Mentally Ill In The 1800s

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

Monsters on the Inside: The Cause and Effects on the Insane Asylum According to the famous English designer, Robert Welch, “The whole country is one vast insane asylum and they’re letting the worst patients run the place.” Insane asylums in the 1920’s were ran by monsters but defined the patients as the monsters. Anyone who had a mental or physical disability was thrown into an insane asylum. In the 1920’s insane asylums were crucial, the hospitals had extreme rules, ghastly treatments, and horrific restraints.

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

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

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.

Some treatment options existed beyond family custody and care, such as housing the mentally ill in workhouses or checking them into general hospitals where they were usually abandoned. Private ‘madhouses’ were established and run by members of the clergy to treat the mentally ill that could afford care. The clergy ran these facilities treating the mentally ill as “medical practice was a natural extension of ministers’ duty to relieve the afflictions of their flocks” (Houston). Catholic nations regularly staffed mental health facilities with clergy, and most mentally ill individuals “in Russia were housed in monasteries until asylums spread to this region of the world in the

Mental health services in St. Louis have undergone a multitude of changes as stigmas towards mental health issues have begun to change. Traditionally, mentally ill individuals were thought to be lacking religion or in trouble in the eyes of God, and this thought process was believed until after the Middle Ages. These beliefs may have changed, but the attitudes towards the mentally ill were continued into the 18th century and beyond, which caused an increase in the stigmatization of mental illness, and thus subjected these individuals to humiliating and unhealthy conditions found in the original confinement of mentally ill patients, asylums. The government created mental health asylums, which separated these individuals from their societies,

Before the 19th century in the American society, criminals were executed, whipped, and held in dark cells with little food and water. The insane wandered around asylums or were kept in tiny cells and were not treated properly. In incarcerations prisoners were worked without stopping and treated inhumanly. Reformers wanted to establish an official institution for the insane and the criminals that was humane. They believed that reform and rehabilitation was possible in a controlled environment. As part of the humanitarian reforms sweeping through America, asylums and prisons were created for criminals and the mentally ill. The importance of human perfectibility led some reformers to care for the physically and mentally ill. Many people lead this movement, including Dorothea Dix. She traveled the country visiting a large amount of asylums and prisons. Through Dix’s work and others’ the treatment of patients improved vastly.

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

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.

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

Early-on specifically during the Middle Ages, mental illness was believed by many as demonic possession and religious’ punishment. Some trailblazers sought to cure mentally ill individuals by conducting non- religious techniques, and instead incorporating a change in environment, or even administering certain substances/medications that where heavily used during that time; that were thought of as medical treatment. The