Using the career of Richard M. Bucke at the London Asylum in Canada as
its focus, this 1986 book explores the theory and practice of late
nineteenth-century psychiatry. The study describes the medical context
that nurtured Victorian alienists, while their professional sphere - the
asylum - is considered as an autonomous social community, often at odds
with the intentions of its ostensible masters. Psychiatric theory is
discussed less as an objective body of biomedical knowledge than as a
product of the social turmoil that characterized the final decades of
the nineteenth century. Unlike many other studies of nineteenth-century
psychiatry, this book does not restrict itself to a single national
experience, but adopts an explicitly Anglo-American perspective. Rather
than restricting attention to political or institutional factors, it
accords major significance to the role of ideas in determining the
character of late Victorian psychiatry.