Tag Archives: Lunacy Commission

Anyone Could Be Insane

Alsa Thompson, Age 4

Alsa Thompson, Age 4

Early alienists did not spare many conditions when it came to assessing insanity. Alcohol abuse, syphilis, and epilepsy, were often considered forms of insanity, as were the physical manifestations of a severe form of niacin deficiency called pellagra. Women with severe PMS or menopausal symptoms, or even too much interest in sex, could also be considered insane. Children did not escape that label, either.

Publicity Surrounded This Unusual Case

Publicity Surrounded This Unusual Case

In 1925, seven-year-old Alsa Thompson confessed to poisoning her family by putting sulphuric acid and ant paste in their evening meal. Fortunately, her intended victims found the taste so awful that they didn’t eat more than a bite or two of the meal, but the child’s troubled psyche had been exposed. Further investigation found that she had slashed her five-year-old sister’s wrists with a safety razor (which didn’t kill her), and had poisoned two canaries and a cat.

Judge Walter Gates dismissed the insanity complaint that had been brought against Alsa, but he did feel she needed to be under observation. He remanded Alsa into the custody of parole officer Jean McCracken of the local lunacy commission until she could be transferred to a state institution.

Some Contemporaries Obviously Doubted Alsa's Confession

Some Contemporaries Obviously Doubted Alsa’s Confession

Newspaper accounts of the time mentioned that she did not seem bothered by the accusation and simply stated, “I like to see them die,” when questioned about her motives. Her father vigorously defended her, and others thought she was simply impressionable and confessed to a crime she did not commit.

Undercover Visitors

Nellie Bly

Nellie Bly

Though Lunacy Commissions and other visitors who provided oversight to asylums could be misled (see last post), word of actual conditions in an asylum nonetheless leaked out. Sometimes attendants talked, but more often, former patients spoke out against any abusive or inhumane conditions they had endured during their stays. Though these accounts were often dismissed, the public did become curious about conditions in insane asylums and at times speculated wildly about what might actually be happening to patients. At times, newspapers provided on-the-spot reporting by sending someone into an asylum undercover. Continue reading

Useful Visitors

Photos Showed What Words Could Not

Photos Showed What Words Could Not

Though many patients felt they didn’t get enough visitors, and others didn’t like being treated as entertainment for the thrill-seeking public (see last blog), certain visitors were supposed to help asylum patients. Most states set up a Lunacy Commission whose job it was to visit and inspect the state’s insane asylums. These appointed personnel were supposed to go through the facilities and ensure that patients were being treated humanely. They were also charged with reviewing the superintendent’s management and suggesting changes for the benefit of the institution; this oversight could include reviewing the asylum’s financial records and expenditures. The Government Hospital for the Insane, later St. Elizabeths, was an exception in that it was overseen by a Board of Visitors who performed much the same function.

Most asylums were not at all afraid or ashamed to have their finances reviewed. Many superintendents were proud of their fiscal management and also grateful for numerous charitable contributions such as newspaper subscriptions, special entertainments, gifts of furniture, and the like. They enjoyed showing off the productivity of their patients in terms of food raised, garments sewed, etc. However, superintendents realized that all patients did not present well, and usually took pains to ensure that visiting officials saw their institutions at their best. Most asylums kept the calmer, better-behaved patients in wards closer to the administrative offices. Recovering patients often moved from ward to ward as they got better, and eventually ended up in one of these more public wards. When visitors saw such patients, who were often nearly recovered or had minor illnesses to begin with, they were reassured. Any cruel treatment, confinement, and restraint generally occurred on wards which were not shown to the public. This is one reason that patient abuse could thrive despite the oversight built into the asylum system.

Montevue Asylum, African-American Ward

Montevue Asylum, African-American Ward

Montevue Asylum in Maryland, 1909, Photographed by the State's Lunacy Commission

Montevue Asylum in Maryland, 1909, Photographed by the State’s Lunacy Commission