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Andrew T. Scull - Social order mental disorder: Anglo-American psychiatry in historical perspective

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Social order mental disorder: Anglo-American psychiatry in historical perspective: summary, description and annotation

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Social Order/Mental Disorder represents a provocative and exciting exploration of social responses to madness in England and the United States from the eighteenth through to the twentieth century.

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Page ii
MEDICINE AND SOCIETY
Andrew Scull, Editor
This series examines the development of medical knowledge and psychiatric practice from historical and sociological perspectives.
The books contribute to a scholarly and critical reflection on the nature and role of medicine and psychiatry in modern societies.
1. Robert Castel,
The Regulation of Madness:
Origins of Incarceration in France.
Translated by W. D. Halls.
2. John R. Sutton,
Stubborn Children:
Controlling Delinquency in the United States,
16401981.
3. Andrew Scull,
Social Order/Mental Disorder:
Anglo-American Psychiatry in Historical Perspective
Page iii
Social Order / Mental Disorder
Anglo-American Psychiatry in Historical Perspective
Andrew Scull
UNIVERSITY OF CALIFORNIA PRESS
Berkeley Los Angeles
Page iv
University of California Press
Berkeley and Los Angeles, California
1989 by
The Regents of the University of California
Library of Congress Cataloging-in-Publication Data
Scull, Andrew T.
Social order/mental disorder.
(Medicine and society; 3)
Bibliography: p.
Includes index.
1. PsychiatryHistory. 2. Social psychiatry.
I. Title.II. Series: Medicine and society; v. 3.
RC438.S395 1989 616.89'009 88-17090
ISBN 0-520-06406-2 (alk. paper)
Printed in the United States of America
1 2 3 4 5 6 7 8 9
Page v
For Anna and Andrew Edward
Page vii
Contents
Acknowledgments
ix
List of Illustrations
xi
Chapter One: Reflections on the Historical Sociology of Psychiatry
1
Chapter Two: Humanitarianism or Control? Some Observations on the Historiography of Anglo-American Psychiatry
31
Chapter Three: The Domestication of Madness
54
Chapter Four: Moral Treatment Reconsidered
80
Chapter Five: The Discovery of the Asylum Revisited: Lunacy Reform in the New American Republic
95
Chapter Six: From Madness to Mental Illness: Medical Men as Moral Entrepreneurs
118
Chapter Seven: John Conolly: A Victorian Psychiatric Career
162
Chapter Eight: Moral Architecture: The Victorian Lunatic Asylum
213

Page viii
Chapter Nine: Was Insanity Increasing?
239
Chapter Ten: Progressive Dreams, Progressive Nightmares: Social Control in Twentieth-Century America
250
Chapter Eleven: Dazeland
267
Chapter Twelve: The Theory and Practice of Civil Commitment
280
Chapter Thirteen: The Asylum as Community or the Community as Asylum: Paradoxes and Contradictions of Mental Health Care
300
Bibliography
331
Index
351

Page ix
Acknowledgments
I feel fortunate that we no longer imprison debtors, for I have acquired far more obligations in producing these essays than I can hope to repay. A number of these are of the monetary sort: at various times in the past decade and a half, my work has been supported by the American Council of Learned Societies, the John Simon Guggenheim Memorial Foundation, the Commonwealth Fund, the American Philosophical Society, the Shelby Cullom Davis Center for Historical Studies at Princeton University, and the Faculty Senate at the University of California at San Diego. Such funding has been particularly crucial during the past ten years, when my residence in southern California has placed me at a considerable distance from the archives I regularly need to consult for my research. I am exceedingly grateful to all these institutions for their help, and hope they view this book as some (modest) recompense for their generosity.
My intellectual and personal debts are still more numerous, so much so that it is perhaps invidious to mention particular individuals. Still, I cannot entirely forebear. William Bynum, Roy Porter, and the staff of the Wellcome Institute for the History of Medicine have provided me with a home away from home, stimulating intellectual company, and access to the unrivaled riches of their library during my insufficiently frequent stays in London. Lawrence Stone was enormously helpful and supportive during my year at the Center he directs, notwithstanding his strong intellectual disagreements with some of my work; and Charles Rosenberg, Gerald Grob, and David Rothman have been similarly gracious over the years. Finally, having elected to call myself a sociologist, I have been lucky enough, over the past ten years, to find myself a member of a department that takes history seriously, one that has not
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