Moonlight Magnolias Madness

Moonlight, Magnolias, and Madness is a social history of the perceptions and treatment of the mentally ill in South Carolina over two centuries. Examining insanity in both an institutional and a community context, Peter McCandless shows how policies and attitudes changed dramatically from the colonial era to the early twentieth century. He also sheds new light on the ways sectionalism and race affected the plight of the insane in a state whose fortunes worsened markedly after the Civil War. Antebellum asylum reformers in the state were inspired by many of the same ideals as their northern counterparts, such as therapeutic optimism and moral treatment. But McCandless shows that treatment ideologies in South Carolina, which had a majority black population, were complicated by the issue of race, and that blacks received markedly inferior care. By re-creating the different experiences of the insane--black and white, inside the asylum and within the community--McCandless highlights the importance of regional variation in the treatment of mental illness.

The rise of the asylum constitutes one of the most profound, and controversial, events in the history of medicine. Academics around the world have begun to direct their attention to the origins of the confinement of those deemed 'insane', exploring patient records in an attempt to understand the rise of the asylum within the wider context of social and economic change of nations undergoing modernisation. Originally published in 2003, this edited volume brings together thirteen original research papers to answer key questions in the history of asylums. What forces led to the emergence of mental hospitals in different national contexts? To what extent did patient populations vary in terms of their psychiatric profile and socio-economic background? What was the role of families, communities and the medical profession in the confinement process? This volume therefore represents a landmark study in the history of psychiatry by examining asylum confinement in a global context.

From the mid-nineteenth to the late twentieth centuries, Saint Elizabeths Hospital was one of the United States' most important institutions for the care and treatment of the mentally ill. Founded in 1855 to treat insane soldiers and sailors as well as civilian residents in the nation's capital, the institution became one of the country's preeminent research and teaching psychiatric hospitals. From the beginning of its operation, Saint Elizabeths admitted black patients, making it one of the few American asylums to do so. This book is a history of the hospital and its relationship to Washington, DC's African American community. It charts the history of Saint Elizabeths from its founding to the late-1980s, when the hospital's mission and capabilities changed as a result of deinstitutionalization, and its transfer from the federal government to the District of Columbia. Drawing on a wide variety of sources, including patient case files, the book demonstrates how race was central to virtually every aspect of the hospital's existence, from the ways in which psychiatrists understood mental illness and employed therapies to treat it to the ways that black patients experienced their institutionalization. The book argues that assumptions about the existence of distinctive black and white psyches shaped the therapeutic and diagnostic regimes in the hospital and left a legacy of poor treatment of African American patients, even after psychiatrists had begun to reject racialist conceptions of the psyche. Yet black patients and their communities asserted their own agency and exhibited a "rights consciousness" in large and small ways, from agitating for more equal treatment to attempting to manage the therapeutic experience.

Examines the records on insanity in England, Ireland, Canada, and the United States over a 250-year period, concluding, through quantitative and qualitative evidence, that insanity is an unrecognized, modern-day plague.

In the American South at the turn of the twentieth century, the legal segregation of the races and psychological sciences focused on selfhood emerged simultaneously. The two developments presented conflicting views of human nature. American psychiatry and