"Madness: Race and Insanity in a Jim Crow Asylum" by Antonia Hylton
Feb 8, 2024
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Antonia Hylton, Peabody and Emmy award-winning journalist, uncovers the history of a segregated asylum in Maryland. She discusses the discriminatory practices in healthcare, the fight for change by Dr. Jacob Morgenstern, and the complexities of deinstitutionalization. The chapter also explores the history of mental health care in the US, focusing on the experiences of communities of color and emphasizing the importance of community support and accessible care for marginalized groups.
The beliefs and power structures of a society directly influence the treatment of mental illness, leading to inferior treatment for Black Americans in segregated asylums.
Outsiders can bring about positive change by challenging traditional practices and opening doors for transformation in mental health institutions.
Deep dives
The Influence of History and Culture on Mental Health
The prevailing beliefs and power structures at any point in time shape the way we view and treat mental illness. For Black Americans, these beliefs and power structures led to inferior treatment by white physicians and administrators, who viewed them as lazy and unable to handle freedom. This had a direct impact on psychiatric practice, resulting in segregation and forced labor for Black patients at hospitals like Crownsville. The history and culture surrounding mental health play a significant role in shaping treatment and services available to different communities.
The Power of Outsiders in Instituting Change
Outsiders often have the ability to see institutions for what they truly are and can bring about positive change. Dr. Jacob Morgenstern, a Holocaust survivor, became uncomfortable with the racist practices at Crownsville Hospital and took leadership, leading to desegregation and the hiring of black employees. His partnership with Dr. Vernon Sparks created training opportunities for aspiring black doctors. The arrival of outsiders like Dr. Morgenstern challenged traditional practices and opened doors for positive transformation.
1.
The History of Mental Illness and Discrimination in a Jim Crow Asylum