This article examines the purpose of the post-mortem in the late Victorian asylum and discusses what the findings reveal about contemporary understanding of mental health. By examining the practice at the Littlemore Asylum of Oxford, the definition of the asylum post-mortem will be questioned and issues of consent and ownership of the dead body explored. It will be argued that the purpose of the examination was partly to appease the demands of the Commissioners in Lunacy, to protect the asylum against accusations of malpractice, and to appease the resident assistant medical officer’s own morbid curiosity. The examinations would therefore be better defined as dissections. This article will challenge understanding of institutional death, the legal processes required for dissection, and mental healthcare.
FranzSI (1912) New phrenology. Science35(896): 321.
22.
HandfordH (1888) Cases of General Paralysis of the Insane in hospital practice. Lancet132(3407): 1166–1167.
23.
JellyG (1884) General Paralysis of the Insane. Boston Medical and Surgical Journal110(10): 217–220.
24.
Kelly’s Directory of Berkshire, Buckinghamshire and Oxfordshire (1906). London: Kelly and Co.
25.
MercierC (1902) A Text-Book of Insanity. London: Swan Sonnenschein & Co.
26.
MortimerJD (1889) General Paralysis of the Insane: necessarily an anomalous and hopeless disease?Lancet133(3420): 524–525.
27.
RossJM (1925) Post-Mortem Appearances. Oxford: Oxford University Press.
28.
SutherlandH (1885) The true first stage of General Paralysis of the Insane. Lancet126(3234): 339–340.
29.
WilcoxRW (1907) The Treatment of Disease: A Manual of Practical Medicine. Philadelphia, PA: P. Blakiston’s Son & Co.
30.
WilksS (1890a) Congestion of the lungs. Lancet135(3465): 213.
31.
WilksS (1890b) Congestion of the Lungs. Lancet135(3467): 316.
32.
WilliamsHS (1892) “Wages of sin”: General Paresis of the Insane. The North American Review155(433): 744–753.
33.
WoodHC (1893a) Mental diseases. In: PepperW (ed.) A Textbook of the Theory and Practice of Medicine, Vol. 1. London: Rebman, 529–586.
34.
WoodHC (1893b) Syphilis of the nervous system. In: PepperW (ed.) A Textbook of the Theory and Practice of Medicine, Vol. 1. London: Rebman, 726–736.
35.
AckerknechtEH (1967) Medicine at the Paris Hospital 1794–1848. Baltimore, MD: John Hopkins Press.
36.
AndrewsJ (1998) Case notes, case histories, and the patient’s experience of insanity at Gartnavel Royal Asylum, Glasgow, in the nineteenth century. Social History of Medicine11(2): 255–281.
37.
AndrewsJ (2012) Death and the dead-house in Victorian asylums: necroscopy versus mourning at the Royal Edinburgh Asylum, c. 1832–1901. History of Psychiatry23(1): 6–26.
38.
AndrewsJScullA (2003) Customers and Patrons of the Mad-Trade: The Management of Lunacy in Eighteenth-Century London. Berkeley, CA: University of California Press.
39.
BartlettP (1999) The Poor Law of Lunacy: The Administration of Pauper Lunatics in Mid-Nineteenth-Century England. Leicester: Leicester University Press.
40.
BehlmerGK (2003) Grave doubts: Victorian medicine, moral panic, and the signs of death. Journal of British Studies42(2): 206–235.
41.
BurneyIA (2000) Bodies of Evidence: Medicine and the Politics of the English Inquest, 1830–1926. Baltimore, MD: Johns Hopkins University Press.
42.
BynumWF (1994) Science and the Practice of Medicine in the Nineteenth Century. Cambridge: Cambridge University Press.
43.
BynumWF (2008) The History of Medicine: A Very Short Introduction. Oxford: Oxford University Press.
44.
BynumWFPorterRShepherdM (eds) (1988) The Anatomy of Madness: Essays in the History of Psychiatry, Vol. 3. London: Routledge.
45.
DavisG (2008) ‘The Cruel Madness of Love’: Sex, Syphilis and Psychiatry in Scotland, 1880–1930. Amsterdam and New York: Rodopi.
46.
DigbyA (1999) The Evolution of the British General Practice 1850–1948. Oxford: Oxford University Press.
47.
FisherP (2007) Getting away with murder? The suppression of coroners’ inquests in early Victorian England and Wales. Local Population Studies78: 47–62.
48.
ForbesTR (1978) Crowner’s quest. Transactions of the American Philosophical Society (New Ser.) 68(1): 42.
49.
FoucaultM (1973) The Birth of the Clinic: An Archaeology of Medical Perception, translated by SheridanAM. London: Tavistock Publications; first published in French in1963.
50.
GranshawLPorterR (eds) (1989) The Hospital in History. London and New York: Routledge.
51.
HarleyD (1994) Political post-mortems and morbid anatomy in seventeenth-century England. Society for the Social History of Medicine7(1): 1–28.
52.
HurrenET (2004) The pauper dead-house: the expansion of Cambridge anatomical teaching school under the late-Victorian poor law, 1870–1914. Medical History48: 69–94.
53.
HurrenET (2008) Whose body is it anyway? Trading the dead poor, coroner’s disputes and the business of anatomy at Oxford University, 1885–1929. Bulletin of the History of Medicine82(4): 775–819.
54.
HurrenET (2009) Remaking the medico-legal scene: a social history of the late-Victorian coroner in Oxford. Journal of the History of Medicine and Allied Sciences65(2): 207–252.
55.
HurrenET (2011a) Abnormalities and deformities: the dissection and interment of the insane poor, 1832–1929. History of Psychiatry23(1): 65–77.
56.
HurrenET (2011b) Dying for Victorian Medicine: English Anatomy and its Trade in the Dead Poor, c. 1832 to 1929. Basingstoke: Palgrave Macmillan.
57.
HurrenET (2016) Dissecting the Criminal Corpse: Staging Post-Execution Punishment in Early Modern England. Basingstoke and New York: Palgrave Macmillan.
58.
MacDonaldH (2006) Human Remains: Dissection and its Histories. New Haven, CT: Yale University Press.
59.
MacDonaldH (2009) Procuring corpses: the English Anatomy Inspectorate, 1842 to 1858. Medical History53: 379–396
60.
MacDonaldH (2011) Possessing the Dead: The Artful Science of Anatomy. Carlton, Victoria: Melbourne University Press.
61.
MacKinnonD (2011) Bodies of evidence: dissecting madness in Colonial Victoria (Australia). In: FerberSWildeS (eds) The Body Divided: Human Beings and Medical ‘Material’ in Modern Medical History. Farnham: Ashgate Publishing, 75–107.
62.
McGrathP (1997) Asylum. London: Penguin.
63.
PorterR (1987) A Social History of Madness: Stories of the Insane. London: Weidenfeld and Nicolson.
64.
PorterR (1999) The Greatest Benefit to Mankind: A Medical History of Humanity from Antiquity to the Present. London: Fontana Press.
65.
RichardsonR (1987) Death, Dissection and the Destitute: The Politics of the Corpse in Pre-Victorian Britain. London: Routledge and Kegan Paul.
66.
ScullAT (1979) Museums of Madness: The Social Organisation of Insanity in 19th Century England. London: Allen Lane.
67.
ShowalterE (1980) Victorian women and insanity. Victorian Studies23(2): 157–181.
68.
SmithLD (1999) Cure, Comfort and Safe Custody: Public Lunatic Asylums in Early Nineteenth-Century England. Leicester: Leicester University Press.
69.
StrangeJ (2002) ‘She cried a very little’: death, grief and mourning in working-class culture, c. 1880–1914. Social History27(2): 143–161.
70.
StrangeJ (2005) Death, Grief and Poverty in Britain 1870–1914. Cambridge: Cambridge University Press.
71.
WaddingtonK (2011) An Introduction to the Social History of Medicine: Europe Since 1500. Basingstoke and New York: Palgrave Macmillan.
72.
WaddingtonKThomasRWillisM (2011) General paralysis of the insane. Practical Neurology11: 366–369.
73.
WallisJ (2013) The bones of the insane. History of Psychiatry24(2): 196–211.
74.
WrightD (2001) Mental Disability in Victorian England: The Earlswood Asylum, 1847–1901. Oxford: Clarendon Press.
75.
WrightDJacklinLThemelesT (2013) Dying to get out of the asylum: mortality and madness in four mental hospitals in Victorian Canada c. 1841–1891. Bulletin of the History of Medicine87(4): 591–621.
76.
YorstonGHawC (2005) Old and mad in Victorian Oxford: a study of patients aged 60 and over admitted to the Warneford and Littlemore Asylums in the nineteenth century. History of Psychiatry16(4): 395–421.
77.
ZuckD (1995) Mr Troutbeck as the surgeon’s friend: the coroner and the doctors – an Edwardian comedy. Medical History39: 259–287.
