the mind. Before the advent of psychiatry in the eighteenth-century people believed that mental illness was actually demonic possession resulting in the ostracization and murder of the mentally ill in the name of God. The Victorian era was met with a different view of mental illness, in that it was understood that it was a malady of the mind and people needed constant medical treatment, thus federally mandated asylums were created. Since mental illness was not understood there was a lot of misconceptions and fear surrounding the field. It is no surprise that the master of macabre and the creator of Horror, Edgar Allen Poe, decided to explore themes of mental illness in his stories. Poe’s most famous story about mental illness was The Fall of the House of Usher, where the main characters are plagued with an undisclosed mental malady. Through Poe’s use of point of view, style, tone, and tropes, he painted a perfect picture of the Victorian view of the mentally ill and the mind of the artist which was believed to be different faces of the same coin.

In early American history, individuals with mental illnesses have been neglected and suffered inhuman treatments. Some were beaten, lobotomized, sterilized, restrained, in addition to other kinds of abuse. Mental illness was thought to be the cause of supernatural dreadful curse from the Gods or a demonic possession. Trepanning (the opening of the skull) is the earliest known treatment for individuals with mental illness. This practice was believed to release evil spirits (Kemp, 2007). Laws were passed giving power to take custody over the mentally ill including selling their possessions and properties and be imprisoned (Kofman, 2012). The first psychiatric hospital in the U.S. was the Pennsylvania Hospital where mentally ill patients were left in cold basements because they were considered not affected by cold or hot environments and restraint with iron shackles. They were put on display like zoo animals to the public for sell by the doctors (Kofmen, 2012). These individuals were punished and isolated and kept far out of the eyes of society, hidden as if they did not exist. They were either maintained by living with their families and considered a source of embarrassment or institutionalized

Hippocrates was the first to recognize that mental illness was due to ‘disturbed physiology’ as opposed to ‘displeasure of the gods or evidence of demonic possession’. It was not until about one thousand years later that the first place designated for the mentally ill came to be in 15th century Spain. Before the 15th century, it was largely up to individual’s families to care for them. By the 17th century, society was ‘often housing them with handicapped people, vagrants, and delinquents. Those considered insane are increasingly treated inhumanely, often chained to walls and kept in dungeons’. There are great strides for the medical treatments for the mentally

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.

However, this was not all that the Act changed. The Lunatics Act in conjunction with the County Asylums Act also regulated asylum construction and compelled counties to provide asylum for lunatics, provided a salary for “the medical and legal Commissioners…created a more detailed medical certification procedure, and establishments had to keep…detailed records of admission, discharge or death, escape or transfer, restraint, seclusion, and injury of those placed in the asylum” (German E. Berrios, Hugh Freeman 92, 93). The significance of the Lunatics/County Asylums Act of 1845 in addition to the mass construction of asylums, the new Lunacy Commissioners, inspection, record keeping, licensing, reporting and certifications is that these Acts “saw

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.

What comes to mind when you hear the words “insane asylum”? Do such terms as lunatic, crazy, scary, or even haunted come to mind? More than likely these are the terminology that most of us would use to describe our perception of insane asylums. However, those in history that had a heart’s desire to treat the mentally ill compassionately and humanely had a different viewpoint. Insane asylums were known for their horrendous treatment of the mentally ill, but the ultimate purpose in the reformation of insane asylums in the nineteenth century was to improve the treatment for the mentally ill by providing a humane and caring environment for them to reside.

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

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

Before WWII psychiatry was the popular choice for treatment of mental illnesses, but after WWII Clinical psychology became extremely popular more so than psychiatry. Clinical psychologists started treating disorders that occurred in children. Witmer

At the beginning of the 18th century, the insane were treated as little more than feral animals who had lost all sense of reason. It’s because of the developments made over the next two hundred years, starting with the birth of the asylums and the process of Humanitarian reform that these backwards attitudes towards the mentally ill began to change. I’m going to be reviewing the literature surrounding the development of moral treatment and what opinions the authors have on the methods used throughout the span of this reform.