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By Anthony D. King

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Tuke, op. , p. 141. Ibid. For further discussions of the importance of classification, see, inter alia, M. Browne, What Asylums Were, Are, and Ought to Be, Edinburgh, Black, 1837. Goffman, Asylums, Garden City, NY, Doubleday, 1961, pp. 361–2. Ellis, A Treatise on the Nature, Symptoms, Causes, and Treatment of Insanity, London, Holdsworth, 1838, p. 17. , Jacobi, op. , p. 23; Report of the Metropolitan Commissioners in Lunacy, 1844, Sessional Papers of the House of Lords, vol. xxvi, 1844, p. 23. Tuke, op.

The first asylums of this type, those at Caterham and Leavesden, were identical institutions explicitly designed to siphon off the most hopeless and decrepit cases from the existing metropolitan asylums. Scarcely any of these ‘patients’ were expected to recover, and few did (less than one per cent in an average year). Here, then, the drive for economy reached its apotheosis, in institutions which housed more than 2,000 inmates accommodated in huge, barn-like dormitories of eighty beds apiece, two to a building.

Burdett, Hospitals and Asylums of the World, vol. 2, London, Churchill, 1891, p. 271. House of Commons, Select Committee on the Care and Treatment of Lunatics, 1859, p. Arlidge, On the State of Lunacy and the Legal Provision for the Insane, London, Churchill, 1859, p. 36. Bucknill, The Care of the Insane and their Legal Control, London, Macmillan, 1880, p. 122. Hanwell County Asylum, 25th Annual Report, 1870, p. 36. Wynter, op. , p. 224. Bancroft, op. , p. 271. Cited in Burdett, op. , vol. 2, p.

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