As to the progress we made and then went backwards again, it seems hard to believe, but it did occur:
Quote:
'The nineteenth century opened dramatically with a pistol shot, and the gun fingers of Hadfield and McNaughton were to trigger the opening of many asylums. The state entered the field in a big way. By the end of the century there were 74,000 patients in public asylums. The early period of state asylums was custodial, out of it developed a period of therapeutic optimism that reached its height in the 1840s, and declined into therapeutic pessimism in the second half of the nineteenth century.'
Quote:
'The pessimistic period in asylum history developed during the second half of the nineteenth century. Medical theory was strongly influenced by social darwinist beliefs that insanity is the end product of an incurable degenerative disease carried in the victim's inherited biology, and the experience of asylums, and reanalysis of their statistics, undermined the earlier beliefs in their therapeutic value. In the late 19th and 20th centuries, the pessimistic period in asylum history ran gently into a backwater period. Most progress in mental health policy took place outside the asylums, in specialist hospitals like the Maudsley, or in outpatient departments, and the asylums became the quiet back wards where chronic patients live.'
Quote:
'Application of "survival of the fittest" theories to human society. Intellectually this predates Darwin's application of this theory to biological evolution. Darwin's theory was stimulated by the theories of Malthus, who argued that human populations are controlled more by war, famine and disease than they are by social planning, and that interfering with this process through poor relief undermines society. Social Darwinism (as distinct from Darwin's biological theories) was developed by Herbert Spencer.'
Only with social Darwinism sterilisation, euthanasia, the concept 'incurable' made their entries.