I've been looking forward to writing this post, just as I was looking forward to seeing the new Bethlem Museum of the Mind. It has been closed for a couple of months, moved building and undergone a considerable transformation. It is still housed in the grounds of the hospital, the South London and Maudsley NHS Trust.
I went with friends, the same friends who I visited the old museum with last December just before it was about to close and we loved it. You can read about that visit here. The old site was tiny, and what we remember most was that it was full of artwork by patients depicting their stories and experiences of their own mental health.
Things have changed.
You're drawn into the museum by this compelling portrait, Numb by Lisa Biles.
Looking at it, I felt anything but.
You're drawn into the museum by this compelling portrait, Numb by Lisa Biles.
Looking at it, I felt anything but.
In this new incarnation of Bethlem Museum of the Mind, there is more of a focus on the history of Bethlem Hospital, told through the 'lens of mental health issues'. But that is slightly misleading, leading you to believe that this is all about the past. For me it was all about the now, as every object, quote, painting and photograph evoked the most powerful of emotions right here in the present. I couldn't just situate things historically, and think, 'that's OK, that's what happened in the olden days' and leave it there, parked in my 'olden-days' file. Throughout this exhibition we were asked what we thought, asked to contribute, contemplate and decide.
The first thing I had to think about was my language.
Labelling and diagnosis.
In the 19th century, it was believed that facial expressions and physical appearance provided clues about people's mental states. With this in mind, these photographs were commissioned to document different states of mental health, I assume to help with future diagnosis. These two individuals were noted to have chronic melancholia (above) and acute melancholia. We now know that the camera 'often' lies, but imagine having your photo taken for these reasons. I'm struck by the fact that they are patients, this is for real, they're not modelling melancholia.
I feel uncomfortable looking at much of the treatment from the past. But I'm in no position to criticise, I've never worked in this profession. I can only think about it from the perspective of a potential patient, thankfully not an actual patient.
The walls of an isolation room contrasted so beautifully against the tree outside.
Physical restraint.
ECT Electro convulsive therapy.
Not all therapy made me feel uncomfortable. Occupational therapy, time spent doing something 'useful, purposeful and worthwhile'. I know how it feels to be involved in something, to do something, useful, purposeful and worthwhile. Good for the soul and my self-esteem, rewarding.
Here I read about sewing, carpentry, ceramics, music and gardening.
There's a place for these therapies in most of our lives.
Then there's social therapy, talking.
Finding the right person to talk to.
This portrait is a testament to mutual respect. The individual who painted this was reassured, thinking his social worker was "crazier than he was". I liked the hope in this painting. He dedicated it to "friends, family and mental health professionals who... have given me perspective on a journey through to the other side where there is hope in being able to cope with my illness".
More opportunities to contribute, to have your say. But these are decisions not to be taken lightly. After hearing from a girl with mental health issues, her family and the healthcare professionals in this film, you get to have your say, to experience the weight of decision making. In making her decision, one of these students faltered and turned to my friend for reassurance, had she done right by the girl?
Not all stories end well,
The first thing I had to think about was my language.
Labelling and diagnosis.
The language surrounding mental health has changed over centuries. Some words are now acceptable, some can cause offence. These words are being collected and you are encouraged to add to the collection. I didn't. I felt uncomfortable, quite rightly, challenged by the insensitive words I have probably used over the years, particularly as a child. I don't think that this was intentional, to make me feel uncomfortable, so it was reassuring to read that in recent years the words 'mad' and 'bonkers' have been reclaimed for positive use.
In the 19th century, it was believed that facial expressions and physical appearance provided clues about people's mental states. With this in mind, these photographs were commissioned to document different states of mental health, I assume to help with future diagnosis. These two individuals were noted to have chronic melancholia (above) and acute melancholia. We now know that the camera 'often' lies, but imagine having your photo taken for these reasons. I'm struck by the fact that they are patients, this is for real, they're not modelling melancholia.
I feel uncomfortable looking at much of the treatment from the past. But I'm in no position to criticise, I've never worked in this profession. I can only think about it from the perspective of a potential patient, thankfully not an actual patient.
The walls of an isolation room contrasted so beautifully against the tree outside.
Physical restraint.
ECT Electro convulsive therapy.
Not all therapy made me feel uncomfortable. Occupational therapy, time spent doing something 'useful, purposeful and worthwhile'. I know how it feels to be involved in something, to do something, useful, purposeful and worthwhile. Good for the soul and my self-esteem, rewarding.
Here I read about sewing, carpentry, ceramics, music and gardening.
There's a place for these therapies in most of our lives.
Then there's social therapy, talking.
Finding the right person to talk to.
This portrait is a testament to mutual respect. The individual who painted this was reassured, thinking his social worker was "crazier than he was". I liked the hope in this painting. He dedicated it to "friends, family and mental health professionals who... have given me perspective on a journey through to the other side where there is hope in being able to cope with my illness".
More opportunities to contribute, to have your say. But these are decisions not to be taken lightly. After hearing from a girl with mental health issues, her family and the healthcare professionals in this film, you get to have your say, to experience the weight of decision making. In making her decision, one of these students faltered and turned to my friend for reassurance, had she done right by the girl?
Not all stories end well,
but for some they do.
With this in mind, I found it it important to reflect on the World health Organisation's definition of mental health, which is
'a state of well-being in which every individual realizes his or her potential, can cope with the normal stresses of life, can work productively and fruitfully and is able to make a contribution to her or his community'.
Who ticks all these boxes, all the time?
The Bethlem Museum is aware of it's impact and the need to reflect. It provides a space right in the heart of the museum to do this. In this space you get a chance to reflect on some of the artwork made by patients that has been produced to explore their own state of mind or to provide a chance to escape.
Visitor comments, what you think, is important to Bethlem Museum. Your voice will be heard and displayed on the museum walls.
Bethlem has hosted visitors for centuries. In the 17th century the well-to-do came to see the 'lunatic poor'. Coming to the Bethlem myself, I was not only inspired and challenged, but had questions about my place here. Were we like those 17th century visitors? Well meaning onlookers? The Bethlem Museum says not, they tell us their work at the hospital and the museum is for everybody, it is 'important, not only for the future of mental healthcare, but for the future of us all'.
Bethlem Museum of the Mind is open to the public Wednesdays to Fridays, and the first and last Saturdays of the month. details on the website, here.
I urge you to visit, there is so much more than I have mentioned, including an art gallery.
This is a great and thought-provoking post.
ReplyDeleteI remember moving from one side of Leeds to the other and in my new town one derogatory term used by the kids that I had never heard was 'you Menston'. It came from the nearby town where there was a large hospital for the mentally ill. Years later my Grandfather spent some time in there when he was suffering from depression and the place itself was awful. A massive old institution, tiled walls, everywhere was grey. Depressing in itself.
I'm seriously considering a visit to London just to visit some of the places you have shown me. Thank you x
It's amazing how as kids we make up new words. We had a similar thing for a local psychiatric hospital called Shenley. Thanks for the blog appreciation.
DeleteThis is a very interesting museum, Katharine. The paintings are so vivid and beautifully done. The displays are so good for de-stigmatizing mental health issues. It does horrify me that electro therapy is still used, but they must think it is safe these days. I am pleased about more enlightened approaches; my father has dementia but is not confined behind a security door because he is not aggressive and does not wander off. He is treated with respect.
ReplyDeleteWhat a fascinating and thought provoking post, Katherine - thank you for taking us on what must have been a painful as well as inspiring journey through the new Museum. I remember when my Aunt had to do occupational therapy after her breakdown (casued by the sudden death of my cousin) and I've recently learnt that one of my great great grandmothers drowned in the Erewash Canal when, according to the local newspaper of the time, the balance of her mind was disturbed. I must now go and read about your visit to the earlier museum. Thanks for this:)
ReplyDeleteWhat a fascinating post about what sounds like a fascinating museum
ReplyDeleteHello Katharine, Quite a sobering area for a museum; it appears as though they are doing a good job presenting and exploring difficult issues.
ReplyDeleteThe Yellow Wallpaper, by Charlotte Perkins Gilman dramatically illustrates the problem with lack of occupation for mental patients. You will never forget this short story (only a few pages long, and easily available on the internet).
--Jim
What a wonderfully interesting and inspirational blog you have, Katherine. I have a holiday planned in London in April and am putting this on my list. Thanks for the review.
ReplyDeleteAmalia
xo
This sounds like a museum with images that will stay with you for a long time. Thank you for commenting on my blog... Now I've found yours! Jx
ReplyDeleteOnce again you have directed me to another place of interest I've not visited. Very topical with the excavation of the Bethlem Graveyard near Liverpool Street.
ReplyDeleteIt seems to me that the museum has undergone a brilliant refurbishment, arousing interest, insight and, hopefully, more understanding. Freedom and constraint aside, all mentally ill people desperately need good medical care and sometimes a place of safety, both often sadly lacking at the present time.
ReplyDeleteMay I also add that I have never met anyone interesting who isn't just a little bit bonkers.