On the centenary of the publication of “Experience of an Asylum Doctor”, the Royal College of Psychiatry hosted a 15 minute webinar about Lomax and his campaign for lunacy reform. This is free to watch at:
The previous blog outlined how mentally handicapped children in the Victorian era were removed from their families and placed within the confines of lunacy asylums, private madhouses or if they were lucky, in dedicated colonies. By the mid to late nineteenth century, the medical profession had appropriated the care of the feebleminded, possibly for research purpose, perhaps for financial gain. In doing so they created a problem for society as the numbers of children, and adults deemed to have mental impairment rose rapidly. The increase in numbers paralleled the rapid rise in British population growth, but it began to cause severe problems for the Exchequer, and for policy makers who were required to build appropriate accommodation to house these cases.
Two influential concepts ran through British culture from the mid to late nineteenth century – the ‘Degeneration Theory’ and Eugenics. The ‘Degeneration Theory’ was proposed by French doctor, Benedict Morel in the 1850s and suggested that certain constitutional disorders ran through families. This lead to the belief in ‘hereditary taint’, which proposed that a mentally handicapped child resulted from impurity in the parent. Scientific papers outlining the transmission of a degenerative taint through families were printed in respectable medical journals . Prominent psychiatrists such as Dr Henry Maudsley and Dr Fletcher Beach supported the theory of degeneration which began to trickle in to popular culture . The ‘hereditary taint’ of a handicapped child thus became a social embarrassment, and great efforts were made to hide such children from polite society. The Queen’s cousins were placed in the Earlswood Asylum for idiots, a fact only recently uncovered by journalists. It is not surprising that Dr Montagu Lomax gave his son, Armine into the care of Dr Fletcher Beach at age seven, and Lomax never once referred to the boy in any of his prolific writings.
Eugenics, or the concept of pure breeding to improve a population ( and conversely, preventing unsuitable people from breeding) was popularised in late Victorian times by Francis Galton, a distant relative of Darwin. Galton used Darwin’s theories of natural selection as the basis for his eugenic theories which were both popular and influential until they were adopted by the Nazi Party in their search for the pure Aryan race.
By the end of the nineteenth century, ‘Hereditarism’ formed from the theory of degeneration and the eugenics movements had begun to inform public policy. Dr Fletcher Beach suggested segregation of idiots and imbeciles on the grounds that if breeding were prevented it would reduce the numbers of such ‘incurables’ in future generations . Ellen Pinsent* who founded the National Association for the Care of the Feebleminded in 1896, believed that lifelong segregation was the kindest option for the feebleminded. She was an influential eugenicist, serving on the Royal Commission on the Care and Control of the feebleminded of 1908. This lead to the Mental Deficiency Act of 1913 which proposed that mental defectives should be removed from prisons and Poor Law institutions and segregated by sex within newly established colonies
Custodial policies resulted in severe overcrowding of the imbecile asylums and colonies. Concerns were also raised over the drain on the public purse as Britain teetered on the brink of the Depression between the two World Wars. Compulsory sterilisation of imbeciles was suggested on purely economic grounds by the Eugenics Society in their 1926 Manifesto . Debate raged in the medical journals of the time over custodial segregation vs sterilisation. In 1926, the argument spilled over into the popular press when eugenicist, Harold Cox wrote an article in the Spectator suggesting that lifelong segregation of mental defectives was an act of ‘callous cruelty’. Cox believed that mental defectives should be released from captivity but only after sterilisation to prevent their ‘terrible taint’ from being passed on . Cox’s controversial beliefs engendered a six month public debate through the correspondence columns of the Spectator. However, at the end of the day, Britain was not ready for such drastic measures, perhaps because of the rise of Nazism, perhaps because of religious opposition. The 1913 Act remained in place until it was repealed by the 1959 Mental Health Act.
*Ellen Pinsent (1866-1949) was married to Hume Pinsent, a prominent Birmingham solicitor. Ellen was made a dame in 1938 for her work in the care of mentally impaired children. Prior to the First World War, the Pinsent family lived at Lordswood House, in the Birmingham suburb of Harbourne. By strange coincidence, Lordswood House was built by Montagu Lomax’s father, the reverend Thomas Smith, and Lomax lived here until he was 9 years old.
1. Wright, D., Mental disability in Victorian England : the Earlswood Asylum, 1847-1901. Oxford historical monographs. 2001, Oxford ; New York: Clarendon Press. vii, 244 p.
2. Beach, F., A Lecture on the Influence of Hereditary Predisposition in the Production of Imbecility. Br Med J, 1887. 1(1378): p. 1147-8.
3. Crook, P., Darwin’s Coat Tails: Essays on Social Darwinism. 2007: Peter Lang.