100 books like Asylums

Although Madhouse reads like a Stephen King novel, everything it recounts is actually true. At the turn of the twentieth century, Henry Cotton, a psychiatrist and the medical director of the New Jersey State Hospital at Trenton, thought he had found the solution to mental illness. His unconventional approach to treatment, however, left more people dead and disfigured than effectively cured. Andrew Scull’s deeply-researched narrative of Cotton’s medical interventions is a horrifying, yet entirely gripping, account of the lengths people have gone in the name of psychiatric treatment.

I love this book first and foremost because it is essentially the OG of madwomen narratives. Written in 1892, it is a super-creepy, sensory, trippy exploration of one woman’s sanity slowly being shredded by male medical “expertise”—in this case, a doctor’s prescription for postpartum depression: utter isolation in a bedroom with no intellectual stimulation... in order to alleviate postpartum depression (?!). Unsurprisingly, rather than “recovering,” the heroine drags readers down a terrifying rabbit hole of hallucination, self-destruction, and—ultimately—murder.

It’s a masterful, Hitchcockian deep dive into psychosis written over a half-century before Psycho. But it’s also an extremely satisfying example of feminist revenge-writing; Perkins not only drew on her own experience after suffering this “treatment” but sent a copy directly to her practitioner after its publication. Pow!

I found it fascinating to read Ethan Watters’ analysis of how American concepts of mental illness are exported and globalized, usually with disastrous consequences.

During a cultural moment when social justice, cultural relativism, and imperialism have entered the public consciousness, this book is more relevant than ever. With its focus on mental health labels and diagnoses, specifically, this book helped me understand how our notions of illness, psychological distress, and mental health don’t necessarily translate into other societies.

I loved thinking about familiar diagnoses here in the US, such as anorexia, depression, and PTSD, and reading about well-meaning initiatives that bring these labels into foreign contexts. By attempting to superimpose our conception of mental illness onto people in other countries, we inadvertently diminish the social networks and resilience of the societies we aim to help.

As a therapist who is sometimes weary of our cultural stories about psychological suffering, this… show more.

I once worked on a film shoot at the infamous Friern Barnet Asylum in London, an imposing building that boasts the longest corridor in Europe at over a third of a mile long. It was my job to lock up after filming was over each night, and to do so, I had to walk the long corridor with just a flashlight for company… and the ghosts rumoured to haunt the building! I have never forgotten the feeling of dread and despair in that place, and my heart went out to the patients who were isolated in the creepy basement wards. Barbara Taylor gives an inside perspective on this fearsome institution in her book, which is both an achingly honest account of mental illness and addiction, and a critique of community care.

Long before the Victorian asylums, there was Bethlem – London’s ancient hospital for lunatics. Like Broadmoor, Bethlem also looked after high-profile criminals, but within a private and charitable institution that was mostly for the capital’s waifs and strays. Bedlam gives you a sense of how mental health developed as a concept from the medieval period to the present day.

A man called “Pepper,” who may or may not suffer from mental illness, ends up in a locked mental ward in Queens, New York, where the entire novel takes place.

A beast, who the patients believe is the devil, comes out at night, assaulting and sometimes killing patients. Patient deaths are chalked up to suicide. The engaging, quirky characters—drugged to the gills while warehoused and essentially untreated in a public hospital—share the defining feature of being low-income and unprotected from both the supernatural and human forces that would destroy them. They must take matters into their own hands to protect themselves.

I appreciated the theme of how marginalization and isolation presented as much terror here as the supernatural. Yet, the hope and humor of the characters also kept me engaged and frequently smiling.

If you need inspiration to write strange stories, then read the Brazilian Machado de Assis. In his photos he looks like a prim and proper gentleman, giving no hint he wrote some of the whackiest fiction you’ll ever encounter—for example, one story is told from the perspective of a needle. The Alienist is a favorite. Bacamarte, a man devoted to science, opens an insane asylum in the town of Itaguaí, taking in the mentally ill. But his scientific mind leads him to the inevitable conclusion that he must also include healthy people who, according to his diagnosis, are about to go crazy. Soon, his asylum, Casa Verdi, accommodates the entire town. Then, in the ending of the story… Well, you’ll have to read it yourself to find out. 

Theoretically for Young Adults (meaning older teenagers), this one is also for adults of any age. It’s about exclusion, anxiety, depression, suicide, all matters that have touched my own family with tragedy, 

Helena Close knows about mental illness and what it feels like, and she describes it in visceral detail. But she is a sharp and funny writer, and she takes no prisoners when it comes to the false assurances of a certain kind of charlatan ‘counsellor’. 

The heroine of this book seems set to drown in sorrow, but she learns, slowly and with help, how to swim up out of pain and fear towards the light. So uplifting!

Originally published in 1964 under the pen name Hannah Green, I Never Promised You a Rose Garden is a bleak but beautifully-written book that has recently been reissued after some time out of print. It tells the story of Deborah Blau, 16, incarcerated in a psychiatric hospital after being diagnosed with schizophrenia. The book is a thinly-disguised autobiographical account; Greenberg spent years at Maryland’s Chestnut Lodge, where she was helped in her recovery by the understanding and unconventional therapy provided by Freida Fromm-Reichman (Dr. Fried in the book). Much of the time, Deborah retreats into her own world, with its own language, gods, and history. The book helped me to understand why a person might elect to live in their own mind, where their world, although dark, is at least within their control.

I like to write about public Victorian asylums – where the bulk of English people with mental illnesses were admitted.  But the counterpoint is the private system, where the poor, rich mad spent their time in nice surroundings with wacky treatments. Sarah Wise captures this perfectly through a real-life investigation of the people in the attic – think Jane Eyre, or The Woman in White – and how the law sought to protect them.