Explore the history of Bedlam, from its origins as a charitable institution to its notorious reputation. Discover its role as a tourist attraction, the Munrods' medical dynasty, the Radcliffe Traveling Fellowships, and the admission process at Bedlam. Gain insights into the patients' perspective and conditions in mental institutions through their accounts and literature.
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Quick takeaways
Bedlam hospital in London, founded in 1247, started as a place of care but became synonymous with chaos and mistreatment of mental illness.
Bedlam subscribed to the humoral theory and used treatments like bleeding and purging based on this theory.
Deep dives
The Early History of Bedlam
Bedlam, also known as the Bethlehem Hospital, was founded in London in 1247 as a place to care for the needy. Over time, it became synonymous with chaos and was known for its treatment of mental illnesses. The institution persisted with medieval therapies like purges and vomiting to treat patients. Corruption and poor conditions led to a parliamentary inquiry in 1815, exposing mistreatment, including a patient being held in a cage for nearly a decade.
Humoral Theory in Bedlam
Bedlam subscribed to the theory that the balance of bodily humors was essential for health and mental well-being. The humoral theory suggested that an imbalance of humors could lead to physical and mental disorders. For example, an accumulation of black bile was believed to cause melancholy. Bedlam's treatments included bleeding and purging based on this theory.
Changing Perceptions and Treatment
During the Reformation, changes in religious beliefs and anxieties brought on by radical Protestant theology created an unhealthy environment for mental stability. The Catholic approach of exorcism and intervention shifted towards an emphasis on introspection and an imbalance of the mind. In the 19th century, alternative methods like moral therapy emerged, focusing on kindness, order, and occupation of the mind. These innovations were embraced by other institutions, but Bedlam resisted change.
Visiting Bedlam and Its Decline
Bedlam became a popular tourist attraction in London, with visitors paying to observe the patients. It was seen as a spectacle, and people were interested in the different types of madness represented there. However, by the late 18th century, public opinion shifted, and visits to Bedlam were criticized. As alternatives and reforms emerged, Bedlam's reputation declined. The institution faced scandals, including cases of mistreatment and wrongful confinement. Other asylums with better management and treatments gained recognition, leading to a decline in Bedlam's popularity and effectiveness.
Melvyn Bragg and guests discuss the early years of Bedlam, the name commonly used for the London hospital of St Mary of Bethlehem outside Bishopsgate, described in 1450 by the Lord Mayor of London as a place where may "be found many men that be fallen out of their wit. And full honestly they be kept in that place; and some be restored onto their wit and health again. And some be abiding therein for ever." As Bethlem, or Bedlam, it became a tourist attraction in the 17th Century at its new site in Moorfields and, for its relatively small size, made a significant impression on public attitudes to mental illness. The illustration, above, is from the eighth and final part of Hogarth's 'A Rake's Progress' (1732-3), where Bedlam is the last stage in the decline and fall of a young spendthrift,Tom Rakewell.
With
Hilary Marland
Professor of History at the University of Warwick
Justin Champion
Professor of the History of Early Modern Ideas at Royal Holloway, University of London and President of the Historical Association
And
Jonathan Andrews
Reader in the History of Psychiatry at Newcastle University
Producer: Simon Tillotson.
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