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Available From UC Press
Customers and Patrons of the Mad-Trade
The Management of Lunacy in Eighteenth-Century London
This book is a lively commentary on the eighteenth-century mad-business, its practitioners, its patients (or "customers"), and its patrons, viewed through the unique lens of the private case book kept by the most famous mad-doctor in Augustan England, Dr. John Monro (1715-1791). Monro's case book, comprising the doctor's jottings on patients he saw in the course of his private practice--patients drawn from a great variety of social strata--offers an extraordinary window into the subterranean world of the mad-trade in eighteenth-century London.
The volume concludes with a complete edition of the case book itself, transcribed in full with editorial annotations by the authors. In the fragmented stories Monro's case book provides, Andrews and Scull find a poignant underworld of human psychological distress, some of it strange and some quite familiar. They place these "cases" in a real world where John Monro and othersuccessful doctors were practicing, not to say inventing, the diagnosis and treatment of madness.
The volume concludes with a complete edition of the case book itself, transcribed in full with editorial annotations by the authors. In the fragmented stories Monro's case book provides, Andrews and Scull find a poignant underworld of human psychological distress, some of it strange and some quite familiar. They place these "cases" in a real world where John Monro and othersuccessful doctors were practicing, not to say inventing, the diagnosis and treatment of madness.
Jonathan Andrews is Senior Lecturer in the School of Humanities, Oxford Brookes University. His publications include The History of Bethlem (1997) and "They're in the Trade of Lunacy" (1998). Andrew Scull, author of Social Order/ Mental Disorder (California, 1989; 1992) and The Most Solitary of Afflictions (1993), among other books, is Professor of Sociology at the University of California, San Diego. They are coauthors of Undertaker of the Mind (California, 2001), a wide-ranging study of the place of madness in eighteenth-century culture and society, seen through the prism of John Monro's life and career.
"The authors/editors have performed an invaluable service not only to the scholarly community, but to anyone who cares about the treatment of those we call mentally ill. Their transcription and editing of the candid case book of a prominent mid-eighteenth-century physician provide an extraordinarily circumstantial and illuminating glimpse into a vanished world of private psychiatric practice, at once alien yet surprisingly familiar."—Charles E. Rosenberg, author of The Care of Strangers