Sarah Holland
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Narrating and navigating patient experiences of farm work in English psychiatric institutions, 1845–1914
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Asylum and hospital farms, the agricultural land managed by psychiatric institutions and on which some patients worked, represented transitional spaces between the institution and the wider community, which are pivotal to understanding nuanced experiences of patients. Patient experiences of work were typically mediated through an institutional lens, which arguably silenced the patient voice. This chapter extrapolates patient experiences of farm work from case notes, demonstrating how patients played an active role in ‘narrating’ their experiences through actions, reactions, behavioural traits and occupational identities and thus ‘navigating’ institutional space. These experiences were nuanced, non-linear and inconclusive, and as such do not coincide neatly with the institutional rhetoric of work and its health and economic benefits.

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