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The Political Economy of Madness

The Expansion of the Asylum in Progressive America

Bibliographic Data

ID5620134
AuthorsJohn R Sutton (corresponding author)
Year1991
Volume56
Issue5
Pages665
Publication date1991-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Sociological Review (JOURNAL)
Journal identifiersISSN: 0003-1224 • E-ISSN: 1939-8271
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.2307/2096087
OpenAlexW2087131061
LanguageEN
Citations received23
References cited24

In the United States between 1880 and the 1920s, unprecedented numbers of people were confined in mental hospitals, leading many contemporary observers to conclude that the nation was experiencing an epidemic of madness. I analyze the expansion of asylums as a product of organizational and political forces rather than an increase in insanity. The analysis is based on Grob's (1983) historical argument that asylums were forced to absorb increasing numbers of the aged poor who could no longer be confined in almshouses. This analysis is supplemented by a more comprehensive model that treats political factors especially the fiscal capacities of state governments and the role of political parties as fundamental determinants of institutional policy. This model is tested using longitudinal quantitative data for U.S. states. Results confirm the direct effects of almshouse capacities in an attenuated way, and show further that political organization influenced the production of insanity

Economics · Political economy · Political science · Politics · Sociology · Historical Economic and Social Studies · Historical Psychiatry and Medical Practices · Law · Mental Health Treatment and Access

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Unique citing works23
Citations per year0,72
Citation span1994 - 2026 (33)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 22

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