title: [Bavarian mental health reform 1851. An instrument of administrative modernization].
abstract: By 1850 the reformation of institutional psychiatric care in Bavaria was given the highest priority by monarchy and administration. Cooperating with experts, especially the psychiatrist Karl August von Solbrig, they provided for new asylums to be established throughout Bavaria in a surprisingly short period of time. It was, however, only at personal intervention of King Max II. that the administrative and financial difficulties which had existed since the beginning of the 19th century could be overcome. The planning of asylums done by each administrative district of Bavaria vividly reflects rivalry as well as cooperation between all governmental and professional agencies involved. Modernization of psychiatry was publicly justified by referring to scientism, the need for a more progressive restructuring of administration, and the paternalistic care of the monarchy, whereas, from an administrative point of view, aspects of psychiatric treatment, like what kind of asylum would be best, were rather insignificant. The structures established by means of the alliance between state administration and psychiatric care under the rule of King Max II. had a lasting effect on the further development of Bavaria.
authors.affiliation: Max-Planck-Institut für Psychiatrie, Deutsche Forschungsanstalt für Psychiatrie, Historisches Archiv, Kraepelinstrasse 2-10, 80804 München.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Burgmair
authors.forename: Matthias M
authors.initials: MM
authors.lastname: Weber
mesh_terms: D005858:Germany; D018166:Health Care Reform / Q000266:history*; D049672:History, 19th Century; D006739:Hospital Administration / Q000266:history*; D006754:Hospital Restructuring / Q000266:history*; D006778:Hospitals, Psychiatric / Q000266:history*; D006801:Humans; D001523:Mental Disorders / Q000266:history*; D011570:Psychiatry / Q000266:history*