13/11/14 ‘Perhaps we are prudish...’
When an English-language translation of Krafft-Ebing’s Psychopathia Sexualis arrived at the offices of The Journal of Mental Science for review, in 1893, the good gentlemen doctors were horrified (For more shock at ‘foul beastliness’, see post below at 1/7/14.)
But they overcame their horror (slightly) and went on to run this review, by ‘E. R’, in the January 1894 edition.
2/10/14 Advertising for a patient (184 years ago)
Adverts such as these were controversial as it was not easy to keep tabs on, and inspect the conditions of, ‘single-patient’ lunatics, boarded in domestic premises. The Commissioners in Lunacy were keen to try to stamp out this type of canvassing, believing that either close family or a recognised institution should be the sole providers of care for the psychologically troubled.
This ad appeared in the York Herald of 2 October 1830.
23/8/14 No ladies, please
In their efforts to establish themselves as professionals, doctors of psychological medicine (they weren’t ‘psychiatrists’ until late in the 19th century) became more and more insistent that anyone without qualifications should be pushed out of mental health care. By the 1850s, women who superintended private asylums were to find themselves increasingly excluded from being licensed to do so. This is the logic: women were forbidden to study for medical qualifications, therefore no woman was a doctor, and since only doctors should run asylums, no women could be asylum superintendents.
The fact was, though, that many recoveries from mental illness happened either all by themselves without treatment; or came about as a result of being in a space where the patient was listened to and treated kindly – this was the famous ‘moral treatment’ system, which was as successfully undertaken by lay people as by medical men. Thus the crackdown on women asylum licence-holders is likely to have seen off some much-needed helpers in the struggle to get people well again.
This is how the Journal of Mental Science reported on the changing licensing culture.
19/8/14 Going Off-Topic. . .
The Lunacy Law Reform Association meeting of 20 May 1874, in Gower Street, Bloomsbury, gets hijacked by a rather unsavoury subject:
17/8/14 The Patent Epileptic Bonnet
Concerned that people with epilepsy may damage their heads while fitting, one enterprising asylum worker patented a reinforced hat (which could be worn by both male and female patients). This sketch of the bonnet was circulated in the medical press of 1856.
1/8/14 Grace Poole advertises. . .
These two adverts on the back page of The Asylum Journal of Mental Science, July 1854, show a female lunatics’ attendant advertising for a position (bottom), and a male attendant adding that he knows of some good women for such a job. This type of notice may be how many home-based patients had keepers hired to look after them, à la Grace Poole in Jane Eyre.
13/7/14 How to identify certain types of ‘lunatic’ – advice from 1872
There were many guidebooks and manuals of insanity in the late 19th and early 20th centuries. It was a competitive, potentially lucrative field, in which the mind doctors could put into print their theories and guidance based on their own practice. This 1872 forerunner to the Diagnostic and Statistical Manual (DSM) bases its categories on the personal observations of the two doctors. It is not particularly unusual for its time in England, though ‘monomania’ was on its way out as a diagnosis and ‘hysteria’ and ‘nervous’ conditions don’t feature here as largely as in other works.
1/7/14 Moral Perversion in Edwardian England – a doctor writes. . .
Charles Mercier (1851-1919) wrote his Text-Book on Insanity in 1902; it’s more straight-laced than most, and the following section should be read in your best Mr Cholmondley-Warner voice. (In the final paragraph, Mercier is unable to deal with the love that dared not speak its name – just cannot even countenance its existence.)
‘The fabric of morality rests upon a single foundation, viz., the ability to forgo a pleasure or incur a pain, now, upon the instant, in order that by our present self-denial we may secure benefit hereafter. Lack of this ability is evinced in vice, by which is meant immediate indulgence at the cost of disproportionate detriment hereafter. When vice is pushed to excess, it becomes insanity; and there are certain forms of insanity that are characterised, if not entirely, yet mainly and most conspicuously, by the excess of vice as here defined. Every form of self-indulgence, when it entails no subsequent detriment, either to the actor or to others, is right and proper and moral.
‘Only when it involves subsequent detriment to the actor is it vicious, and the degree of vice is marked, not only by the magnitude of the difference between the present pleasure and the future pain, but also by the certainty with which the pain is incurred, and by its imminence at the time the pleasure is indulged in; and when, in any of these respects, the degree of vice becomes extreme, it amounts to insanity. The thief who knows that his theft will never be discovered is not vicious in the sense in which "vice" is used here. If his booty is of great value and he knows that his punishment will be light and will not involve its restitution, he is still not vicious, for the benefit that he gets outweighs the pain that he incurs. If he incurs a heavy penalty, but there is little chance of his conviction, and of the penalty being inflicted, still he is not vicious; and if the penalty is both heavy and certain, but will be long delayed, then whatever the turpitude of his act, it is but little vicious in this sense of the word "vice".
‘But if the opposite state of things obtains, then the vice becomes extreme, and extreme vice is insanity. The man who steals under the very eye of the owner of the property, with the policeman standing by; the boy who takes the tarts while the pastrycook stands over him with uplifted cane; the clerk who embezzles money the day before the audit, well knowing that his defalcation must be discovered on the morrow; the candidate for a place who goes drunk to his would-be employer; exhibit a degree of vice so great as to border upon insanity, and beyond such a degree as this the insanity becomes unquestionable.
‘There are persons who indulge in vices with such persistence, at the cost of punishment so heavy, so certain, and so prompt, who incur this punishment for the sake of pleasure so trifling and so transient, that they are by common consent considered insane, although they exhibit no other indication of insanity.
‘The following cases are illustrative of moral insanity: an Afghan who had been deprived first of his right hand and then of his left, struck off in punishment for theft, seized with his stumps, and made off with, an earthenware pot of very trifling value, and did this under the very eyes of the police, well knowing that he would probably be hanged next morning, as in fact he was. A lad at college, the son of well-to-do parents, who kept him well supplied with clothes and made him an ample allowance, stole a suit of clothes and a pair of boots from a fellow student. He was seen to come away from his fellow student’s room with the clothes under his arm, but though he lied elaborately when taxed with the theft, he made no effort to conceal the stolen things, but left them lying about his room. He was expelled and sent home, and a few days afterwards he went to his father’s bedroom, packed up his father’s shirts, brushes, razors, etc., in a gladstone bag, and sold the lot to a man in the street for five shillings. A man of good social position and respectable ability, the colonel commanding a crack regiment, frequented low pot-houses, where he boozed with private soldiers of the lowest class, gave away his watch and chain and jewellery, and became filthy in person and swarming with vermin. A private soldier, on being reprimanded on parade by a commissioned officer for some trifling untidiness, smacked this officer in the face, and even when in prison, could not be got to see the matter in any other light than that of a good joke.
‘These are cases of true "moral insanity," but what are we to say of the frequent cases in which women of ample means and good social position steal from drapers’ shops? A small proportion of these are no doubt cases of moral insanity, but the majority of them are ordinary thieves, who presume upon their social standing and respectability to avert suspicion in the first place, and in the second to carry them scatheless if they happen to be discovered. Such women are not usually discovered to be thieves until they have continued the practice for some time and become bold from immunity. They execute their thefts with cunning and elaborate precautions, and when discovered they plead "kleptomania," which, in such cases, means theft by the well-to-do.
‘The consideration of moral perversion would not be complete without mention of the subject of
perversion of the sexual instinct, about which such a redundant amount of literature has lately been
produced. There is no doubt that there are abnormal beings of both sexes whose sexual inclinations are towards members, not of the opposite, but of their own sex, and these inclinations they gratify by various disgusting quasi-sexual proceedings. The fact being recognised, all has been said that need be said.’
19/5/14 The Abode of Love
A couple of weeks ago I was in Somerset and made a long overdue field trip to the various sites where The Abode of Love religious cult were located, 1840s to 1960s.
In Chapter 4 of Inconvenient People I tell the story of how Louisa Nottidge’s mother had her kidnapped and certified into a lunatic asylum near Uxbridge, Middlesex, in 1847; she did this in order to protect Louisa, and her inheritance, from sinister Abode of Love founder Reverend Henry Prince. Louisa and four of her sisters had run away to the Abode of Love and signed over their considerable fortunes to Prince. In despair and panic, Mrs Nottidge misused the lunacy laws to ‘rescue’ Louisa from the Abode and from what was, in her view, an even worse fate than wrongful incarceration.
The Abode of Love (also known as The Agapemone) was a complex of buildings constructed in the early 1840s by Prince and his followers at the hamlet of Four Forks, Spaxton – four miles west of Bridgwater. The black and white drawing below from the Illustrated London News of 1851 shows Prince and some of the chosen few charging out of the main gates to parade their wealth around the narrow muddy lanes of this agricultural community.
The controversial cult survived until the early 1960s, and then the chapel was sold off and used as a film studio, where childhood favourites such as Camberwick Green were filmed. The ornate grounds of the Abode of Love have mostly been redeveloped for housing, as has the chapel. The infamous high wall (which signalled to the outside world that the Abode members wanted nothing to do with it) survives in stretches, though sections have been removed or reduced at the front of the chapel and the gatehouse (see below).
The surrounding landscape is extraordinarily beautiful: the cult owned a number of farms in the area (in order to overcome various trade boycotts put in place by hostile locals), and wandering through the woods at Aisholt, not far away, I located ‘Princeites Covert’.
In this small, steep-sided thicket (above) one of the several suicides by cult members took place. Many of the wealthy converts to the Abode of Love had had psychological problems before joining up, but the local coroner, the newspapers and the Home Office alleged that Prince’s behaviour had pushed some of them over the edge and into despair when he had questioned their loyalty, or indicated that they might not be among ‘the saved’.
Here’s a selection of the shots I took, from top to bottom, left to right:
Two shots of the chapel building of the Abode of Love;
the main mansion; one of the wooden gates into the original complex;
looking through the keyhole and into the gardens; the Four Forks signpost;
Louisa Nottidge’s grave at Spaxton parish church, just in front of its door, plus a long shot of Spaxton church – Louisa was freed from the asylum in 1849 and fled back to the Abode, dying there in 1858;
Charlynch parish church, where Prince’s sermons caused a riot among the local gentry and farmers.
This video shows Dr Joshua John Schweiso being interviewed about the sect outside the Abode of Love in 2010. https://www.youtube.com/watch?v=0g5sxiUgoo4. Louisa’s gravestone is no longer easily legible but thankfully Dr Schweiso was able to locate it in the Spaxton graveyard.
Kate Barlow’s memoir The Abode of Love: The Remarkable Tale of Growing Up in a Religious Cult (2007) is a fantastic insight into the final years of the Abode of Love, from the point of view of a child
25/4/14 The tale of a table – one lunacy campaigner’s reward
In the V&A museum is an opulent example of gratitude to someone who fought on behalf of sane patients who found themselves certified into insane asylums. In the late 1840s, Gloucestershire magistrate Purnell B. Purnell (pictured below) single-handedly instigated an investigation of that county’s asylums, with devastating conclusions that grabbed national headlines in 1849.
Many lunacy certificates were found to be invalid, some downright untruthful, and some patients had clearly become sane during detention but had been unable to get themselves discharged. One asylum was shut down and two proprietors had their licence renewals refused. Many sane people were released and their certification overturned.
Purnell hoped that his actions would demonstrate to the national inspectorate, the Commissioners in Lunacy, and to other English magistrates just how much could be achieved if the will-power was there.
He became a huge local hero, and a subscription raised thousands of pounds, with which they bought him an ebony and rosewood table with silver inlay. It was displayed at the Great Exhibition of 1851 and remains the V&A’s grandest example of nineteenth-century presentation silver. The V&A is remarkably ungenerous in permitting imagery to be reproduced for free from its Picture Library, so you need to go here to see it:
16/4/14 The old asylum wall at Ticehurst, Sussex
. . . and the gatepost, both taken by me during a long walk.
Below, Ticehurst in the 1830s. More images from the early days of the private hospital/refuge can be seen by visiting http://wellcomeimages.org/ and typing ‘Ticehurst’ into the search box.
11/4/14 How not to certify a lunatic: advice from a mad-doctor, in 1861
There was a lucrative trade in handbooks for doctors of psychological medicine – guides published on how to comply with the latest laws on the certification and detention of alleged lunatics.
John Millar, superintendent of East London lunatic asylum Bethnal House, published his Hints on Insanity in 1861 (reprinted in 1877). It contained a chapter in which Millar reprinted as a warning the sorts of statements that would not pass muster with the Commissioners in Lunacy (who inspected all asylum admission documentation); and at the end of these Millar presented ‘Good Facts’, which would be considered valid.
19/3/14 Deprivation of liberty – back in the headlines
If only the issues I wrote about in Inconvenient People were purely historical. These past few days have put high on the news agenda the disregard of basic human rights shown towards those deemed to lack mental ‘capacity’.
This link takes you to the report of the Lords Committee, condemning the ‘Deprivation of Liberty Safeguards’ set up under the Mental Capacity Act 2005 http://www.parliament.uk/business/committees/committees-a-z/lords-select/mental-capacity-act-2005/news/mca-press-release---13-march-2014/
This link reports on a legal judgment made today regarding the removal of liberty for physically disabled and learning disabled people http://www.bbc.co.uk/news/uk-26643286
8/3/14 Hurricanes, volcanoes, trade winds – John Parkin’s theory of the pestilential planet
One of the most mysterious figures in Inconvenient People is Dr John Parkin. He first crops up in 1838 as a very early member of the patient advocacy body the Alleged Lunatics’ Friend Society; but eight years later he was jointly running (with his sister) a small private asylum, York House in Battersea. Mrs Catherine Cumming, the subject of Chapter 5 of my book, was very well treated by the Parkins, who were fond of her, and insisted that she spend time in their private quarters as she awaited the public hearing of her case.
It never came to light how Parkin moved so easily between anti-lunacy-law campaigning and being the proprietor of a profit-making mad-house. Parkin himself had had a serious breakdown and was placed in an asylum in the 1830s. He did not allege that he had been wrongly incarcerated but was horrified at the conditions he had been kept in, and he joined the Alleged Lunatics’ Friends in order to raise standards for patients.
Parkin was additionally a respected epidemiologist, and his main hobby-horse was his belief that malaria, cholera and typhoid epidemics were caused by atmospheric violence brought about by hurricanes, volcanic eruptions and high winds rushing around the planet. I was reminded of Parkin’s hypothesis by this week’s news that British and American scientists believe that climate change has caused malaria to spread to previously unaffected high ground in both Colombia and Ethiopia, as such areas have become progressively warmer. (See further details of the findings at http://www.independent.co.uk/news/science/climate-change-is-increasing-the-risk-of-malaria-for-people-living-in-mountainous-regions-in-the-tropics-9174448.html )
These two maps, and glowing reviews, come from the book that Parkin was working on when his mind collapsed, Epidemiology; or The Remote Cause of Epidemic Diseases in the Animal and in the Vegetable Creation, with the Cause of Hurricanes and Abnormal Atmospherical Vicissitudes.
25/2/14 Rascally goings-on in Birmingham
It was reasonably rare for an asylum proprietor to admit that there were corrupt practices in certifying patients. Perhaps it is because Dr Bodington had already won his spurs for his expertise in tuberculosis that the authorities sat up and took notice when he sent the following letter to the Home Office. George Bodington had taken over the running of the small, private asylum Driffold House (pic below) after achieving success in his TB specialism:
To the Right Hon Spencer Walpole, Her Majesty’s Secretary of State for the Home Department
22 Feb 1859
‘Seeing that a Bill is submitted to Parliament to amend the law of lunacy, I beg permission to draw your attention to a point which possibly might otherwise escape it.
‘It is that certain proprietors of asylums have adopted the corrupt practice of obtaining patients for their establisments by bribes offered and paid to the family doctors who will send their lunatic patients to them. Advertisements have been inserted in the medical journals by such proprietors offering to pay 20 or 30 per cent out of the monies paid for the board and care of the patients to the medical men through whose interest they may obtain them.
‘I brought this question once before a meeting of the members of the Birmingham branch of the Medical Association and endeavoured to get a resolution adopted condemnatory of the aforesaid practice, but without success. . .
‘It seems the custom of openly advertising has ceased, but there is abundant reason to believe that the nefarious practice is still carried on secretly to a considerable extent. By it, the patient’s own funds are made available for compromising his interests in the establishment in which he may be confined, inasmuch as 20 or 30 per cent of such funds provided for his care and maintenance is given as a bribe to the friendly individual who secures his incarceration at a particular house [ie asylum].
‘It is scarcely possible to conceive anything of a more rascally character. It operates against the just liberality of the treatment due to the patient according to his means, and against his release when recovered, as the friendly individual aforesaid has an interest in advising his prolonged detention. Against the interests of honourable proprietors of asylums such arrangements are also most adverse. . .
‘In every point of view it is obviously a most corrupt practice and has a tendency to bias the judgment of medical men who yield to it when certifying as to the state of mind of patients. There is no more honourable profession than the medical, but many of its members are poor and ought not to be exposed to too great temptation on money matters...
‘I beg to remain
with great respect
Your Obd Srvt,
George Bodington MD
Proprietor of the Driffold Asylum,
Office of the Commissioners in Lunacy, 18 Whitehall Place, SW,
5th March 1859
To H [Horatio] Waddington Esq, Home Office
‘The Board [of the Commissioners] have had under consideration the letter of Dr Bodington calling the Secretary of State’s attention to the fact that corrupt agreements are entered into between the proprietors of lunatic asylums and the medical attendants of lunatics, and suggesting the insertion of a clause in the proposed new Lunacy Acts rendering such practices a misdemeanour.
‘I am now directed to request that you will have the goodness to inform. Mr [Home] Secretary Estcourt that this suggestion has the entire concurrence of this board. The Commissioners, believing in the existence of such practices, think it highly desirable that a clause should be inserted in the proposed Lunatics Care & Treatment Bill, rendering them penal, and, if required to do so by the Secretary of State, they are ready to prepare such a clause for insertion in the Bill.
‘I am, Sir,
Your obt Servt
[ie Charles Dickens’ best friend]
The clause was drafted, a Select Committee convened and legislation was eventually passed. Dr Bodington’s descendants have an excellent website that tells the story of their illustrious relative at http://www.boddington-family.org.uk/bodington/hist-bodington.gbmd.htm
13/2/14 A plot straight from Inconvenient People
This story has a mighty old-fashioned ring to it. Thankfully, justice has prevailed.
4/1/14 The original British ‘Gaslight’
This afternoon I’ve just enjoyed the 1940 original film version of Gaslight at the British Film Institute on the South Bank – shown as part of the BFI’s ‘Gothic’ season. It’s not as glossy or smooth as the much better-known 1944 George Cukor version, starring Ingrid Bergman, Charles Boyer and a very young Angela Lansbury; but it’s nevertheless very good – with a fantastic set, ‘interesting’ B-movie faces, and a new take on the policeman hero – an overweight, ebullient older gent, who brings light relief to the very high tension.
One of the reviews of the British version, directed by Thorold Dickinson, pointed out the fantastic way that the interiors of the house (Number 12 of the fictional Pimlico Square) are co-conspirators in the plot to make our heroine lose her wits: ‘She is stifled under bric-a-brac,’ wrote the Eastern Daily Press reviewer on 14 June 1940. And it’s true – every shot in the movie has plenty for the eye to range over, in the over-stuffed Victorian room-sets and elaborate, constricting female clothing.
I got the idea for writing Inconvenient People while watching a stage performance of Patrick Hamilton’s original play Gaslight at the Old Vic Theatre in August 2007; in the darkened Dress Circle, it struck me – how often did that sort of lunacy conspiracy happen? How would the machinery of the law assist or hinder your plans if you wanted to put your highly strung but sane wife into an asylum? Did wives ever attempt to ‘gaslight’ their husbands?
Hamilton wrote his play in 1938 but set it in 1880. Watching the 1940 film today prompted me into some idle pondering on matters that can never be known – namely, to what extent, if any, was Hamilton thinking of some of the real-life malicious incarceration plots of the 19th century? In the movie versions, the heroine at one point calls and gesticulates from her bedroom window to somebody outside in the street who could help her, but then realises that if she shouts, her villainous husband will hear too. This was the dilemma of Rosalind Hammond, imprisoned in the family home, Laurel Cottage, Peckham Rye, in the early 1860s, by her husband, a doctor. Dr Hammond encouraged the female servants to make free use of Rosalind’s belongings, and he took one of them as his lover – the villainous husband and wicked maid are also lovers in Gaslight. Rosalind had tried repeatedly to signal from her barred window to passers-by but was badly beaten by her husband and the maids whenever she was caught doing so. (She eventually succeeded in raising the alarm from the window and the police came; in 1864, Dr Hammond was sentenced to 12 months’ hard labour, but the maids were scandalously acquitted for lack of evidence.)
Later, in 1869, vicar’s wife Louisa Lowe believed that her landlady and maids at her Exeter lodgings were in collusion with her husband, who wished to have her certified. Lowe wrote that the key to her rooms repeatedly went missing and then mysteriously turned up; that the bell by which she could summon the servants was muffled for no good reason. It was never established whether Lowe was correct about these phenomena, but they are very similar to the heroine’s ordeal in Gaslight – where objects are made to disappear and reappear and she is blamed for doing these things during an insane fugue-like state. (Lowe’s husband did get his wife certified into Brislington House Asylum, near Bristol, but she fought hard for her freedom and went on to found the campaign group the Lunacy Law Reform Association.)
Pimlico is an interesting choice for Hamilton to have selected for his setting: it had been shabby-genteel from its very creation – Belgravia’s poor neighbour. In the 19th century, newspaper reports featured a number of ‘single patients’ (lunatics kept as sole patients with a nurse or a doctor) disturbing residents in Pimlico with their cries at all hours of the day. For example, Dr Thomas Blanchard of 79 Warwick Square, was fined for failing to register his wealthy, and noisy, single patient Miss Kidston on the Commissioners in Lunacy’s ‘Private List’ of single patients.
It’s a long shot, of course, but it is tempting to wonder whether Hamilton was recalling some of these once- notorious old cases when he sat down to write in the late 1930s.
DVDs of both versions of Gaslight are available to buy, now that the BFI has restored the British version. It is a myth that Hollywood sought out and destroyed all copies of the British film, but it was deliberately marginalised in order to smooth the path of Cukor’s remake; and screenings were very rare before this restoration.
23/12/13 Hanwell Asylum at Christmas time
Among the improvements that Dr John Conolly (see various stories below) continued and developed at the Middlesex County Asylum at Hanwell were organised Christmas festivities for patients. These were gender-segregated, and pictured above is the males’ Twelfth Night Ball, 1848 (Illustrated London News, 15 January 1848). The female patients had a grand New Year’s Ball.
Music and dancing were hugely enjoyed by lunatic patients, whenever they were laid on; and some of the attendants were described as ‘tolerable’ players of flutes and fiddles.
The Twelfth Night Ball of 1848 took place in No 9 Ward and was attended by around 250 men; standing on the right in the picture are some of the various medical men, inspectors and magistrates who came along too.
For patients who preferred not to dance, games, including dominoes, bagatelle and draughts, could be played. At 8 o’clock, a roast beef dinner was served, and beer and tobacco handed round. The evening ended at 9.30pm with the singing of the National Anthem.
The figure furthest right of the dancing trio was ‘Poor Rayner’ – William Rayner, a comedian who used to play for many years the role of Harlequin at the Covent Garden Theatre. By 1848, Rayner had been an asylum patient for 16 years, having fallen into a deep depression following the death of his wife, who used to play Harlequin’s beloved Columbine in the same performances. At Hanwell, Rayner regularly acted his former role for the pleasure of his fellow patients.
For a darker exploration of an asylum Christmas Ball, read Charles Dickens’ article ‘A Curious Dance Round a Curious Tree’ here: http://www.lang.nagoya-u.ac.jp/~matsuoka/CD-Dance.html
12/11/13 Conolly Dell and Lawn House
This wonderful villa is Lawn House, in Hanwell, on the western edge of London. It was in use as a small private asylum in the mid- to late-19th century, with a maximum of six wealthy female patients in residence at any one time. Originally run by Dr John Conolly (who was also superintendent of the huge Middlesex County Asylum close by), Lawn House subsequently came under the management of Conolly’s son-in-law, psychiatrist-to-the-wealthy Henry Maudsley (see posts below dated 8/2/13 and 27/2/13).
Lawn House was (very sadly, in my view) pulled down in 1902, and today, only a forlorn hard-standing marks the spot (see my pic below, top pic).
However, the wider area is now known as Conolly Dell, to commemorate the doctor. It’s a lovely park, though it’s also true to say the lake could do with a dredge and clean-up, and the monument to Dr Conolly has seen better days.
Paul Lang has kindly supplied the two sepia vintage photos of Conolly Dell; plus the contemporary photo (bottom) from a series he has shot of the Dell and Hanwell.
Back in the 1870s Mrs Louisa Lowe was a patient at Lawn House, and in chapter 9 of Inconvenient People, I detail her hilarious complaints about its many deficiencies. So bad was the smell from the water, Lowe nicknamed the asylum Pond Hall, and claimed that the stench and the damp rendered the bedrooms at the front of the villa unusable. She said that the privies in the asylum (‘windowless and pestilential’) emptied straight into the pond, rendering the smells even more disgusting. And for this, Maudsley was charging the huge sum of £420 a year per lady. Lawn House, wrote Lowe, was ‘a whited sepulchre: bright, fair and surrounded by flowers – and foul within’.
Paul Lang is co-author (with Dr Jonathan Oates) of recently published Ealing Through Time (Amberley Publishing, £14.99). The Lawn House vintage picture is part of the wonderful collection at Ealing Local Studies Library http://www.ealing.gov.uk/info/200461/local_history_centre
27/9/13 Sandwich Men: what was the filling?
Mrs Georgina Weldon (1837-1914) took many different types of revenge on the men who had plotted to have her unjustifiably certified insane. One of her funniest coups was to hire sandwich-board men to parade up and down all day outside the West End home of Dr Lyttleton Stewart Forbes Winslow, lunacy specialist and private asylum proprietor. Emblazoned on their boards were the words ‘Body Snatcher‘. Much hilarity resulted. And then she sued him.
At 2s and 6d a day, sandwich men were a relatively expensive way to advertise, or to publicise your wrongs, as Mrs Weldon did. The men themselves didn’t see much of the money, though, as this 1872 interview with ‘an animated sandwich’ (as they were also known) reveals. The sandwich said:
‘You see as how sandwiches never can get on, ’cos we’re a broke-down lot. Why you should see us affor’ we starts with our boards, all a rubbin’ our rheumatisms or a coughin’, so as it is wonderful how we gets on. But lots of us is respectable, though we ain’t always honest, as we get into a public house instead of crawling, and there we enjoys our pipes and talks. Why, one on us is a queer old man what had a good business in the muffin line, and it’udd make you stare if you heard the poetry he makes up, and then you would laugh, and then your eyes would water like.
‘Well, today he brings in a new song all by hisself, and it all ends with what is called, “The man what walks in the gutters”. And it’s a correct account of how we are looked down on, and shows that none of our old pals will shake our paws, as it’s awkward like when your harms pop out of your side like serampores at the railway; and then it shows that it’s no good to police the men what gets drunk, and
fine ’em five shillings, the correct thing being to make ’em sandwiches for a week with ’vertisements about them teetotal meetings. And then
nobs would mayhaps have to do the boards, which would helewate the perfession, as all what they does helewates.’
Source: The Man With the Book; or, The Bible Among the People by John Matthias Weylland, 1872.
Below: images of animated sandwiches in London in the 1870s.
3/9/13 The adventures of Reverend Kennard
This is one of my favourite madhouse abduction stories –- partly because it has a swift and happy dénoument, but also because the victim is someone who we today might think is atypical. The plot was undertaken against an elderly, wealthy vicar – a figure of authority and great respectability; but in fact, such gents were disproportionately likely to be the target of such conspiracies, especially when they were so headstrong as to wish to marry, or to make/remake a will. At such moments, relatives could become rattled – suspecting that large inheritances were about to be diverted.
This is how the front page of the Illustrated Police News told the story of Reverend Kennard.
Reverend Robert Bruce Kennard, the sixty-year-old rector of Marnhull in Dorset, was a widower, with eight grown-up children. He had been intending to marry one Miss Pritchard, but she had fallen through the ice at Christmas 1879 while skating on the River Stour. He later fell in love with the German governess of a wealthy family, forty-year-old Miss Bade.
On 13 September 1881 the reverend arrived at the Castle Hotel in Woodford, in Essex, one day ahead of his marriage to Miss Bade. When three gentlemen turned up in a carriage at the hotel, they told him that they were there to take him to Woodford parish church to check the details of the next day’s ceremony; but after a short time in the carriage, he realised he was being driven into London instead. He called to the men, who told him to shut up if he valued his life. He shouted and threw his hat out of the carriage in order to alert passers-by but no one responded.
The carriage arrived at a lodging house at 41 Hunter Street, near King’s Cross, and Reverend Kennard was locked in a room, given a meal, and told that a doctor would come along the next morning to certify him insane.
The next day, the bride stood at the altar, the reception party was waiting in the Castle Hotel, but the vicar did not arrive. No one could understand the reliable old gent’s non-appearance. Miss Bade fainted in church with the shock of it all.
The conspirators should have checked the reverend’s pockets, for he had a great deal of cash on him; and the next morning, he offered a considerable sum to the man who had been sent to watch over him before the doctors were to arrive. The cash was accepted, and Reverend Kennard walked out of the front door, into a hansom cab, and then by Great Eastern Railway to Woodford.
The reunited couple walked up the aisle the next day, and went on to honeymoon at Windsor.
The likely perpetrator of the plot was kept under surveillance by the police; but they were unable to take action unless the vicar was willing to come back to London to make a formal charge against this person. This, Kennard was unwilling to do – perhaps preferring to let the fact that the attempt had been so widely publicised was punishment enough, and that a new attempt would be highly unlikely. Or perhaps it was Christian charity.
28/8/13 Broadmoor’s 150th anniversary
I’ve posted a piece about how Broadmoor Criminal Lunatic Asylum functioned in its first few years, on the Psychology Today website:
20/8/13 The 2013 Select Committee on mental health
Many of the problems I highlight in Inconvenient People are still with us, albeit in altered shape. Last week saw the publication of the report of the Select Committee on how the UK’s 2007 Mental Health Act is working. Of particular note, regarding liberty and wrongful incarceration, is the Committee’s finding that the ‘Deprivation of Liberty Safeguards’ are not working well. These safeguards were set up in 2007 to protect those who lack mental capacity – most commonly those with Alzheimer’s or with severe learning difficulties. Some 7,000 patients have been found to have been deprived of their liberty by institutions or care workers without the proper procedures having been followed; two-thirds of requests to restrict a person’s liberty were not even reported to the Care Quality Commission, as required by law.
Also causing worry is the rise in the unecessary sectioning of the mentally ill, as the quickest way of accessing any kind of care whatsoever, due to a shortage of psychiatric beds. Sometimes doctors were having to take this very drastic step as the only option for obtaining treatment for a patient. Committee chair Stephen Dorrell said, ‘It is never acceptable for patients to be subjected to compulsory detention unless it is clinically necessary.’
A digest of the Select Committee report can be read here:
The full report is also available to read online.
7/8/13 The princess and the cherry juice
Many mad doctors of the nineteenth century wrote of lunatics who were able to suppress their delusional notions, often for quite long spells, and claimed that this was why many of them appeared, to non-medical folks, to be sane. The doctors even devised a name for this condition: insania occulta. Sceptics replied that this caught patients in a double bind: if they expressed delusions, they were declared mad; if they failed to express delusions, they were deemed to be mad but cunning.
One of the anecdotes that did the rounds in legal and medical circles for many years harked back to the prosecution in the eighteenth century of Dr John Monro of Royal Bethlehem Hospital by one Mr Wood; Monro had certified Wood insane and had him incarcerated. Mr Wood, a merchant of the City of London, sued the doctor for false imprisonment. For hours in the courtroom, Wood spoke in a calm and rational way, recalling precise details of events and conversations. It looked as though Monro was about to lose the case, as Wood appeared to be a sane man.
At this point, one of Monro’s legal team whispered into the ear of the barrister questioning Wood, advising the barrister to ask Wood a very specific question – namely, ‘What became of the princess with whom you were corresponding in cherry juice?’ Instantly, according to one who was there in court, ‘Wood showed in a moment what he was. He assured the court that because he was at that time, as everybody knew, imprisoned in a high tower, and being debarred the use of ink, he had no other means of correspondence but by writing his letters in cherry juice, and throwing them into the river which surrounded the tower, where the princess received them in a boat.
This onlooker continued: ‘There existed, of course, no tower, no imprisonment, no writing in cherry juice, no boat, but the whole inveterate phantom of a morbid imagination.’
Dr Monro was immediately acquitted, and the Wood case was repeated often as a warning against the highly plausible lunatics, who needed to be questioned on specific matters in order for a torrent of delusionality to begin to flow.
Dr John Charles Bucknill wrote in 1857 of patients of his who for hours at a time would appear fully sane, except when certain subjects were touched upon. One barrister under Bucknill’s care never said anything irrational, yet would sit up all night writing reams of letters boasting of his (non-existent) huge wealth, his yacht voyages to the ends of the earth, and his marriage to several servant girls.
Bucknill said that night-time often called forth whole worlds of delusional fantasy in men who by day seemed fully sane: ‘I have for several years had under my care a respectable tradesman, whose conduct and conversation during the day exhibit scarcely a trace of mental disease. He is industrious, sensible and kind-hearted, and it is strange that his nights of suffering have left no painful impression on his pleasing features. At night he sees spectres of demons and spirits, at which he raves aloud and prays with energetic fervour.’
Dr Lyttleton Stewart Forbes Winslow had, in the 1870s, at his West London asylum, Sussex House, a ‘homicidal maniac’, who had made two attempts upon his wife’s life. The man used abusive language about her constantly while at Sussex House at night-time; but during the day he was able to suppress his delusions and appeared to be a contrite and loving husband. Dr Winslow also had captive a man who seemed sane by day but who spent his nights writing graphic and obscene letters to his family, his acquaintances and to high-profile strangers (all were intercepted and destroyed by Winslow).
It would be interesting to know how much, if anything, Robert Louis Stevenson knew of such cases of daytime sanity and night-time raving. Works of genius such as The Strange Case of Dr Jekyll and Mr Hyde cannot, and should not, be pinned down to a single inspiration, but it is tempting to think that this sort of discussion in psychological-medical publications may have played some small role in the creative spark.
14/7/2013 Illegal Asylums
After 1845, anyone who set themselves up to care for more than one lunatic on their premises had to obtain a licence to run an asylum from the Commissioners in Lunacy. The Commissioners mounted prosecutions of those who failed to do so, and the report below, from the Journal of Mental Science in 1864, tells the story of one of the largest ‘illegal’ asylums that they shut down – Zion House in Turnham Green, west London.
Critics of the Commissioners in Lunacy claimed that the inspectorate only ever went after the minnows – that the illustrious mad-doctors with the expensive asylums were treated more leniently than private individuals such as Mrs Leander; she, it is pretty clear, I think, was trying to operate a safe-house for women who were in mental distress, though perhaps not clinically insane. It seems that many of Mrs Leander’s ladies had what we today term ‘learning disabilities’ (the report uses the contemporary term ‘idiocy’).
Campaigners against the lunacy laws believed that female proprietors in particular were being driven out of business by the patriarchal Commissioners in Lunacy, who would not accept that women might be better cared for in female-run establishments. One Miss Elliott had had her eight-patient asylum in Chelsea, Elm Lodge, shut down in 1845, against the wishes of the inmates’ families. She was eventually re-licensed but for the short period of six months, whereafter she had to reapply at six-monthly intervals.
For her part, Mrs Leander is reported in another account of her trial to have rejected any interventions on her behalf by any male: ‘It is a ladies’ concern and we will not allow men to interfere,’ she told the court. . .
1/7/2013 The CQC under fire
I’ve just posted my latest blog on the Psychology Today website, in which I look at the similarities between the current plight of the UK’s Care Quality Commission and the battles faced by the Victorian Commissioners in Lunacy.
You can read it at: http://www.psychologytoday.com/blog/lunacy-and-mad-doctors/201306/gaslight-stories-mistreatment-patients-then-and-now
27/6/2013 The Death of Uncle Skeffington: Guest Blog by Jeremy Moody
Lewis Carroll’s favourite uncle, Robert Wilfred Skeffington Lutwidge (‘Uncle Skeffington’), paid the ultimate price in his job as Commissioner in Lunacy, on a visit to Fisherton House Asylum, near Salisbury in Wiltshire. Former asylum gardener Jeremy Moody tells the story. He has also provided the wonderful images at the bottom of this post.
‘Fisherton House Asylum, which became known as The Old Manor Hospital, is an establishment with a fascinating history. My father Jack Moody had gained employment there as a sign writer in 1962 and it was my pleasure to listen to the many wonderful stories that some of the older patients had related to him – some of them had been there since the 1930s.
‘I followed Dad and became head gardener at the asylum/hospital in 1988, a position that gave me immense satisfaction because the grounds had been landscaped to a very high standard – indeed, they had remained virtually the same since Victorian days.
‘Some years after I had been working at the establishment, a book was produced featuring old photographs of the hospital that had been kept in a large plastic bag. I was asked to help find additional material and spent many a happy hour researching newspapers, books and archives. I learnt how the underground tunnels, running from one end of the hospital to the other, had been put in place to segregate the female patients (who walked through the grounds) from the male patients (who walked through the underground tunnel).
Probably one of the most intriguing stories that my researches uncovered was that of a patient named William McKave.
‘By 1873, McKave had been confined in Fisherton House for more than twenty years, prior to which he had been incarcerated at Bedford Asylum for more than seven years. McKave was said to be haunted by a woman named Mary Taylor, with whom he had once cohabited – he was under the delusion that she was still visiting him at the asylum. These delusions were the only reason McKave was being detained and he was not considered to be a dangerous patient.
‘Notwithstanding this, the Salisbury Journal reported that McKave “it appeared, was a troublesome patient”, their rather intolerant reasoning being that “he had repeatedly applied for liberty, and had stated that it was his intention to do something of a nature that would, as he was tired of Salisbury, ensure his being sent to some other place of confinement”.
‘William Corbin Finch, the proprietor of Fisherton House, said “I have heard him repeatedly ask the Commissioners [in Lunacy] for his liberty, and heard him express a wish to be removed to Broadmoor, the government asylum for criminal patients. He was not considered to be a dangerous lunatic, although he was in the habit of threatening.”
‘McKave had made numerous appeals to Finch and, more importantly, to the inspectors of the Lunacy Commission. The Commission, created in 1845 by the Lunatics Act, consisted of six professional inspectors (three physicians and three lawyers) whose full-time job was to make unannounced inspections of the 177 lunatic asylums in England and Wales. As well as passing judgment on these establishments, the inspectors also had the authority to discharge patients who had been inappropriately admitted.
‘On 21 May 1873 two Commissioners, Dr James Wilkes and Robert Wilfred Skeffington Lutwidge, arrived to inspect Fisherton House. McKave’s frustration and anger at constantly having his appeals rejected had now reached boiling point. When the inspectors arrived at Ward 17, where McKave was incarcerated, he pretended to be asleep until such time as they moved to leave, when he leapt forward and struck Lutwidge in the temple. McKave had been concealing a nail in his right hand, the point of which penetrated Lutwidge’s skull, such was the force used by McKave.
‘Lutwidge was helped to the house of William Corbin Finch, where he was attended by a Salisbury doctor, William Martin Coates. He was then transferred to The White Hart Hotel, Salisbury. Lewis Carroll/Charles Dodgson [pictured below], upon being telegraphed, rushed to Salisbury accompanied by the eminent London surgeon Sir James Paget of St Bartholomew’s Hospital. Lutwidge rallied a little and Carroll returned to London; but unfortunately Lutwidge’s condition rapidly deteriorated and he died on 28 May. Lewis Carroll recorded in his diary his “dear Uncle’s death”.
‘In court, McKave pleaded not guilty to murder, but said he did not wish to deny he had dealt the ultimately fatal blow. After hearing all the evidence the judge addressed the jury: “I do not know what inference you may draw from the evidence, but surely you are not to condemn a man to death for an act committed in a lunatic asylum, seeing that he had been an inmate of it for twenty-one years, and an inmate also of another lunatic asylum for six or seven years previously, and seeing that he has suffered during all that time under chronic mania, and that a gentleman who appears as a witness for the prosecution, and who has been familiar with the prisoner’s conduct, his habits, and with the sad disease under which he labours, tells you his opinion is that the prisoner is not responsible for his actions? I think, whatever further evidence may be forthcoming, it will be for you to consider whether you could pronounce a verdict which would consign him to the gallows after the evidence which has been laid before you. If, on the evidence, you think he is not responsible for his actions, and that he was in an unsound state of mind on the 21st of May, it will be your duty to return a verdict of not guilty, in which case he will be kept in confinement during Her Majesty’s pleasure. If you desire, however, that the case should go further, do not let anything that has fallen from me prevent you from hearing additional evidence.”
‘After a brief deliberation, the jury returned a verdict of not guilty on the grounds of insanity.
‘Lewis Carroll and his uncle were extremely close friends, despite a thirty-year age difference. They shared many interests, including the study of insanity, and Carroll is said to have accompanied his uncle on visits to asylums. Many scholars have commented on the prominent theme of madness in Alice in Wonderland and Alice Through the Looking-Glass, both written in the decade before Lutwidge’s death.
‘Little more than a year after the death of his uncle, in July 1874, Carroll began writing what many consider to be his most famous poem, “The Hunting of the Snark”. Ever since the poem’s first publication, it has intrigued and baffled scholars. Many believe it is an expression of his grief at the loss of his uncle, closest friend and intellectual companion – a poem about the Lunacy Commission and the death of Lutwidge following his visit to Fisherton House Asylum.
© Words, and pictures below, Jeremy Moody, www.timezonepublishing.com
Fisherton House Asylum in the 1840s; and below, boarded-up.
Bottom: the tunnels that run beneath the site.
19/5/2013 Off the Rails
Lewis Carroll’s Uncle Skeffington was the man who drafted the landmark lunacy legislation of 1845, which remained in place until the 1890 Lunacy Act. RWS Lutwidge was a lawyer and had been appointed secretary to the Commissioners in Lunacy inspectorate, later becoming a full Commissioner.
This memo of 1847 was his response to the problems that could arise when somebody mentally ill was being transported to an institution on public transport. An alarming incident in the September, on the Brighton to London railway line (see the newspaper cuttings beneath the memo), had prompted this circular, which was sent to all the nation’s asylum superintendents to warn them that such removals must never alarm the public or distress the patient.
15/5/2013 The Shepherd’s Bush solution
It would be intriguing to know exactly how Baron Karl Andreas treated those who responded to his newspaper and magazine advertisements. Quack medicine was huge business in the 19th century, and ‘nervous’ diseases were a highly lucrative market.
20/4/2013 Syphilis again . . .
A huge number of male lunatics were admitted to asylums suffering from a condition that was understood in the 19th century as ‘general paralysis of the insan’ (GPI). A very interesting piece on this condition, written by one Dr E Salomon, appeared in the Asylum Journal in 1862, in which the word ‘syphilis’ is not mentioned but a link with a venereal infection is clearly being made; this link would not be fully confirmed by anatomy and microscopic investigation for many years.
As in the 27/2/13 posting below, about Henry Maudsley, Dr Salomon pointed out how symptoms of GPI are also the symptoms of other medical conditions. Salomon wrote of the majority of GPI sufferers being in ‘full manhood’ and rarely younger than 30; they have lived ‘too fast’ and have ‘fallen victim to enervating excesses, particularly those of a sexual character...France is the peculiar focus of the disease... Paris is the headquarters.’
The disease, stated Salomon, runs from some months to three years, but never beyond five. The article insisted on four stages of GPI: mental alteration; mental alienation; dementia; amentia – ie total paralysis of the mind.
Symptoms were both physical and mental, he continued: firstly, an astounded, vacant look; an inability to perform the simplest mental operations; confusion of ideas and sense of environment; ‘this devastated intelligence is maintained throughout the disease, regardless of other mental changes’; a deteriorating temper; uncharacteristically impetuous acts – ‘extravagant and dissolute, dishonest and debauched’.
In terms of movement, the first stage included spasms of the face; disturbed speech, including stuttering and stopping mid-sentence; vertigo; a staggering gait with legs spread wide.
In the second stage, the insanity seen in GPI cases differed from non-GPI insanity, wrote Salomon. In this second stage, grandiosity was ever-increasing and was a progressive delirium not found in other grandiose insanity cases. There was also persistent raving, without lucid intervals.
Salomon thought that GPI insanity was most often confused with alcoholism, muscular atrophy and apoplexy.
‘There is also seen in GPI maniacal exaltation and grandeur; melancholia; loquacity without delusion; false ideas and hallucinations.’ Those who lived on to the fourth stage, which was rare, would find their sight and hearing annihilated, and the patient would be bed-bound: ‘The wreck of the unhappy man lies dull and immoveable as a sack of flesh... Soon, however, death puts a long wished-for close to this extreme limit of human misery, as the patient is only a burden, a mass of foetid lumber here upon earth.’
25/3/2013 The Museum of St Bernard’s
Local historian and author Paul Lang contacted me to tell me about a fascinating museum at which he used to volunteer. Paul is the hospital librarian at St Bernard’s Hospital on the Southall-Hanwell border, at the very western edge of London. St Bernard’s is the name by which the former Middlesex County Lunatic Asylum was known from 1937. Paul was also on the Hospital Museum Committee and explains that ‘St Bernard’s had a very fine and unique museum, which was opened by the mayor of Ealing in October 1992. One of the more bizarre displays was the reconstruction of a padded cell. The hospital’s Works Department removed it from one of the wards and re-erected it within the museum. I remember one visitor running out shrieking after seeing it, and after that incident, viewing of the cell was limited to staff and to larger visiting parties who had been forewarned of what to expect.
‘Also potentially distressing was the “spinning chair”, or “centrifugal treatment unit”, which dated back to the 1820s. The theory was that if you span a patient around in this chair, which was suspended on ropes, the flow of blood in the brain would be redirected and mental disease, or the symptoms at least, would be improved. It must be said, though, that the spinning chair was never in use at Hanwell.
‘However, from the 20th century, we did have a device that administered electro-convulsive shocks. Add to that various straightjackets and manacles, and it added up to quite a terrifying collection.
‘We also found several things in the tunnels that run under the hospital and which have now been closed for health and safety reasons. I discovered a frightening chamber with metal arm restraints attached to the wall. I think it’s still down there.
‘Most of the artefacts weren’t as upsetting and controversial, though. We members of the committee actively sought out items on site before they were lost for good: on an archaeological dig in one part of the Hanwell grounds we unearthed some fine Victorian tiling. We also uncovered a Georgian quill box, as well as a Victorian brass spy-hole and door plate that used to be attached to a ward door.
‘Certain items proved to be more problematical, though, when it came to retaining and restoring them. I remember trying to save one of the original Victorian metal windows, which had an ingenious opening mechanism in the form of a circular metal feature at its top. It was very heavy, and it took a colleague and I to shift it to what we took to be a safe place, but alas, it was stolen – the thief must have had a van and a friend to help. I also remember a lovely flower urn which had been given to the staff by an American relative of a patient, in thanks for the care taken of their family member – that was stolen too, and is now probably adorning someone’s back garden!
‘The museum, sadly, did not survive long following the retirement of its curator, Pauline May, in 2005. Most of the documentary archival material went to the London Metropolitan Archives, the medical artefacts to the Wellcome Trust and the non-medical items to the Gunnersbury Park Museum. The LMA has, among other things, wonderful original building plans, which are in many cases quite different to the blocks as actually completed. Many of the patient records at the LMA can be searched through, though the more recent material is closed access, obviously, for reasons of patient confidentiality.
‘Among the things passed to the Gunnersbury Park Museum were a huge lightbulb that was used in the detection of nits; a lump of wattle and daub, which was found in the hospital grounds; and a rock encrusted with trilobites, which was at the bottom of the hospital well – I thought this was one of the most interesting and unusual finds in the collection.
‘Today, some of the old wards of St Bernard’s/Hanwell are private housing. A lot of the original buildings remain: the chapel and the hospital brewery (which is now grade II listed) are still highly visible from outside, as is North House, which used to be the superintendent’s house, and the Gate House. There are even some of the old ploughs from the asylum farm, now embedded in the concrete around the edge of the chapel. If you walk around the back of the complex you can see the entrance to the asylum dock from the canal that runs alongside.’
Images, top: Edwardian postcards showing the entrance arch to Hanwell Asylum, with keeper in the foreground, and the
driveway leading up to the buildings. Below: an 1843 ground plan of the asylum. Bottom: Paul Lang, St Bernard’s librarian.
Paul’s book Ealing Then & Now, In Colour, co-written with Dr Jonathan Oates, is published by The History Press, price £12; his Richmond-upon-Thames Then & Now is also published by The History Press, price £14.99.
London Metropolitan Archives, 40 Northampton Rd, London EC1R 0HB, tel: 020 7332 3820 www.cityoflondon.gov.uk/lma
The Gunnersbury Park Museum www.hounslow.info/arts-culture/historic-houses-museums/gunnersbury-park-museum
16/3/2013 Karl Marx in the workhouse
Karl Marx interested himself in the care of the insane. In an article entitled ‘The Increase of Lunacy in Great Britain’, for the New York Tribune of 20 August 1858, he stated that Britain had 37 public asylums, 15 hospitals for the insane and 116 private licensed asylums. Marx believed that on the whole, the public asylums were ‘well-regulated establishments’, though overcrowded and never intended for ‘mere custody of the insane’. He advised that the public institutions should be divided into two types: for the incurable; and for the curable.
He aimed his fire at the lunatic wards of the workhouses, where there were 7,000 paupers patients detained. He said that the nation’s boards of guardians of the poor kept the pauper insane in the workhouse wards in order to save money, as the asylum was a more expensive option. The parish surgeon would declare to the governmental Commissioners in Lunacy that a patient was ‘harmless’, and in this way the parish would save on the expense of proper asylum accommodation by retaining them in the workhouse. The workhouse wards had only ever been intended for the ‘harmless imbecile’, wrote Marx, but these patients deteriorated badly in the workhouse; while the acutely ill who could have been cured in the asylum system became much more ill by being kept back in the workhouse.
Marx concluded: ‘It would be too loathsome even to give extracts from the Commissioners’ report on the St Pancras Workhouse at London, a sort of low Pandemonium. Generally speaking, there are few English stables which, at the side of the lunatic wards in the workhouses, would not appear boudoirs, and where the treatment received by the quadrupeds may not be called sentimental when compared to that of the poor insane.’
This contemporary picture of the former St Pancras Workhouse in Camden, north London, was taken by Jacqueline Banerjee and can be found on the Victorian Web website at http://www.victorianweb.org.art/architecture/london/76.html
27/2/2013 ‘The Fatal Venom’; or ‘Henry Maudsley’s Inflammation’
Throughout the nineteenth century, doctors and epidemiologists struggled to analyse the nature of syphilis, the course that it ran, its impact on an unborn child, and the disease’s relation to mental collapse. Not until 1910 were the mysteries solved.
Syphilis could be difficult to diagnose confidently in the nineteenth century because its symptoms were identical to many non-venereal diseases; and vice versa. It is tantalising when reading Victorian fiction to wonder whether the author is deliberately hinting at a venereal origin when describing the poor health of certain characters (as an example, Mr Fairlie in The Woman in White has some of the enervation that could be one symptom). In respectable fiction, this could not be attemped overtly; but a nod to the knowing reader may well have been intended in some cases. We are likely never to know.
Dr Henry Maudsley, in an 1862 book review for the psychiatrists’ periodical The Asylum Journal, wrote his latest thinking about the etiology of the disease. Maudsley was a brilliant prose stylist, and his purple patches and fire-and-brimstone outlook bring an odd metaphysical energy to what purported to be clinical observations.
His article reveals that what was known in 1862 was that the secondary phase of syphilis led to prostration, aching limbs, sharp head pains, skin eruptions and a sore throat. But what were most worrying, thought Maudsley, were the cases where the ‘poisoned organic system’, as he termed it, presented no external symptoms. ‘With such penetrating subtlety does the creeping venom steal into the most intimate and delicate processes of organic life.’ This was why, he continued, the disease was apt to be mistaken for rheumatics, for example, and why cures could appear to have worked when all that had happened was that the symptoms had gone into abeyance.
Syphilis could also be mistaken for cancer or tuberculosis, when it had formed a tumour, or ‘syphiloma’, he wrote, while most diseases of the brain could appear syphilitic, and vice versa. Maudsley cited epilepsy, paralysis, dementia, delirium, mania and melancholy as examples of these confusing conditions. [The anatomical illustration above dates from 1862 and shows degeneration of cortical matter in a person who had died suffering from general paralysis of the insane.]
In one of a number of distressing anonymous case histories, Maudsley described a supposedly cured primary syphilitic who married a virgin. Their first child was healthy, three miscarriages followed, and the fourth child was born with facial sores and sores at the mouth corners, which was declared to be syphilis that had been passed on by the husband, who it was now clear had not been cured after all. The husband himself had lately been complaining of headache, fever, a discharge from his nose and palate, a large node on his forehead and a thickening of the elbow joint.
Maudsley was not among the majority of medical men who believed that mothers alone transmitted syphilis to their unborn children; he blamed fathers who had led ‘sensuous’ early lives every bit as much as mothers who had ‘a past’. The infants of syphilitics, if they did not miscarry, be stillborn or die soon after birth, had their nervous system permanently blighted and were predisposed to madness or to idiocy, Maudsley wrote. He suspected that many infants or young adults had died from syphilis without the cause of their illness and death ever having been established.
Maudsley was a keen follower of the published work of Continental medical men and researchers, and he cited studies undertaken in France that appeared to have identified ‘syphilitic epilepsy’, paralysis attributable to the syphilis virus, a syphilitic ‘mania’ and a form of catalepsy. A German doctor, meanwhile, had identified general paralysis of the insane as the result of syphilis. In his book review of their work, Maudsley quoted at great length Frenchmen Drs Lancereaux and Gros, who described the progress of a syphilis case approaching the final fatal phase thus: severe head pains, sometimes of a neuralgic character and with vertigo; noise in the ears, or deafness; double vision, or partial vision; partial or general paralysis; dull intellect, confused ideas, slow speech; loss of memory; sometimes great melancholy, or maniacal excitement. Towards the end, epilepsy or stroke-like attacks. Then coma; and then death.
‘Is syphilis curable?’ asked Maudsley. ‘He is a bold writer who can say positively that it is.’ Many a man who contracted the disease in ‘the riot of youth’ feels he has conquered it, but it may only be sleeping; and what can bring it back is an attack of another type of illness, for example, those with the hereditary taint of insanity may find that weakened organ – the brain – under attack from the syphilis virus. Maudsley thought that in some ‘sound’ patients who got the right treatment, the disease could disappear altogether; they would revert to their ‘primitive sound type’. But he feared that that might be too confident a view, and that syphilis in fact always remained latent.
‘We have godlike reason, but man has used it to make himself more brutal than the animal’; and syphilis is the punishment for this. Which went to show, he said, that all things are ‘indissolubly bound together as elements in the mysterious universe’. Like so much that touched on in/sanity, the true nature of syphilis must be one of the ‘questions which must be left to a wiser posterity... into the intense and delicate activity of organic element the senses of man have not yet succeeded in entering’. He despaired at ‘the confusion and uncertainty which prevail in this department of pathology’.
19/2/2013 The Case of the Devon Witch
Jean Charles Bucknill (pictured below), superintendent of the Devon County Asylum, found among his patients a woman admitted to the institution in 1859, with her lunacy certificate stating the evidence of her delusion: ‘She believes she is surrounded by robbers and that her house has been partially pulled down by them.’ However, Bucknill made inquiries and discovered that she was the local ‘wise woman’ and that several local ‘superstitious brutes’, as he put it, had indeed entered her home and stabbed her, in the belief that if they drew her blood, she would lose her power over them. Her hut, which she had built herself on a common, had then been partially pulled down by these same men. Thus her two ‘delusions’ were factual.
She had been brought into the asylum badly scarred and dressed in rags, which upon inspection were found to conceal 30 pounds and some shillings, which were her earnings from her witching trade.
Bucknill discharged her from the asylum, and the last he heard of the ‘funny old hag’ was that she had left her parish as she did not feel safe and believed that the local overseers of the poor were keen to get a hold of her cash. In her new parish she was carrying on ‘a thriving trade in the mysteries of the black art’.
Bucknill told this tale to warn medical men that it was important to bear in mind the persistence of genuine beliefs in witchcraft among many working folks, particularly in rural communities. Elsewhere, Bucknill expressed the view that doctors may wish to bear in mind class antagonisms when attempting diagnosis and cure of insanity among paupers. ‘If the patient is much below the social rank of the physician, assistance may often be obtained from persons of the patient’s own position and modes of thought. A man whose ideas revolve in the narrow circle of a peasant’s uncultivated mind will often put himself into a mental posture of silent and sullen antagonism to all persons whom he considers above him, while he will expand and communicate freely to his equals and ordinary associates.’
10/2/2013 Mid-Staffordshire Hospital – and what it replaced . . .
In the news for all the wrong reasons this month, Stafford General’s least important failing is its ugliness. It was built in the late 1970s and replaced the magnificent Hospital for the Insane. This was a private asylum for ‘the middle and upper classes’ and had been sited on Coton Hill, Stafford, in order that its 150 or so patients could benefit from therapeutic rural views.
Opened in 1854, Coton Hill had a library, billiard room, music room, small theatre, chapel, and the outside facilities included terraced gardens, a cricket pitch, tennis courts, an orchard and a home farm. In the 20th century, a dance hall and cinema were added. The asylum was closed in 1975 and demolished in 1976, although the chapel and lodges are still standing.
Below (from top to bottom): The Builder magazine’s sketch of the brand-new hospital;
an aerial shot taken in the 1930s; and the cover of a promotional brochure from around the same time.
8/2/2013 Henry Maudsley – Feminist Icon?
I give Dr Maudsley (1835-1918) a bit of a hard time in Inconvenient People. He was famously inconsistent, and indeed believed that ‘consistency signifies prejudice and stagnation’; but by the 1880s, his views on women’s mental capacities had fossilised. He believed that they were unavoidably psychologically inferior to males – heredity allowed no other destiny. Back in 1867, he believed that he had identified the factors that had brought about the mutations that had caused this alleged female inferiority. In the January of that year an essay by Maudsley, ‘On Some of the Causes of Insanity’, appeared in the Journal of Mental Science, and he gave his view that women’s mental health problems were, in fact, largely caused by male behaviour.
Man has held woman captive and dependent for his gratification, wrote Maudsley, and woman has been ‘made feeble by long habit of dependence’. Man appropriates her labour and enjoys the reward. Her sexual life had been developed at the expense of her intellectual life, and now that marriage had become so expensive (ie the cost of setting up a decent home for middle-class newlyweds), men were consequently delaying or avoiding marriage, and so ‘a fruitful source of insanity among women’ had burgeoned.
Maudsley continued by claiming that the disappointment felt by a woman when she failed to achieve what had been made by men into the main aim of her life had led to the rise in female ‘religious mania’. Religiosity of this heightened kind, wrote Maudsley, was often ‘the unwitting cloak of an exaggerated and unhealthy self-feeling’. Women were less able to bear sexual deprivation than men, he believed, which led to morbidity, moodiness and irritability.
Of the 50 female case histories he had followed closely, only two were self-abusers, he stated, and even in those cases, Maudsley hadn’t believed that masturbation had been wholly the trigger of their insanity. Instead, the main causes of lunacy in women were the lack of an education that would prepare them for anything other than marriage and motherhood. Madness was the result of ‘the evil effects of an ill-trained mind thrown back upon itself’.
Not seeing the wood for the trees, though, Maudsley appeared to have missed the fact that female insanity rates were no higher than male, and never had been; and that many women (appalled at the legal and financial restrictions that marriage imposed upon them) were voting with their feet and choosing to stay single – or were rushing to the divorce court in unprecedented numbers to exit marriage in favour of divorcée status.
Dr Henry Maudsley in his twenties, above left, and in the 1880s, above right.
26/1/2013 Winslow vs Windham, Wise vs Croft
Author Russell Croft has come to a different conclusion to mine regarding the soundness of mind of William Windham. In Inconvenient People, I briefly cover the ‘Windham Lunacy Commission’ to illustrate how even the most bizarre and seemingly irrational behaviour could be considered perfectly sane if the jury were suspicious of the motives of the doctor who was claiming that a wealthy individual was a lunatic.
Dr Forbes Benignus Winslow, Windham’s chief medical accuser of insanity, was enduring a great deal of criticism on the grounds that he was over-diagnosing ‘mental disease’ in people who were simply eccentric. What caused astonishment at the Windham Commission was Dr Winslow’s ‘scientific’ finding of ‘moral paralysis’ – a diagnosis that was openly derided during the hearing. In fact, this episode contributed to the Lord Chancellor considering whether to ban all medical evidence from lunacy inquisitions and to allow, instead, the jurymen to rely on their own common sense by listening only to non-medical witnesses and interviewing the alleged lunatic at the start (rather than during) the proceedings.
My take is that William Windham was – unlike virtually everyone else in my book – genuinely mentally troubled (Dr Winslow’s daft diagnosis notwithstanding). But in his recently published novel Bring Him in Mad, Russell Croft sees the young heir as a victim of his greedy uncle (who instigated the lunacy inquisition), and believes that witnesses had been bribed to make up stories about Windham’s behaviour.
‘The real reason his relatives wanted him declared mad was that he had married Agnes Willoughby, a famous “pretty horsebreaker”,’ Russell Croft wrote to me. ‘They wanted to invalidate the marriage and render any issue illegitimate. His uncle over-gilded things, however, and the suborned evidence of disgusting practices given at the inquisition proved counter-productive.’
Bring Him in Mad is published by Create Space and is available as a paperback and digital download, priced £8.50.
12/1/2013 The Tale of Mrs Sheberras
Because I went well over my word-count, I had to delete the following passage from the penultimate chapter of Inconvenient People. The formidable singer, music teacher and lunacy-law campaigner Georgina Weldon got herself involved in the tragic story of Mrs Sheberras, whose case convinced Mrs Weldon that a sinister network lay at the heart of Chancery lunatic care. . .
‘Mrs Weldon asserted that former employees of the Ashley dynasty (Lord Shaftesbury’s family name) were benefiting from payments made to them to be keepers of Chancery “single patients” (the monies being paid out of the wealthy lunatic’s own funds). Mrs Weldon illustrated this point with the tale of Miss Platt and Mrs Sheberras. Miss Platt had been discharged as sane from Camberwell House Asylum in south-east London, in which she had been kept for several years; she had entered the institution in 1873 a fairly wealthy woman, wrote Mrs Weldon, but her money had been used up by the private asylum care into which she had been placed by the Lord Chancellor’s office. The Lord Chancellor had chosen a “cheap” asylum in selecting Camberwell House, claimed Mrs Weldon, but nevertheless, the costs had eaten up Miss Platt’s entire estate. Once the money was gone, the Lord Chancellor pronounced Miss Platt sane, and she was thrown upon the world.
‘She had nowhere to go and was friendless.She and her sister, Mrs Sheberras, had years earlier travelled to Britain from their native Australia, and none of their friends or relations in their home country had ever heard from them. Mrs Weldon heard of Miss Platt’s case, and took her in at her Tavistock House home. Her friend Mr Hurry, of the Lunacy Law Amendment Society, had tracked down Mrs Sheberras. However, she too had become insane, after having had to observe the fatal injuries upon the body of her husband, Captain Rinaldo Sheberras, during a Sikh uprising in the Punjab in 1845. Miss Platt had, apparently, lost her soldier sweetheart during the same battle.
‘Miss Platt was in her seventies and had perfectly white smooth hair, was prim and neat, and had a yearly income of £75; Mrs Sheberras had a similar income and an Army widow’s pension. Mrs Sheberras had been lodged as a single patient with the former butler and maid of a family “connected to Lord Shaftesbury”, alleged Mrs Weldon.
‘During conversations at Tavistock House, Miss Platt enlightened Mrs Weldon about the role of a lunatic’s committee members: they were paid anything from £10 to £1,000 a year to visit a lunatic a certain number of times a year, and since it was possible to visit twenty or more lunatics in a year, a very good income could be enjoyed. Mrs Sheberras’s committee included a Mrs M____, an old governess with some connection to the Ashley family. Mrs Weldon deduced from this, that although he was unpaid, Shaftesbury’s role was nevertheless a lucrative one. She claimed that he took a percentage of the salaries of the lunatic committee of such as Mrs Sheberras and had pensioned off his poorer relations, former servants, governesses and so on by giving them Chancery lunatics to board, or by making them committee members. Mrs Weldon believed that she had made a breakthrough in discovering how this occult cabal functioned. In fact, she used the word “vampyres” to describe figures connected with Chancery.
‘Mrs Weldon noted that Miss Platt was always restless and came out with strange observations, but seemed otherwise rational. She lent Miss Platt a few pounds one day so that she could travel to Sydenham, South London, to visit another former patient of the asylum. A few days later Mrs Weldon received a letter from Miss Platt saying that she had gone instead to stay with her sister at Matlock in Derbyshire, but that now “the hounds are after me”, and would Mrs Weldon come to help her? Mrs Weldon travelled at once by train to Matlock, arriving after dark, and engaged some youths to help her search the hills of Derbyshire for a likely cottage, and at last found the remote house where Mrs Sheberras was being lodged with the former Shaftesbury servants. Mrs Sheberras was clearly completely insane, Mrs Weldon decided, and noted that though elderly, was still a beauty. However, Mrs Sheberras’s keepers told Mrs Weldon that Miss Platt was, in fact, the madder of the two, and that she had fled earlier that day.
‘Mrs Weldon telegraphed to Tavistock House the next morning, and by reply learned that Miss Platt had returned there and was in good spirits. But when Mrs Weldon reached Euston Station, she was met by one of her servants who said that Miss Platt had begun raving and had tried to jump out of a third-floor window at Tavistock House in the belief that madhouse-keepers were after her. It had taken three people to hold her down and she had been taken away to the nearest workhouse lunatic ward.
‘Mrs Weldon went along to the workhouse the next day, and explained all she knew, and it was arranged for Miss Platt to be taken back to Camberwell House Asylum. She died there in 1889.
‘Mrs Weldon then heartlessly added to her account of the story her wish that Miss Platt had managed to throw herself out of the window, because that would have caused a true “sensation” – and this was the only thing that the public ever responded to. If Miss Platt had killed herself, Mrs Weldon would have used the case to “cause a searching inquiry into events which would have stirred up so much mud that Chancery, high and mighty as it is, would have been properly besmirched, and have received thrusts far more deadly than Dickens ever levelled at the whole infernal structure”.It is difficult to know what to make of Mrs Weldon’s sinister conclusions about how Chancery lunacy administration worked. There are some obvious inconsistencies in her beliefs about the Platt story: Miss Platt had still had an income of £75 a year, and so it isn’t true that the Lord Chancellor had overseen the using-up of her entire fortune. As for her allegations of Lord Shaftesbury taking advantage of the single-patient system, Mrs Weldon did not appear to appreciate that in an era so far from “equal opportunities”, and where personal recommendation was the glue of public life, it was a wise idea to lodge vulnerable people with those who were known to be trustworthy and kind. Shaftesbury would have been able to recommend his former servants with confidence. But to Mrs Weldon, Shaftesbury “does not wish for any reform in laws which answer his and his colleagues’ purpose so well. He does not want the light thrown on so much hideous wrong and cruelty. Not he! Charity is a very good cry, and it enables some pauper lords to live sumptuously, and to pay countless myrmidons.” ’