In the eighteenth and nineteenth century, asylums for those afflicted with mental illness existed to keep the inmates in custody. Some of them were huge affairs, run by charitable foundations, such as Bethlem Hospital in London, popularly known as Bedlam. Others, such as the one I invented for my story Lady Beast’s Bridegroom, were private establishments run for profit, often by someone who had set himself up as a doctor with few, if any, qualifications.
Few of them were nice places, and none of them offered any effective treatments. The keepers were guards—untrained in anything except confining those who did not want to be there. Patients were often restrained. Treatments were barbaric: being bled, purged, blistered, beaten.
The system was ripe for abuse, and it was abused. Those with mental illness were undoubtedly not helped by being in such surroundings, but asylums also held those who were not insane. Even into the 20th century, deaf people and people with severe physical disabilities were committed to asylums because they could not talk.
Children and women were admitted to asylums on the word of the male head of their family—husband, father, brother, or even, in some cases, a male friend of a woman or of a child’s mother.
Epilepsy was reason enough to be committed until the 1950s. Depression after the loss of a loved one. Abusive language. Being over religious. Even being overtired! Or, for that matter, for no reason at all except that a person’s continued freedom was inconvenient to someone.
In one case, a man confined his wife after she objected to her niece, with whom her husband was having an affair, being named as mistress of the household. Her incarceration came to an end when she managed to persuade a boy working in the garden of the house next door to take a message—and her shoe (to identify her)—to friends who rescued her and hired a lawyer to defend her.
In Snowy and the Seven Blossoms, another book in the same series, I envisage a private asylum that was truly a place of security and sanctuary, thanks to the physician in charge. Perhaps such places existed. If so, they were certainly greatly outnumbered by barbaric institutions that hurt rather than healed.