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By the early seventeenth century Bedlam had become the only hospital used for the incarceration of “lunaticks.” The preponderance of them were “vagrants, apprentices and servants, with a sprinking of scholars and gentlemen. Of the fifteen vagrants, eleven were women.” There were many wandering the streets of London who might be deemed mad, and could be thrown into the compter for the night, but they generally remained at liberty. The large proportion of female vagrants among the inmates of Bedlam, approximately one in three, also throws a suggestive light on the life of the London streets.

One inmate was Lady Eleanor Davis who was confined in the winter of 1636 for proclaiming herself a prophet; she was kept in the steward’s house, rather than in the ordinary ward, but she later complained that Bedlam itself was “like hell-such were the blasphemies and the noisome scenes.” It was “the house of such restless cursing,” and she complained that the steward and his wife abused her when they were “very farre gone in drincke.” So Bedlam represented an intensification of the worst aspects of London life. That is why, in the early years of the seventeenth century, it was put on stage. In a number of dramas the madhouse became the scene of violence and intrigue, where the inmates act

Such antic and such pretty lunacies,


That spite of sorrow they will make you smile.

These lines are from Thomas Dekker’s play of 1604, The Honest Whore, which was the first to include scenes within Bedlam itself.

The fact that London contained the only madhouse in the country was in itself suggestive to dramatists. In Webster’s The Duchess of Malfi madness is associated with various urban professions, such as that of a tailor “crazed i’ the brain with the study of new fashions,” intimating once more that life in the city can render you insane. It is the most important point of contact between London and lunacy. There was another important association manifested in John Fletcher’s The Pilgrim of 1621, where the drama is concerned with the mental stability of the keepers rather than the patients. If the custodians and gaolers are mad, then so is the society that bestowed their status and responsibilities upon them.


The old madhouse was, by the middle of the seventeenth century, in such a squalid and ruinous condition that it had become a civic scandal. So in 1673 it was decided that a great modern building, situated in Moorfields, would take its place. Designed upon the model of the Tuileries Palace, and decorated with gardens and columns, it took three years to complete. Above its entry gate the sculptor, Cibber, created two bald-headed and semi-naked figures called “Raving Madness” and “Melancholy Madness”; they became one of the great sights of London, rivalling the fame of those earlier guardians of the city Gog and Magog. From this time forward Bethlem Hospital acquired its true renown; visitors, foreign travellers and writers flocked to its apartments in order to see the mad confined within them. It was of great importance to the city, and to the civic authorities, that lunacy should be seen to be managed and restrained. It was part of the great movement of “reason” after the Great Fire and the plague, when the city itself had become the scene of madness and unreason on an enormous scale. Daniel Defoe had narrated the events of 1665 when so many citizens were “raving and distracted, and oftentime laying violent hands upon themselves, throwing themselves out of their windows, shooting themselves, mothers murdering their own children in their lunacy-some dying of mere grief as a passion, and some of mere fright and surprise without any infection at all, others frightened into despair and melancholy madness.” Londoners had a propensity for mania; perhaps that was the condition for their very existence in the city.

Yet, as if to point the moral that lunacy is undignified and absurd, the inmates were on display like so many wild beasts in a zoo; they were ravening creatures that had to be manacled or tied. There were two galleries, one above the other; on each floor a corridor ran along a line of cells, with an iron gate in the middle to divide the males from females. Outside it seemed to be a palace; inside, it closely resembled a prison. The price of admission was a penny and it has been reported that the “distempered fancies of the miserable patients most unaccountably provoked mirth and loud laughter in the unthinking auditors; and the many hideous roarings, and wild motions of others, seemed equally entertaining to them. Nay so shamefully inhuman were some … as to provoke the patients into rage to make them sport.” This “familiar letter” from Samuel Richardson provides a mid-eighteenth century picture of desolation which is fully documented by other sources.

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