Civilian Lunatic Asylums During the First World War: A Study of Austerity on London's Fringe

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Springer Nature, Oct 30, 2020 - History - 294 pages
This open access book explores the history of asylums and their civilian patients during the First World War, focusing on the effects of wartime austerity and deprivation on the provision of care. While a substantial body of literature on ‘shell shock’ exists, this study uncovers the mental wellbeing of civilians during the war. It provides the first comprehensive account of wartime asylums in London, challenging the commonly held view that changes in psychiatric care for civilians post-war were linked mainly to soldiers’ experiences and treatment. Drawing extensively on archival and published sources, this book examines the impact of medical, scientific, political, cultural and social change on civilian asylums. It compares four asylums in London, each distinct in terms of their priorities and the diversity of their patients. Revealing the histories of the 100,000 civilian patients who were institutionalised during the First World War, this book offers new insights into decision-making and prioritisation of healthcare in times of austerity, and the myriad factors which inform this.
 

Contents

CHAPTER1 Introduction Civilians Lunacy and the First World War
1
CHAPTER 2 Infrastructure Rules Walls Obstacles and Opportunities
31
CHAPTER 3 Certified Insane Concepts and Practices
72
CHAPTER 4 Personnel Staffing the Asylums and Serving the Colours
117
CHAPTER 5 Food Farm and Fuel An Inequitable Supply Chain
147
CHAPTER 6 Patients and Their Daily Life
173
CHAPTER 7 Difficult Diseases Tuberculosis and Other Infections
213
CHAPTER 8 Accidents Injuries Escapes and Suicides
238
CHAPTER 9 Shackles and Chains Some Concluding Thoughts
263
Index
279
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About the author (2020)

Claire Hilton is a Research Affiliate at the Centre for the History of Emotions at Queen Mary University of London, UK. She is author of Improving Psychiatric Care for Older People: Barbara Robb’s Campaign, 1965-1975 (Palgrave, 2019), which was shortlisted for the 2018 RHS Whitfield Prize.

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