By Anthony D. King
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Malthus, An Essay on the Principle of Population, London, Johnson, 1798, esp. chapter 5. Bentham, Works, vol. 10 (ed. Bowring), Edinburgh, 1843, p. 226. Marx, Capital, vol. 1, New York, International Publishers, 1967, pp. Weber, The Protestant Ethic and the Spirit of Capitalism, London, Allen & Unwin, 1930, p. 22. Smith, The Wealth of Nations, New York, Modern Library, 1937, pp. 135–40. Polanyi, op. , p. 86. Marshall, The English Poor in the Eighteenth Century, London, Routledge, 1926, p. 17. Bellers, Proposals for Raising a College of Industry, London, 1696, p.
Wynter, ‘Non-Restraint in the Treatment of the Insane’, Edinburgh Review, vol. 131, 1870, p. 221. House of Commons, Report of the Select Committee on the Operation of the Lunacy Laws, 1877, p. 386. Commissioners in Lunacy, Annual Report, 1891, pp. 96–9. In fact, however, even in private asylums geared to the upper classes, with no shortage of money, staff or facilities, reported curerates declined to abysmally low levels. Between 1880 and 1890 they fluctuated between 6 and 71/2 per cent per year of those under treatment.
It is emphatically an instrument of treatment…. 1 The original building of the York Retreat, opened in 1796. The domestic architecture reminded one early visitor of ‘une grande ferme rustique’. In the early nineteenth century, the institution (at first, with only thirty patients) acted as a model for lunacy reformers. Tuke, Reform in the Treatment of the Insane, London, Churchill, 1892, p. 18. Courtesy of the Wellcome Trustees) Designing the purpose-built asylum Many aspects of the asylum’s physical structure and siting contributed to its value as a therapeutic tool.