A History of London County Lunatic Asylums & Mental Hospitals

A History of London County Lunatic Asylums & Mental Hospitals written by

Ed Brandon and published by Pen & Sword Books - £16.99 - Softcover - Pages 224

From the Middle Ages onwards, London’s notorious Bedlam lunatic hospital saw the

city’s ‘mad’ locked away in dank cells, neglected and abused and without any real cure

and little comfort. The unprecedented growth of the metropolis after the Industrial

Revolution saw a perceived ‘epidemic’ of madness take hold, with ‘county asylums’

seen by those in power as the most humane or cost-effective way to offer the mass

confinement and treatment believed necessary.

The county of Middlesex – to which London once belonged – would build and open three huge county asylums from 1831, and when London became its own county in 1889 it would adopt all three and go on to build or run another eight such immense institutions. Each operated much like a self-contained town; home to thousands and often incorporating its own railway, laundries, farms, gardens, kitchens, ballroom, sports pitches, surgeries, wards, cells, chapel, mortuary, and more, in order to ensure the patients never needed to leave the asylum’s grounds.

Between them, at their peak London’s eleven county asylums were home to around 25,000 patients and thousands more staff, and dominated the physical landscape as well as the public imagination from the 1830s right up to the 1990s. Several gained a legacy which lasted even beyond their closure, as their hulking, abandoned forms sat in overgrown sites around London, refusing to be forgotten and continuing to attract the attention of those with both curious and nefarious motives.

Hanwell (St Bernard’s), Colney Hatch (Friern), Banstead, Cane Hill, Claybury, Bexley, Manor, Horton, St Ebba’s, Long Grove, and West Park went from being known as ‘county lunatic asylums’ to ‘mental hospitals’ and beyond. Reflecting on both the positive and negative aspects of their long and storied histories from their planning and construction to the treatments and regimes adopted at each, the lives of patients and staff through to their use during wartime, and the modernisation and changes of the 20th century, this book documents their stories from their opening up to their eventual closure, abandonment, redevelopment, or destruction.

This book looks at the various Asylums and Mental hospitals in and around London, the book looks at the history, reasons why we have them, how they were run, some of the treatments and care procedures that took place and finally some of the more well known cases that come from these hospitals. As I’m sure most people will know, people with mental health problems have never really had the best or most suitable help and care, always left near the bottom of the pile for concern. This subject always tends to be a bit grim reading, but what I enjoyed most about this book was the fact that the majority of the book is based around the hospitals with a number of patient stories thrown in, but I enjoyed the fact that the book was more about the hospitals and the way it was run. A fascinating book and one that people who like a bit of grim reading will enjoy.

Medieval Military Medicine

Medieval Military Medicine written by Brian Burfield and published by Pen & Sword Books - £20.00 - Hardback - Pages 224

Soldiers of the Middle Ages faced razor-sharp swords and axes that could slice through flesh with gruesome ease, while spears and arrows were made to puncture both armour and the wearer, and even more sinister means of causing harm produced burns and crush injuries. These casualties of war during the 500-year period between the ninth and thirteenth centuries in Northern and Western Europe are the focus of Brian Burfield’s study, but they represent just a portion of the story – disease, disability, disfigurement, damaged minds all played their roles in this awful reality.

Surgical methods are described in the book, as are the fixes for fractured skulls, broken bones and damaged teeth. Disfiguring scars and disabling injuries are examined alongside the contemporary attitudes towards them. Also investigated are illnesses like dysentery and St Anthony’s Fire, plus infected wounds which were often more deadly than the weapons of the age. A final chapter on the psychological trauma caused by war is included and contains a significant focus on the world of the Vikings.

Brian Burfield’s account features many individual cases, extracting their stories of wounds, sickness and death from chronicles, miracle collections, surgeries, government records and other documents. The prose, poetry and literature of the period are also of great value in bringing these cases to life, as is the evidence provided by modern archaeological and historical scholarship.

There are some books via their covers and descriptions that I just love to get my head into because they are so interesting or intriguing. So I was really looking forward to this, in military terms who doesn’t want to read about limbs being hacked off, stomachs run through and all the other types of injuries incurred on the battlefield. The book is a little gruesome in some places but it’s not too bad, this is what happens when your fighting in a medieval battle. What is quite impressive is the hard work and amount of research put into the book by the author Brian Burfield, he has written an excellent book that’s a good clear and easy to understand book. The book also goes over the number of effects of these injuries which were numerously described, the book goes into treatments, diseases and results. Yet again we read about my favourite, the good old leeches too. The notes and bibliography are great in this book and certainly a bonus. I would certainly recommend this book and can see it appealing to a wide audience.