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'A Burden on the County': madness, institutions of confinement and the Irish patient in Victorian Lancashire

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Cox, Catherine and Marland, Hilary (2015) 'A Burden on the County': madness, institutions of confinement and the Irish patient in Victorian Lancashire. Social History of Medicine, 28 (2). pp. 263-287. doi:10.1093/shm/hku082 ISSN 0951-631X.

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Official URL: http://dx.doi.org/10.1093/shm/hku082

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Abstract

This article explores the responses of the Poor Law authorities, asylum superintendents and Lunacy Commissioners to the huge influx of Irish patients into the Lancashire public asylum system, a system facing intense pressure in terms of numbers and costs, in the latter half of the nineteenth century. In particular, it examines the ways in which patients were passed, bartered and exchanged between two sets of institution—workhouses and asylums. In the mid-nineteenth century removal to asylums was advocated for all cases of mental disorder by asylum medical superintendents and the Lunacy Commissioners; by its end, asylum doctors were resisting the attempts of Poor Law officials to ‘dump’ increasing numbers of chronic cases into their wards. The article situates the Irish patient at the centre of tussles between those with a stake in lunacy provision as a group recognised as numerous, disruptive and isolated.

Item Type: Journal Article
Subjects: H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Arts > History > Centre for the History of Medicine
Library of Congress Subject Headings (LCSH): Mentally ill -- Lancashire (England) -- 19th century, Asylums, Workhouses, Irish, Poor laws
Journal or Publication Title: Social History of Medicine
Publisher: Oxford University Press
ISSN: 0951-631X
Official Date: May 2015
Dates:
DateEvent
May 2015Published
7 January 2015Available
Volume: 28
Number: 2
Page Range: pp. 263-287
DOI: 10.1093/shm/hku082
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 20 October 2016
Date of first compliant Open Access: 20 October 2016
Funder: Wellcome Trust (London, England)

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