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Irish patients in Lancashire asylums

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Cox and Marland argue that Irish migrants used Lancashire workhouses and asylums as survival sites, helping overload a confinement system that could no longer keep all pauper lunatics in asylums.

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'A Burden on the County': Madness, Institutions of Confinement and the Irish Patient in Victorian Lancashire

Cox C, Marland H · Social history of medicine : the journal of the Society for the Social History of Medicine · 2015

doi.org/10.1093/shm/hku082Read the full paper ↗2 citationscc by

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Irish patients in Lancashire asylums

These passages occur verbatim in the stored paper text. They support the points listed below; they do not verify every statement in the explanation.

The Irish-born population of Lancashire nearly doubled between 1841 and 1851, reaching over 191,000, 10 percent of inhabitants.

According to census returns, the Irish-born population of Lancashire nearly doubled between 1841 and 1851 reaching over 191,000; 10 per cent of the county's inhabitants

In 1901 Commissioners reported the county asylum population had quadrupled over the last 40 years.

In 1901 the Commissioners in Lunacy reported that while the asylum population of the county had quadrupled over the last 40 years, the numbers of insane inmates in workhouses had ‘increased but little’
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What they did

A regional history of pauper lunacy in Victorian Lancashire, especially Liverpool after the Great Famine, using Lunacy Commission statistics, Poor Law rules, and the literature on workhouse–asylum exchanges (Bartlett, Melling, Adair, Forsythe).

What they found

Pauper lunatic numbers rose alarmingly. Workhouses could legally keep non-dangerous 'unsound mind' cases. Irish-born Lancashire residents nearly doubled to over 191,000 by 1851 (10 percent). By 1901 the county asylum population had quadrupled in 40 years while workhouse insane numbers barely rose, leaving chronic cases dumped in expensive asylum beds.

The limits

What it doesn't show

This is not a clinical trial of moral treatment, nor a full Ireland-wide demography. It does not measure today's mental-health inequalities.

Key terms

Pauper lunacy
Poverty-linked certification of insanity administered through the English Poor Law and asylums.
Workhouse–asylum circuit
Two-way movement of patients between Poor Law institutions and lunatic asylums under pressure of numbers.
Moral management
Early-to-mid Victorian asylum ideology that all lunacy should be treated in specialist asylums.
Irish problem
Local officials' claim that Irish migrants were especially adept at accessing welfare institutions.

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Common questions

Why Lancashire?

A manufacturing county absorbing huge post-Famine Irish migration, especially via Liverpool.

What could workhouses legally keep?

Persons of unsound mind who were not dangerous, under 1842 General Workhouse Rules from the 1834 Act.

What broke universal asylum ideology?

Overcrowding, including Irish and non-Irish admissions, forced pragmatic use of workhouses.

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