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Previous Volume 346:2097 June 27, 2002 Number 26

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(Medicine and Society. Vol. 11.) By Jonathan Andrews and Andrew Scull. 386 pp., illustrated. Berkeley, University of California Press, 2001. $35. ISBN 0-520-23151-1.

This book about the work of John Monro, a doctor in 18th-century England, is based on a newly discovered case book of his (which is being published separately). Monro is best known for his work at Bethlem, or "Bedlam." Bethlem — a contraction of the name of the public asylum at Bethlehem Hospital in London — was the only public insane asylum in 18th-century England. The growing affluence of England was accompanied by geographic mobility, a flourishing of service occupations, and as Andrews and Scull write, a "commercialization of existence" that decreased the willingness and ability of families to care . . . [Full Text of this Article]

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