The last 40 years has seen a significant shift from state commitment to asylum-based mental health care to a mixed economy of care in a variety of locations. In the wake of this deinstitutionalisation, attention to date has focussed on users and providers of care. The consequences for the idea and fabric of the psychiatric asylum have remained 'stones unturned'. This book address an enduring yet under-examined question: what has become of the asylum? Focussing on the 'recycling' of both the idea of the psychiatric asylum and its sites, buildings and landscapes, this book makes theoretical connections to current trends in mental health care and to ideas in cultural/urban geography. The process of closing asylums and how asylums have survived in specific contexts and markets is assessed and consideration given to the enduring attraction of asylum and its repackaging as well as to retained mental health uses on former asylum sites, new uses on former sites, and interpretations of the derelict psychiatric asylum. The key questions examined are the challenges posed in seeking new uses for former asylums, the extent to which re-use can transcend stigma yet sustain memory and how location is critical in shaping the future of asylum and asylum sites.
'This fascinating piece of academic detection traces what happens to psychiatric asylums after they are closed. Who'd have guessed that these forbidding monoliths would someday be reinvented as college campuses, housing estates and theme parks? Using case studies from around the world, the authors reveal how the imposing ruins of past good intentions are transformed into a mundane present.' Michael Dear, University of California, Berkeley, USA 'Are there any asylums left? Well, yes and no. Discredited as suitable spaces for treating people with mental health problems, almost everywhere they have been threatened with closure. And yet they persist, these stubborn physical presences on the landscape. Ruined, re-used in new ways, still partially used for mental health purposes, even re-invented as modern mental health resorts: the asylums still haunt us materially and imaginatively. This book wonderfully explores the complex, often paradoxical, after-lives of the nineteenth- and early-twentieth century lunatic asylums, asking profound questions about how these edgy spaces illuminate the recycling, reworking and resisting of the stigmas that can cling resolutely to both people and place. It is a landmark text for cross-disciplinary critical mental health studies.' Chris Philo, University of Glasgow, UK
