This is a very important study into the history of nursing, mental health history and LGBT+ history. It is written up in an academic way, meaning that the prose is bland and there is regular repetition. The interviews by the author of former nurses and patients were ground breaking. I would have liked to have been able to read more from those.
Dickinson spells out some of the lessons for the future contained in this examination of the past, most notably seeing how well-meaning nurses can end up administering cruel treatments. This reminded me of the insight in The Mare by Angharad Hampshire into how an ordinary person became a concentration camp guard. My take away from both is that we need to teach and encourage critical thinking, nurture individuals’ self-worth and encourage discussion between all levels of hierarchies.
In the notes it is revealed that several of the interviewees had died by the time of publication ten years ago (2015), highlighting the extent to which this research was undertaken “just in time” while those involved were still alive. This makes this book even more important, like Max Arthur’s oral histories, particularly of those who fought in the First World War.
Aversion therapy for homosexuality, “transvestism” (transgender) and other perceived “mental illnesses” was cruel, had lasting damage, was ineffective, and was trying to change natural things which should have been accepted instead. We need to use this knowledge to prevent labelling differences as illnesses, being more considerate of patients, not experimenting on them, and creating workplace structures within which staff can examine and express their own consciences.