Petty Tyranny and Soulless Discipline?: Patients, policy and practice in public mental hospitals in England, 1918–1930

Petty Tyranny and Soulless Discipline? places patients at its centre to explore their daily lives, including their admission, care, treatment, discharge and after-care, or death. These narratives, drawn from a range of primary sources, are contextualised in an historical analysis of how and why a mixture of stagnating and changing knowledge, attitudes and ideals affected patients' experiences. The Lunacy Act 1890 underpinned life in the mental hospitals by setting out their organisation, regulation and funding. A variety of professionals, campaigners for reform, central government departments, local authorities, trades unions and voluntary organisations, often with competing agendas, influenced what happened to patients. There was also new medical knowledge, from Britain and beyond. This book weaves these strands into a coherent whole, to reveal the complexity of mental health provision in the past and enable reflection that might inform debate today.