RT Journal Article
SR Electronic
T1 Searching for the patient's voice in the Irish asylums
JF Medical Humanities
JO J Med Humanit
FD BMJ Publishing Group Ltd and Institute of Medical Ethics
SP 87
OP 91
DO 10.1136/medhum-2015-010825
VO 42
IS 2
A1 Brendan D Kelly
YR 2016
UL http://mh.bmj.com/content/42/2/87.abstract
AB The history of mental healthcare in Ireland ends to focus on the histories of institutions and development of mental health legislation. Attention has also been devoted to clinical records, with all of their interpretative and narrative complexities. In both the historiography and archives, however, patients themselves remain remarkably elusive, their voices astonishingly distant. In countries other than Ireland, there have been more extensive analyses of patients’ letters, journals and first-person accounts of hospitalisation and treatment. In Ireland, there is real difficulty accessing such accounts, if they exist, especially from the 1800s. Asylum and hospital records offer some assistance in understanding patients’ concerns and, arguably, the symptoms recorded in asylum records (eg, delusions) provide further windows into patients’ minds. Methodological challenges abound, but while patients’ voices may remain largely unknown at present, they are certainly not unknowable. This paper posits that we just need to listen harder and, perhaps, listen better.