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Mental health care in modern England : the Norfolk Lunatic Asylum/St. Andrew's Hospital c. 1810-1998 /
Steven Cherry.
Woodbridge, Suffolk, UK : Boydell Press, 2003.
xi, 335 p. : ill.
More Details
Woodbridge, Suffolk, UK : Boydell Press, 2003.
contents note
Asylums, insanity and locality -- Norfolk Lunatic Asylum : plans, problems and patients, 1814-43 -- A superintendent and 'work therapy', 1843-61 -- A medical superintendent, expansion and reform, 1861-87 -- 'Successful conversion' : a managed community, 1887-1915 -- Two histories : the Norfolk War Hospital, 1915-19 -- St. Andrew's Hospital, innovation and constraints, 1920-39 -- Wartime and post-war crises, 1939-48 -- 'Modern treatment carried out under difficulty', 1948-1964 -- Community care and the end of a community, 1964-1998.
catalogue key
Includes bibliographical references and index.
A Look Inside
Full Text Reviews
Appeared in Choice on 2003-12-01:
Asylums have been identified as "places for madness"--hierarchal centers for social control designed to shield the larger community from its more unproductive members. Cherry (Univ. of East Anglia) takes exception to this generalization. By following a single institution for nearly two centuries and using patient casebooks, wage books, registers, and interviews with former patients and staff, Cherry gives a human face to psychiatric care. Such a history is often a sad and dreary tale of loneliness and despair among patients within an ostensibly therapeutic setting. Hospital management, too, frequently suffered. Insufficient funds, staff shortages, and low morale were common. Although there was rarely steady progress, the therapeutic ideal struggled on. Cherry also examines the wider context of changing conceptions of mental health as early asylum culture evolved into more modern notions of an integrated community responsibility for the mentally ill. His analysis occasionally falls into an immensely detailed administrative history that may discourage some readers, but in the longer run, he brings a historically grounded sense of place and purpose to the development of mental health care. ^BSumming Up: Recommended. Upper-division undergraduates and above. T. L. Crosby Wheaton College (MA)
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Choice, December 2003
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Bowker Data Service Summary
Opened in 1814 as a pioneer county pauper institution, the Norfolk Lunatic Asylum, later St Andrew's Hospital, provided psychiatric care until 1998. It's history covers two centuries of different approaches to mental health care, reorganisations & disturbing events during times of national emergency.
Main Description
The Norfolk Lunatic Asylum opened in 1814 as a pioneer county pauper institution and in 1998 St Andrew's featured among the last of the large psychiatric hospital closures. This history of one particular place for 'madness' covers changing approaches to insanity and treatments over two centuries. It draws extensively upon archival sources to examine the use of buildings and environments; the regimes of long-serving masters, superintendents and medical superintendents; the patients' own experiences; and the rationales, including cultural and gender issues, which informed therapies, relationships and hospital life.However, the contexts of national policies and economic constraints, professional and therapeutic developments, local economy and society, and current research findings are also acknowledged. Chapters dealing with the asylum's transformation as the 1915-19 Norfolk War Hospital and 1940-47 Emergency Hospital have disturbing revelations concerning wartime mental health care: similarly with the loss of local accountability and the experience of resource control under the National Health Service. Interviews with former staff and current personnel recall first-hand experiences of hospital life since the 1920s, the privations of wartime and the early NHS, hopes for new medications and conflicting views surrounding the closure of St Andrew's and the delivery of community mental health care. STEVEN CHERRY is senior lecturer in history, Wellcome Unit for the History of Medicine, University of East Anglia.
Unpaid Annotation
This history of one particular place for 'madness' covers changing approaches to insanity and treatments over two centuries.
Table of Contents
Acknowledgementsp. ix
Contexts: Asylums, Insanity and Localityp. 1
Norfolk Lunatic Asylum: Plans, Problems and Patients, 1814-43p. 27
A Superintendent and `Work Therapy', 1843-61p. 53
A Medical Superintendent, Expansion and Reform, 1861-87p. 82
`Successful Conversion': a Managed Community, 1887-1915p. 112
Two Histories: the Norfolk War Hospital, 1915-19p. 144
St Andrew's Hospital: Innovation and Constraints, 1920-39p. 171
Wartime and Post-War Crises, 1939-48p. 208
`Modern Treatment Carried Out Under Dif&fi;culty', 1948-64p. 243
Community Care and the End of a Community, 1964-98p. 274
Postscript: &fi;ndings and Speculationsp. 305
Select Bibliography: Primary Sources Used at Norfolk County Record Of&fi;cep. 317
Indexp. 329
Table of Contents provided by Publisher. All Rights Reserved.

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