The Architecture of Madness Architecture, Landscape, and American Culture SERIES EDITOR Katherine Solomonson UNIVERSITY OF MINNESOTA A Manufactured Wilderness: Summer Camps and the Shaping of American Youth, 1890–1960 Abigail A. Van Slyck The Architecture of Madness: Insane Asylums in the United States Carla Yanni The Architecture of Madness Insane Asylums in the United States Carla Yanni ARCHITECTURE, LANDSCAPE, AND AMERICAN CULTURE University of Minnesota Press MINNEAPOLIS • LONDON Published in cooperation with the Center for American Places, Santa Fe, New Mexico, and Staunton, Virginia. www.americanplaces.org. This book is supported by a grant from the Graham Foundation for Advanced Studies in the Fine Arts. The author and the University of Minnesota Press gratefully acknowledge the support of the Faculty of Arts and Sciences and the University Research Council of Rutgers, The State University of New Jersey, in the publication of this book. An earlier version of chapter 2 was previously published as “The Linear Plan for Insane Asylums in the United States to 1866,” Journal of the Society of Architectural Historians62, no. 1 (March 2003). Reprinted with permission of the Society of Architectural Historians. The architectural plans in Appendix D were redrawn by Kevin Bell. Copyright 2007 by the Regents of the University of Minnesota All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher. Published by the University of Minnesota Press 111 Third Avenue South, Suite 290 Minneapolis, MN 55401-2520 http://www.upress.umn.edu Library of Congress Cataloging-in-Publication Data Yanni, Carla. The architecture of madness : insane asylums in the United States / Carla Yanni. p. cm. —(Architecture, landscape, and American culture) Includes bibliographical references and index. ISBN 978-0-8166-4939-6 (hc : alk. paper) —ISBN 978-0-8166-4940-2 (pb : alk. paper) 1. Asylums—United States—Design and construction— History. 2. Psychiatric hospitals—United States—Design and construction— History. 3. Hospital architecture—United States—History. I. Title. RC445.Y36 2007 725´.520973—dc22 2007003766 Printed in the United States of America on acid-free paper The University of Minnesota is an equal-opportunity educator and employer. 15 14 13 12 11 10 09 08 07 10 9 8 7 6 5 4 3 2 1 To my mother, Joan K. Yanni, the docent with the mocent This page intentionally left blank Contents Acknowledgments ix Introduction 1 1. Transforming the Treatment 17 ARCHITECTURE AND MORAL MANAGEMENT 2. Establishing the Type 51 THE DEVELOPMENT OF KIRKBRIDE PLAN HOSPITALS AND HOPE FOR AN ARCHITECTURAL CURE 3. Breaking Down 79 THE COTTAGE PLAN FOR ASYLUMS 4. Building Up 105 HOSPITALS FOR THE INSANE AFTER THE CIVIL WAR Conclusion 145 THE CHANGING SPACES OF MENTAL ILLNESS APPENDIX A. NOTE ON TERMINOLOGY 161 APPENDIX B. OCCUPATIONS OF PATIENTS IN 1850 163 APPENDIX C. COST OF LUNATIC ASYLUMS IN 1877 165 APPENDIX D. COMPARATIVE SIZES OF ASYLUMS, 1770–1872 166 Notes 169 Bibliography 179 Index 187 This page intentionally left blank Acknowledgments Architectural historian Joseph Siry suggested I write and we were on the edges of our chairs.The other par- my undergraduate honors thesis at Wesleyan Uni- ticipants were wonderfully responsive, Sarah Ruther- versity on H. H. Richardson’s Buffalo State Hospital ford,Jane Kromm,and Christine Stevenson,especially. for the Insane. An unusually dedicated thesis supervi- Jeanne Kisacky’s research on hospital architecture has sor, he learned that I had been raised in Rochester, helped me understand the key issues of ventilation and New York, near Buffalo, and that I was interested in access to nature. social history and science. When I went to graduate Annmarie Adams lavished attention on an early draft school at the University of Pennsylvania from 1988 to about the linear plan; my writing on this topic would 1994,I dropped the subject entirely,perhaps because I be far less nuanced without her care.I thank the Soci- felt overwhelmed by its grimness.But I maintained an ety of Architectural Historians for permission to re- interest in science and architecture,and I pursued these produce parts of an article published in the Journal of interrelated endeavors in my first book on the architec- the Society of Architectural Historians in chapter 2. Car- ture of natural history museums.The towers of Buffalo oline Elam read a draft of chapters 3 and 4,and Anne still loomed in my memory,and I was happy to return Cotterill cast her knowing eyes over the introduction. to the subject for this, my second book. Therese O’Malley kindly offered her knowledge of land- I have received generous intellectual guidance from scape history. Cynthia Field encouraged me to rent a titans in the history and sociology of medicine.Gerald flat in her home,from which we shared many delight- Grob’s enthusiasm for the project meant a great deal ful conversations about buildings and cats.Robert Woz- to me; readers will find frequent notes to a selected niak read early drafts and allowed me to peruse his few of his twenty-odd books on the history of medi- extraordinary collection of one thousand postcards of cine.Andrew Scull read drafts of two chapters,and his insane asylums in the United States; it was a pleasure advice helped me shore up the chapters that were most to view this wonderful repository in the company of dependent on detailed knowledge of psychiatry in the his friendly golden retriever. Maureen Meister, Jeffrey nineteenth century. I thank Leslie Topp and Jonathan Ochsner,and Frank Kowsky helped me understand the Andrews for inviting me to speak at “Space,Psyche,and smaller points of H.H.Richardson’s most massive build- Psychiatry,”the best conference I have ever attended;it ing.I thank the anonymous reviewer for the Center for was a symposium designed with one session taking place American Places and James E.Moran,who generously at a time,so that all speakers were present at every talk, reviewed my book for the University ofMinnesota Press. :: ix::
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