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+. Why was it justifiable for experimenting with drug therapy on patients? Was this seen as progressive by many patients or were they at all suspicious of the ramifications that came with experimentation?
+. Asylums were said to have equality of opportunity rather than equality of condition, was this something that made asylums inevitable to fail? Would equality of condition be sustainable?
+Submitted by Jack Kurz
+. I found it interesting that Kirkbride allowed “individualism” with in his hospital by allowing patients to wear their personal clothing, why did he not instill this same train of thought with individualized treatment?
+. How did Kirkbride handle addiction on behalf of distributing morphine and other opioids?
+-Janis Shurtleff
+In Chapter 5, Tomes reveals how persuasive and manipulative Kirkbride can be when it comes to preserving his image and smoothing over hairy situations. He also spent a lot of time on rewarding patients with special dinners with him, writing letters to families, etc. Since he was the model for other superintendents, were they also operating their institutions this way?
+The idea that increased social stresses were the cause of insanity and reinforced the need for psychological care. Kirkbride set up a class hierarchy as well as a reward system in his facility with punishments for poor behavior. Doesn’t this also create additional stress that would further complicate their conditions? Several patients complained about feeling less than because they were poor, or that they were treated poorly in different wards, so were these systems constructed to only benefit the rich and unproblematic patients?
+Submitted by Allison Love (I pledge...)
+) Tomes mentions how Kirkbride permitted the patients to purchase anything that they wished to have in their rooms (202). Wouldn’t this be possibly dangerous to the patients if it was not closely monitored what was sent to them or what they purchased? Couldn’t this also adversely affect other patients’ treatment by making them feel as though since they have less than the other patients?
+) Kirkbride’s marriage to Eliza was one that promoted the effectiveness of medicine to cure insanity and allow the patient to return to a normal life. What happens to the patients who are cured but are unable to return to a normal life due to prejudice or lack of acceptance? Tomes eludes to it but doesn’t go into much detail.
+Submitted by Mallory Karnei (I pledge...)
+) Something throughout the sources that we have read that I've realized is how widely known Kirkbride and his methods were. What made him and his time as a superintendent so well known that, "his approach to hospital management profoundly influenced a whole generation of American asylum doctors." (page 265) Discuss.
+) As we have learned from earlier readings, people could be brought to stay in an asylum for any number of reasons, voluntary or not. In the chapter "The Perils of Asylum Practice," Tomes mentions that patient-related disputes "contributed to the problem of asylum practice." (page 274) How serious were these questions being brought up and how were they solved? Who usually "won" the dispute, the institution or the patient?
+Carson Berrier (I pledge…)