This collection of essays explores the development of the lunatic asylum, and the concept of confinement for those considered insane, in different national contexts over the nineteenth and twentieth centuries. Leading scholars in the field of medical history have contributed extensive primary research through individual case studies in the context of the legal, social, economic, and political situations of thirteen different countries. The book represents the first truly international history of the mental hospital, and is, therefore, a landmark comparative study in the history of medicine.