ReviewThe Yale journal of biology and medicine2025
Utica State Hospital: Psychiatric Reform, Institutionalization, and Patient Justice in 19th Century America and Today.
Review in The Yale journal of biology and medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
This paper focuses on the rise and fall of the Utica State Hospital, Utica, New York, once known for its pioneering use of moral treatment, as an example of how psychiatric institutionalization shaped ideas about mental illness, disability, and patient rights in America. Through architecture, patient narratives, and managerial reports, the paper explores how the institute ultimately fell out of use and how institutionalization, even with good intentions, could reinforce exclusion and harm toward the mentally ill and the disabled. The paper further traces the resonance between this legacy and today's psychiatric and disability studies, drawing attention to the recurring societal impulse to define and segregate abnormality.
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