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American Psychosis
*Also available in print
In 1963, President John F. Kennedy delivered an historic speech on mental illness and retardation. He described sweeping new programs to replace "the shabby treatment of the many millions of the mentally disabled in custodial institutions" with treatment in community mental health centers.This movement, later referred to as "deinstitutionalization," continues to impact mental health care. Though he never publicly acknowledged it, the program was a tribute to Kennedy's sister Rosemary, who was born mildly retarded and developed a schizophrenia-like illness. Terrified she'd becomepregnant, Joseph Kennedy arranged for his daughter to receive a lobotomy, which was a disaster and left her severely retarded.Fifty years after Kennedy's speech, E. Fuller Torrey's book provides an inside perspective on the birth of the federal mental health program. On staff at the National Institute of Mental Health when the program was being developed and implemented, Torrey draws on his own first-hand account of thecreation and launch of the program, extensive research, one-on-one interviews with people involved, and recently unearthed audiotapes of interviews with major figures involved in the legislation. As such, this book provides historical material previously unavailable to the public.Torrey examines the Kennedys' involvement in the policy, the role of major players, the responsibility of the state versus the federal government in caring for the mentally ill, the political maneuverings required to pass the legislation, and how closing institutions resulted not in better care - aswas the aim - but in underfunded programs, neglect, and higher rates of community violence. Many now wonder why public mental illness services are so ineffective. At least one-third of the homeless are seriously mentally ill, jails and prisons are grossly overcrowded, largely because the seriouslymentally ill constitute 20 percent of prisoners, and public facilities are overrun by untreated individuals. As Torrey argues, it is imperative to understand how we got here in order to move forward towards providing better care for the most vulnerable.
Breaking the Chains
Recounts Dorothea Dix's lifelong fight to improve the lives of others, such as her own family, the mentally ill, prisoners, the physically ill, and the retarded.
The Lives They Left Behind: Suitcases from a State Hospital Attic
"The Lives They Left Behind is a deeply moving testament to the human side of mental illness, and of the narrow margin which so often separates the sane from the mad. It is a remarkable portrait, too, of the life of a psychiatric asylum--the sort of community in which, for better and for worse, hundreds of thousands of people lived out their lives. Darby Penney and Peter Stastny's careful historical (almost archaeological) and biographical reconstructions give us unique insight into these lives which would otherwise be lost and, indeed, unimaginable to the rest of us."--Oliver Sacks, M.D., Professor of Neurology and Psychiatry, Columbia University Medical Center, Columbia University Artist, and author of Musicophilia "The haunting thing about the suitcase owners is that it's so easy to identify with them."--Newsweek "In their poignant detail the items helped rescue these individuals from the dark sprawl of anonymity."--The New York Times "[The authors] spent 10 years piecing together . . . the lives these patients lived before they were nightmarishly stripped of their identities."--Newsday More than four hundred abandoned suitcases filled with patients' belongings were found when Willard Psychiatric Center closed in 1995 after 125 years of operation. They are skillfully examined here and compared to the written record to create a moving--and devastating--group portrait of twentieth-century American psychiatric care.
The Mad Among Us: A History of the Care of America's Mentally Ill
Americans want to be humane toward the mentally ill, yet we have always been divided about what is best for them and for society. Now, the foremost historian of the care of the mentally ill compellingly recounts our various attempts to solve this ever-present dilemma. In the first comprehensive one-volume history of the treatment of the mentally ill, Gerald Grob begins with colonial America, when families and local communities accepted responsibility for their mentally ill members. Their solutions varied, from confinement under lock and key, to granting mentally ill persons a wide measure of autonomy. As American society grew larger and more complex, the first mental hospitals were created to deal with growing numbers of the severely and persistently mentally ill. Grob brings to life the charismatic and innovative individuals who administered these hospitals and shows how they were successful at first in providing humane care and treatment. But under the pressure of too many patients and too few resources, the hospitals subsequently deteriorated into custodial institutions, and Grob charts this transformation. He traces the growth of the psychiatric profession, the change of the mental health field during World War Il, and the use of controversial shock therapies, drugs, and lobotomies. Mounting criticism of some of these techniques and of mental institutions as inhumane places led to the emptying of the hospitals and a new emphasis on community care and treatment. Americans daily encounter the pitiful sight of homeless, mentally ill people in the streets of our cities, and wonder how it came to be this way. Grob shows that while many patients benefited from the new community policies,there arose a new group of mentally ill substance abusers who desperately need treatment but who resist it. He argues that these people, and not deinstitutionalized patients, make up most of the disturbed homeless who confront us today. Their presence demands new solutions, and Grob's definitive history points the way. It is at once an indispensable reference and a call for a humane and balanced policy in the future.
Madness: A Very Short Introduction
Madness is something that frightens and fascinates us all. It is a word with which we are universally familiar, and a condition that haunts the human imagination. Through the centuries, in poetry and in prose, in drama and in the visual arts, its depredations are on display for all to see.A whole industry has grown up, devoted to its management and suppression. Madness profoundly disturbs our common sense assumptions; threatens the social order, both symbolically and practically; creates almost unbearable disruptions in the texture of daily living; and turns our experience and ourexpectations upside down. Lunacy, insanity, psychosis, mental illness - whatever term we prefer, its referents are disturbances of reason, the passions, and human action that frighten, create chaos, and yet sometimes amuse; that mark a gulf between the common sense reality most of us embrace, andthe discordant version some humans appear to experience.Social responses to madness, our interpretations of what madness is, and our notions of what is to be done about it have varied remarkably over the centuries. In this Very Short Introduction, Andrew Scull provides a provocative and entertaining examination of the social, cultural, medical, andartistic responses to mental disturbance across more than two millennia, concluding with some observations on the contemporary accounts of mental illness.
Madness in Civilization
A beautifully illustrated history of the human encounter with unreason The loss of reason, a sense of alienation from the commonsense world we all like to imagine we inhabit, the shattering emotional turmoil that seizes hold and won't let go--these are some of the traits we associate with madness. Today, mental disturbance is most commonly viewed through a medical lens, but societies have also sought to make sense of it through religion or the supernatural, or by constructing psychological or social explanations in an effort to tame the demons of unreason. Madness in Civilization traces the long and complex history of this affliction and our attempts to treat it. Beautifully illustrated throughout, Madness in Civilization takes readers from antiquity to today, painting a vivid and often harrowing portrait of the different ways that cultures around the world have interpreted and responded to the seemingly irrational, psychotic, and insane. From the Bible to Sigmund Freud, from exorcism to mesmerism, from Bedlam to Victorian asylums, from the theory of humors to modern pharmacology, the book explores the manifestations and meanings of madness, its challenges and consequences, and our varied responses to it. It also looks at how insanity has haunted the imaginations of artists and writers and describes the profound influence it has had on the arts, from drama, opera, and the novel to drawing, painting, and sculpture. Written by one of the world's preeminent historians of psychiatry, Madness in Civilization is a panoramic history of the human encounter with unreason.