12 November 2019

99 Percent Invisible: The Kirkbride Plan

Today, there are more than a hundred abandoned asylums in the United States, many of them not all that different from Buffalo State. It’s one of the reasons we’re all so familiar with the idea of the big empty asylum in the woods. Few stop to wonder where all these structures came from, but, in fact, all of this was part of a treatment regimen developed by a singular Philadelphia doctor, a physician who was obsessed with architecture and how it could be harnessed therapeutically to cure those who’d become insane. [...]

In the late 18th and early 19th centuries, when someone was deemed insane, it was often thought to be the person’s own fault. “The assumption was they were […] forsaken by God or they were possessed by demons or they had done something to deserve to be in such a desperate condition,” says Carla Yanni, an architectural historian at Rutgers and author of the book The Architecture of Madness: Insane Asylums in the United States. She says that what happened to someone labeled insane in the early 19th century would have depended mostly on their class. Wealthy families often kept insane relatives at home or paid for them to live in private madhouses. Poorer people fared worse. They were cast out alone, and a lot of them ended up in jails or hospices. [...]

By the mid 20th century, the buildings had become overcrowded. Buffalo’s asylum, which was was designed for 600 was treating 3,600 patients in house. The state mental hospitals constructed during the early 20th century grew even larger, resembling institutional buildings, even prisons, the very thing Kirkbride had wanted to avoid. The largest, Pilgrim State Hospital on Long Island, at one point housed over 14,000 patients. By 1955, over half a million Americans were confined in state mental hospitals.

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