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Shackles and Chains: Some Concluding Thoughts
#MMPMIDC7605446
Hilton C
Civilian Lunatic Asylums During the First World War
2021[]; ? (?): 263-78
PMIDC7605446
show ga
Many of the themes running through this book have parallels today, associated
with stigma, austerity, deaths from preventable causes, and under-provision of
services from which mentally unwell people could benefit. Metaphorical shackles
and chains link then and now. At the beginning of the war, speculation and hope
that victory would be within easy reach informed asylum planning. Decisions
justifiable on that basis, but without compensatory adjustments later in the war,
created harsher asylum regimes. Public support and special provision for mentally
disturbed soldiers was heartening, but it highlighted the undignified standards
of care provided for mentally disturbed civilians. Despite the problems in the
asylums, there were also many dedicated and kind staff. Kindness was assumed so
it was not noteworthy: it usually only came to light incidental to some other
matter.
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