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Featured Article Of The Week

Thomas Story Kirkbride


Thomas Story Kirkbride.jpg

In 1840 Kirkbride was asked to become superintendent of the newly established Pennsylvania Hospital for the Insane. He accepted for largely practical reasons, as his training and experience interning at Friends' Asylum and at Philadelphia's Pennsylvania Hospital provided him with the necessary background for the position. As Superintendent he became one of the most prominent authorities on mental health care in the latter half of the nineteenth century.

In 1844, Kirkbride helped to found AMSAII, serving as secretary, then later as president from 1862 to 1870. Kirkbride pioneered what would be known as the Kirkbride Plan, to improve medical care for the insane, as a standardization for buildings that housed the patients.

Kirkbride's influential work, On the Construction, Organization, and General Arrangements of Hospitals for the Insane with Some Remarks on Insanity and Its Treatment, was published in 1854, and again in 1880. Kirkbride had been influenced by the Quaker-founded York Retreat in England whose leader, Samuel Tuke, had published an account entitled, Practical Hints on the Construction and Economy of Pauper Lunatic Asylums (York, England, 1815). The Tuke family had instituted in their hospital a "moral treatment" approach to care for patients, which centered upon humane and kindly behavior. The Superintendents’ Association made efforts to institute this approach in their hospitals.

Kirkbride's ideas brought about mixed feelings in both patients and peers. Some in the medical community saw his theories and ideas as stubbornly clinging to ideals that hindered medical progress, while others supported his ideas, and saw them change the treatment philosophy for the mentally insane.Click here for more...