The British Journal of Psychiatry was originally founded in 1853 as the Asylum Journal and was known as the Journal of Mental Science from 1858 to 1963. The complete archive of contents between 1855 and 2000 has been digitised.
The journal is committed to improving the prevention, investigation, diagnosis, treatment, and care of mental illness, as well as the promotion of mental health globally.
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The journal is owned and managed by the Royal College of Psychiatrists and published monthly by Cambridge University Press on behalf of the College. The College grants editorial freedom and independence to the Editor-in-Chief of BJPsych.
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- On the cover
Flora Manson, “Untitled”, 1856.
© Edinburgh University Library
Flora Manson was a patient at the Royal Edinburgh Asylum. She is of particular interest because she left examples of her artwork. Work by female patients is much rarer to find than that by males. Flora was admitted on 4th December 1846, when she was 40 years old. She was described as a native of Kintyre, the wife of the local Lighthouse Keeper, and the mother of one child. She had been ‘subject to Hysteria for about nine years' and also displayed ‘slight mental aberration'. She had attempted suicide by taking laudanum about six years previously. After admission, she wanted to leave the Asylum and claimed that her husband, who brought her in, was insane. After some time in the Asylum, doctors felt that the original diagnosis was wrong, and that she actually suffered from ‘Monomania of Suspicion'. She made ‘many complaints' about her physical health. She also said the food was not good and that Asylum staff intended to poison her. At such times, she was said to speak with ‘animosity and vindictiveness'.
At other times, Flora was more settled and spent her time ‘in knitting or reading, and taking exercise in the airing grounds'. In 1854 she was described as occupying ‘much of her time in writing what she terms novels which seem to consist of events in her own life illustrated after a fashion with pen and ink sketches'. One production was intended as a gift for her daughter. A late case entry noted that she still retained ‘many delusions all about herself'. She died on 15th March 1871 from pleurisy and pericarditis.
This picture has the heading, ‘Morningside, December 1856'. Flora shows herself at a spinning wheel, alongside her fellow patient and friend, Isabella McDonald, who is also spinning. Two men on either side are drinking wine. Below there are more pictures of women with spindles, while the bottom section shows Flora and her companions drinking tea.
Picture credit: LHB7 51 11, p.4. Case notes: LHB7 51 4, 6, 11, 17.
I am grateful to Dr Louise Williams, Archivist, Lothian Health Services Archive, Centre for Research Collections, Edinburgh University Library for her help and for giving permission to use this image.
We are always looking for interesting and visually appealing images for the cover of the Journal and would welcome suggestions or pictures, which should be sent to Dr Allan Beveridge, British Journal of Psychiatry, 21 Prescot Street, London, E1 8BB, UK or email@example.com.