
Contents
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Asylum staff Asylum staff
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Patients and therapy Patients and therapy
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Work, recreation and religion Work, recreation and religion
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Medical encounters Medical encounters
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Physical environment Physical environment
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Conclusion Conclusion
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Notes Notes
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Cite
Abstract
Drawing on asylum case histories, minute books and patients’ letters, this chapter provides some understanding of life in Enniscorthy and Carlow asylums for staff and patients by exploring the management and treatment regimes. As the chapter argues, the medical regimes in Carlow and Enniscorthy asylums were mapped onto contemporary formulations of moral management and prison reform. While Carlow and Enniscorthy were modest-sized asylums, financial and management problems, similar to those impacting upon larger institutions, adversely affected patient care and by the late nineteenth century the early optimism associated with moral management had evaporated. Throughout the century and in keeping with theories of moral management and the non-restraint movement, asylum officials were preoccupied with maintaining order and regularity in asylums that were often overcrowded and in poor physical condition. Consequently, disciplining both patients’ and staff's behaviour and bodies became a defining management strategy. Yet, patients’ experiences were heterogeneous and they experienced the regimes of care in various ways as therapy, exploitation and punishment.
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