Journal Article

‘A Burden on the County’: Madness, Institutions of Confinement and the Irish Patient in Victorian Lancashire

Catherine Cox and Hilary Marland

in Social History of Medicine

Published on behalf of Society for the Social History of Medicine

Volume 28, issue 2, pages 263-287
Published in print May 2015 | ISSN: 0951-631X
Published online January 2015 | e-ISSN: 1477-4666 | DOI:

More Like This

Show all results sharing these subjects:

  • Social and Cultural History
  • History of Medicine


Show Summary Details


This article explores the responses of the Poor Law authorities, asylum superintendents and Lunacy Commissioners to the huge influx of Irish patients into the Lancashire public asylum system, a system facing intense pressure in terms of numbers and costs, in the latter half of the nineteenth century. In particular, it examines the ways in which patients were passed, bartered and exchanged between two sets of institution—workhouses and asylums. In the mid-nineteenth century removal to asylums was advocated for all cases of mental disorder by asylum medical superintendents and the Lunacy Commissioners; by its end, asylum doctors were resisting the attempts of Poor Law officials to ‘dump’ increasing numbers of chronic cases into their wards. The article situates the Irish patient at the centre of tussles between those with a stake in lunacy provision as a group recognised as numerous, disruptive and isolated.

Keywords: asylums; workhouses; Irish; patients; chronic; overcrowding; cost

Journal Article.  14291 words.  Illustrated.

Subjects: Social and Cultural History ; History of Medicine

Users without a subscription are not able to see the full content. Please, subscribe or login to access all content. subscribe or login to access all content.