Book contents
- Frontmatter
- Contents
- Figures
- Acknowledgements
- 1 Contexts: Asylums, Insanity and Locality
- 2 Norfolk Lunatic Asylum: Plans, Problems and Patients, 1814–43
- 3 A Superintendent and ‘Work Therapy’, 1843–61
- 4 A Medical Superintendent, Expansion and Reform, 1861–87
- 5 ‘Successful Conversion’: A Managed Community, 1887–1915
- 6 Two Histories: The Norfolk War Hospital, 1915–19
- 7 St Andrew's Hospital: Innovation and Constraints, 1920–39
- 8 Wartime and Post-War Crises, 1939–48
- 9 ‘Modern Treatment Carried Out Under Difficulty’, 1948–64
- 10 Community Care and the End of a Community, 1964–98
- 11 Postscript: Findings and Speculations
- Select Bibliography
- Index
3 - A Superintendent and ‘Work Therapy’, 1843–61
Published online by Cambridge University Press: 25 March 2023
- Frontmatter
- Contents
- Figures
- Acknowledgements
- 1 Contexts: Asylums, Insanity and Locality
- 2 Norfolk Lunatic Asylum: Plans, Problems and Patients, 1814–43
- 3 A Superintendent and ‘Work Therapy’, 1843–61
- 4 A Medical Superintendent, Expansion and Reform, 1861–87
- 5 ‘Successful Conversion’: A Managed Community, 1887–1915
- 6 Two Histories: The Norfolk War Hospital, 1915–19
- 7 St Andrew's Hospital: Innovation and Constraints, 1920–39
- 8 Wartime and Post-War Crises, 1939–48
- 9 ‘Modern Treatment Carried Out Under Difficulty’, 1948–64
- 10 Community Care and the End of a Community, 1964–98
- 11 Postscript: Findings and Speculations
- Select Bibliography
- Index
Summary
Thomas Caryl had begun his twenty-ninth year as master at Norfolk Lunatic Asylum when the justices advertised for a new appointment in February 1843. Their decision, prompted by Caryl's ill-health and advancing years, also reflected plans to extend the asylum and an inspection by the Metropolitan Commissioners in Lunacy. They sought an unmarried man, aged under 45 years, ‘able to read and write and do accounts’. Ebenezer Owen, former master of Malmsbury Union workhouse and one time attendant at the Hanwell Asylum, was selected from twelve applicants in rather unusual circumstances. He was offered the post from 24 April 1843 at a provisional salary of £100 with board and lodging, raised to £150 in August 1844 when Caryl died and thereby ceased to draw his annuity. Owen and matron Houghton evidently made a practical couple; they married and were granted leave of absence at the end of August, while his brother Hugh temporarily became acting superintendent.
Ebenezer Owen's tenure as master and then superintendent at the NLA coincided with greater national emphasis upon the asylum as the appropriate place for madness. By 1859 there were 17,608 patients in county asylums nationally, more than five times the 1843 figure and twice the number of lunatics then in workhouses. His period of office began and ended with expansionary phases in NLA buildings and facilities and during it patient numbers more than doubled. Although Owen had no medical qualifications, these were also years of growing medical influence and external regulation. Each suggested minimum safeguards for asylum patients, although the impact of medicine can be overstated and legalistic concern often focused upon the rights of richer patients who might be confined in asylums. ‘In compliance with the statute 8 & 9 Vict. c.126’, the 1845 Lunatics Act, the first resident medical officer, surgeon T. Morison was appointed at an annual salary of 80 guineas, the expense partly offset by the death of Dr Wright, the visiting physician, in February 1845. G.W. Firth remained as visiting surgeon and Morison, who resigned in August 1847, was replaced by another surgeon, Charles Broughton. As the last English asylum to appoint a medical superintendent, the NLA nevertheless adopted an optimistic outlook by the early 1850s, with a medicalised approach added to earlier emphases upon work as therapy and an economically more self-reliant community.
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- Mental Health Care in Modern EnglandThe Norfolk Lunatic Asylum/St Andrew's Hospital, 1810-1998, pp. 53 - 81Publisher: Boydell & BrewerPrint publication year: 2003