development of asylum nursing owed much to medical superintendents.
Reforming medical superintendents, at different times, identified skillshortages among the asylum workforce and then encouraged training as a way of disciplining and controlling their staff.14 The medical
superintendents used their own professional organisation, the Royal
Medico-Psychological Association (RMPA), to oversee and accredit
training schemes for nurses in both mental and mental deficiency
asylums. Training consisted of medical lectures and practice in the
areas in which the nurse was going to