For centuries, "madness" was managed by isolation. In the 17th and 18th centuries, the "Great Confinement" saw the mentally ill housed in workhouses and asylums like in London, often in inhumane conditions.
In antiquity, mental distress was often framed through the lens of the supernatural. Ancient civilizations often attributed "madness" to demonic possession or divine punishment. However, a shift toward medicalization began with (c. 460–370 BCE), who argued that mental disorders had natural causes stemming from imbalances in the four "humors" (blood, black bile, yellow bile, and phlegm). This was the first major step toward treating the mind as a function of the body. The Great Confinement and Moral Treatment History of Psychiatry and Medical Psychology: W...
The late 18th century brought a "Moral Treatment" revolution. Figures like in France and William Tuke in England famously advocated for unchaining patients, arguing that a compassionate environment and purposeful labor could restore sanity. This period marked the birth of psychiatry as a distinct medical specialty. The Birth of the "Talking Cure" For centuries, "madness" was managed by isolation
In the mid-20th century, the pendulum swung back toward biology. The discovery of in the 1950s revolutionized treatment. For the first time, severe symptoms of psychosis could be managed with medication, leading to widespread deinstitutionalization —the closing of large state asylums in favor of community-based care. This was the first major step toward treating