title: [Jonathan Swift's asylum in Dublin--Ireland's introduction to institutional psychiatry 250 years ago].
abstract: 250 years ago, the satirical writer and clergyman Jonathan Swift from Dublin (1667-1745) founded the first Irish lunatic asylum. Rejecting the theories put forward by the English philosopher Thomas Hobbes and the doctor Thomas Willis, he was influenced by the ideas of the Scottish doctor and the "enlightened" thinker John Locke. Swift's St. Patrick's Hospital did not, however, realise a new philosophical concept: architecture and therapeutic approach of the new institution were clearly modelled on the much older Hospital of St. Mary of Bethlehem ( = Bedlam). Despite its conservative conceptual basis, the first institution dedicated to the mentally ill and intellectually subnormal in Ireland became a starting point for the apparantly unstoppable expansion of the, at one time, most comprehensive asylum system in the world. After Swift's Hospital had been enlarged twice at the tax-payers' expense (1778, 1793), the administration decided to relieve the institution by erecting the Richmond Asylum (1810), the first public asylum in Ireland. When this establishment also became overcrowded, in 1817, legislation was passed which led to the establishment of the oldest system of public asylums in Europe.
authors.affiliation: Klinik für Epileptologie, Universität Bonn.
authors.forename: M
authors.initials: M
authors.lastname: Reuber
mesh_terms: D005197:Famous Persons; D049670:History, 17th Century; D049671:History, 18th Century; D006778:Hospitals, Psychiatric / Q000266:history*; D006801:Humans; D008607:Intellectual Disability / Q000266:history*; D007494:Ireland; D008093:Literature, Modern / Q000266:history; D001523:Mental Disorders / Q000266:history*