Looking back at almost fifty years of psychotherapy in post-war Germany, Annemarie Dührssen (1916–98), one of the grand old ladies of the discipline, proudly presented a story of success in 1994. In the immediate post-war years, between 1946 and 1950, there were already a considerable number of individuals and groups all over the country active in establishing hospitals or outpatient clinics exclusively devoted to psychosomatic medicine and psychotherapy; in 1950, the first university programme in the subject was set up in Heidelberg; in 1967, psychoanalytically oriented psychotherapy was included in the catalogue of services offered by the statutory health insurance system; and in 1970, psychosomatic medicine and psychotherapy had become obligatory subjects in the curriculum of medical students, resulting in the establishment of chairs in these areas at almost every medical faculty in West Germany.

Food safety is an ever more conflictive issue receiving media attention. “The increased activity of interest groups, the impact of the Common Agricultural Policy and changes in the retail economy have combined to transform [a relatively closed] food policy community into an issue network”. This account of recent changes lacks the historical dimension that might endow it with meaning. It is hardly appropriate to describe the current situation as a reawakening after a long slumber. In France at least, complaints about food safety voiced in numerous newspaper articles echo enduring concerns and a permanent sense of alarm. In 1957, Demain ran a catalogue of food scares: industrial bread causing eczema; wine adulterated with sulphur anhydride (for safe transportation); eggs and milk feared by doctors to be toxic (because chickens were being fed with chemicals or fish, and cattle with ground up rubbish); and filthy conditions on cattle and poultry farms. Much the same sort of list could have been drawn up early in the century during meetings of the Société Scientifique d'Hygiène Alimentaire (created in 1904), or run in the press following passage of the 1905 Food Adulteration Act, or printed in popular pamphlets such as Dr Raffray's Le péril alimentaire (1912). As the Common Market took shape in the 1960s, repeated articles in the daily newspapers relentlessly focused on the issue of food and public health. In France, arguments were continually framed in the language of the 1905 act.

Recent scholarship has explored the dynamics between families and colonial lunatic asylums in the late nineteenth century, where families actively participated in the processes of custodial care, committal, treatment and release of their relatives. This paper works in this historical field, but with some methodological and theoretical differences. The Foucauldian study is anchored to a single case and family as an illness narrative that moves cross-referentially between bureaucratic state archival material, psychiatric case records, and intergenerational family-storytelling and family photographs. Following headaches and seizures, Harry Walter Wilbraham was medically boarded from his position as Postmaster in the Cape of Good Hope Colony of South Africa with a ‘permanent disease of the brain’, and was committed to the Grahamstown Asylum in 1910, where he died the following year, aged 40 years. In contrast to writings about colonial asylums that usually describe several patient cases and thematic patterns in archival material over time and place, this study’s genealogical lens examines one white settler male patient’s experiences within mental health care in South Africa between 1908 and 1911. The construction of Harry’s ‘case’ interweaves archival sources and reminiscences inside and outside the asylum, and places it within psychiatric discourse of the time, and family dynamics in the years that followed. Thus, this case study maps the constitution of ‘patient’ and ‘family’ in colonial life, c.1888–1918, and considers the calamity, uncertainty, stigma and silences of mental illness.