History
The establishment of state mental hospitals in the U.S. is partly due to reformer Dorothea Dix, who testified to the Massachusetts legislature in 1844, vividly describing the state's treatment of people with mental illness: they were being housed in county jails, private homes and the basements of public buildings. Dix's effort led to the construction of the New Jersey State Lunatic Asylum, the first asylum built on the Kirkbride Plan.
Kirkbride developed his requirements based on a philosophy of Moral Treatment. The typical floor plan, with long rambling wings arranged en echelon (staggered, so each connected wing received sunlight and fresh air), was meant to promote privacy and comfort for patients. The building form itself was meant to have a curative effect: "a special apparatus for the care of lunacy, highly improved and tastefully ornamented." The idea of institutionalization was thus central to Kirkbride's plan for effectively treating patients with mental illnesses.
The asylums tended to be large, imposing, Victorian-era institutional buildings within extensive surrounding grounds, which often included farmland, sometimes worked by patients as part of physical exercise and therapy. While the vast majority were located in the United States, similar facilities were built in Canada, and a psychiatric hospital in Australia was influenced by Kirkbride's recommendations. By 1900 the notion of "building-as-cure" was largely discredited, and in the following decades these large facilities became too expensive to maintain. Many Kirkbride Plan asylums still stand today. Most are abandoned, neglected, and vandalized, though several are still in use or have been renovated for uses other than mental health care.
Read more about this topic: Kirkbride Plan
Famous quotes containing the word history:
“The history of work has been, in part, the history of the worker’s body. Production depended on what the body could accomplish with strength and skill. Techniques that improve output have been driven by a general desire to decrease the pain of labor as well as by employers’ intentions to escape dependency upon that knowledge which only the sentient laboring body could provide.”
—Shoshana Zuboff (b. 1951)
“In history an additional result is commonly produced by human actions beyond that which they aim at and obtain—that which they immediately recognize and desire. They gratify their own interest; but something further is thereby accomplished, latent in the actions in question, though not present to their consciousness, and not included in their design.”
—Georg Wilhelm Friedrich Hegel (1770–1831)
“Whenever we read the obscene stories, the voluptuous debaucheries, the cruel and torturous executions, the unrelenting vindictiveness, with which more than half the Bible is filled, it would be more consistent that we called it the word of a demon than the Word of God. It is a history of wickedness that has served to corrupt and brutalize mankind.”
—Thomas Paine (1737–1809)