200 years 200 objects
DESCRIPTION
The history of the Royal Edinburgh Hospital (REH) spans 200 years, covering many life times and diverse experiences of the psychiatric system. These experiences, some sad, some heartening, some funny and some down right odd, give a different insight into the everyday life of this hospital and the ways in which it has changed over the years.When Artlink was set the task of capturing the Hospital’s history, it decided to approach the whole project in the same way it runs its workshops. First start with the individual; learn from their experience; then see where it takes you. The artists involved in the programme became researchers, meeting with individuals, slowly unearthing stories, collating these experiences, offering new perspectives, turning their research into artworks. The result is EVER / PRESENT / PAST, a year-long programme curated andco-ordinated by Artlink, which exposes the history of the REH through events, talks and exhibitions. The year culminates in the exhibition at the Talbot Rice Gallery.Mark Dion’s 200 Years / 200 Objects has seen a spectacular research programme of involvement and activity, which involved a monumental programme of collecting, collating and sifting of the stories connected to the Royal Edinburgh Hospital. For Mark Dion this meant ‘collections’ in the broadest sense, involving tours of the Hospital and its community. From underneath the floor boardsto up on the roof, he gained an understanding of the Hospital through the places he visited and the people he met with. He also cleverly employed staff, patients, archivists and the wider community to help excavate the Hospital’s history fromtheir perspectives. Each year from 1813 to 2013 was assigned an object. Each object has a story. The objects have been gathered from a variety of sources, such as the Morningside community, the Hospital community, and the Lothian Health Services Archive, amongst others. Mark Dion has also made specific interventions especially for the exhibition. Researched information and speculative fiction are intertwined to construct a compelling and convincing story. Archive, historical, contemporary, loaned, bought, donated, found and newly commissioned objects rub shoulders with each other in the 14m long cabinet. The mass collection of 200 objects combine to create an involved, complex and thought provoking artwork.Mark Dion and Artlink would like to thank everyone who took part in the realisation of this work, from the porter to the nurse, the local shop keeper to the patient. Your contributions have helped make it as rich and expansive as the Hospital’s 200 years.TRANSCRIPT
200 Years200 Objects
M A R K D I O N
Artlink Edinburgh and the Lothians13a Spittal StreetEdinburghEH3 9DY Tel: 0131 229 3555Website: www.artlinkedinburgh.co.ukBlog: www.artlinkeverpresentpast.wordpress.com Artlink is a company registered in Scotland No. 87845 with charitable status. Scottish Charity No. SC006845.
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200 YEARS / 200 OBJECTS 1
An Object for Each Year
An exhibition realised in collaboration with The University of Edinburgh’s
Talbot Rice Gallery
200 Years200 Objects
M A R K D I O N
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200 Objects
1813 Minute Book Vol. 1
1814 One Guinea Note
1815 Soap Dish
1816 Minute Book Vol. 2
1817 Portrait of Henry Erskine
1818 Andrew Duncan Letter
1819 Certification Paper
1820 A Lady’s Black Glove
1821 35 Beds
1822 Tuke Commemorative Plate
1823 Figurine
1824 Well Bucket
1825 Meeting Adjourned Sign
1826 Pinel Commemorative Plate
1827 A Horse and Cart
1828 Shrouded Mirror
1829 Potato
1830 35 Figures
1831 Chalice
1832 Invoice for Annual Fee
1833 Pewter Plate
1834 Phrenology Head
1835 Book on Bloodletting and Medical Cupping Glasses
1836 Portrait of Sir William Fettes
1837 New Plans
1838 Clerical Collar
1839 Gardening Tools
1840 Photograph of Clouston’s Birthplace
1841 Portrait of Victoria and Albert
1842 Donation Box
1843 Research Folder
1844 Map Showing Bedlam
1845 Type Set Block
1846 Book of Recommendations
1847 Skulls
1848 Article Describing a Hallucination
1849 Vegetables
1850 Laudanum Cabinet
1851 Tally Stick
1852 Coffin for a Robin
1853 Alcoholic Drink and Silver Salver
1854 Bobbing Apples
1855 Valentine’s Day Card
1856 Fez and an Exotic Hat
1857 Curling Stone
1858 Syphilitic Skull
1859 Obituary
1860 Silver Teapot
1861 Admission Certificate
1862 Poem ‘Curling Song’, Published in the Morningside Mirror
1863 Board Books
1864 Inhalers
1865 Drawing of a Chair
1866 Red Stick
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1867 Regulation Book
1868 Shower Head
1869 Doll’s Arm
1870 Billiard Balls
1871 Patient Drawings
1872 Dogs
1873 Portrait of Thomas Clouston
1874 Notice
1875 Patient Drawings
1876 Patient Letter
1877 Sheet Music of ‘As it Fell Upon the Day’
1878 Magic Lantern
1879 ‘Asylum or Hospital Home’ Booklet
1880 Metal Plan Box
1881 Men of Medicine Photograph
1882 Drawings of Patients
1883 Pin Used in Suicide Attempt
1884 Beer Flagon
1885 Two Keys
1886 Portrait of Elizabeth Bevan
1887 Dix Commemorative Plate
1888 Collection of Padlocks 1880 – 1960
1889 Glass Marble
1890 Invitation
1891 Photographic Reconstruction of a Ghost
1892 Patient Drawing
1893 Pathology Book
1894 Celebratory Menu
1895 Cookbook
1896 Iron Nail
1897 Billiards Medal
1898 Penknife
1899 Pamphlet of Rules
1900 Tailor’s Scissors
1901 Tools Used by Upholsterers
1902 Golf Medal
1903 Snow Shovel
1904 1000 Patient Letters
1905 Annual Report
1906 Cigar
1907 100 Candles
1908 Model of a Theatre
1909 Dispensing Book
1910 ‘Object Temporarily Removed for Restoration’ Sign
1911 A Wasp in a Box
1912 Guinea Pig
1913 ‘Object Temporarily Removed for Restoration’ Sign
1914 Photograph of Lieutenant Huddlestone
1915 Lead Figures
1916 Mirror
1917 ‘Reminiscences and Stories of a Certified Lunatic’
1918 Confidential Files
1919 Dispensing Book
1920 Rules and Regulations from West House
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1921 Hand Saw
1922 Chamber Pot
1923 ‘Conflict and Dreams’ WHR Rivers
1924 Ward Light
1925 Floor Plans for West House
1926 Spent Matches
1927 Tailors’ Workbook
1928 ‘Object Removed for Further Study’ Sign
1929 Photograph of Dormitory
1930 Photograph of Pinel Commemoration
1931 Repaired China
1932 Portrait of David Kennedy Henderson
1933 Closed Portfolio
1934 Sports Day Coverage
1935 ‘Objects Removed for Picnic’ Sign
1936 The Escape Book
1937 Article on Miss Thyne
1938 Early ECT Machine
1939 Daily Mirror
1940 Steam Water Boiler
1941 Unusual Potatoes
1942 Happy the Donkey
1943 Battle Fatigued Soldiers
1944 Rules and Regulations Sign
1945 Two Hats
1946 Ice Pick
1947 Repurposed Newspaper
1948 National Health Service Pamphlet
1949 ECT Machine
1950 Straightjacket
1951 Photograph of a Bagpiper
1952 Full-body Straightjacket
1953 Croquet Set
1954 Man Playing Bowls
1955 Aversion Therapy Chair
1956 Commemorative Plate
1957 Glass Syringes
1958 ‘The Practical Woodturner’
1959 Photograph of the New Hen House
1960 LSD Blotter
1961 Occupational Therapy Photographs
1962 The Morningside Mirror
1963 Newspaper Advertisement
1964 Instruction Poster
1965 Doll
1966 Press Photograph
1967 Painting of James Wigham Affleck
1968 Nurses’ Capes
1969 Behavioural Research and Therapy Books
1970 Microphone
1971 U-matic Videotape
1972 Interview Chair
1973 Wooden Ducks
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1974 ‘Object Removed for Renaming’ Sign
1975 Film Reel
1976 Sea Trawler Mug
1977 A Pile of Stones
1978 Facsimile of Test
1979 Patient Craftwork
1980 Cat
1981 Basket Weaving Kit
1982 Christmas Decorations
1983 A Garden Fork
1984 Detention Papers
1985 Smashed Goldfish Bowl
1986 ‘Wild Haemorrhages of the Imagination’
1987 Poem Written by a Nurse
1988 Three Trophy Plinths
1989 Red Paint
1990 Sample Card
1991 Violin
1992 Clay Flowerpots
1993 Model of a House
1994 Postcard/Souvenirs
1995 Small Silver Bell
1996 Newsletter
1997 Tipperlinn Bowling Club Brochure
1998 Video Training Pack
1999 Metal Union Badges
2000 Giant Bird Mobile
2001 Coffee Jar, Mug and Spoon
2002 Model of a House
2003 Detention Forms
2004 Hairdressing Scissors
2005 Jigsaw Pieces
2006 Photographs from the Patients’ Council
2007 Innovative Practice Award
2008 60th Birthday Card
2009 Military Food Tin
2010 Patient Drawing
2011 Union Banners
2012 Gnome
2013 Door Bell and Hammer
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1813 Minute Book Vol. 1The first patient was admitted on the
19th July 1813. An entry in this book
reports Andrew Duncan composing a
letter to be sent to all Edinburgh medical
practitioners stating ‘the asylum is now
open for the reception of patients of the
middle and higher ranks.’
1814 One Guinea NoteOn the 31st January it was recorded that
six patients had been admitted since the
Asylum opened. The fee was one guinea
a week.
1815 Soap Dish‘The managers have also not been
inattentive to the comforts of the patients,
having erected proper stoves for heating’.
They also plumbed water into the building
and installed baths. Baths were to feature
heavily in the treatment of patients in
the 1800s.
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The following text accompanies the Mark Dion exhibition to commemorate the bicentenary of the Royal Edinburgh Hospital.
Miniature of Andrew DuncanThe foundation of the Royal Edinburgh
Hospital was triggered by the wretched
death in Bedlam of the poet Robert
Fergusson, aged 24. His friend Dr
Andrew Duncan was so affected,
he resolved to fund a hospital in
Edinburgh where the mentally ill
could be humanely looked after.
In 1792 he launched an appeal
for funds and, in 1806, the villa of
Morningside and four acres were
purchased with a parliamentary grant.
In 1809 the foundation stone was laid,
and the Edinburgh Lunatic Asylum was
opened in 1813, this original building
later being known as East House.
A lock of Robert Fergusson’s hair
is contained under glass on reverse of
the portrait.
200 Years200 Objects
M A R K D I O N
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1816 Minute Book Vol. 2The first regulations of the Edinburgh
Lunatic Asylum are recorded in the
minutes. Examples include 1) admissions
of patients require certification 2) the
patients admitted into the Asylum shall
be divided into such classes as the managers
may direct and 12) no person whatever shall
be allowed to visit any patient in the Asylum
without (…) permission in writing.
1817 Portrait of Henry ErskineErskine and Andrew Duncan were
originally classmates at St Andrews.
He proved a powerful friend for, as Lord
Advocate, Erskine was instrumental in
obtaining the £2,000 grant which funded
the purchase of land, and also expedited the
Asylum’s Royal Charter, obtained in 1807.
1818 Andrew Duncan LetterDuncan writes of the death of Robert
Fergusson – ‘The loss of Reason is perhaps
the most deplorable disease to which
a rational being can be subjected’.
1819 Certification PaperThe Asylum was keen to establish official,
witnessed, documentation for admissions.
1820 A Lady’s Black GloveThe first unclaimed item in the Asylum’s
lost and found.
1821 35 BedsPatient numbers fluctuated over the year.
On the 21st January there were 24 patients,
increasing to 35 and then falling back to
26 by the 1st January 1822. The Asylum
was meant to accommodate only 20
patients. The number of residents continued
to be greater than the building’s capacity
and the managers resolved to pursue their
building programme.
1822 Tuke Commemorative PlateDeath of William Batty Tuke, an early
pioneer of humane psychiatry and
commemorated on a plaque on the side of
McKinnon House. Tuke led attempts by
Quakers to set up an alternative to harsh
institutions, and in 1790 opened the York
Retreat. His humane approach was derided
at first, before becoming renowned as
a better way of care.
This portrait was created recently
by Jeanette Bell.
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1823 Figurine January minutes: ‘At the end of the ninth
year of the Edinburgh Lunatic Asylum (…)
the management have great satisfaction in
being able to state (…) that the experience
of every day continues to afford them
additional evidence of the benefits resulting
from the institution under their care.’
1824 Well BucketThe minutes record that the ‘force pump’
is frequently out of order, compelling the
servants to carry water in buckets to meet
all Asylum needs.
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1825 Meeting Adjourned Sign‘It has been impossible to get a meeting
of the management on the last Thursday
of October on account of them having
been absent in the country.’
1826 Pinel Commemorative Plate The death of Philippe Pinel, the French
psychiatrist who released patients from
chains and restraints in Parisian asylums at
the time of the Revolution. He is celebrated
as the founder of humane psychiatric care,
and his sculpture portrait was placed near
the old entrance to Mackinnon House
a century after his death.
Pinel greatly influenced treatment of
the insane in Great Britain, Europe and
America, shifting emphasis away from
punishment toward understanding. The
insane were no longer seen as possessed
by demons, akin to beasts, or choosing
their own irrationality, but individuals
with illnesses brought on by external or
internal conditions outside their control.
This portrait was created recently
by a patient.
1827 A Horse and CartThe minutes record a ‘suggestion’ by
a Mr Hughes, that, as he has frequent
occasion to travel on Asylum business
between Morningside and the town, the
purchase of a horse and cart might save
time and relieve fatigue.
1828 Shrouded MirrorThe death of founder Andrew Duncan.
He was 84 years old.
1829 Potato‘The managers resolve to keep in view the
creating of proper plans to create a pauper
hospital.’ The old town is overcrowded
and unsanitary, its population swollen
by the rural poor and an increase in Irish
immigrants fleeing the first wave of the
potato famine.
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1830 35 FiguresThe Asylum notes that on the 1st January,
of the 35 patients resident in the hospital,
28 may be reckoned ‘incurable’, suggesting
the possibility of release for the remaining
seven. The previous year, eight patients
had been released as ‘improved’. Although
the numbers are small, it is a marked
improvement on previous practice.
1831 Chalice‘In consequence of it having been
understood that in some other lunatic
institutions, Divine Service in the form of
family worship is regularly performed (...)
the managers resolve to make trial of it in
their own Asylum and have great hope of
it having a salutary influence.’
1832 Invoice for Annual FeeIn this year a Mr Hardie requested a
reduction in the rate of board for his
brother, on account of the long time
he had been resident, The board granted
a reduction to £30 per annum, the
equivalent of some £22,800 in today’s
money. As many patients stayed in the
Asylum for the rest of their lives, the cost
to families could be substantial.
1833 Pewter Plate‘Pewter dishes were ordered on the
recommendation of the Medical Gentleman
to be substituted in place of those at present
in use at the Asylum.’
1834 Phrenology HeadPhrenology is a now-discredited theory
based on the idea that measurements of
the human skull could reveal character.
It was very popular in the early nineteenth
century, and the British centre of expertise
was Edinburgh. The underlying idea that
certain human emotions and functions are
held in localised parts of the brain was,
however, an advance towards modern
neuropsychology.
1835 Book on Bloodletting and Medical Cupping GlassesPurging and bloodletting were very
common medical practices of the period,
applied not only for physical disease,
but also for psychological symptoms.
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1836 Portrait of Sir William FettesThe founder of Fettes College, he was
a Trustee of the Asylum from its opening,
and later Deputy Governor. He campaigned
locally for funds, and died in this year,
a few days after negotiations began to
provide new accommodation.
1837 New PlansMr Burn, architect, draws up plans for
the Asylum’s expansion, including a new
building to house poor patients.
1838 Clerical Collar‘The chairman called the attention of the
meeting to the labours of their chaplain
Mr MacLean which were continued with
unabated.’ Mr MacLean was granted
a bonus of £10 in addition to his salary.
1839 Gardening ToolsThe position of Physician Superintendent
was created, and the first to hold the office
was Dr William Mackinnon. Under his
direction patients were encouraged to use
whatever trade or skill they possessed.
Occupations included gardening, pig
farming, poultry keeping, carpentry,
tailoring, and sewing. He also encouraged
sporting activities such as curling, and
patients took part in competitions with
other curling clubs.
1840 Photograph of Dr Clouston’s BirthplaceIn this year, in Birsay, Orkney,
Thomas Clouston was born into
a settled farming family. He grew up to
be Scotland’s most eminent psychiatrist
and Physician Superintendent of the
Royal Edinburgh Asylum.
1841 Portrait of Victoria and AlbertA Special Meeting of 5 February records
Queen Victoria’s patronage, and quotes
her letter: ‘You are quite at liberty to
announce… that the queen has given a
donation of 100 pounds and the prince
Albert 50 pounds to the lunatic asylum
and that it is her majesty’s wish, or desire,
or permission, or by what technical phrase
I know not (use which you like best) that it
be named the Royal Edinburgh Asylum.’
1842 Donation BoxWest House, now called Mackinnon House,
opens its doors to poor patients.
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1843 Research Folder Commentaries on the causes, forms,
symptoms, and treatment, moral and
medical, of insanity.
1844 Map Showing BedlamAll remaining inmates from the old Bedlam
are moved to the Asylum. Conditions at the
Bedlam, which was attached to the Edinburgh
Charity Workhouse, were notoriously awful.
Patients were treated as inmates, locked in
stone-flagged cells, sometimes in shackles,
with only straw for bedding.
1845 Type Set Block The first edition of the Hospital newspaper,
the ‘Morningside Mirror’, was produced
and printed by patients and staff within
the Asylum and published on the 15th
September. It was sold in local shops.
1846 Book of RecommendationsA printed book of references, including a
letter of application, relating to Dr David
Skae. These were apparently well received,
for he succeeded William Mackinnon as
Superintendent.
He was especially interested in the
classification of mental illness, and began
to develop the Asylum’s reputation as
a postgraduate training centre.
1847 Skulls Minutes detail the numbers of patients,
discharges and deaths. Of the 262 female
patients this year, 11 were discharged cured,
9 were discharged more or less improved
and 8 died. Over the same period there
were 254 male patients, 8 discharged cured,
4 discharged more or less improved and
9 died.
1848 Article Describing a Hallucination An issue of the Morningside Mirror includes
patient testimony of a disturbing incident.
‘I happened to look up a moment from my
book and was not a little astonished to see
that the fireplace and guard had entirely
disappeared and an immense human face
usurped their place.’
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1849 Vegetables‘During the last quarter there has been
little permanent sickness in the Asylum.
Although a few cases of diarrhoea have
reoccurred, this may have been occasioned
by the state of the weather and a little
change of diet which has taken place in
the use of turnips in alternate days with
the potato.’
1850 Laudanum CabinetFew drugs were available to physicians at
this time. Laudanum, a mixture of 10%
opium and 90% alcohol flavoured with
cinnamon or saffron was commonly used
as a painkiller, sleeping pill, or sedative.
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1851 Tally Stick
EXPERT INTERVIEW Alison Meiklejohn Head of Occupational Therapy
‘They say the tally stick was placed by the Hospital exit, so that
patients going out for the night to visit ‘a special friend’ could cut
a notch in the stick. That way, staff could keep track of how many
left the building.
That raises many questions, though – you can’t remove a notch,
so how did they count the patients back? And how did they know it
was the same patients? It seems a system open to abuse. And you’d
need a new stick every day.
This term ‘special friends’ is interesting, because it suggests a
tolerance of sexual activity, as long as it was away from the Hospital.
We think of the Victorians as very straight-laced, but this indicates
an allowance for human needs. But I imagine this allowance
extended only to male patients.
The stick makes me think of the phrase ‘a notch on your belt’,
or bedpost, that idea of a ‘notch’ referring to a sexual encounter.
At that time, most of the patients were long-term and fee-paying,
the Hospital was their home, and the staff knew them well. That
probably meant a more relaxed regime, not like our acute wards
today where there is such a rapid turnover of patients.
There is still a sense that sexual activity is something that should
happen beyond the confines of the Hospital. Often for good reason.
It’s a communal space, and people are often vulnerable. But if
someone makes an informed choice that they want to have
a relationship with someone – who are we to say that they can’t,
or shouldn’t. The question is how to support that in a dignified way.’
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1852 Coffin for a RobinA Mr C befriended a robin from the
Asylum grounds. The bird was so tame it
rarely left Mr C’s company and shared his
meals. Mr C just had to call “Rob, Rob!”
and the robin would fly to him. Sadly,
Rob was eaten by a cat.
1853 Alcoholic Drink and Silver SalverThe patients wished to buy a present for
a departing doctor, James Sherlock. They
decided to give him a drinking cup, but
a strong temperance element refused to
contribute, and so he was given a silver
salver instead.
1854 Bobbing Apples Ninetenth century Health and Safety: Fears of
cholera prevented the patients from enjoying
their customary Halloween apple bobbing.
Only a few apples were permitted at the party,
from the Hospital’s own harvest stores.
1855 Valentine’s Day CardA male patient received a mysterious
Valentine’s Day card from an unknown
admirer who wanted – according to the
card – an opportunity to gaze into his
‘verdant green eyes’.
1856 Fez and an Exotic HatThe Morningside Mirror reports some
patients walking down to Leith to enjoy
‘a very expansive tea’. While there, they
were presented with a hookah and a fez,
which enlivened their long walk back
to Morningside.
1857 Curling StoneA patient almost drowned trying to rescue
two curling stones that broke through the
ice of the duck pond during a competition.
He was rewarded with free brandy and
dry stockings by the Humane Society.
1858 Syphilitic SkullAfter the 1857 Lunacy Act, better records
were required for patients and the
registration of deaths. This skull shows
the effects of acquired syphilis, a relatively
common condition that, in its late stages,
led to general paresis, a kind of dementia.
It was to be one of the first mental illnesses
proven to have an organic cause.
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1859 Obituary The Morningside Mirror includes an
obituary for the first matron of the Asylum,
Jane Upton McDougall. ‘Her departure
from amongst us, with whom she spent
nearly the whole of the last 20 years… has
cast a gloom over us of no ordinary kind.’
1860 Silver Teapot‘On Saturday evening, an entertainment
was given to the patients who are engaged
in the Laundry and Washing Room (…)
tea and cookies were handed round. After
satisfying themselves with these delicacies,
the place was then prepared for a dance.’
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1861 Admission Certificate
EXPERT INTERVIEW Maggie McIvor and Shirley Gowers The Patients’ Council
‘This paper commits a Mary Calder of Leith to the Hospital,
and describes her as ‘deranged’.
I believe it wasn’t a very easy era to be a patient – not a lot
was understood about mental health. Nowadays you’re either
a voluntary patient or sectioned, not so different from Mary’s
experience. And it’s witnessed by a doctor and a medical officer,
in the same way as there are various signatures here. The big
difference now is that a patient has a right of appeal, which I don’t
think Mary did. The law now calls for ‘least restrictive’ treatment
to be offered.
Some of the wording makes you feel dreadful – ‘insane’,
‘deranged’, even ‘asylum’ – which actually used to mean ‘place
of safety’. Any terminology used to describe mental ill health
eventually carries a stigma and gets replaced by other terminology.
I sometimes think it’s silly – I know what I’ve got, I don’t need
the government making up fancy names – skipping around the
edges of things.
People were committed back then for reasons we now wouldn’t
consider grounds for insanity. Women were sometimes put
away because they found themselves pregnant outside marriage.
This woman could be ‘deranged’ from losing her temper. I’d love
to know what happened to her.
When you come in to hospital, it’s something new you have to
face and you don’t feel well. I’ve been in and out of hospital quite a
few times, but each time is like the first, because you’re not thinking
properly, you just feel frightened, and that blanks out everything.’
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1862 Poem ‘Curling Song’, Published in the Morningside Mirror‘Our curlers met at Morningside,
In ruddy health and social glee;
More happy men, on winter’s day.
Ye couldna meet or wish to see…’
1863 Board BooksMale and female patients were kept in
separate sections of the Asylum, and kept
track of in separate registers. These detailed
how much was paid for board and any
arrears owing.
1864 InhalersDr Nelson first patented his ceramic
inhalers in 1864. They were used to
clear congestion of the lungs, a common
condition in ‘Auld Reekie’.
1865 Drawing of a ChairIn response to ‘a considerable want’ of
garden furniture, a patient described as ‘an
ingenious and laborious mechanic’ set about
making outdoor seats from windfall wood he
found in the grounds. They met with great
approval, described in the ‘Morningside
Mirror’ as ‘Not of a coarse and temporary
nature, but neat, ornamental and substantial’.
1866 Red StickThe Athletic Games were introduced for
the first time in 1865. Soon there were
14 categories ranging from ‘throwing the
cricket ball’ to ‘Highland dancing’. Prizes
ranged from pipes and snuff boxes to a red
stick for second prize in the hurdle race.
1867 Regulation BookRules and regulations.
1868 Shower HeadWater treatments (hydrotherapies) of various
forms were widely used in asylums as a
medical remedy, often to calm excitement,
sometimes to stimulate. Some therapies
sounded more like punishment than
panacea. One of these was the ‘bath
of surprise’, a reservoir of water into
which the patient was suddenly precipitated
while standing on its moveable and
treacherous cover.
1869 Doll’s ArmA doll’s arm was discovered during
renovations, wrapped in an 1869
Morningside Mirror.
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1870 Billiard Balls‘The grand annual Billiard Belt competition…
has again been held this season... the contest
began on the 23rd, and lasted four days, two
hours each day.’ Indoor and outdoor activities
of a sporting nature continued to be an
important part of Asylum life.
1871 Patient DrawingsDrawings by Andrew Kennedy, including
portraits of Asylum physicians with breasts.
Many of his works are preserved in Lothian
Health Services Archive.
1872 Dogs‘A party from the Asylum went to see the
Dog Show, which had for three days been
attracting crowds to the Gymnasium.
Every variety, from the huge mastiff to
the tiny lapdog, was to be seen…’
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1873 Portrait of Dr Thomas Clouston Thomas Clouston was the third and
greatest of the nineteenth century Physician
Superintendents. Appointed in 1873,
he did more than anyone in Scotland
to gain recognition for the plight of the
mentally ill and to transform psychiatry
into a recognised specialty.
He redesigned the prison-like features of the
East and West Houses, and masterminded
the building of Craig House. While
emphasising the necessity for discipline
and order, he also saw the need for pleasant
living conditions, a generous diet, and
active work. Through his lectureship in
the University of Edinburgh, his ‘Annual
Reports’ and published writings, Clouston
sought to educate the profession and the
public alike. He retired after 35 years
service and was knighted in 1911.
1874 Notice‘Any person leaving this door open will
be fined sixpence.’ No detail of hospital
organisation was too small for the attention
of Thomas Clouston.
1875 Patient DrawingsDr Clouston delivered a lecture with the
carefully considered title ‘On Mental
Health’, it explored the concept that the
term ‘health’ could be applied to the mind
just as much as to the body. These drawings
were completed by a patient and likely used
by Skae and Clouston as lecture prompts.
1876 Patient LetterHeaded ‘Robert Low Yule… Record of
Miracles’, this letter itemises the vivid
delusions he has experienced, including
‘A Smith casting a wry look at me, jumped
from the floor to a height of about 9 feet,
then passed through a framed picture
(without injury thereto) and through a solid
14 inch stone wall… ’.
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1877 Sheet Music of ‘As it Fell Upon the Day’A song performed by Mrs Clouston at an
amateur concert to mark the opening of
the new dining hall. The audience included
‘about 500 of the inmates, and a considerable
number of ladies and gentlemen in full dress,
friends and guests of Dr and Mrs Clouston’.
1878 Magic LanternOn a January evening, the inmates of
the institution were favoured with a
Magic Lantern Entertainment given
by a Mr Sinclair.
1879 ‘Asylum or Hospital Home’ BookletThis booklet by Clouston sets out his 44
principles of construction – theories of what
makes a good, modern asylum. He would
soon get the chance to test these out in
the massive building programme at Craig
House. The needs of the individual appear
to be at the forefront of his mind.
1880 Metal Plan BoxIn planning new additions to his Asylum,
Clouston recruited the help of a patient,
a former draughtsman, ‘who took a great
interest in the matter’.
1881 Men of Medicine PhotographClouston among his peers. The photograph
was gifted to him by Dr Hack Tuke.
1882 Drawings of Patients These portraits of Asylum patients were
commissioned by Thomas Clouston from
the artist John Myles. They were included
in a hand painted book entitled Bruised
Reeds, with notes on the patients’ various
conditions. It was probably used as a
teaching aid.
1883 Pin Used in Suicide AttemptThe pin is accompanied by a letter
describing the incident.
1884 Beer FlagonOn the 17th July, 120 people from West
House went to the Pentland Hills for
a grand picnic. During the nineteenth
century, beer was allowed to patients.
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1885 Two KeysThe West and East Houses each had a
head male attendant and a matron who
supervised the day-to-day running of the
institution. Attendants worked long hours,
living with their charges night and day
under the same roof. They frequently had
to contend with the violent and unruly
behaviour of their patients, and were
vulnerable to disciplinary action if they
showed excessive force. They were not
well paid, had few holidays and were only
allowed to marry with the permission of
the Superintendent.
1886 Portrait of Elizabeth BevanThe granddaughter of Andrew Duncan,
Elizabeth Bevan left a generous bequest to
the Asylum of £5000 plus the residue of
her estate. It was specified that it be for the
comfort of those patients of higher rank
and education who had fallen on hard
times. Philanthropists and social reformers,
motivated by Christian values and middle
class ideals, played a significant role in
bringing about change.
1887 Dix Commemorative PlateThe death of Dorothea Dix, an American
social reformer who campaigned for better
treatment of the mentally ill, especially the
poor. She is commemorated with a cameo at
Mackinnon House. This portrait was created
recently by a Jeanette Bell.
1888 Collection of Padlocks 1880 – 1960Lecture by Dr Clouston on Mental Nursing:
‘The object of treatment must be to arrest
this downward course – the patient must
be placed under supervision, his violence
controlled, his bad habits reformed, and
he must be kept warm and well fed’.
1889 Glass MarbleAn article in the Morningside Mirror
discusses boisterous medical students,
including a chap who had loosed a marble
from the top tier of the lecture theatre.
‘It came slowly rolling down, giving a dump
then a short roll, and so on until it stopped
in front of the Professor’s desk.’
1890 InvitationThe commemoration stone is laid for New
Craig House on Easter Craiglockhart Hill.
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1891 Photographic Reconstruction of a GhostOld Craig House, a 16th century building
beside New Craig, is reported to be haunted
by The Green Lady. Reputed to be the wife
of Sir Thomas Elphinstone, she was stabbed
by her husband in a jealous rage. He died
from remorse, and they were buried together.
The ghost is said to appear in the green dress
she wore at the time of her death.
1892 Patient DrawingA drawing of ‘Tam O’Swanston on the
Pentland Hills’ by John Willis Mason.
1893 Pathology BookDr William Ford Robertson was appointed
as Resident Pathologist; he was to make
a significant contribution to the medical
pathology of insanity.
1894 Celebratory MenuNew Craig House and its villas were
formally opened by the Asylum Governor,
the Duke of Buccleuch. At the time, it
was the largest, and considered the most
progressive, asylum in the world. East
House was demolished and private patients
moved to Craig House.
1895 CookbookThis well-used book belonged to the
Head Cook.
1896 Iron NailA nail from the roof of Old Craig House,
attached to a golf score card.
1897 Billiards MedalCraig House Billiards Medal. Sporting
activities were often an arena where
staff and patients met on equal ground.
1898 PenknifePenknife used by Miss M R in a suicide
attempt. With it is a letter describing
the incident.
1899 Pamphlet of RulesCraig House Nurses’ and Attendants’ Rules.
1900 Tailors’ ScissorsIn this year, in addition to making numerous
new items of clothing, the tailors’ workshop
at the Asylum repaired 678 pairs of trousers.
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1901 Tools Used by Upholsterers Used to repair furniture, but could have
also been employed to create the holes for
string fastenings on straightjackets, which
were made at the Asylum.
1902 Golf MedalRoyal Edinburgh Asylum Golf Club medal.
There was a small golf course in the grounds
of Craig House. There was also a skittle
alley outside West House, and the Asylum
employed a professional cricketer. Patients
paid him to bowl to them.
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1903 Snow Shovel
EXPERT INTERVIEW George Todd Sector Estates Manager
‘I was told by our roofer that there were shovels clipped up in the
rafters. When I went searching, there was only this and a broken
one left. It’s very old and fragile.
The roof of Mackinnon House has two ridges and a centre valley
that takes the water off. The snow can build up there, and once it
gets higher than the slates it starts to leak in to the building. That’s
why you need to take the snow off. A hundred years ago, there’d
be a guy going up and just shovelling the snow and throwing it up
over the peaks of the roof to the other side.
It’s the same job, except now we have to have tie-points all along
the roof that they can harness onto. The risk is the same as 100 years
ago, but now we have to take the risk out of it.
We use plastic shovels, light and easy to maintain. This one is
more handmade, and the reason the blade is made of wood is the
same reason we use plastic, what we call ‘sacrificial’ – the thing
you use to scrape should be softer than the material you’re scraping.
It doesn’t damage the slate.
We get snow almost every year. Up on the roof, you can see so
far, you see the snow coming in. In autumn we have to go up and
do the same with leaves, and in the summer, it’s the heavy rain.’
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1904 1000 Patient Letters
EXPERT INTERVIEW Professor Ronnie Jack Patients’ Council
‘The first thing that struck me was the similarities from then until
now of the worries being expressed in the letters. For example, high
on the list (and very high on my own list), was that of tedium. The
day is very long if your mind is doing things you don’t want it to do.
Next, would be lack of privacy. I was put in a room on my own,
and latterly moved into a ward of four but the letters here talk of
wards of 22 beds. Another parallel would be complaints about lack
of contact with the consultant.
What is different is their stricter regimentation, being forced
to rise early and go to bed late and the day being very structured.
Also, the sad letters of entrapment – people told they were going
on holiday or something, only to find themselves in the asylum.
And the marked brutality of the staff – that wouldn’t get by now.
But whether the patients’ experiences were actual or paranoiac,
you can’t tell.
The letters were written by patients while they were still ill,
whether they acknowledged it or not, and the immediacy of that
comes across and made me feel very sad, especially those letters of
appeal to family or friends to come and visit, when perhaps family
have thought, ‘Thank god she’s locked up and safe out of the way.’
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1905 Annual ReportIt is recorded in the 93rd annual report that
there are now 870 patients in the Asylum.
There was considerable overcrowding.
1906 CigarSigmund Freud begins a correspondence
with Carl Jung.
1907 100 CandlesTo mark the Royal Edinburgh’s first
centenary, a garden party is held in
the grounds of Craig House, featuring
a marching brass band. Over 1500
guests attend.
1908 Model of a TheatreDr Clouston’s handwriting was famously
illegible. He once wrote an indecipherable
letter to a patient, which the patient kept, as
it had a very official look. He presented it to
a chemist and was given medicine, he took
it to the theatre and was awarded a private
box, he was even able to travel via a private
train car to London by the power of this
unintelligible document.
1909 Dispensing BookSecret Remedies; What They Cost and What
They Contain Extemporaneous Dispensing
Book, published by the British Medical
Association.
1910 ‘Object Removed for Restoration’ SignAn extra large safety pin was confiscated
from a patient who had swallowed and
recovered it more then fifty times.
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1911 A Wasp in a Box
EXPERT INTERVIEW Neville Singh Psychiatric Nurse
‘This story of the patient with the pet wasp in a matchbox brought
to mind the Birdman of Alcatraz or the prisoner in the film, The
Green Mile, who kept a mouse in a box, another matchbox, I think.
Two prisoners with precious pets, one mental patient, imprisoned in
his illness, perhaps. I imagine his vulnerable self projected onto the
wasp to be looked after and cared for. But being imprisoned in a box
is not a natural state for the wasp. Unless, being fanciful, the wasp
sought out this patient and readily resided in the box. And when the
wasp died, did the patient keep it still?
The main feeling I have is of sadness, aloneness. I can imagine
the patient having had a bad day on the ward, withdrawing to his
bedroom to communicate with the wasp. Two lonely living beings.
One of the great American psychiatrists, Harold Searles, who
worked with people with schizophrenia, wrote a marvelous book
in 1960 called ‘The Non-Human Environment’. Some people with
mental illness can relate more intensely to an object or a living
thing, prefer non-human contact, and often that isn’t recognised,
how important it is.’
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1912 Guinea PigTwenty of Mr McKenzie’s finest guinea pigs
disappeared from the West House garden,
but were returned after he staked out the
garden at night and confronted the thieves,
two local schoolboys.
1913 ‘Object Temporarily Removed for Restoration’ SignA patient made a sculpture depicting the
allegory Knowledge and Justice Triumphing
over Ignorance, Greed and Injustice in walnut
and ivory. The sculpture was gifted to
Dr Clouston who frequently commented
on the life-like quality of the bat, monkey,
snake and magpie represented in the work.
1914 Photograph of Lieutenant HuddlestoneDr SC Huddlestone took a commission in
the 1st Battalion of the Black Watch and
was killed in action while leading a counter
attack across the trenches.
1915 Lead FiguresThe Asylum suffered from lack of staff as
nurses, doctors and orderlies left to aid the
War effort. Yet patient numbers swelled.
In this year, 25 soldiers suffering ‘mental
collapse’ were admitted to West House.
The treatment of shellshock was pioneered
at the Royal Edinburgh and Craiglockhart
Hospitals.
1916 MirrorThis mirror hung in the office of Thomas
Clouston and would have captured the gaze
of many superintendents following his death
in 1915.
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1917 ‘Reminiscences and Stories of a Certified Lunatic’
EXPERT INTERVIEW Allan Beveridge Psychiatrist and historian
‘This hand-written journal purports to be the life story of a
‘certified lunatic’. The preface is written by a medical superintendent
at ‘a Scottish asylum’, but is signed only M.D., so we can’t identify
the doctor or the hospital, and I think ‘MD’ is actually a way
of saying ‘a doctor’.
The disappointing thing for me – because I am very interested
in patients’ accounts of illness – is that the story is entirely about
the man’s travels and adventures before he came to the asylum.
Reading it again, what strikes me is that this doctor is very interested
in his patient, which is heartening. Sometimes psychiatrists get a lot
of bad press, but here is this doctor who is obviously fascinated
by his patients. He transcribes the man’s journals in his own hand.
By the look of it, he wanted to get it published.
In the preface, he is says that this remarkable man is actually
sane, an opinion shared by other people who knew him for a long
time, but those who made a brief examination thought he was
unwell.
You can’t tell what the truth of it was, or even if the document is
genuine. The main interest for me is the fact that he is entertaining
the notion that the patient was sane, because the mythology of early
asylums is that people get banged up with nothing wrong with them,
doctors are in cahoots with the state or relatives, and that isn’t my
view, having looked at the archives.’
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1918 Confidential FilesConfidential files were held on soldiers, such
as poets Wilfred Owen and Siegfrid Sassoon,
from their time being treated and analysed for
combat stress at the adjacent Craiglockhart
War Hospital. Sassoon’s file stated his mind
was ‘still chaos’ and he was ‘not to be trusted
with men’s lives’. Nonetheless, Sassoon
returned voluntarily to the War.
1919 Dispensing BookFrom “powder for diarrhoea in chickens” to
“tooth powder” this manual contains a carefully
handwritten list of hundreds of remedies.
1920 Rules and Regulations from West HouseThese include warnings about the correct
sending of letters. This was because letters
were routinely read by staff, and intercepted if
deemed to be ‘deranged’ or unsuitable. They
were often appended to a patient’s case notes,
never reaching their intended destination.
1921Hand SawThis handmade saw usually hangs in the joiners’
workshop at the Hospital, and was contributed
by a carpenter whose family have worked at the
Royal Edinburgh for three generations.
1922 Chamber PotChamber pot inscribed with a Royal
Edinburgh Asylum insignia.
1923 ‘Conflict and Dreams’ WHR Rivers Dr WHR Rivers pioneered the treatment
of shellshock through psychoanalysis in
Edinburgh during the Great War. The
building at the Royal Edinburgh where
soldiers returning from conflict are treated
now is named after him.
1924 Ward LightAn electrical supply was fitted in the Asylum.
1925 Floor Plans for West HouseDetailed floor plans of West House. Since
its beginning, the physical hospital has been
in a constant state of flux, expanding to
accommodate more patients, altering to suit
new regimes and methods of care. These
plans were possibly created to facilitate
alterations to the 1842 building.
1926 Spent MatchesMatches confiscated from a patient suffering
from acute pyromania.
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1927 Tailors’ WorkbookWorkbooks recorded every item of clothing
made by the tailors’ workshops. All Hospital
clothing was made in-house and was
uniform in appearance.
1928 ‘Object Removed for Further Study’ SignA case of Chateauneuf du Pape was gifted
to the nursing staff by an admiring group
of visiting French psychiatric professionals.
1929 Photograph of Dormitory Jordanburn Nerve Hospital opens. It
had its origins in the work done to help
shellshocked patients during World War I.
1930 Photograph of Pinel CommemorationA stone memorial marking the centenary
of Phillipe Pinel’s death is commemorated
in the Hospital grounds. His principles
of non-restraint were held as an ideal.
The photograph shows, left to right:
Mr TM Gardiner, Chairman of Managers,
the French Ambassador, the Earl of Stair,
and Dr Hamilton Marr, Commissioner.
Behind is Miss Martin, Matron, with
some of her nursing staff.
1931 Repaired ChinaA selection of ceramics broken and repaired
by patients.
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1932 Portrait of David Kennedy HendersonHenderson took over as both Physician
Superintendent and Professor of Psychiatry.
He was the first to introduce occupational
therapy in the Hospital and helped guide
the Hospital into the National Health
Service.
He advocated the need to consider the
personal and family history of patients,
along with their psychological and physical
state, in diagnosis and treatment. He also
paid attention to the context of their social
circumstances. He described this conceptual
framework as ‘psychodynamic’.
1933 Closed PortfolioPortfolio of images deemed too disturbing
to be seen.
1934 Sports Day CoverageThe Morningside Mirror celebrates the
Annual Sports Day at West House. Patients,
nurses, attendants, laundry workers, kitchen
and domestic staff are all listed as having
taken part in the games.
1935 ‘Objects Removed for Picnic’ SignA pair of shuttlecocks used in an infamous
patient versus staff badminton tournament.
1936 The Escape BookThis records an Arthur A absconding from
the Hospital His ‘mode of escape’ is listed
as ‘leaving his sister with whom he was
walking in Morningside Drive’. In his own
words, ‘I wanted time to think things over
for myself’. He then returned.
1937 Article on Miss ThyneThe ‘Morningside Mirror’ marks the
retirement of Miss JE Thyne. She nursed in
Cannes and Las Palmas, before returning
to Scotland and positions in Larbert and
Rosslynlee Mental Hospitals before moving
to the Royal Edinburgh, where she rose
to become Lady Superintendent, head of
nursing staff for the entire Hospital.
1938 Early ECT Machine Electroconvulsive Therapy was first used in
the late 1930s.
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1939 Daily Mirror The outbreak of World War Two.
1940 Steam Water BoilerEvery ward would have had one of these
boilers until they were replaced by new
technology in the late 1960s.
1941 Unusual Potatoes‘The potatoes illustrated above were dug up
in one of the Hospital vegetable gardens,
and are one of the oddest of Nature’s freaks.
As will be seen, they form an amazingly
life like flight of aeroplanes; as Mr Swan
has suggested, like six fighters escorting a
bomber. Most of them are even complete
with gun turrets on top.’
1942 Happy the DonkeyLacking petrol for the grass mowers,
the Hospital acquired a donkey to pull a
cutting machine. The Morningside Mirror
reported that the donkey ‘proved itself
unwilling to undertake so laborious a task’
and so, ‘A large and most antediluvian (and
extremely heavy) cutter has been unearthed,
and it is drawn by a large set of residents,
harnessed galley fashion, and thus making
fairly light work of it’.
1943 Battle Fatigued SoldiersBy 1943 approximately one third of men
invalided from the Army were discharged
on psychiatric grounds. The Hospital was to
see an increase in patients suffering from war
neurosis, or neurasthenia. The same syndrome
was once known as shellshock and is now
related to Post Traumatic Stress Disorder.
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1944 Rules and Regulations Sign
EXPERT INTERVIEW Tom Arnott Operations Manager
‘This handwritten notice hung in the Jordanburn Nerve Hospital,
which opened as part of the Royal Edinburgh in 1929. It was
probably the first psychiatric hospital where people were referred
without being sectioned and for short periods. It also brought
some services out into the community. Prior to that, if you needed
psychiatric care you were admitted to the asylum, so it was maybe
30 or 40 years ahead of its time.
It did have a darker aspect, though. This was the era when,
if people were thought to be homosexual, they were referred to
Jordanburn for treatment and ‘cure’. Otherwise they might lose
their jobs.
The only rule that strikes me as being different to today’s
principles is the first, ‘Patients should not discuss symptoms
with one another’ – sometimes that can be helpful, especially
within group therapy, to try to empathise with each other,
so that’s changed.
They mention ‘occupation’ as being of great value in treatment.
This is a theme running throughout the Hospital’s history, from the
early days, when if you were a cook or a cobbler or a tailor, you’d
be involved in doing those things for the hospital community.
At Jordanburn they were keen for patients to help with the running
of wards. It’s the beginnings of occupational therapy but it wasn’t
called that yet.
The title ‘nerve hospital’ was a more modern take on mental
illness, getting away from the term ‘asylum’. Some people still speak
of ‘nervous breakdown’.’
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1945 Two Hats‘Once more peace has come to this
country and to the world, though as yet it
is somewhat uneasy peace… Gradually old
faces are beginning to put in appearance
once more as various members of the Staff
return to us from their term of service.’ –
Morningside Mirror.
1946 Ice PickIn this year Dr Walter Freeman invented
the ‘ice pick lobotomy’, so called because
the instrument used resembled a kitchen
ice pick. There is no evidence that such
procedures were carried out at the Hospital
1947 Repurposed Newspaper ‘You never had toilet paper till the Yanks
came over. You had newspaper, and you
cut it into halves, then quarters, and you
squashed up the strips till they were soft,
and you put a hole through and hung
them on a bit of string from the wall.’ –
former patient.
1948 National Health Service PamphletOn the 5th July 1948, the National Health
Service came into being. For the first time,
everyone in Britain had free access to a
family doctor, prescription drugs, glasses or
dentures. According to Arthur Woodburn,
Secretary of State for Scotland: ‘We have
had one-legged patients coming in for an
artificial leg who had never had one before.
We have sometimes had the tragedy that it
is now too late to fit limbs and all we can
do is to supply them with wheeled chairs’.
1949 ECT MachineThe ’40s and ’50s saw the use of ECT
become widespread. Helpful in some
cases of deep depression, but with often
devastating side effects, the machine
passes a current through the brain to
induce convulsions.
1950 StraightjacketA straightjacket, possibly made in the
Hospital’s workshops. ‘I remember not
being able to lift my arms up much, and
the front loop pulling up on the crotch
strap. My shoulders didn’t hurt specifically,
but after thrashing around the first time,
trying to get out, my upper body was sore.
When I was released, they had me do
some basic upper body movements, such
as moving my arms slowly in a circle,
moving my fingers, etc.’
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1951 Photograph of a Bagpiper
EXPERT INTERVIEW Lothian Health Services Archive staff
‘We don’t know too much about this image. It’s of an older man
piping outside Craig House, the estate built for fee-paying patients.
You can tell it’s spring because of the tree in blossom behind him.
On the back of the photograph someone has written ‘A well-known
character at Craig House’. That suggests it could be a patient.
You realise this man was probably born in the nineteenth century.
We like the historical continuity it reveals. We were at the
Hospital fête this summer and there were pipers there, so it’s part
of a tradition of people piping in the grounds. We have some
wonderful nineteenth-century drawings of individual patients,
including a man playing a fiddle. Music has always been seen
as therapeutic. Even before electricity, they were having dances,
and people played live music.
The photographs are such a revealing part of the Archive.
With text you have to concentrate, you have to dig in, but
a picture is immediate, like a window into 1951.
You can’t help hoping that, when it goes on exhibition,
someone will see this and recognise the man, tell us more about
him. The Archive has contributed 54 objects out of the 200
objects on show, which is exciting for us. Our role isn’t only about
preservation, but getting the material out there and making sure
people can see what we’ve got.’
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1952 Full-body StraightjacketThe use of straightjackets was being phased
out around this time, as new drug therapies
came into being.
1953 Croquet SetA well-used croquet set from West House,
now Mackinnon House.
1954 Man Playing BowlsThe extensive Hospital grounds have
long provided a place for recreation and
tranquility. They also have been a source
of fruit, vegetables, and other produce.
1955 Aversion Therapy ChairIn electric shock aversion therapy,
electrodes were attached to the wrist or
lower leg and shocks were administered
while the patient watched photographs
of men and women in various stages
of undress. The aim was to encourage
avoidance of the shock by moving to
photographs of the opposite sex. It was
hoped that arousal to same sex photographs
would reduce, while relief arising from
shock avoidance would increase interest
in opposite sex images.
1956 Commemorative Plate A silver plate marking Royal visits to
Scottish hospitals, from 1956 to 1989,
including the Queen Mother’s visit
to the Royal Edinburgh.
1957 Glass SyringesThe new drug chlorpromazine was
introduced, effective in controlling
psychosis and delusions.
1958 ‘The Practical Woodturner’A book on woodwork from the
Occupational Therapy department
at Craig House.
1959 Photograph of the New Hen House The hen house was modernised. At this
time, there was also a piggery in the
grounds. Patients helped out in both
enterprises.
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1960 LSD BlotterRD Laing’s groundbreaking book,
‘The Divided Self’, was published in
1960. He was a proponent of the idea that
madness was not necessarily a breakdown
but potentially a breakthrough into a more
authentic way of being. He famously took
LSD with Sean Connery; the drug was
legal at the time.
1961 Occupational Therapy PhotographsSeries of photographs recording
Occupational Therapy workshops.
1962 The Morningside MirrorThe Morningside Mirror continued to
be produced, publication slowly fizzling
out in 1974 before Artlink, via artist
Ciara Phillips, revived it in 2011.
1963 Newspaper AdvertisementRecruitment of nurses for West House.
At this time, nurses were trained within the
Hospital and received a small wage during
their three years’ training.
1964 Instruction PosterInstructions for operating chloride batteries
for ECT.
1965 Doll Children were, on occasion, born in the
Hospital to patients undergoing treatment
for mental ill health. In the ’60s and ’70s,
babies accompanied mothers with puerperal
psychosis into the hospital, so that a bond
might have a better chance of forming.
This service is now provided by St John’s
at Howden, in West Lothian.
1966 Press PhotographAn unknown celebrity visits the Hospital.
1967 Painting of James Wigham Affleck Affleck became Physician Superintendent in
1967 and headed the Hospital until 1980.
1968 Nurses’ CapesCapes used to be part of a nurses uniform,
although, like caps and separate cuffs,
they are no longer worn at any National
Health Service hospitals.
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1969 Behavioural Research and Therapy BooksAlong with drug treatment, a range
of therapeutic approaches grew in
importance, including Behavioural
Therapy and Psychotherapy, influenced
by the work of Laing and others.
1970 MicrophoneThe Hospital started to video-record some
interviews and assessments with patients.
This original microphone has captured
the voices of hundreds, perhaps thousands
of patients since 1970.
1971 U-matic VideotapeInterviews were recorded onto high
quality video tape in a now-defunct format,
capturing the individual’s responses as they
moved through their treatment. These tapes
are in the process of being transferred to
a digital format, but will remain confidential.
1972 Interview ChairThis chair has been used for every video
interview conducted by the Hospital.
1973 Wooden DucksThe toys were given to patients’ children
to play with while their parent was being
assessed.
1974 ‘Object Removed for Renaming’ SignThe abolition of the South Eastern Regional
Hospital Board and creation of Lothian
Health Board; Royal Edinburgh Hospital
fell under the South Lothian District.
1975 Film ReelA film documenting a patient outing to
Morecambe, Lancashire and a Christmas
party at the Hospital.
1976 Sea Trawler MugA patient longed to own a fishing boat.
His friend bought him this mug from a shop
in Morningside as compensation, or the
nearest he could get to his dream.
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1977 A Pile of StonesA group of women, survivors of the
holocaust camps, were said to have lived
in the private wing at Marchhall after the
war. They had all passed away by 1977.
1978 Facsimile of TestA test employed to evaluate cognitive
change.
1979 Patient Craftwork Miniature furniture made from chestnuts.
Not all handiwork was so creative:
‘People were given quite menial tasks.
I remember patients making pegs, the
two halves of the peg would arrive with
the springs in huge big sacks. And the
patients would sit all day long putting them
altogether. For therapy that’s mind blowing
isn’t it, just making pegs. I also remember
patients putting elastoplasts into wee bags
which were sold to local grocers and what
not. On the ground floor at Bevan they
used to do mailing for companies, piles
of A4 sheets, they would take one A4
and put it in the envelope.’
1980 CatA patient with a very large appetite blamed
it on the cat with insatiable hunger who
lived in his stomach.
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1981 Basket Weaving Kit
EXPERT INTERVIEW Dianna Manson Patients’ Council
‘I was first admitted in the ’60s when the highest optimum dose was
given, and then gradually reduced. This toxic regime literally felled me.
Each day we were brought down to Occupational Therapy for
three hours. It was obligatory – it was murder. Everyone sat around
a table at whatever stage of their journey they were on.
Because of the drugs, you had double vision, and very little
dexterity. And very frightened, because it was the initial stages of
a psychosis. This basket would arrive, and I learned to loathe it.
I couldn’t do it and I felt grossly insulted, having come from medical
school, to think that this was now my objective in life.
I remember the consultant coming round – you were not
identified by name, just by your diagnosed condition, and she would
remark, “I can see she’s too drugged-up. We need to deal with that”.
Never “how do you feel?” “What would you like to do?” I grew more
and more to hate that basket. It was used to gauge how I was.
I managed, against advice, to get a job during the day, still living
on the ward. Eventually discharged, but with no professional support
in the community, it was a constant struggle. I could be readmitted,
then discharged 3 or 4 times during the course of a year…
Things gradually changed and in the ’80s switched to the
opposite extreme – there were baskets for those who wanted them,
but nothing was obligatory, nobody had to go to group meetings
– you just did as you wished, people would lie in bed all day, they
didn’t eat at all or could eat as much as they wanted. People were
even malnourished!
Life is bearable now because people listen. I go into schools and
I talk about my experiences – just a little old lady with a pink stick
and a pink handbag.’
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1982 Christmas DecorationsThese decorations were used to mark
Christmas in the hospital hairdressing
salon. When the hairdresser retired,
the salon closed.
1983 A Garden Fork In 1983 the Scottish Association for Mental
Health opened its first service, a Sprout
Market Garden, a horticultural project
for Scotland where people with health
problems could gain work experience.
Its first supported accommodation project
opened in the following year
1984 Detention PapersContemporary paperwork relating to the
sectioning of patients.
1985 Smashed Goldfish BowlDuring the ‘80s, a former Community
Psychiatric Nurse went out into the
community to visit patients suffering with
alcohol problems. At this time, there were
no mobile phones and she had no pager.
Nobody knew where she was and she
went alone.
Once, she was the first to the scene of
an outburst by a patient. He had smashed
up his flat and she became trapped between
the patient and the police. Once the police
had taken him to hospital, she went into the
ruined flat and saw that he had smashed a
goldfish bowl. She picked up the fish and
put it in the kettle.
It wasn’t until the following week that
she remembered that she had not told
anybody that she had done this.
1986 ‘Wild Haemorrhages of the Imagination’ A booklet about the experience of
schizophrenia, written by Dianna Manson.
Dianna’s life has been unusually intertwined
with the Hospital. She grew up just outside
the gates of Craig House, and as a child,
knew what she calls the ‘old timers’ as
friends. She then trained as a medic and
subsequently was resident in Craig House
as a patient.
1987 Poem Written by a Nurse‘I wrote the poem out of passion and
frustration at how patients with mental
health problems were often perceived in
general hospital settings. As you can see,
I did it many years ago on an old battered
typewriter! It has been sitting in my office
for ages but I still feel strongly about
the way mental health patients can be
misunderstood.’
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1988 Three Trophy Plinths It is no longer known what trophies stood
on these plinths, who won them or what for.
1989 Red PaintThe interior colour of the cabinet has been
taken from a painted carving on one of the
fireplaces in the grand hall, Craig House
which closed in 1989.
1990 Sample Card A sampler of materials used by the
Hospital upholsterer.
1991 Violin Staff remember a patient who often used
to play the violin in the reception area of
the Hospital. His name was Frank, and he
was possibly a ‘corridor patient’, the phrase
used for individuals who have been released
from the Hospital, but gravitate back to its
familiarity. He died in 1993.
1992 Clay FlowerpotsThe Occupational Therapy Horticulture
Project opened, providing therapeutic
horticulture to people with severe and
enduring mental health conditions. People
were actively engaged in practical care
of plants, with the aim of improving their
work skills and also wellbeing. It can be
seen as a revival of the Hospital’s long
tradition of gardening and agriculture.
1993 Model of a House There was a fundamental shift in care
with the formal introduction of changes
to support people at home rather than in
long-stay institutions. In 1949, Dingleton
Hospital in the Borders was one of the first
in the world to unlock its wards allowing
patients access to the wider community.
In recent years, Scotland has pioneered new
approaches in promoting mental well being,
although resources remain hard fought for.
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1994 Postcard/SouvenirsA group of staff and patients went on
a mini-break to Blackpool.
1995 Small Silver BellThe bell began to be used at staff meetings
by the Community Rehabilitation Team,
it was rung when they had a successful
discharge of a patient leaving the Hospital
to be housed in the community. As some
patients had been resident for 40 or more
years, this required much preparation and
effort by the team and the patients involved.
1996 NewsletterThe first ever Edinburgh campaign to
de-stigmatise mental health.
1997 Tipperlinn Bowling Club BrochureTipperlinn Bowling Club, based in the
grounds and open to both patients and
staff, celebrates its silver jubilee.
1998 Video Training PackProduced by the Patients’ Council, the aim
of the video project was to enable users
to transform their own experience into
learning for others. It also serves as
a training aid to raise awareness of ‘how
it feels’ to be a patient on an acute ward
in the Royal Edinburgh Hospital.
1999 Metal Union Badges In 1999 workers were given the legal right
to collective bargaining by a recognised
trade union. It applies to workers in the
NHS but does not apply to employees
in the growing private sector.
2000 Giant Bird MobileMade by joiner George Brown for the
Hospital crèche.
2001 Coffee Jar, Mug and SpoonOne patient was particularly fond of adding
many, many spoons of coffee to a mug of
cold or hot water. Usually cold.
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2002 Model of a HouseAn increasing number of people
receive care in their own homes or in
supported housing rather than in a long
stay institution. This was seen as the
best option from a humanitarian and
moral perspective.
2003 Detention FormsThe latest version of the forms which
confine a patient to psychiatric care.
2004 Hairdressing ScissorsWilma Holmes was the in-house hairdresser
for the Hospital for more than thirty years –
from 1972 to 2010.
2005 Jigsaw Pieces Pieces from a number of different puzzles
mixed together by Mrs H, who claimed
it made the assembling of the images
more challenging.
2006 Photographs from the Patients’ CouncilThe Royal Edinburgh Hospital Patients’
Council continues to strengthen the voice
of patients and former patients through
independent collective advocacy.
2007 Innovative Practice AwardThe Mental Health Nursing Forum Scotland
Innovation Practice Award for Adult Acute
Inpatient Services, which was won by
the Self Harm Project in 2007. The award
is a sculpture, ‘The Road to Recovery’,
by Alison McGuigan.
2008 60th Birthday CardThe NHS was born out of a long held ideal
that good healthcare should be available
to all, regardless of wealth. Since its launch
in 1948, the NHS has grown to become
the world’s largest publicly-funded health
service.
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2009 Military Food TinVeterans First Point (V1P) is a service
designed by veterans for veterans, offering
welfare and psychological support as
they adjust to life after military service.
V1P works with veterans of all ages and
branches of service (including reservists and
TA) as well as their families to successfully
transition back to civilian life.
2010 Patient DrawingThe tradition of vocational and creative
activity continues through the various
workshops carried out by occupational
therapists as well as numerous voluntary
and community organisations.
Drawings by Albert Stewart Nicolson.
2011 Union BannersUnion Flags from the one-day Pensions
Dispute demonstration in Edinburgh.
Over 4000 union members demonstrated.
Plans begin to redevelop the Royal
Edinburgh Hospital on its existing site
over the next 10 years.
2012 GnomeHistorically, the Hospital held Gala Days
for patients. Working with staff, Artlink
re-introduced a Gala Day four years ago
in the lead up to the bicentenary. Last
year, patients and staff worked on creating
a Gnome Olympics to coincide with the
London Olympics. Numerous gnomes were
made and altered into sporting positions, to
become athletes within the Gnome Olympic
Stadium.
Gnome made by Gareth Shaw,
OT Assistant.
2013 Door Bell and HammerReputed to be the original doorbell to
the entrance of Mackinnon House.
At the same time as the Hospital prepares
for a radical new phase of building works,
it was removed this year and handed to
the EVER / PRESENT / PAST project.
Countless numbers of fingers would have
pressed this bell over the first 170-year span
of the Building’s existence.
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Ever/Present/PastThe history of the Royal Edinburgh Hospital (REH) spans 200
years, covering many life times and diverse experiences of the
psychiatric system. These experiences, some sad, some heartening,
some funny and some down right odd, give a different insight
into the everyday life of this hospital and the ways in which it has
changed over the years.
When Artlink was set the task of capturing the Hospital’s
history, it decided to approach the whole project in the same way
it runs its workshops. First start with the individual; learn from
their experience; then see where it takes you. The artists involved
in the programme became researchers, meeting with individuals,
slowly unearthing stories, collating these experiences, offering new
perspectives, turning their research into artworks. The result is
EVER / PRESENT / PAST, a year-long programme curated and
co-ordinated by Artlink, which exposes the history of the REH
through events, talks and exhibitions. The year culminates in the
exhibition at the Talbot Rice Gallery.
Mark Dion’s 200 Years / 200 Objects has seen a spectacular
research programme of involvement and activity, which involved
a monumental programme of collecting, collating and sifting of the
stories connected to the Royal Edinburgh Hospital. For Mark Dion
this meant ‘collections’ in the broadest sense, involving tours of the
Hospital and its community. From underneath the floor boards
to up on the roof, he gained an understanding of the Hospital
through the places he visited and the people he met with. He
also cleverly employed staff, patients, archivists and the wider
community to help excavate the Hospital’s history from
their perspectives.
Each year from 1813 to 2013 was assigned an object.
Each object has a story. The objects have been gathered from
a variety of sources, such as the Morningside community, the
Hospital community, and the Lothian Health Services Archive,
amongst others.
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Mark Dion has also made specific interventions especially for
the exhibition. Researched information and speculative fiction
are intertwined to construct a compelling and convincing story.
Archive, historical, contemporary, loaned, bought, donated, found
and newly commissioned objects rub shoulders with each other in
the 14m long cabinet. The mass collection of 200 objects combine
to create an involved, complex and thought provoking artwork.
Mark Dion and Artlink would like to thank everyone who
took part in the realisation of this work, from the porter to the nurse,
the local shop keeper to the patient. Your contributions have helped
make it as rich and expansive as the Hospital’s 200 years.
Alison Stirling and Trevor Cromie
Co-curators EVER / PRESENT / PAST
Thanks to: Artlink Director, Jan-Bert van den Berg, for his invaluable
support and guidance throughout the project.
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Acknowledgements
Royal Edinburgh Hospital Staff and Patients past and present
Lothian Health Services Archive, Centre for Research Collections, Edinburgh University
University of Edinburgh’s Talbot Rice Gallery
University of Edinburgh
Royal Edinburgh Hospital Patients’ Council
Royal College of Physicians of Edinburgh
The Royal College of Surgeons of Edinburgh
Robert Smail’s Printing Works
W. Armstrong & Son
Dr Neil’s Garden Trust, Duddingston Curling House
Museum on the Mound, Lloyds Banking Group
Morningside Heritage Association
Veterans First Point
Craighouse Partnership
Cousland Smiddy
Community Rehabilitation Team, Royal Edinburgh Hospital
The Orchard Clinic, Royal Edinburgh Hospital
Nursing Studies, School of Health and Social Science, University of Edinburgh
The Rivers Centre for Traumatic Stress
Royal Voluntary Service
Patient’s Library, Royal Edinburgh Hospital
Volunteer Hub, Royal Edinburgh Hospital
Health Promotion Resource Centre, NHS Lothian
Tipperlinn Bowling Club
UNISON
Edinburgh Napier University
Volunteer Edinburgh
Edinburgh Voluntary Organisation Council
Caps Advocacy
Advocard
Morningside local shops and businesses
Morningside community
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Special thanks to:
Tom Arnott, Royal Edinburgh Hospital and Lothian Health
Services Archive staff.
Laura Aldridge, Rohan Almond, Claire Barclay, Jim Baird,
Allan Beveridge, Julie Bishop, Sharon Boyle, Colin Bright, George
Brown, Irene Brown, David Budd, Sarah Cairns, Vanessa Cameron,
Kara Christine, James Clegg, Andrew Connell, Susan Davidson,
Margaret Dunn, Anne Elliot, Stuart Fallon, Angela Farr, Pat Fisher,
Serena Fredrick, Claire Fyvie, Laura Gould, Shirley Gowers, Gen
Harrison, Ruth Honeybone, Susan Hood, Ronnie Jack, Christine
Jones, Maggie Keppie, Louise Learmonth, Dianna Manson, Patrick
McFall, Maggie McIvor, Gordon McLetchie, Alison Meiklejohn,
Ewen Meldrum, Roger Mercer, Susan Mercer, Iain Milne, Eileen
Moar, Tim Montgomery, Mary Mooney, Albert Nicholson, Sarah
Noble, Hazel Norcross, Grace O’Hanlon, Jill Powlett Brown, Fiona
Reynolds, Deborah Ritchie, Peter Ross, Ian Seath, Gareth Shaw,
Dana Sherwood, Neville Singh, Hania Smarecka, Marianne Smith,
Laura Spring, Tommy Stuart, Susan Tennyson, Eleni Thomaidou,
Anne Thomson, Alison Thorburn, Carolyn Thorburn, George Todd,
Catherine Walker, Eric Walker, Kirsty Williams, Louise Williams,
Stephen Willis, Andy Wills.
Mark Dion would like to thank the The Tanya Bonakdar Gallery
for their continued support and the artist, Sarah Mercer for her
assistance during the installation period. He would also like to
acknowledge the exceptional work of the project interns Kristin
Cunningham, Emma Middleton and Page Benkowski, during the
research, conceptualization and production phases of the exhibition.
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Credits Catalogue published by Artlink in an edition of 1000, November 2013 Catalogue published to accompany the following exhibition.
200 Years / 200 Objects, Mark DionUniversity of Edinburgh’s Talbot Rice Gallery.
16th November 2013 to 15th February 2014
© Copyright 2013 the artist, authors and publisher.
The Ever / Present / Past project has been co-curated by Trevor Cromie and Artlink’s Projects Director Alison Stirling, the exhibition has been realised in collaboration with the Talbot Rice Gallery.
Design by Nicky Regan, Submarine DesignText by Nicola WhiteEdited by Alison Stirling and Trevor Cromie
The following images courtesy of Lothian Health Services Archive, Edinburgh University Library.Front cover and page 35 Ref: LHSA/EUL/LHB7/13/14 (7) Page 20 Ref: LHSA/EUL/GD16Page 38 Ref: LHSA/EUL/ P/PL7/P/014
All other photographs Anne Elliot.
Disclaimer
In collating the objects and stories for this exhibit, we drew on the memories of past and present patients, staff and the local community. Some of these stories are based on fact, some are fiction and some hearsay. All have been adapted by the artist for the purpose of the artwork and do not necessarily represent the views of the organisations we have worked with.
Artlink promotes diversity, drawing on lived experiences to inform creative responses which are both relevant and enduring.
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200 Years200 Objects
M A R K D I O N
Artlink Edinburgh and the Lothians13a Spittal StreetEdinburghEH3 9DY Tel: 0131 229 3555Website: www.artlinkedinburgh.co.ukBlog: www.artlinkeverpresentpast.wordpress.com Artlink is a company registered in Scotland No. 87845 with charitable status. Scottish Charity No. SC006845.
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