Dangerous Motherhood

Marland, Hilary

doi:10.1057/9780230511866

Cited by 517 publications

(7 citation statements)

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“…135 At the age of 18 she lost both her parents, at 19 she lost a younger sister, and at the age of 21, in 1899, she left on the first of her trips to China. 136 Travelling with her and Thomas were their five children (the youngest being eight months). 137 In China they lived in the village of Loong Dou, Zhongshan, where they remained until 1909.…”

Section: Elizamentioning

confidence: 99%

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2020

LFHJ

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Section: Elizamentioning

confidence: 99%

“…Where the Chinese experience is invariably recorded in terms of the men's contribution to the sugar industry and commerce, Eliza's life story offers a more nuanced version of the Chinese experience on the Herbert in the plantation era. 136…”

Section: Elizamentioning

confidence: 99%

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2020

LFHJ

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“…73 Certainly, as Hilary Marland has suggested, lay commentary in case notes should not be ignored. 74 In the Irish context, Cox has found that patients, relatives and friends often provided medical and social histories of patients which, while lacking contextual information, can be useful, particularly where they appear in quotations in case notes. 75 In addition, many scholars have begun to seek out the patient's view in such diverse materials as their letters, accounts by their family and friends, their art and poetry, their diaries and memoirs and even fictional literature on patient experiences.…”

Section: Recordsmentioning

confidence: 99%

Introduction

Mauger

2017

Mental Health in Historical Perspective

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The Introduction sets out key themes and arguments relating to private, voluntary and public asylum care in nineteenth-century Ireland. It situates the book within exiting scholarship, providing context on Irish and British frameworks. The nine asylums selected as case studies are introduced, along with an explanation of the other sources consulted and methodology used. It includes a discussion of the difficulties in accessing the patient’s view and defining social class in Ireland. Extract: Overall, this book argues that the failure of the nineteenth-century Irish state to provide accommodation for the non-pauper insane when setting up the district asylum system gained public, state and medical recognition, both at national and local level. Fresh and revised legislation and increased centralisation sought to address the challenges of accommodating this social cohort, while the lunacy inspectors, the medical community and the press raised the question of who should be legally, financially and morally accountable. No single solution was reached; instead, the state, philanthropists and private asylum proprietors came to share responsibility. This enabled many families to select between rival sectors of asylum provision. Meanwhile, the emerging psychiatric profession, sometimes sharing a sense of social equality with their paying patients, constructed class- and gender-based readings of their disorders, fashioning treatments and accommodation accordingly. The patients, acutely conscious of their own status and the threat incarceration posed to their social standing, entertained certain expectations of what their care should entail. Ultimately, however, mental illness apparently overtook class identity and often patients themselves threatened to disrupt the social decorum of the institutions in which they resided.

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“…100 There were some exceptions, however, such as in cases of infanticide. 101 Alternatively, Stewarts' committee may have been hinting at the intrusive nature of testing paying patients' means. Either way, Stewarts' committee was appealing to the high value the wealthier classes placed on confidentiality.…”

Section: Fees Per Annum Belfast (%) Ennis (%) Enniscorthy (%) Richmonmentioning

confidence: 99%

An Institutional Marketplace

Mauger

2017

Mental Health in Historical Perspective

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This chapter explores the networks through which boards gathered financial information about patients and their families, their motivations for chasing fees and the inherent difficulties surrounding their negotiation and payment. Historians of psychiatry have long recognised the centrality of families in dialogues with medical and legal authorities during the certification and discharge process. As this chapter reveals, relatives were also crucial mediators in the admission and discharge of paying patients. Families in negotiations with voluntary and private asylums enjoyed comparatively greater influence as both asylum models depended heavily on patient fees. While the managing committees of voluntary asylums struggled to balance providing charity for the ‘respectable’ against attracting a wealthier clientele, private asylum proprietors made their livelihood from profits. Although voluntary asylums were not kept for profit, this chapter contends that by the later nineteenth century, many were forced into competition with private asylums. By the 1890s, this professional competition, together with the depressed economy, had come to inform their strategies for advertising and securing fees. The chapter also provides a comparative analysis of the length and outcome of stay for patients admitted to the nine asylums studied. Overall, this chapter argues that the existence of a ‘mixed economy of care’, particularly after 1870, gave rise to an institutional marketplace for the insane.

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Dangerous Motherhood

Cited by 517 publications

References 0 publications

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