This book is a lively commentary on the eighteenth-century mad-business, its practitioners, its patients (or ""customers""), and its patrons, viewed through the unique lens of the private case book kept by the most famous mad-doctor in Augustan England, Dr. John Monro (1715-1791). Monro's case book, comprising the doctor's jottings on patients he saw in the course of his private practice--patients drawn from a great variety of social strata--offers an extraordinary window into the subterranean world of the mad-trade in eighteenth-century London. The volume concludes with a complete.

This book is a lively commentary on the eighteenth-century mad-business, its practitioners, its patients (or "customers"), and its patrons, viewed through the unique lens of the private case book kept by the most famous mad-doctor in Augustan England, Dr. John Monro (1715-1791). Monro's case book, comprising the doctor's jottings on patients he saw in the course of his private practice--patients drawn from a great variety of social strata--offers an extraordinary window into the subterranean world of the mad-trade in eighteenth-century London. The volume concludes with a complete edition of the case book itself, transcribed in full with editorial annotations by the authors. In the fragmented stories Monro's case book provides, Andrews and Scull find a poignant underworld of human psychological distress, some of it strange and some quite familiar. They place these "cases" in a real world where John Monro and othersuccessful doctors were practicing, not to say inventing, the diagnosis and treatment of madness.

John Monro was physician to Bethlem Hospital, the archetypal Bedlam, Britian's first public institution for the insane. This account of Monro's life and time studies his career through the lens of contemporary medical practice and social culture, and is as much about the contexts in which he worked as about Monro and his family.

Making Mental Health: A Critical History historicises mental health by examining the concept from the ‘madness’ of the late nineteenth century to the changing ideas about its contemporary concerns and status. It argues that a critical approach to the history of psychiatry and mental health shows them to constitute a dual clinical-political project that gathered pace over the course of the twentieth century and continues to resonate in the present. Drawing on scholarship across several areas of historical inquiry as well as historical and contemporary clinical literature, the book uses a thematic approach to highlight decisive moments that demonstrate the stakes of this engagement in Anglo-American contexts. By tracing the (unfinished) history of institutions, the search for cures for psychiatric distress, the growing interest of the nation-state in mental health, the history of attempts to globalise psychiatry, the controversies over the politics of diagnostic categories that erupted in the 1960s and 1970s, and the history of theorising about the relationship between the psyche and the market, the book offers a comprehensive account of the evolution of mental health into a commonplace concern. Addressing key questions in the fields of history, medical humanities, and the social sciences, as well as in the psychiatry disciplines themselves, the book is an essential contribution to an ongoing conversation about mental distress and its meanings.

This book explores the idea of privacy at sea, from early sixteenth-century maritime expansions to nineteenth-century naval developments. In this period, the sea became a focal point of political and economic ambition as technological and cultural shifts enabled a more extensive exploration of maritime spaces and global coexistence at sea. The exploration of the sea and the conflicts arising from establishing control over maritime routes demanded a more nuanced distinction and negotiation between State and private efforts. Privateering, for example, became a bridge between the private enterprises and the State’s warfares or trade struggles, demonstrating that the sea required public control at the same time as it enabled private endeavours. Although this tension between private and public interests has been explored in military and economic studies, questions of how the private appeared in maritime history have been discussed only through a particularly merchantile lens. This volume adds a new dimension to this discussion by focusing on how privacy and the private were perceived and created by the historical agents at sea. We aim to move beyond the mercantile “private” as a direct opposite to the “public” or the State, thereby opening the discussion of privacy at sea as a multiplicity of lived experiences. Chapters 1, 8 and 14 are available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.

Based on three hundred civil and criminal cases over four centuries, Elizabeth W. Mellyn reconstructs the myriad ways families, communities, and civic and medical authorities met in the dynamic arena of Tuscan law courts to forge pragmatic solutions to the problems that madness brought to their households and streets. In some of these cases, solutions were protective and palliative; in others, they were predatory or abusive. The goals of families were sometimes at odds with those of the courts, but for the most part families and judges worked together to order households and communities in ways that served public and private interests. For most of the period Mellyn examines, Tuscan communities had no institutions devoted solely to the treatment and protection of the mentally disturbed; responsibility for their long-term care fell to the family. By the end of the seventeenth century, Tuscans, like other Europeans, had come to explain madness in medical terms and the mentally disordered were beginning to move from households to hospitals. In Mad Tuscans and Their Families, Mellyn argues against the commonly held belief that these changes chart the rise of mechanisms of social control by emerging absolutist states. Rather, the story of mental illness is one of false starts, expedients, compromise, and consensus created by a wide range of historical actors.

Drawing on a wide range of sources including interdiction procedures, records of criminal justice, documentation from mental hospitals, and medical literature, this book provides a comprehensive study of the spaces in which madness was recorded in Tuscany during the eighteenth century. It proposes the notion of itineraries of madness, which, intended as an heuristic device, enables us to examine records of madness across the different spaces where it was disclosed, casting light on the connections between how madness was understood and experienced, the language employed to describe it, and public and private responses devised to cope with it. Placing the emotional experience of the Tuscan families at the core of its analysis, this book stresses the central role of families in the shaping of new understandings of madness and how lay notions interacted with legal and medical knowledge. It argues that perceptions of madness in the eighteenth century were closely connected to new cultural concerns regarding family relationships and family roles, which resulted in a shift in the meanings of and attitudes to mental disturbances.