Decennial Census, 1940

Import data

library(readr)
## Warning: package 'readr' was built under R version 4.0.3
pop_1940 <- read_csv("~/madness/institutionalPop_1940.csv")

# print data
pop_1940
## # A tibble: 9 x 3
##   Variable Pop_Total Pop_Mental
##   <chr>        <dbl>      <dbl>
## 1 Total    101102924     591355
## 2 Male      50553748     317812
## 3 Female    50549176     273553
## 4 White     91428165     536629
## 5 Male      45823031     288238
## 6 Female    45605134     248391
## 7 Nonwhite   9574759      54736
## 8 Male       4730717      29574
## 9 Female     4944042      25162

Clean Data

# delete rows: 1,2,3,4,7
pop_1940_cleaned <- pop_1940[-c(1,2,3,4,7),]

# print data 
pop_1940_cleaned
## # A tibble: 4 x 3
##   Variable Pop_Total Pop_Mental
##   <chr>        <dbl>      <dbl>
## 1 Male      45823031     288238
## 2 Female    45605134     248391
## 3 Male       4730717      29574
## 4 Female     4944042      25162
# rename values
pop_1940_cleaned[1,1] <- "White_Male"
pop_1940_cleaned[2,1] <- "White_Female"
pop_1940_cleaned[3,1] <- "Nonwhite_Male"
pop_1940_cleaned[4,1] <- "Nonwhite_Female"

# print data
pop_1940_cleaned
## # A tibble: 4 x 3
##   Variable        Pop_Total Pop_Mental
##   <chr>               <dbl>      <dbl>
## 1 White_Male       45823031     288238
## 2 White_Female     45605134     248391
## 3 Nonwhite_Male     4730717      29574
## 4 Nonwhite_Female   4944042      25162
# separate Variable to two columns: Race and Gender

library(dplyr)
## Warning: package 'dplyr' was built under R version 4.0.3
library(tidyr)
## Warning: package 'tidyr' was built under R version 4.0.3
pop_1940_processed <- 
  pop_1940_cleaned %>%
  separate(col = Variable, into = c("Race","Gender"), sep = "_")

# print data
pop_1940_processed
## # A tibble: 4 x 4
##   Race     Gender Pop_Total Pop_Mental
##   <chr>    <chr>      <dbl>      <dbl>
## 1 White    Male    45823031     288238
## 2 White    Female  45605134     248391
## 3 Nonwhite Male     4730717      29574
## 4 Nonwhite Female   4944042      25162

Decennial Census, 1970

Import data

library(readr)
pop70_cleaned <- read_csv("~/madness/pop70_cleaned.csv")

#print data 
pop70_cleaned
## # A tibble: 4 x 3
##   Race     Gender Pop_Mental_70
##   <chr>    <chr>          <dbl>
## 1 White    Male          194405
## 2 White    Female        157578
## 3 Nonwhite Male           45567
## 4 Nonwhite Female         29227

join data

pop_40N70 <- pop_1940_processed %>%
  select(-Pop_Total) %>%
  left_join(pop70_cleaned, by = c ("Race", "Gender")) %>%
  rename(Pop_Mental_40 = Pop_Mental)

pop_40N70
## # A tibble: 4 x 4
##   Race     Gender Pop_Mental_40 Pop_Mental_70
##   <chr>    <chr>          <dbl>         <dbl>
## 1 White    Male          288238        194405
## 2 White    Female        248391        157578
## 3 Nonwhite Male           29574         45567
## 4 Nonwhite Female         25162         29227
pop_long <- pop_40N70 %>% 
  pivot_longer(3:4, names_to = "Census_Year", values_to = "Pop_Mental") %>% 
  mutate(Year = stringr::str_remove(Census_Year, "Pop_Mental_")) %>%
  select(-Census_Year)

pop_long
## # A tibble: 8 x 4
##   Race     Gender Pop_Mental Year 
##   <chr>    <chr>       <dbl> <chr>
## 1 White    Male       288238 40   
## 2 White    Male       194405 70   
## 3 White    Female     248391 40   
## 4 White    Female     157578 70   
## 5 Nonwhite Male        29574 40   
## 6 Nonwhite Male        45567 70   
## 7 Nonwhite Female      25162 40   
## 8 Nonwhite Female      29227 70
library(ggplot2)
## Warning: package 'ggplot2' was built under R version 4.0.4
library(scales)
## Warning: package 'scales' was built under R version 4.0.4
# Interested in the change between 40 and 70, overall
pop_long %>%
  group_by(Year) %>%
  summarise(Pop = sum(Pop_Mental)) %>%
  ggplot(aes (x = Year, y = Pop)) + 
  geom_col() +
  scale_y_continuous(labels = comma_format())

# Interested in the change between 40 and 70, race
pop_long %>%
  group_by(Year, Race) %>%
  summarise(Pop = sum(Pop_Mental))%>%
  ggplot(aes (x = Year, y = Pop, fill = Race)) +
  geom_col(position = "dodge") +
  scale_y_continuous(labels = comma_format())

# Interested in the change between 40 and 70, gender
pop_long %>%
  group_by(Year, Gender) %>%
  summarise(Pop = sum(Pop_Mental))%>%
  ggplot(aes (x = Gender,y = Pop, fill = Year)) +
  geom_col(position = "dodge") +
  scale_y_continuous(labels = comma_format())

Mental institutions have evolved many times throughout history and have constantly been challenged in order to get to where they are today. The roles for these mental institutions have been affected by many different factors over the years. One factor is gender roles and societal norms or social classes. This is seen in the Elizabeth Packard excerpt and the Limerick District statistical report. Something to keep in mind is that there is always bias when reading these excerpts, and that is taken into consideration. The Limerick District reported things like demographics that indicated more women died in this institution than men, and the people institutionalized were mostly the uneducated working class. According to the asylum there were 3 meals a day for patients and places to play sports, dance or play cards. About only 10% of patents a year were being discharged, and each year they were taking in more people than they were discharging, this is a bad stat and indicates the institution was not very successful with fixing their patients. This reflects now on the future, the data we looked at in class from the 1940s to the 1970s shows improvements over the years and that less people were being institutionalized, this is very different than the Limerick Districts.

This is interesting when comparing the Limerick District reports to Elizabeth Packards excerpts about her experience and other women she knew experiences. Women were being forced into these institutions by their husbands or families that didn’t want to deal with them anymore it seemed like. Elizabeth brings out a huge factor that changed the demographics of institutions over the years and is a great example of how asylums were used as a place to just get rid of people and send people off to. It was a place where they abused medicine and their patients according to Elizabeth. These are huge factors that affect the role of institutions over the years.

In the 20th century institutions became a place where patients would actually heal and be fixed, instead of a place where they would be thrown into and forgotten about. This is reflected in the Emil Kraeplein excerpt, where Kraeplein insisted that these physiological disorders must be understood and not just pushed to the back burner. He would look for any statistical correlations in peoples symptoms, and his experimental treatments and ideas set motion to the positive change in psychiatric clinics to this day. His Heidlburg institution had observational rooms where doctors can learn about their patents and address the needs of these people. This reflects now to this day as mental institutions are places where people go to get help and find solutions.

In the late 19th century is when deinstitutionalization became, large numbers of psychiatric patients were removed from public asylums to a variety of community and institutional settings. This is seen in the Department of Health and Social Security in the Eghigian novel. This lowered the population of people in institutions from 558,000 to 72,000 in about 40 years (Eghigian, 357). This is because of a change of thinking how to understand and treat medical disorders. Another factor addressed during this time is that not every patient is the same and each patient needs their own unique help. New treatments and drugs are becoming available to more people, and treatments tailored to specific people are also incorporated. The open door policy was introduced resulting in less people being institutionalized too, people with minor problems were able to get one day treatment instead of kept in the asylum like they would have in the 1800s. There are pros and cons to this, people were actually encouraged to leave when they were cured instead of locked up like they used to be. But also people could leave early without receiving all of the proper treatment, resulting in potential homlessness if parents/ family couldn’t take them in. This is a lot of growth as a way to manage people affected by mental illness.

These are all factors that have changed the role of mental institutions throughout the years, and all reflect how mental hospitals now are in the 21st century.

Work Cited:

Eghigian, Greg, editor. From Madness to Mental Health : Psychiatric Disorder and Its Treatment in Western Civilization. Rutgers University Press, 2010. Accessed 24 Mar. 2021.