By Mab Segrest (NHC Fellow, 2017–18) Today, 90 percent of psychiatric beds are located in jails and prisons across the United States, institutions that confine disproportionate numbers of African Americans. After more than a decade of research, the celebrated scholar and activist Mab Segrest locates the deep historical roots of this startling fact, turning her … Continued
By Martin Summers (NHC Fellow, 2013–14) From the mid-nineteenth to the late twentieth centuries, Saint Elizabeths Hospital was one of the United States' most important institutions for the care and treatment of the mentally ill. Founded in 1855 to treat insane soldiers and sailors as well as civilian residents in the nation's capital, the institution … Continued
By Arleen Marcia Tuchman (NHC Fellow, 1995–96) German-born Marie Zakrzewska (1829-1902) was one of the most prominent female physicians of nineteenth-century America. Best known for creating a modern hospital and medical education program for women, Zakrzewska battled against the gendering of science and the restrictive definitions of her sex. In Science Has No Sex, Arleen Tuchman … Continued
By Timothy S. Miller (NHC Fellow, 1982–83) Medical historians have traditionally claimed that modern hospitals emerged during the latter half of the nineteenth century. Premodern hospitals, according to many scholars, existed mainly as refuges for the desperately poor and sick, providing patients with little or no medical care. Challenging this view in a compelling survey … Continued
Martin Summers argues that assumptions about the existence of distinctive black and white psyches shaped the therapeutic and diagnostic regimes in Saint Elizabeths hospital and left a legacy of poor treatment of African American patients, even after psychiatrists had begun to reject racialist conceptions of the psyche. Yet black patients and their communities asserted their own agency and exhibited a “rights consciousness” in large and small ways, from agitating for more equal treatment to attempting to manage the therapeutic experience.