In his witty and warm history of Worcester State Hospital, founded in 1833 as the first state insane asylum established in this nation, Dr. Enoch Callaway reflects not just on the events in this fortress-like place, but also on how those events parallel advances and failures in the field of psychiatry itself. In addition to patient/psychiatrist vignettes showing treatment techniques of the period-from farm work to early electric shock therapy and insulin treatments that put schizophrenics in a 90-minute coma-Callaway also offers sharp insight into "natural" treatments that showed remarkable results and unexpected recoveries stimulated by tools as simple as a hand mirror. At times, Worcester may seem brutal, at other times its simplicity seems pure and caring. There are marvelous successes, and times when the facility seems no more than a warehouse for the mentally ill. Callaway argues that this history offers lessons about the treatment-and options for better treatment-of the mentally...

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