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Fractured Intentions: A History of Central State Hospital for the Insane, by Nicole R. Kobrowski
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They came from everyday life. Their illnesses knew no socioeconomic boundaries. Locking people in cabins, smokehouses and outdoor pens was not the answer. Leaving them in county homes was no solution. Turing to doctors for help, families hoped for the best. The State of Indiana and doctors agreed on the need for hospitals to help the mentally ill. To understand the history of Central State Hospital, in Indianapolis, Indiana, Nicole Kobrowski began the story on the practices of European and Colonial roots. These theories and methods, including a way a hospital should be built and operated, influenced Central State Hospital and mental health in Indiana. Kobrowski gives readers a comprehensive historical view of Indiana's first psychiatric facility: causes of insanity, operations and staffing, architecture and buildings, legislative acts, burials and cemeteries, and other historical information.
- Sales Rank: #579048 in Books
- Published on: 2014-10-10
- Original language: English
- Number of items: 1
- Dimensions: 11.00" h x .54" w x 8.50" l, 1.19 pounds
- Binding: Paperback
- 226 pages
Most helpful customer reviews
4 of 5 people found the following review helpful.
An incredible read . Anyone with an interest in Psychology , history and the human condition will truly enjoy this .
By Stephanie Marshall
This book is powerfully thought-provoking. I expected to find the book quite interesting but as I read I was incredibly moved by the honest stories of many of the patients (referred to as "inmates") and their families. How the initial focus was the welfare of the patients and how earnestly the early physicians tried to help them. As the story unfolds you see how time and again that there was no money and why the need overwhelmed the intentions. How lack of training and supervision of staff led to abuses and how ultimately the dream of curing those in need failed.
The number of years that the author spent researching records and data to give it's readers such a historically accurate account is impressive. Countless interviews with people had who had worked there and lived there. You come away feeling that you could know these people and that they should never be considered just a number .
This is not your typical asylum on the hill type of story.It would be an invaluable tool in college psychology classes . It is incredibly readable, I read it from cover to cover . It is full of photographs this is not a dry account but a story that so needed to be told with integrity and honesty. The author has shown that she was more than up to the task. Finally those long forgotten have been remembered with respect and more understanding .
1 of 1 people found the following review helpful.
Great Reference for Writing and Mental Healthcare History
By Nina
While some historical buildings are gradually torn from our landscape, Kobrowski rebuilds the Central State Hospital for the Insane with photos, documented first person accounts, and historical facts in her book Fractured Intentions. In this sense, the book is a time capsule and provides an afterlife for Indiana’s first psychiatric facility.
It’s a sobering thought to consider early definitions of “insanity” and Kobrowski points out the use of the word is “not to reflect my feelings toward people with mental health issues.” (prologue) One could find themselves committed for menopause, infertility, and common phobias. Kobrowski approaches both the predicaments of staff and patients with respect. The author’s considerate tone matches the hospital’s hiring procedures recommending attendants possess “that indefinable something that can only be called tact.” (p46)
Detailed lists offer insight into the complexities of managing such a large facility as well as budgetary issues. It seems the more society understood the need for quality mental healthcare, the less the state allotted funds towards it. Stories from former staff shed light on a career requiring big hearts but with little pay.
Stories range from the 1886 accounts of Albert Thayer and the “unheard of cruelties” (p74) that existed in the facility to the early 1970s investigative reporting of Skip Hess “about the abuses, neglect, infestation, and filth at the hospital.” (p170) Despite the horror stories, Chapter 12 interviews offer first-person experiences of staff expressing dismay with the conditions and a sadness that many patients “lived there most of their lives.” (p165)
Fractured Intentions is an informative and intriguing read for history and medical buffs and even includes some reports of paranormal activity. I highly recommend this book for those interested in mental health or writing about such issues and their facilities. Kobrowski brings Central State Hospital and its inhabitants alive so the reader can immerse themselves in a world that has slowly gone but not forgotten.
1 of 1 people found the following review helpful.
Mystied From Behind Iron Gates
By Sandy
Well done!! I was always mystified what info lied between the walls of Central State..When I was young, I would visit mtly Grandma who lived on Belleview Place off W. Ray St. It was the 60's when people were not afraid of taking a walk in the neighborhood...I would see patients standing by the iron fence and I would go over and talk to them..They would always be told to back away when a pedestrian was walking by the fence. I was about 12 years old and I had started talking to this little woman and would cry and ask me to get her out of this prison..I really bever knew much about the hospital.I have searched for years to locate a book for Central State..Now I have it!!! Thanks so much.........Sandy
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