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Begin forwarded message:

> From: H-Net Staff via H-REVIEW <[email protected]>
> Date: January 28, 2020 at 3:35:59 PM EST
> To: [email protected]
> Cc: H-Net Staff <[email protected]>
> Subject: H-Net Review [H-Disability]:  Brewer on Parsons, 'From Asylum to 
> Prison: Deinstitutionalization and the Rise of Mass Incarceration after 1945'
> Reply-To: [email protected]
> 
> Anne E. Parsons.  From Asylum to Prison: Deinstitutionalization and 
> the Rise of Mass Incarceration after 1945.  Chapel Hill  University 
> of North Carolina Press, 2018.  240 pp.  $29.95 (cloth), ISBN 
> 978-1-4696-4063-1.
> 
> Reviewed by Amanda Brewer (Michigan State University)
> Published on H-Disability (January, 2020)
> Commissioned by Iain C. Hutchison
> 
> _From Asylum to Prison: Deinstitutionalization and the Rise of Mass 
> Incarceration after 1945_ is a timely work that bridges the two, 
> largely separate, historiographies of the history of psychiatry and 
> mass incarceration through the lens of the carceral state. Anne E. 
> Parsons, an associate professor of history and the director of public 
> history at UNC-Greensboro, traces how the politics of the social 
> welfare state and criminal legal system in the United States were 
> intertwined, arguing that the deinstitutionalization of psychiatric 
> hospitals and the rise of mass incarceration and the 
> overincarceration of people with psychiatric disabilities went 
> hand-in-hand between 1945 and the late 1980s. As the book's title 
> indicates, Parsons provocatively argues that "the asylum did not 
> disappear; it returned in the form of the modern prison industrial 
> complex" (p. 3). 
> 
> Parsons's analysis rests on her argument that mid-twentieth-century 
> institutions "were carceral spaces--sites of social control that 
> limited people's freedom," which is informed by previous work by 
> scholars such as Michel Foucault, Erving Goffman, Thomas Szasz, and 
> Andrew Scull (p. 9). This lens of analysis allows her to examine how 
> the incarceration of the majority of people in state institutions 
> shifted from those in mental hospitals diagnosed with a mental 
> illness to, between 1945 and the late 1980s, those in prison labeled 
> as dangerous and criminal. The deinstitutionalization of mental 
> hospitals, beginning during the 1960s, was the major turning point, 
> and many of those diagnosed with mental illness released through 
> deinstitutionalization were reinstitutionalized in the prison system. 
> Parsons gives three reasons for this and the move toward mass 
> incarceration: the lack of community mental health services, the 
> recriminalization of mental illness, and the rise of law-and-order 
> politics after the 1960s. 
> 
> While the book's arguments are broad, they are based heavily on a 
> case study of Pennsylvania, especially the Philadelphia area. Parsons 
> blends politcal, social, and cultural history in this work. Many of 
> the archival sources come from state records related to individual 
> politicians or state agencies in Pennsylvania, while periodicals, 
> newspapers, novels, and secondary sources help to explain social 
> change and fill in connections to the national context. Although 
> Pennsylvania is a strong choice for a case study on this topic, this 
> book leaves room for further research on how deinstitutionalization, 
> and reinstitutionalization through mass incarceration, may have had 
> different paths due to different local politics beyond Pennsylvania 
> and the Northeast. 
> 
> The book is nicely organized into five chapters that advance 
> chronologically, based on the different periods of change argued by 
> Parsons. The site of the Pennsylvania State Hospital at Byberry 
> usefully brings the analysis full circle; the introduction begins 
> with one man's story of incarceration at Byberry until his release in 
> 1970 and the last chapter, before the epilogue, ends with Parsons's 
> discussion of the closure of Byberry as a potential model for future 
> efforts to remedy the mass incarceration crisis. Chapter 1 provides 
> an overview of the state of mental institutions and psychiatry 
> following the Second World War, and establishes Parsons's argument 
> that mental institutions were carceral institutions. Parsons's 
> discussion, not only of popular novels such as _The Snake Pit_ (1946) 
> by Mary Jane Ward (1905-81) but also of conscientious objectors' 
> writings about mental hospitals, illuminates postwar rhetoric 
> comparing mental hospitals to prisons. 
> 
> Chapters 2 and 3 work together to explain the major factors that 
> catalyzed deinstitutionalization. Chapter 2 focuses on the growth of 
> anti-institutional policies related to mental hospitals in the 1950s, 
> but also shows the growth of state correctional institutions based on 
> an ideal of rehabilitation of criminals rather than incarceration. 
> Most convincing is Parsons's discussion of the growth of the juvenile 
> delinquency system based on concerns about the future development of 
> both mental illness and criminality among juveniles, particularly for 
> African Americans. Chapter 3 explains the major factors on the 
> federal and state levels that influenced deinstitutionalization in 
> the 1960s, including funding cuts as well as the cultural currents 
> that led to an "anti-institutional impulse" (p. 16). Court rulings 
> serve as the most important aspect of this chapter, with Parsons 
> highlighting the 1970 Pennsylvania case _Dixon v. Attorney General_ 
> that changed the state's involuntary commitment laws so that a 
> diagnosis of mental illness alone did not mean that a person could be 
> institutionalized. While courts did protect people in prisons and 
> hospitals by identifying important negative rights, explains Parsons, 
> positive rights such as access to adequate mental health services 
> were not recognized to the same degree. 
> 
> Chapters 4 and 5 hold the most innovative arguments in the book. 
> Chapter 4 builds on chapter 3 by looking at how 
> deinstitutionalization impacted prison reform during a brief period 
> in the late 1960s and early 1970s--turning quickly from 
> rehabilitation and anti-institutionalism to a "renewed custodialism" 
> (p. 122). Parsons attributes this to the state government's concern 
> for public safety over protecting individual freedom during the rise 
> of law-and-order politics. Because of this shift to people being put 
> in prison for criminal acts or behavior deemed dangerous, rather than 
> being institutionalized for mental illness, Parsons argues, mental 
> illness became criminalized. In chapter 5, she shows how the politics 
> of social welfare institutions and correctional institutions were 
> intertwined and how the Pennsylvania governor's choices to cut social 
> welfare funding for those diagnosed with mental illness were tied to 
> increased spending on prison construction. Then, in one of the most 
> innovative parts of the book, titled "The Asylum Becomes the Prison," 
> Parsons explains this shift and charts how a "reinstitutionalization" 
> occurred as at least seventy state institutions were directly 
> converted to prisons (p. 145). The example in Pennsylvania of the 
> conversion of Retreat State Hospital to the State Correctional 
> Institution--Retreat during the 1980s is particularly convincing. 
> 
> _From Asylum to Prison _also includes an essential analytical theme 
> of race, with Parsons noting how "as mental hospitals closed and 
> corrections grew, more African Americans were entwined in the 
> carceral state" even during the era of civil rights and desegregation 
> (p. 47). Throughout the text, she discusses the role of racial 
> prejudice and rhetoric in political and legislative decisions as well 
> as rising rates of African American incarceration at key points. 
> However, although Parsons argues that "race, gender, and sexuality 
> were central" to the changes brought on by deinstitutionalization, 
> there is very little discussion throughout the monograph of how 
> gender or sexuality factored into this history, especially given the 
> large social and cultural changes surrounding gender and sexual norms 
> that occurred between 1945 and the late 1980s (p. 47). One thing at 
> which Parsons excels throughout the book is her use of carefully 
> chosen terminology to describe the historical actors (e.g., as 
> "diagnosed with mental illness" rather than as "mentally ill"). She 
> also uses the term "psychiatric disabilities," thus placing the work 
> in conversation with the larger history of disability connected with 
> institutions (p. 18).             
> 
> Despite any critiques, _From Asylum to Prison _is an important work 
> that urges scholars to consider how the contemporary mass 
> incarceration crisis and overincarceration of people with mental 
> illness in the United States has roots in a longer history of 
> state-funded custodial institutions. In the epilogue, Parsons reminds 
> readers that history has much to teach us about the usefulness, or 
> lack thereof, of incarcerative institutions as a solution for the 
> treatment of mental illness or of social deviance. This book should 
> garner much discussion in graduate seminars and would be a valuable 
> read for anyone interested in the history of psychiatry, 
> institutions, and the carceral state. 
> 
> Citation: Amanda Brewer. Review of Parsons, Anne E., _From Asylum to 
> Prison: Deinstitutionalization and the Rise of Mass Incarceration 
> after 1945_. H-Disability, H-Net Reviews. January, 2020.
> URL: https://www.h-net.org/reviews/showrev.php?id=54305
> 
> This work is licensed under a Creative Commons 
> Attribution-Noncommercial-No Derivative Works 3.0 United States 
> License.
> 
> 
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