The Retreat in York, England, for the care of the mentally ill.

The Retreat changed the country’s attitude toward treating the mentally ill and eventually three additional hospitals were built between 1872 and 1904—the South Yorkshire Asylum built in Sheffield, the High Royds Hospital in Menston and the Storthes Hall built in Kirkburton—which became villages for patients and all four hospital together formed the West Riding Pauper Lunatic Asylum.

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These portraits are from a variety of patients from the West Riding Pauper Lunatic Asylum in 1869. Some of the pictures detail the patient’s illness—“organic dementia,” “general paralysis of the insane,” “imbecility,” “simple mania,” “consecutive dementia,” “mono-mania of pride,” “mania of suspicion,” “chronic mania,” “mono-mania of pride,” “acute melancholia” and “senile dementia”—but each photograph tells its own sad tale.

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