Table of Contents

1. Introduction: why is the epidemic important?.
2. The birth of bedlam: insanity prior to 1700.
3. The "English malady" appears: England, 1700-1800.
4. "The clap of tortured hands": England, 1800-1850.
5. "A mania for madness": England, 1850-1890.
6. "A great and progressive evil": England, 1890-1990.
7. The road to Grangegorman: Ireland, 1700-1990.
8. "A constantly increasing multitude": Atlantic Canada, 1700-1990.
9. "The disease whose frequency has become alarming": the United States, 1700-1840.
10. An apostle for asylums: the United States, 1840-1860.
11. "A very startling increase": the United States, 1860-1890.
12. "The apocalyptic beast": the United States, 1890-1990.
13. Why is the epidemic forgotten?.
14. Possible causes of epidemic insanity