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MENTAL HEALTH IN HISTORICAL PERSPECTIVE
Series Editors
Catharine Coleborne, School of Humanities and Social Science,
University of Newcastle, Callaghan, NSW, Australia
Matthew Smith, Centre for the Social History of Health and Healthcare,
University of Strathclyde, Glasgow, UK
Covering all historical periods and geographical contexts, the series
explores how mental illness has been understood, experienced, diagnosed,
treated and contested. It will publish works that engage actively with
contemporary debates related to mental health and, as such, will be
of interest not only to historians, but also mental health professionals,
patients and policy makers. With its focus on mental health, rather than
just psychiatry, the series will endeavour to provide more patient-centred
histories. Although this has long been an aim of health historians, it has
not been realised, and this series aims to change that.
The scope of the series is kept as broad as possible to attract good
quality proposals about all aspects of the history of mental health from
all periods. The series emphasises interdisciplinary approaches to the field
of study, and encourages short titles, longer works, collections, and titles
which stretch the boundaries of academic publishing in new ways.
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer
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retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology
now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc.
in this publication does not imply, even in the absence of a specific statement, that such
names are exempt from the relevant protective laws and regulations and therefore free for
general use.
The publisher, the authors and the editors are safe to assume that the advice and informa-
tion in this book are believed to be true and accurate at the date of publication. Neither
the publisher nor the authors or the editors give a warranty, expressed or implied, with
respect to the material contained herein or for any errors or omissions that may have been
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This Palgrave Macmillan imprint is published by the registered company Springer Nature
Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
For Stephen
Preface
vii
viii PREFACE
century, nothing about the large, state-run institutions that took care of
the majority of poor patients during this period, and certainly nothing
about any music that may or may not have taken place within their walls. It
has been a voyage of discovery exploring the institutions, ideas and people
that made up such an enormous network, through the immense volume of
archival documents and other resources left behind. From visiting many of
the extant buildings to tracing individuals through census records, exam-
ining photos of now-anonymous attendants in the band to deciphering
the riddles of a concert programme, the project has presented surprises,
joys and challenges.
The asylums of the nineteenth century were enormous institutions,
often beautiful buildings, with a small army of staff required to service the
community based there. Yet the legacy and reputation of the nineteenth-
century asylums is often contradictory and difficult to resolve. Osten-
sibly part of the Victorians’ great philanthropic project, asylums were—on
paper—intended to protect (both those inside and those outside), offering
safe haven and the possibility of care and cure. Yet popular imagery more
often reflects the horrors of overcrowded institutions, in an age where
advances in both public sanitation and the understanding of mental illness
were still woefully primitive. Many of the original asylums were in use as
National Health Service hospitals and private institutions until the late
twentieth century. While a few remain in active medical use, the majority
have been repurposed as accommodation, or are in a state of disrepair.
It has been a pleasure to visit many of the institutions I have studied;
the engineering and design behind the original buildings are just small
remaining testimonies to the enormity of the asylum project as it devel-
oped through the nineteenth century. Yet to confront the buildings is
also, in some small way, to confront the reality of life for the individuals
who lived and worked in asylums, and whose everyday experiences I have
been investigating.
The same dichotomy is to be found in archive holdings: the sanitised
accounts of medical officers in annual reports and formal documents tell
of patient numbers, management strategies, expenses and problems, but it
is in the patient case books and collections of patient letters and writings
that the pain, anguish and despair of individuals is stark. It is not surprising
that some of the archival research I have undertaken has been discom-
forting. Archive documents from this context use words and concepts that
make us ill at ease. The ready discussion of ‘idiots’ and ‘imbeciles’, the
regular admission of women suffering from mental illness associated with
PREFACE ix
asylums, larger and smaller, and those founded towards the start of the
nineteenth century (or earlier) with later foundations, I build up a dense
web of material addressing both the forms of music found within the
English nineteenth-century asylum, and the ways in which music was
considered part of the therapeutic regime.
I completed this book during the year of the most seismic event to
affect my own life, the COVID-19 pandemic of 2020–21. Never has the
healing power of music and the arts been so apparent. As musicians—
professional and amateur—took to the Internet with ever-more inventive
ways to share their art, others offered outdoor performances for neigh-
bours across balconies and back gardens, and community projects in song
and dance brought people together where physical meeting was outlawed.
Music provided the ultimate panacea. The uses of music as a community
facilitator, an accompaniment to dance and exercise, a link to ‘normal-
ity’ and as a means to connect, came closer to the spirit of music in the
nineteenth-century asylums than any form of modern music therapy. We
can only hope that music continues to be recognised and valued, in many
varied and wonderful ways, for its immense contribution to our lives and
wellbeing.
I am indebted to the array of archivists, cataloguers and conservators
who work to make material relating to the lunatic asylums available to
researchers and the general public. In particular, I am grateful to Frank
Meeres and staff at the Norfolk Record Office, Colin Gale at Bethlem
Museum of the Mind, Alexandra Medcalf and colleagues at the Borth-
wick Institute for Archives at the University of York, archivists and staff
at the West Yorkshire Archive Service, Wakefield, staff at the Worces-
tershire Archive and Archaeology Service, Helen Timlin and colleagues
at the Gloucestershire Archives and Julian Pooley and colleagues at the
Surrey History Centre. I gained important insights from the displays at
the George Marshall Medical Museum and Infirmary Museum at the
University of Worcester and am grateful to staff at both museums for
their help. I am also indebted to David Juritz, who welcomed me into his
home for a day to sift through some of the vast collection of band music
from the Norfolk Asylum.
I am fortunate to have the benefit of rich and supportive academic
communities. Colleagues at The Open University have encouraged my
research interests, and I have had many useful conversations with the
network based around the Music in Nineteenth-Century Britain confer-
ence. Material from this volume was first presented as conference papers
PREFACE xi
Note
1. Verses selected from Henry Kirke White’s ‘On Music’, written in around
1800, as set to music by Thomas Attwood Walmisley (1814-1856) in about
1830.
Contents
xiii
xiv CONTENTS
Part IV Conclusion
13 Conclusion 319
Bibliography 339
Index 359
List of Figures
xv
xvi LIST OF FIGURES
xvii
PART I
Introduction
The band again struck up, and this time it was for a mazurka, which was
as well danced as the quadrille. I was considerably puzzled at the whole
scene, and I inquired of one of the assistants, what class of patients they
were who conducted themselves in so orderly a manner?
“They are of all classes, sir,” he replied; “the majority are prisoners for
various offences—burglars, thieves, and murderers.”
“Murderers! Are there any murderers here?”
“About thirty,” he answered, quietly, and without anything like aversion
in his tone or manner.
… “But are you not afraid of a disturbance?”
“Not the least, sir. The band are all trained warders, and there are
several in the room as well. Among the women also there are several female
warders.”
I waited some time longer, and heard two or three songs, and saw as
many dances, all conducted with the greatest propriety, and then proposed
leaving – finding myself more shocked than amused at the scene.1
“The Barrasdaile” was back in town and all the beaux of Mayfair
were agog, and forthwith hasted to give her welcome. They came by
coach, in sedan chairs, on horseback and afoot; battered beaux wise
in wine and women, sprightly beaux wise in town gossip and the
latest mode, youthful beaux wise in nothing as yet; but one and all
they gathered from every point of the compass and clad in all the
colours of the spectrum, passioning for her wealth, eager for her
rank, allured by her youth, or smitten by her beauty, agreeable to
their own respective ages and conditions; they came to flourish hats
gracefully, shoot ruffles languidly, flutter handkerchiefs daintily, tap
snuff-boxes dreamily, to stare, ogle, smile, frown, sigh and languish,
each according to his nature. And chief amongst these, my Lord
Sayle, more completely assured of himself than usual, if it were
possible; and this by reason that His Majesty (so gossip had it) was
about to reinstate him in the royal favour and make him Lord-
Lieutenant of his county besides, on condition that he put down the
damnable practice of smuggling in his neighbourhood. Be this as it
may, it was an indisputable fact (rumour was positive on this point)
that His Majesty had received him, deigned him a nod, and chattered
at him in German, whereupon other gentlemen immediately bowed
to him, renewed acquaintance and congratulated him in English.
Thus my Lord Sayle found himself in very excellent spirits.
Now upon the very morning of my Lady Barrasdaile’s so
triumphant return, it befell that The Satyric Spy, or Polite Monitor,
most scandalous and (consequently) most carefully perused of
journals, came out with the following items of fashionable
intelligence: