1 This runs from an optimistic era of moral treatment in the eighteenth and nineteenth centuries which informed the designs of those such as Thomas Kirkbride that the hospital should be light, spacious and connected to nature, to one of intense pessimism in the twentieth, with damning exposés and critical ethnographies of the mental hospital that used personal accounts and participant observation techniques to dramatic and disturbing effect. In historical reflections on the architecture of the mental hospital, there is a familiar narrative arc.
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