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Mental Health in Historical Perspective
The Cost of
Insanity in
Nineteenth-Century
Ireland
Public, Voluntary and
Private Asylum Care
Alice Mauger
Mental Health in Historical Perspective
Series Editors
Catharine Coleborne
School of Humanities and Social Science
University of Newcastle
Callaghan, NSW, Australia
Matthew Smith
History of Psychiatry
University of Strathclyde
Glasgow, UK
Covering all historical periods and geographical contexts, the series
explores how mental illness has been understood, experienced, diag-
nosed, treated and contested. It will publish works that engage actively
with contemporary debates related to mental health and, as such, will be
of interest not only to historians, but also mental health professionals,
patients and policy makers. With its focus on mental health, rather than
just psychiatry, the series will endeavour to provide more patient-centred
histories. Although this has long been an aim of health historians, it has
not been realised, and this series aims to change that.
The scope of the series is kept as broad as possible to attract good
quality proposals about all aspects of the history of mental health from
all periods. The series emphasises interdisciplinary approaches to the field
of study, and encourages short titles, longer works, collections, and titles
which stretch the boundaries of academic publishing in new ways.
© The Editor(s) (if applicable) and The Author(s) 2018. This book is an open access publication.
Open Access This book is licensed under the terms of the Creative Commons Attribution
4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits
use, sharing, adaptation, distribution and reproduction in any medium or format, as long as
you give appropriate credit to the original author(s) and the source, provide a link to the
Creative Commons license and indicate if changes were made.
The images or other third party material in this book are included in the book’s Creative
Commons license, unless indicated otherwise in a credit line to the material. If material
is not included in the book’s Creative Commons license and your intended use is not
permitted by statutory regulation or exceeds the permitted use, you will need to obtain
permission directly from the copyright holder.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this
publication does not imply, even in the absence of a specific statement, that such names are
exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and
information in this book are believed to be true and accurate at the date of publication.
Neither the publisher nor the authors or the editors give a warranty, express or implied,
with respect to the material contained herein or for any errors or omissions that may have
been made. The publisher remains neutral with regard to jurisdictional claims in published
maps and institutional affiliations.
This book is the product of the immense levels of support and encour-
agement given to me over the last few years, not just in University
College Dublin, where I studied, but in archives, other universities and
at home. Dr. Catherine Cox was a constant source of guidance, provid-
ing me with the essential and thought-provoking feedback, comments
and criticism she is uniquely qualified to make. I would also particularly
like to thank Dr. Lindsey Earner-Byrne, for her kindness, thoroughness
and professional insights into all my academic pursuits and her continued
interest and support. In addition, I am indebted to my colleagues who
have worked at the School of History and Archives and the Centre for
the History of Medicine in Ireland at University College Dublin for their
stimulating academic conversations, helpful advice and friendship. These
include Drs. Anne Mac Lellan, David Durnin, Fiachra Byrne, Richard
McElligott, Sarah York, Niamh NicGhabhann, Sean Lucey, Philomena
Gorey, Clara Cullen, Claire Poinsot, Ian Miller and Keith Smith, and my
former colleagues at William Fry, including Maria Butler and Deirdre
McGuinness. I am also indebted to everyone who has provided feedback,
comments and questions at the various places I presented my work. I am
especially grateful to the Wellcome Trust, who kindly funded both my
master’s and doctoral studies and made it possible for me to spend peri-
ods of time in different parts of Ireland conducting research and to share
it with colleagues abroad. Thanks also to the editorial team at Palgrave
MacMillan, especially Molly Beck and the anonymous reviewer for their
generous and insightful feedback on drafts of this manuscript.
vii
viii Acknowledgements
The archival research, which forms the basis of this book, would not
have been possible without the confidence vested in me by those who
granted me access to the nineteenth-century records of nine Irish psy-
chiatric hospitals. I am extremely grateful to these individuals and col-
lectives, who include Emma Balmaine, Sile McManus, Stewarts’ Ethics
Committee and the HSE. I would especially like to thank Dr. Denis
Eustace, who not only took the time to meet with me and grant me
access to his treasure trove of historic records but also provided me
with his keen insight and unparalleled knowledge of Hampstead and
Highfield Houses. His tour of the demesne, encompassing its unspoiled
nineteenth-century pleasure grounds, really brought to life for me the
history I was writing.
Archival research would have proven rather isolating and daunting
were it not for the kindness, patience and immeasurable assistance of the
archivists, librarians and records keepers at the various places I worked.
They include Brian Donnelly and Gregory O’Connor at the National
Archives of Ireland, Gráinne Doran at the Wexford County Council
Archive Service, Irene Franklin at Clare County Council, Richard
Bennett at Grangegorman Museum, Glynn and Shirley Douglas and all
the gang at the Friend’s Historical Library in Rathfarnham, Joan Rappel
and Sean Priestly at Stewarts, Kate McCallion at St John of God Hospital
and Harriet Wheelock at the Royal College of Physicians of Ireland.
Their inspiring suggestions and interest in my research made archival
visits an enjoyable and productive pursuit and were a testament to their
dedication in furthering the study of Irish history. Many went beyond
their call of duty, providing me with transport to and from archives and
even lunch! I would also like to thank the staff at the National Archives
of Ireland, the National Archives (Kew), the National Library of Ireland
and the Public Records Office Northern Ireland.
I want to thank all my close friends and my family, especially Ralph
Mauger, Jack and Emma Carroll, and Catherine, Philip and Sophie
Mitchell. Their endurance and encouragement have been unwavering
and I am forever indebted to them. I would not be where I am today
without the guidance, love and support of my mother, Mary, who always
believed in me. Finally, thanks to Richard for his unceasing patience,
direction and moral support, and for being my best friend.
Alice Mauger
Contents
1 Introduction 1
3 An Institutional Marketplace 69
ix
x Contents
Conclusion 253
Index 273
Abbreviations
xi
List of Figures
xiii
List of Tables
xv
xvi List of Tables
Introduction
or inheritance and queries how often “land grabbing” Irish families really
abused the asylum system for personal economic gain.
Focusing on Britain, wide-ranging and sophisticated studies have
grappled with non-pauper patients’ institutionalisation, diagnosis, experi-
ence and treatment.2 But save for Elizabeth Malcolm’s study of Dublin’s
Swift’s Hospital, their Irish counterparts have been awarded little more
than a supporting role.3 This may be rooted in an expectation that the
Irish experience differed little from Britain’s. Ireland and Britain, after
all, had forceful political and cultural ties. As Mark Finnane noted in
his highly regarded exploration of Ireland’s public asylum system, ‘the
Irish government was, of course, the English government in Ireland’.4
Moreover, some historians have convincingly suggested that post-Fam-
ine Ireland was mid-Victorian, at least where the absorption of Victorian
attitudes towards living standards, devotional routine and the decline of
the Irish language were concerned.5 Nonetheless, to assume that Ireland
is unworthy of separate investigation would be to ignore key dispari-
ties between Ireland and Britain. These include Ireland’s overwhelm-
ingly rural character, greater poverty levels and prominent religious and
political divisions, which permeated the welfare landscape and resulted in
Catholic and Protestant controlled hospitals. This book builds on exist-
ing surveys of Ireland’s lunatic asylums by arguing that a myriad of polit-
ical, religious, economic and socio-cultural factors came to define public,
voluntary and private provision, creating a uniquely Irish institutional
framework. It also considers the type of people institutionalised, their
expectations of asylum life and the roles played by families, communities
and doctors in their care and treatment.
Case Studies
To address these questions, nine asylums were selected as case studies.
These were the three private asylums, Hampstead House, Highfield
House and St John of God’s; two voluntary asylums, Bloomfield Retreat
and Stewarts Institution; and the four district asylums at Belfast, Ennis,
Enniscorthy and Dublin (Richmond). Together these hospitals housed
patients from urban and rural settings in the north, south, east and west
of the country. Of the nine asylums, six were in Dublin, reflecting the
geographical concentration of private and voluntary care in Ireland’s
capital.
1 INTRODUCTION 3
to the nearby Highfield House, which occupied the same demesne. Both
Hampstead and Highfield remained small. Within five years of opening,
Hampstead had only thirteen patients; by 1900, Hampstead had twelve
male patients and Highfield had eighteen female patients.31 Based in the
south Dublin suburb of Stillorgan, St John of God’s had its origins in
the arrival of members of the Hospitaller Order of St John of God from
France in 1877. Members of this order, which had a tradition of caring
for the mentally ill, established and gave their name to the private asy-
lum in 1885.32 St John of God’s was run by these religious brothers and
admitted only men. In contrast to Hampstead and Highfield, it quickly
became one of the largest private asylums in Ireland. Within five years of
opening, twenty-nine patients resided at St John of God’s and by 1900,
there were seventy-six.33
The two voluntary asylums selected for study are the Bloomfield
Retreat and Stewarts Institution, also located in Dublin’s suburbs.
Members of the Society of Friends founded the Bloomfield Retreat in
Donnybrook in 1812. Society members supported this asylum through
donations and subscriptions and were also allowed to nominate charity
patients, while a committee composed of Society members managed the
asylum.34 This managing committee modelled Bloomfield on the prin-
ciples developed at the York Retreat in England, where the Tuke family
had famously advocated moral therapy (see Chaps. 5, 6 and 7).35 Like
the York Retreat, Bloomfield was small by national standards. Within five
years of opening, Bloomfield had only eleven patients and by 1900, there
were thirty-three.36
The other voluntary asylum chosen was originally called the Lucan
Spa but was renamed Stewarts Institution in the 1870s after its propri-
etor, Dr. Henry Hutchinson Stewart, a medical doctor and philanthro-
pist with an especial interest in the welfare of the insane.37 Following
the introduction of the Poor Law in 1838, he became a governor of
the Hardwicke Hospital, which housed chronic pauper lunatics. This
hospital had formed part of the House of Industry in North Brunswick
Street, Dublin, which was remodelled as the North Union Workhouse.
No further patients were admitted to the Hardwicke and by 1856, its
remaining chronic patients had been transferred to a former military bar-
racks at Islandbridge, Dublin.38 The following year, Stewart purchased
the former Spa Hotel in Lucan and transferred the 102 Islandbridge
patients under his charge to these premises.39 Vacancies arose as these
mainly elderly patients died and Stewart began to admit paying patients
1 INTRODUCTION 7
were in Belfast (est. 1829), Ennis (est. 1868) and Enniscorthy (est.
1868). Belfast, an industrial city located in the north of Ireland, had, by
the end of the nineteenth century, overtaken Dublin to become Ireland’s
largest city and had the country’s largest port. Internationally renowned
for its strong shipbuilding industry, including Harland and Wolff, Belfast
was also host to expanding textiles industries in the later part of the cen-
tury and had a higher proportion of skilled workers, higher female par-
ticipation rates and higher incomes than Dublin.49 The religious profile
of Belfast’s population was at odds with other cities in Ireland, with a
comparatively high proportion of members of the Church of Ireland and
Presbyterians, and this is mirrored among the asylum’s paying patients.50
Ennis, a small town in the rural west of Ireland, experienced a short-lived
retail boom in the immediate aftermath of the Famine. Although the
railway was extended to Ennis from the neighbouring city of Limerick
in 1859, both the town and its surrounding parishes settled into a slow
decline from the 1860s, with little opportunity for any significant com-
mercial or industrial development or the expansion of local trades.51
Enniscorthy, a town in the more prosperous County Wexford in the
rural south-east of Ireland, had strong trade compared with towns like
Ennis. Wexford was also traditionally one of the wealthier farming areas
in Ireland and boasted many large estates as well as smaller holdings.52
These four district asylums differed in size. Richmond and Belfast were
mammoth institutions, accommodating some 2200 (forty-nine paying)
patients and 1300 (six paying) patients respectively in 1900. By com-
parison, Enniscorthy and Ennis were moderately sized, housing approxi-
mately 450 (twenty-four paying) patients and 380 (twelve paying)
patients in the same year.53
While the proportion of paying patients in the four district asylums
was small, their numbers equalled those in many of the smaller private
and voluntary asylums in this era, revealing that district asylums had
become an important form of care for non-paupers. Meanwhile, accom-
modation for paying patients had greatly increased within the private
and voluntary sectors from 270 patients in 1830 to 700 in 1900.54 This
expansion is particularly significant given that the general Irish popu-
lation had halved between 1845 and 1900. While the immediate con-
sequences of the Famine brought about a dramatic population decline
in Ireland through both death and emigration, further depopulation
occurred after 1850 when famine conditions had all but disappeared.55
1 INTRODUCTION 9
Context
In contrast to the plethora of research on the history of Irish psychiatry,
sparse scholarly attention has been devoted to paying patients. Finnane’s
survey fails to acknowledge the existence of paying patients in the dis-
trict system. Catherine Cox has briefly outlined the legalisation of paying
patients’ admission into district asylums and contended that the result-
ing revenue generated was negligible, yet her discussion of patients in
the Enniscorthy and Carlow asylums does not distinguish between pay-
ing and pauper patients.56 Although several scholars have examined the
social profile of district asylum patients,57 few have focused on patients in
other asylums.58 Malcolm’s commissioned history of St Patrick’s (Swift’s)
Hospital is the only academic study of a non-public asylum in Ireland.
While much of Malcolm’s work concerns administrative and financial
aspects of the hospital’s history, she also examines patients’ social pro-
file in the 1870s and 1880s. This analysis, however, falls short of dis-
tinguishing between paying and charitable patients.59 Oonagh Walsh has
completed an article-length investigation of the implications of patients’
gender on their admission, treatment and discharge in both district
and private asylums in nineteenth-century Ireland. Yet her study relies
solely on the reports of the lunacy inspectors for her analysis of private
patients.60 My own previous research on the social role of Irish private
asylums also focuses primarily on these reports.61
This book expands on current scholarship to provide a more rounded
and focused study of paying patients in nineteenth-century Ireland. It
considers the role of public, voluntary and private asylums and assesses
the social profile of paying patients in these sectors. Given the existence
of substantial surveys of the pauper insane, much of the research under-
pinning this book focuses on non-paupers, while comparisons are drawn
with existing findings on pauper patient groups. It therefore adds com-
plexity to our understanding of the impact of factors such as class, social
status, spending power, religion and gender on patterns of committal,
care and treatment in Ireland.
Throughout, comparisons are drawn between Ireland and Britain.
Scholarship on British asylums and paying patients has focused mainly
on urban and industrial settings.62 One notable exception is the work
of Joseph Melling and Bill Forsythe, which explores public and private
mental healthcare in Devon in the largely rural south-west of England.63
The emphasis on the urban and industrial has its origins in Andrew
10 A. Mauger
Records
This study investigates a range of sources from government records to
medical literature and asylum records. Government sources are indispen-
sable for situating Irish lunacy provision within the wider context of state
affairs. At national level, the Irish prison inspectors and, from 1845, the
lunacy inspectors were central figures in lunacy administration. These
inspectors, based in Dublin Castle, were required to visit all ‘receptacles
for the insane’ and reported annually on their observations. During the
nineteenth century, the government also initiated several commissions
1 INTRODUCTION 11
Outline of Chapters
This book comprises seven chapters, each focusing on the complex
interplay between various actors involved in providing for the non-pau-
per insane. Chapter 2 outlines the political development of non-pauper
lunacy provision in nineteenth-century Ireland. Focusing on Ireland’s
lunacy inspectors, the national press and the emerging psychiatric com-
munity, it is concerned with the debates aired at national level on how
best to accommodate different social groups. It concludes that in the
absence of a single effective model, the result was a patchwork of pub-
lic, voluntary and private accommodation, each the outcome of a set of
14 A. Mauger
(2) A Masai story (Hollis, 15) tells of two brothers who are given a
bullock to slaughter. They carry it to “a place where there was no
man or animal, or bird, or insect, or anything living,” and a devil puts
them to much inconvenience. The pursuit of Anansi by the shadow
of Death, in the Wona version of 27, has already been referred to in
the Dry-head episode. In Barker, 81–84, the stolen flour-producing
stone which Anansi is carrying off, sticks to his head and grinds him
to pieces, as referred to in the note to number 22.
In Theal, Kenkebe’s wife and son hide themselves behind the rock
which conceals his secret store, and push over a stone which
pursues him as far as his own house. [253]
In Barker, 66, the king gives to the greedy man a box so enchanted
that it can never be put down.
In Sac and Fox Indian tales, JAFL 15: 177, the monster-killing twins
bring home a rock which sticks upon their backs until they carry it to
its place again.
In Pamela Smith’s version, Anansi shoots the bird who is doing him
the favor of carrying off Dry-head. See note to number 70 and
compare P. Smith, 59–64, in which Tiger, pursued by the “Nyams,”
begs one animal after another to hide him, but always lets his
presence be known. Finally, when Goat kills the “Nyams,” he eats
Goat with the “Nyams.”
[Contents]
The story depends upon the idea that it is unlucky to reveal to others
a marvel one has seen oneself, or to repeat certain taboo words. A
lad in the Santa Cruz mountains explained the taboo by saying that
Anansi had “six” legs. Another said that Anansi’s mother’s name was
“Six.” So in Pamela Smith (JAFL 9: 278), the Queen’s name is
“Five.” Compare Rivière, 177; Krug, JAFL 25: 120; Schwab, JAFL
32: 437, and the next two numbers in this collection.
[Contents]
Compare the Bulu tales, Schwab, JAFL 27: 284–285; 32: 434.
In JAFL 32, Pangolin offers to initiate the animals one by one and
makes them climb a tree and jump upon a concealed rock, which
kills them. Turtle finally circumvents the trick.
[Contents]
[Contents]
[Contents]
36. Horse and Anansi. [Story]
For the trick of sending after fire in order to enjoy the whole of a
common store compare Koelle, 166–167; Tremearne, 255, 263;
Hartt, 34; Harris, Friends, 79–80; Nights, 282–284; Christensen, 89;
Georgia, JAFL 32: 403.
For the trick of leaving the knife or the spoon behind, see number 11
in this collection.
It is clear, from the picture drawn of Horse as he starts for the Fire,
that the story-teller thinks of the actors in the story as animals, even
when he shows them behaving like human beings.
[Contents]
Mrs. W. E. Wilson (Wona) thinks that the second version of the story,
told by Jekyll, 70–72, is not a true negro form, because of the great
respect in which Jamaica negroes hold the rites of the established
church.
As a device for getting victims cooked and eaten, the story is related
to numbers 16 and 38 in this collection.
[Contents]
In Parkes’s version, the substitution of the human for the fish victim
not only spoils the wit of the story but obscures its relation to the
story of Anansi’s visit to fish-country as it appears in number 39. The
identity of the two is proved by the structure of the [256]story, which
falls into two parts. (1) Anansi, pretending to cure a sick relative, eats
her instead. (2) The mule offers to avenge her and plays dead
outside Anansi’s door; when he attempts to make use of her for food,
she drags him into the water and drowns him, as in number 6.
For (1) compare Cronise and Ward, 226–230, where Rabbit pretends
to cure Leopard’s children and eats them up; Nassau, 125–126,
where Tortoise pretends to bring children out of Crocodile’s hundred
eggs, and eats them all.
In Jekyll, 135–137, an old lady meddles with a jar she has been told
not to touch and which, as soon as she gets her hand in, drags her
to the sea and drowns her.
In Pamela Smith, 44–46, Anansi eats the sick mother under pretence
of cure, and bribes Dog to carry him across the river, but there is no
vengeance; Dog himself is swallowed by Crocodile.
[Contents]
Compare: Jacottet, note page 262; Parsons, Andros Island, 103 and
note; Jones, 121–123; 133–136.
Version (b). In Jekyll, 46–47, Puss gives the rats a ball and only
those members of the family escape who attend to little Rat’s
warning, for he has heard the cat’s song. Compare Chatelain, 189–
191, and see note to number 86, where the little brother or sister
discovers by the words of a song a treacherous intention.
[Contents]
In Dayrell, 64–65, Sun and Water are great friends. Sun visits Water,
but Water never visits Sun. At length, Sun invites Water and builds a
great compound to receive him and his friends. All come, take
possession, and crowd Sun and his wife, Moon, out into the sky.
[Contents]
[Contents]
[Contents]
[Contents]
In Jones, 22, Sparrow makes the boast about his father’s crop of
potatoes. 2
[Contents]
For a discussion of Grimm 110, The Jew among Thorns, see Bolte u.
Polívka 2: 490–503.
[Contents]
[Contents]
[Contents]
[Contents]
In Barker, 123, three sons wish to do honor to their mother and the
first declares that he will make her a “sepulchre of stone.”
[Contents]
In Fortier, 13–19, the Devil gives the little Earthworm his wish: “I
want to become big big and beat everybody who will come to trouble
and bother me. Give me only that and I shall be satisfied.” The
consequences are disastrous for the earth-worm.
[Contents]
[Contents]
[Contents]
The story as Williams tells it is made up of three parts. (1) Bird and
Hunter set up the same home without either knowing of the other. (2)
Bird supplies Fish with wings and brings him to the feeding-patch,
then takes the wings and flies away when Hunter comes in pursuit.
(3) Fish is captured as the thief, but escapes by song and dance into
the sea.
(2) The episode is identical with Anansi and the Birds in number 39,
but motivated differently. See numbers 2b, 5b, 21b. In Bates’s
Jamaica version, JAFL 9: 122–124, Mudfish is left in [261]the
Watchman’s hands without the preliminary episode of the common
dwelling, and the escape is effected in the same manner.
[Contents]
These three and number 17b are the only Rabbit stories I heard in
Jamaica. A woman named Ellen told the stories to the lads from
whom I heard them, but she refused to be interviewed. See numbers
21a, 12, 23.
[Contents]
The wit of the animal race turns upon the fact that a slow animal,
contrary to all expectation, wins over a swift. The story takes three
forms. (1) The swift animal is so sure of winning that it delays and
“slow but sure wins the race.” (2) The little animal wins by hanging
on behind while the other runs, and thus slipping in ahead at the
end. (3) The slow animal arranges a relay by placing one of its kind
along the road and taking its own position in hiding near the goal.
See Dähnhardt 4: 46–96.
(3) The Jamaica stories always follow the form of the relay race, as
in Jekyll, 39–43. Compare Basset 1: 15; Bleek, 32; Frobenius 3: 15;
Rattray, Chinyanje 131; Renel 2: 150–152; Schwab, JAFL 27: 277;
Hartt, 7–15; Smith, 543; Christensen, 5–9; Jones, 5–6; Edwards, 69;
Harris, Uncle Remus, 87–91; Boas, JAFL 25: 214–215; Parsons,
Sea Islands, 79; JAFL 30: 174; 32: 394; and references to American
Indian stories in Boas, JAFL 25: 249; Ponape, Hambruch, Südsee-
Märchen, p. 196; note, p. 347.
For the flying-trial for a bride, compare Parsons, Andros Island, 101.
[Contents]
See number 149, where the bird in the tree starves and Hopping
[262]Dick on the ground picks up worms and wins the match. In this
story, though incomplete, it is intimated that the bird in the tree wins.
In Dayrell, the birds propose to starve seven days to see which will
be king. One leaves a hole out of which he creeps unobserved to
feed.
In Parsons, one bird chooses a fruit tree, the other a “dry” tree. The
song sung by the winning bird runs,—
“This day Monday mornin’
Tama tama tam!”
In Fortier, the lady-love brings food to her favorite bird. The cooing
song in the Jamaica versions suggests this connection.
[Contents]
[Contents]