The limits of comparison: institutional mortality rates, long-term confinement and causes of death during the early twentieth century

• Published in: History of psychiatry 2012-12, Vol.23 (4), p.404-418
• Main Author: Ernst, Waltraud
• Format: Article
• Language: English
• Subjects: Historical account; Mortality; Motivation; Psychiatry; Statistics
• ISSN: 0957-154X; 1740-2360
• DOI: 10.1177/0957154X12450130

This article presents a case study of institutional trends in a psychiatric institution in British India during the early twentieth century. It focuses on mortality statistics and long-term confinement rates as well as causes of death. The intention is two-fold: first, to provide new material that potentially lends itself to comparison with the few existing institutional case studies that have explored this particular period; second, to highlight some of the problems inherent in the status of the statistics and the conceptual categories used, and to consider the challenges these pose for any intended comparative and transnational assessment. Furthermore, it is suggested that historians working on the history of western institutions ought to look beyond the confining rim of Eurocentric self-containment and relate their research to other institutions around the world. It is important for social historians to abstain from uncritically reproducing hegemonic histories of the modern world in which western cultures and nations are posited by default as the centre or metropolis and the rest as peripheries whose social and scientific developments may be seen to be of exotic interest, but merely derivative and peripheral.