%PDF-1.3 1 0 obj << /Type /Catalog /Outlines 2 0 R /Pages 3 0 R >> endobj 2 0 obj << /Type /Outlines /Count 0 >> endobj 3 0 obj << /Type /Pages /Kids [6 0 R 14 0 R 16 0 R 20 0 R ] /Count 4 /Resources << /ProcSet 4 0 R /Font << /F1 8 0 R /F2 9 0 R /F3 10 0 R >> /XObject << /I1 11 0 R >> >> /MediaBox [0.000 0.000 595.280 841.890] >> endobj 4 0 obj [/PDF /Text /ImageC ] endobj 5 0 obj << /Creator (DOMPDF) /CreationDate (D:20140728160657+01'00') /ModDate (D:20140728160657+01'00') /Title (Outside the Walls of the Asylum: The History of Care in the Community 1750-2000) >> endobj 6 0 obj << /Type /Page /Parent 3 0 R /Annots [ 12 0 R ] /Contents 7 0 R >> endobj 7 0 obj << /Length 4355 >> stream q 381.750 0 0 120.000 34.016 687.874 cm /I1 Do Q 0.000 0.000 0.000 rg BT 34.016 676.469 Td /F1 12.0 Tf [(Published on )] TJ ET BT 99.356 676.469 Td /F2 12.0 Tf [(Reviews in History)] TJ ET BT 190.016 676.469 Td /F1 12.0 Tf [( \()] TJ ET 0.000 0.000 0.800 rg BT 197.012 676.469 Td /F1 12.0 Tf [(http://www.history.ac.uk/reviews)] TJ ET 0.000 0.000 0.800 RG 0.24 w 0 J [ ] 0 d 197.012 675.075 m 357.332 675.075 l S 0.000 0.000 0.000 rg BT 357.332 676.469 Td /F1 12.0 Tf [(\))] TJ ET 0.502 0.502 0.502 RG 0.75 w 0 J [ ] 0 d 34.391 653.743 526.499 1.500 re S BT 34.016 615.321 Td /F3 18.0 Tf [(Outside the Walls of the Asylum: The History of Care in the )] TJ ET BT 34.016 593.937 Td /F3 18.0 Tf [(Community 1750-2000)] TJ ET BT 34.016 337.475 Td /F1 12.0 Tf [(This collection of essays represents an ambitious attempt to investigate the history of community care in )] TJ ET BT 34.016 323.219 Td /F1 12.0 Tf [(Britain and Ireland from 1750 to the present. Community care is examined as both a social phenomenon and )] TJ ET BT 34.016 308.963 Td /F1 12.0 Tf [(a distinct gov ernment programme. Exciting original research is used to illuminate ongoing historical )] TJ ET BT 34.016 294.707 Td /F1 12.0 Tf [(debates and contextualise current concerns about the future direction of community care. Outside the walls )] TJ ET BT 34.016 280.451 Td /F1 12.0 Tf [(of the asylum aims to break out of the straightjacket of asyl um history but rather than down play the )] TJ ET BT 34.016 266.195 Td /F1 12.0 Tf [(importance of the rise and fall of asylum care the essays seek to explore the boundaries between different )] TJ ET BT 34.016 251.939 Td /F1 12.0 Tf [(forms of care and how these have shifted over time.)] TJ ET BT 34.016 225.683 Td /F1 12.0 Tf [(The essays aim to break new ground while recasti ng familiar debates about the public/private, )] TJ ET BT 34.016 211.427 Td /F1 12.0 Tf [(institution/community, formal and informal care. Class and gender are highlighted as explanations of how )] TJ ET BT 34.016 197.171 Td /F1 12.0 Tf [(insanity was constructed differently according to time and place with reference to social, economic, pol )] TJ ET BT 34.016 182.915 Td /F1 12.0 Tf [(itical, legal, cultural and intellectual factors. With so much to consider the reader is grateful for the )] TJ ET BT 34.016 168.659 Td /F1 12.0 Tf [(comprehensive and well balanced introduction provided by Bartlett and Wright. The workshops that )] TJ ET BT 34.016 154.403 Td /F1 12.0 Tf [(generated the collection of essays, and close editor ship, have given the seeming disparate essays a feeling of )] TJ ET BT 34.016 140.147 Td /F1 12.0 Tf [(cohesion and common purpose that is reinforced by the holistic overview by Bartlett and Wright that )] TJ ET BT 34.016 125.891 Td /F1 12.0 Tf [(foregrounds the common interest in breaking down the walls of the asylum.)] TJ ET BT 34.016 99.635 Td /F1 12.0 Tf [(Bartlett and Wr ight correctly identify the institutional focus within the historiography of madness but note )] TJ ET BT 34.016 85.379 Td /F1 12.0 Tf [(that despite the many factors driving researchers into hospital archives there is increasing awareness that )] TJ ET BT 34.016 71.123 Td /F1 12.0 Tf [(care outside of the asylum was also important. This c ollection of essays fills an important gap in the )] TJ ET BT 34.016 56.867 Td /F1 12.0 Tf [(literature and will surely prompt further research into the historical as well as modern complexities of non-)] TJ ET BT 34.016 563.315 Td /F3 12.0 Tf [(Review Number:)] TJ ET BT 34.016 549.059 Td /F1 12.0 Tf [(98)] TJ ET BT 34.016 534.803 Td /F3 12.0 Tf [(Publish date:)] TJ ET BT 34.016 520.547 Td /F1 12.0 Tf [(Tuesday, 29 February, 2000)] TJ ET BT 34.016 506.291 Td /F3 12.0 Tf [(Editor:)] TJ ET BT 34.016 492.035 Td /F1 12.0 Tf [(Peter Bartlett)] TJ ET BT 34.016 477.779 Td /F1 12.0 Tf [(David Wright)] TJ ET BT 34.016 463.523 Td /F3 12.0 Tf [(Date of Publication:)] TJ ET BT 34.016 449.267 Td /F1 12.0 Tf [(1999)] TJ ET BT 34.016 435.011 Td /F3 12.0 Tf [(Publisher:)] TJ ET BT 34.016 420.755 Td /F1 12.0 Tf [(The Athlone Press)] TJ ET BT 34.016 406.499 Td /F3 12.0 Tf [(Place of Publication:)] TJ ET BT 34.016 392.243 Td /F1 12.0 Tf [(London)] TJ ET BT 34.016 377.987 Td /F3 12.0 Tf [(Reviewer:)] TJ ET BT 34.016 363.731 Td /F1 12.0 Tf [(Pamela Dale)] TJ ET endstream endobj 8 0 obj << /Type /Font /Subtype /Type1 /Name /F1 /BaseFont /Times-Roman /Encoding /WinAnsiEncoding >> endobj 9 0 obj << /Type /Font /Subtype /Type1 /Name /F2 /BaseFont /Times-Italic /Encoding /WinAnsiEncoding >> endobj 10 0 obj << /Type /Font /Subtype /Type1 /Name /F3 /BaseFont /Times-Bold /Encoding /WinAnsiEncoding >> endobj 11 0 obj << /Type /XObject /Subtype /Image /Width 509 /Height 160 /Filter /FlateDecode /DecodeParms << /Predictor 15 /Colors 3 /Columns 509 /BitsPerComponent 8>> /Mask [ 255 255 255 255 255 255 ] /ColorSpace /DeviceRGB /BitsPerComponent 8 /Length 3280>> stream x[EQ㎦fVttҒ +3O{?lGDQԯDrB^.ϯ%~'0۠/2>0AG_>0j0GCfE67>rB^}@  !&y+r?INp:erc b8f=rQC!~-Wf^^zF[)G 2ޯe7V_Go3Ke GEGOo8rώ#\1ZY~N6^H}yLxS-!:412V+u\-LSO?xVvZ|GjǮT_8EYJF=Tw^ 7GxfN/S:Ʌ~ʟtt?5n÷J'JcF-GVξx{rO~tJd;#a\7}|~y'>}c2C vR}f׈**h.)_&@pfzjsx:5;S\vKhM5j=!Cn+h"u]a EUN]jn=k<,:Ք>sU!ni~6EJ)¦72?G}[y}_vc$t?iSܟ2Zݞ,VN?_`='RFK1A2qv&X_lLRWY'%:I㢖zb_UEx\>&ɆBˏ~K@ \gYØU4}$8Dv!'Q'*+Εj(UCGo[#< 2Ja(sZi9fZKE Rn`u\9r^Zmɯ׹}mstO4uc~#'jEvۼ Dx[z ޏQ4KL5,5u3>i^uÒ-53ba ~,~/pyt1fMU'CVm:qv~=Y'Es"WsφG?l_kN5}],Ow7 uh`xƫ?zMl7ٻv$A(4Dl(wwH} ?=[=S;yC]^BK>㕪9`Z'Wj;E|:bf>kCԘ#RY,iv쵗~}n'"1u" *uO΄/2^Sxr(!/DD\~mJyZ!MmrA!#u[if|99WB WΡpp}w}sh#,\ &:%˳X?D3 %W0cC?o̲^} F3XLVn]Cߖiϧ!7}yZJ#P7]=)7Ρp;>> Ye^xx{Oafw{ ;>4gfLt ʊ:q%#r/)pv!O4wGh|dS ӣݽހ-gVUC'pBxrB^} 7JA^} /'8!`:r?}}],X  }6y!`/~Br?}Q< >k7vx"] ,' .3jn{-i}|~%-};b6#U)7繎kiEw 㤳:E}[޼c"rꬊ7Dc$~"/Y&zSd:tFȌCrʙ`7u .#[-<)j ?TGS(j~oTup(hjU4PlJ=}|it.ҽ@\wʨuXÞZcx18Wo<~ikOg,ވ\^?EneyZcc0[R١z|zv7_m:_n]a?osS3~j^ hD.a_X'KfBX6w wݶ"Oa:,bvhrWH[uCF-Xfc}>x+Rz)2N-B 7y^٨;[/vg? | |2Sve}=o䑰j[vWjF0{굦?VI~}xM(_TlG__+]:#к?S} c>GŸD7 !w{S{B =x7a?oE#)+Gz:o_4Q<;n?\tt7?mGCџQGu4kņOF>F?#} hP&ђߴM#u!.СtL2^#o nIk_i.~7tr@n 1P~3?.[]=S5b߮~Yo^HFH YBi8a4iom>CKgMy*;?zqEӕ` >zB9iFzC?XF?ޟIܰ펉A}{I5ᄊx%ez#Mp@rߎpi]IOVjzuJt\۰f׺u5><,J~PTJp1)}){9N {!`/> endstream endobj 12 0 obj << /Type /Annot /Subtype /Link /A 13 0 R /Border [0 0 0] /H /I /Rect [ 197.0117 675.3895 357.3317 687.2695 ] >> endobj 13 0 obj << /Type /Action /S /URI /URI (http://www.history.ac.uk/reviews) >> endobj 14 0 obj << /Type /Page /Parent 3 0 R /Contents 15 0 R >> endobj 15 0 obj << /Length 7257 >> stream 0.000 0.000 0.000 rg 0.502 0.502 0.502 RG 0.75 w 0 J [ ] 0 d BT 34.016 796.469 Td /F1 12.0 Tf [(institutional care. A recurring theme in these essays is that there neither is nor was a simple inverse )] TJ ET BT 34.016 782.213 Td /F1 12.0 Tf [(relationship between the asylum and community provision. However, Mathew Thomson's suggestion that )] TJ ET BT 34.016 767.957 Td /F1 12.0 Tf [(institutional and community care were intimately linked both strategically and ideologically has been tested )] TJ ET BT 34.016 753.701 Td /F1 12.0 Tf [(and generally confirmed. Nave assumpti ons about a golden age of tolerance and care before the birth of the )] TJ ET BT 34.016 739.445 Td /F1 12.0 Tf [(asylum continue to be swept away and yet family care is demonstrated to be more robust to the challenge of )] TJ ET BT 34.016 725.189 Td /F1 12.0 Tf [(capitalism than Scull suggested. In fact, throughout the period, families emerg e as key negotiators in )] TJ ET BT 34.016 710.933 Td /F1 12.0 Tf [(deciding the care of their relatives rather than passive clients of the state. Although Anne Borsay's recent )] TJ ET BT 34.016 696.677 Td /F1 12.0 Tf [(IHR review of 'Insanity, Institutions and Society: A social history of Madness in Comparative Perspective' )] TJ ET BT 34.016 682.421 Td /F1 12.0 Tf [(\(1999 edited by Melling and Forsythe\) and the author's response shows how contentious this conclusion may )] TJ ET BT 34.016 668.165 Td /F1 12.0 Tf [(prove to be. Provision for pauper lunatics was designed and implemented with little reference to the main )] TJ ET BT 34.016 653.909 Td /F1 12.0 Tf [(clients of the service but welfare service it was, opening possibilities for bargaining resistance and collusion )] TJ ET BT 34.016 639.653 Td /F1 12.0 Tf [(between families and the groups providing and financing care.)] TJ ET BT 34.016 613.397 Td /F1 12.0 Tf [(Walsh and Melling et al outline circumstances in which the family might be empowered. They highlight a )] TJ ET BT 34.016 599.141 Td /F1 12.0 Tf [(situation where peculiar loc al circumstances, related to the attitude of authority figures and financial )] TJ ET BT 34.016 584.885 Td /F1 12.0 Tf [(considerations, may have enabled the family to retain considerable power in the decision making proients )] TJ ET BT 34.016 570.629 Td /F1 12.0 Tf [(and communities in their planning and delivery. This is a different type of state crisis to the one outlined by )] TJ ET BT 34.016 556.373 Td /F1 12.0 Tf [(Scull but issues of legitimacy and locality are crucial to understanding the relationships between institutional )] TJ ET BT 34.016 542.117 Td /F1 12.0 Tf [(and community care, the statutory and the voluntary, the public and the private. The volatility of soci al and )] TJ ET BT 34.016 527.861 Td /F1 12.0 Tf [(political life in Northern Ireland dramatises the ethnic, religious, class and gender tensions and alliances that )] TJ ET BT 34.016 513.605 Td /F1 12.0 Tf [(clearly lay behind the development of both asylums and community alternatives at different times.)] TJ ET BT 34.016 487.349 Td /F1 12.0 Tf [(Sarah Payne and Jim Campbell examine the tensions inherent in community care as it was delivered in the )] TJ ET BT 34.016 473.093 Td /F1 12.0 Tf [(1970s, 1980s and 1990s. This was a period when community care was central to mental health policy and )] TJ ET BT 34.016 458.837 Td /F1 12.0 Tf [(the numbers of inpatient beds declined dramatically. Although debate original ly centred on the best way to )] TJ ET BT 34.016 444.581 Td /F1 12.0 Tf [(deliver community care there is now concern about resource allocation, risk management and the failure to )] TJ ET BT 34.016 430.325 Td /F1 12.0 Tf [(fully unite public support behind the initiative.)] TJ ET BT 34.016 404.069 Td /F1 12.0 Tf [(Whilst both Payne and Campbell highlight apparent benefits for service users concerns about the neglect of )] TJ ET BT 34.016 389.813 Td /F1 12.0 Tf [(the most vulnerable, who pose some kind of danger to themselves and to others persist. Women as carers re-)] TJ ET BT 34.016 375.557 Td /F1 12.0 Tf [(emerge as a feminist concern but in reality the younger mentally ill often have to function as their own carers )] TJ ET BT 34.016 361.301 Td /F1 12.0 Tf [(with little community involvement and the obvious risks of homelessness. Control has re-emerged in policy )] TJ ET BT 34.016 347.045 Td /F1 12.0 Tf [(debates with young men being seen as a particularly dangerous group. Forensic psychiatric teams operating )] TJ ET BT 34.016 332.789 Td /F1 12.0 Tf [(at interface between the criminal j ustice and mental health systems have assumed importance in meeting the )] TJ ET BT 34.016 318.533 Td /F1 12.0 Tf [(needs of the vulnerable and setting the limits to community care.)] TJ ET BT 34.016 292.277 Td /F1 12.0 Tf [(The tag 'dangerous' has historically been applied to madmen and the special management problems they )] TJ ET BT 34.016 278.021 Td /F1 12.0 Tf [(have pres ented at different times is discussed in some detail by Oonagh Walsh and Melling et al. The small )] TJ ET BT 34.016 263.765 Td /F1 12.0 Tf [(minority of cases attracting the label dangerous have historically been amongst the most difficult to place )] TJ ET BT 34.016 249.509 Td /F1 12.0 Tf [(since their care and control is often contentious . All the essays dealing with this subject highlight a merry-)] TJ ET BT 34.016 235.253 Td /F1 12.0 Tf [(go-round of placements in workhouses, prisons and asylums with no consensus on the most appropriate )] TJ ET BT 34.016 220.997 Td /F1 12.0 Tf [(institution being achieved and community care being vulnerable to family and community fears. This is the )] TJ ET BT 34.016 206.741 Td /F1 12.0 Tf [(type of penal-welfare system outlined by Garland and its ongoing institutional focus seems re-enforced by )] TJ ET BT 34.016 192.485 Td /F1 12.0 Tf [(recent plans to develop more medium secure units across Britain. The institutional focus of care for this most )] TJ ET BT 34.016 178.229 Td /F1 12.0 Tf [(vulnerable group seems to stem from the failure of community support, from families, professional and the )] TJ ET BT 34.016 163.973 Td /F1 12.0 Tf [(wider public.)] TJ ET BT 34.016 137.717 Td /F1 12.0 Tf [(While Sarah Payne is rightly critical of sensational media coverage that she blames for a backlash against the )] TJ ET BT 34.016 123.461 Td /F1 12.0 Tf [(idea of community care, it is also true tha t the press can mobilise public support in favour of improved civil )] TJ ET BT 34.016 109.205 Td /F1 12.0 Tf [(liberties and better care. Suzuki uses ideas of mob justice, so important in the work of EP Thompson, to )] TJ ET BT 34.016 94.949 Td /F1 12.0 Tf [(show how in the nineteenth century crowds would gather to frustrate cases of wrong ful confinement. )] TJ ET BT 34.016 80.693 Td /F1 12.0 Tf [(However he notes that the readiness for outsiders to intervene varies according to time and place. It is )] TJ ET BT 34.016 66.437 Td /F1 12.0 Tf [(certainly no longer the case that crowds gather but public opinion is still a powerful determinant of the )] TJ ET BT 34.016 52.181 Td /F1 12.0 Tf [(treatment of the mentally d isordered and the resources available for their care. However, the importance of )] TJ ET endstream endobj 16 0 obj << /Type /Page /Parent 3 0 R /Annots [ 18 0 R ] /Contents 17 0 R >> endobj 17 0 obj << /Length 7153 >> stream 0.000 0.000 0.000 rg 0.502 0.502 0.502 RG 0.75 w 0 J [ ] 0 d BT 34.016 796.469 Td /F1 12.0 Tf [(economic factors and the professional attitudes of doctors and officials in shaping a popular consensus must )] TJ ET BT 34.016 782.213 Td /F1 12.0 Tf [(not be forgotten.)] TJ ET BT 34.016 755.957 Td /F1 12.0 Tf [(Walsh and Melling et al suggest that eve n within the nineteenth century penal-welfare system there were )] TJ ET BT 34.016 741.701 Td /F1 12.0 Tf [(negotiations of power between the authorities and patients and families. Tensions between local and central )] TJ ET BT 34.016 727.445 Td /F1 12.0 Tf [(authorities, asylum superintendents and poor law officials provided scope for famil ies to impose some of )] TJ ET BT 34.016 713.189 Td /F1 12.0 Tf [(their own demands. Bucknill, at the Devon Asylum, did not welcome the admission of criminal lunatics )] TJ ET BT 34.016 698.933 Td /F1 12.0 Tf [(despite the professional prestige attached to criminal work. The County Magistrates also resisted the )] TJ ET BT 34.016 684.677 Td /F1 12.0 Tf [(admission of these cases. The costs of maintenance, the care/ control problems and the need to secure Home )] TJ ET BT 34.016 670.421 Td /F1 12.0 Tf [(Office approval for discharging these cases all seem important factors behind this local resistance to )] TJ ET BT 34.016 656.165 Td /F1 12.0 Tf [(approved policy that ultimately led to enhanced state provision. In Ireland the asylums were not able to )] TJ ET BT 34.016 641.909 Td /F1 12.0 Tf [(refuse cases and feared becoming a dumping ground for the unwanted populations of prisons and )] TJ ET BT 34.016 627.653 Td /F1 12.0 Tf [(workhouses. Walsh argues that, the curative function of the institution was important for the doctors and )] TJ ET BT 34.016 613.397 Td /F1 12.0 Tf [(officials connected with it but for the general public and hard-pressed relatives it was often a moot point )] TJ ET BT 34.016 599.141 Td /F1 12.0 Tf [(whether or not asylum cured dangerous cases or simply removed them from society. Committal of Irish )] TJ ET BT 34.016 584.885 Td /F1 12.0 Tf [(lunatics very easy and open to abuse by relatives but this was not the w hole picture. The pattern of )] TJ ET BT 34.016 570.629 Td /F1 12.0 Tf [(admissions, discharges and re-admissions suggests to Walsh that relatives saw the institution as a resource )] TJ ET BT 34.016 556.373 Td /F1 12.0 Tf [(that could solve their problems by offering respite care even where prospects for cure seemed remote.)] TJ ET BT 34.016 530.117 Td /F1 12.0 Tf [(By contra st Hilary Marland emphasises the importance of 'curing' puerperal mania, as these cases became )] TJ ET BT 34.016 515.861 Td /F1 12.0 Tf [(the object of professional competition between midwives, obstetricians, and alienists in the nineteenth )] TJ ET BT 34.016 501.605 Td /F1 12.0 Tf [(century. Marland highlights the necessity of securing pa tient co-operation to effect a quick cure thus )] TJ ET BT 34.016 487.349 Td /F1 12.0 Tf [(allowing the women patients far more power over their own treatment than is the case in Showalter's work. )] TJ ET BT 34.016 473.093 Td /F1 12.0 Tf [(Although contemporary ideas about women's bodies and women's minds are still seen as crucially importa nt )] TJ ET BT 34.016 458.837 Td /F1 12.0 Tf [(to the management of puerperal insanity it is the husband's authority that is usurped by the doctor. However, )] TJ ET BT 34.016 444.581 Td /F1 12.0 Tf [(the transformation of the home into a closely regulated asylum raises difficult questions about the true )] TJ ET BT 34.016 430.325 Td /F1 12.0 Tf [(boundaries of the asylum. The social control arguments being reinforced by the powerful links between )] TJ ET BT 34.016 416.069 Td /F1 12.0 Tf [(puerperal insanity, poverty and illegitimacy especially towards the end of the century when hereditary )] TJ ET BT 34.016 401.813 Td /F1 12.0 Tf [(arguments assumed greater prominence. Zedner's work on women, crime and custody in Vict orian England )] TJ ET BT 34.016 387.557 Td /F1 12.0 Tf [(has been criticised for over representing women in her discussion on the construction of the weak minded )] TJ ET BT 34.016 373.301 Td /F1 12.0 Tf [(criminal. However, although men were more likely to be detected as being mentally disordered in prison this )] TJ ET BT 34.016 359.045 Td /F1 12.0 Tf [(reinforces rather than refut es the view that mental health and mental disabilities were and are constructed )] TJ ET BT 34.016 344.789 Td /F1 12.0 Tf [(and managed on the basis of gender. Marland's work suggests that this did not necessarily disadvantage )] TJ ET BT 34.016 330.533 Td /F1 12.0 Tf [(women, a claim possibly supported by the fact that women formed a majori ty of the patients boarded out in )] TJ ET BT 34.016 316.277 Td /F1 12.0 Tf [(mid to late nineteenth century Scotland. However the freedom, or otherwise, enjoyed by these women must )] TJ ET BT 34.016 302.021 Td /F1 12.0 Tf [(be contrasted with the admittedly inferior resources allocated to their care and the lack of interest they seem )] TJ ET BT 34.016 287.765 Td /F1 12.0 Tf [(to ha ve attracted from asylum based medical men.)] TJ ET BT 34.016 261.509 Td /F1 12.0 Tf [(To conclude, Outside the walls of the asylum brings together an important collection of work on the history )] TJ ET BT 34.016 247.253 Td /F1 12.0 Tf [(of community care in Britain and Ireland from 1750 to the present. It highlights broad continuit ies across )] TJ ET BT 34.016 232.997 Td /F1 12.0 Tf [(time and space without postulating a simple evolutionary model. The essays draw on and integrate the two )] TJ ET BT 34.016 218.741 Td /F1 12.0 Tf [(main themes in the history of psychiatry, one centred on the institution, the other on developments within the )] TJ ET BT 34.016 204.485 Td /F1 12.0 Tf [(family. In the Foucauldian t radition parallels are drawn between the shifting boundary of asylums and )] TJ ET BT 34.016 190.229 Td /F1 12.0 Tf [(community care and the development of the other great confining institutions of prison and workhouse. )] TJ ET BT 34.016 175.973 Td /F1 12.0 Tf [(However intentions and outcomes are properly separated and while the attitudes and actions of the powerful, )] TJ ET BT 34.016 161.717 Td /F1 12.0 Tf [(doctors, officials and magistrates, are examined the rights, duties, obligations, preferences and resources of )] TJ ET BT 34.016 147.461 Td /F1 12.0 Tf [(the patient and their family are also considered. This has led to a new emphasis on the importance of local )] TJ ET BT 34.016 133.205 Td /F1 12.0 Tf [(factors in the treatment of the insane that will surely prove a stimulus to further research.)] TJ ET BT 34.016 106.949 Td /F1 12.0 Tf [(The editors are pleased to accept the review and agree with its contents.)] TJ ET 0.75 w 0 J [ ] 0 d 34.391 90.223 526.499 1.500 re S BT 34.016 72.443 Td /F3 12.0 Tf [(Source URL:)] TJ ET 0.000 0.000 0.800 rg BT 104.672 72.443 Td /F1 12.0 Tf [(http://www.history.ac.uk/reviews/review/98a)] TJ ET 0.000 0.000 0.800 RG 0.24 w 0 J [ ] 0 d 104.672 71.049 m 321.644 71.049 l S 0.000 0.000 0.000 rg BT 34.016 46.072 Td /F3 12.0 Tf [(Links:)] TJ ET endstream endobj 18 0 obj << /Type /Annot /Subtype /Link /A 19 0 R /Border [0 0 0] /H /I /Rect [ 104.6717 71.3635 321.6437 83.2435 ] >> endobj 19 0 obj << /Type /Action /S /URI /URI (http://www.history.ac.uk/reviews/review/98a) >> endobj 20 0 obj << /Type /Page /Parent 3 0 R /Contents 21 0 R >> endobj 21 0 obj << /Length 152 >> stream 0.000 0.000 0.000 rg 0.000 0.000 0.800 RG 0.24 w 0 J [ ] 0 d BT 34.016 796.354 Td /F1 12.0 Tf [([1] http://www.history.ac.uk/reviews/item/660)] TJ ET endstream endobj xref 0 22 0000000000 65535 f 0000000008 00000 n 0000000073 00000 n 0000000119 00000 n 0000000342 00000 n 0000000379 00000 n 0000000582 00000 n 0000000664 00000 n 0000005071 00000 n 0000005180 00000 n 0000005290 00000 n 0000005399 00000 n 0000008960 00000 n 0000009088 00000 n 0000009172 00000 n 0000009237 00000 n 0000016547 00000 n 0000016631 00000 n 0000023837 00000 n 0000023963 00000 n 0000024058 00000 n 0000024123 00000 n trailer << /Size 22 /Root 1 0 R /Info 5 0 R >> startxref 24327 %%EOF