Neurology & Psychiatry
1908
Clifford Beers and the mental hygiene movement
A former patient's account of three years in Connecticut institutions, published in 1908, launched a campaign for better treatment and prevention of mental illness. Beers founded the first state society for mental hygiene that year and a national committee in 1909.

Key people
- Clifford W. Beers
- Former patient; author and founder of the National Committee
- Adolf Meyer
- Psychiatrist who proposed the term mental hygiene
- William James
- Harvard psychologist who endorsed the manuscript
Source
Late in June 1894 an older brother of Clifford Beers was stricken with what was thought to be epilepsy, and Beers became convinced that the same fate awaited him. He graduated from Yale's Sheffield Scientific School in 1897. In 1900 he broke down and tried to kill himself, dropping feet first from an upper window. From August 1900 to September 1903 he was a patient in three Connecticut institutions.
His autobiography told what happened there. By his own count his depression, with its delusions, lasted 798 days. He watched attendants use unnecessary and often brutal force on patients, and on 13 September 1902, after breaking rules on purpose so that he could see conditions for himself, he was moved to the violent ward. He described petty punishments, forced feeding, and restraint in strait-jackets and in hand-restraints called muffs. He wrote it, he said, to protest on behalf of the thousands of patients whose mute submission had never been recorded.
William James read the manuscript, endorsed it and gave Beers an introduction to a publisher. In September 1907 Beers met Adolf Meyer, director of the Psychiatric Institute of the New York State Hospitals, and began working with him. Meyer was looking for words that would cover both better care of the insane and the prevention of mental disorder, and a few days later he proposed mental hygiene. Julia Lathrop of Hull House and the psychiatrist August Hoch, reading the proofs in January 1908, agreed to become trustees of the national society Beers proposed. Longmans, Green published A Mind That Found Itself in March 1908.
In May 1908 Beers organized the Connecticut Society for Mental Hygiene, the first state society. The National Committee for Mental Hygiene was formally founded at a meeting in New York on 19 February 1909, with Beers as its secretary. Its plans took in state care and after-care of the insane, fields in which the State Charities Aid Association of New York had led. Beers founded an international foundation for mental hygiene in 1931. In 1950 the National Committee became the National Association for Mental Health, a forerunner of today's Mental Health America. Beers died on 9 July 1943.
Keep exploring
Read next · same disease or problem
Dorothea Dix's Memorial to the Massachusetts legislature (1843)
Beers exposed brutal treatment in mental institutions from the inside, as Dix had exposed the chaining of the insane from outside. Her story shows the town by town account she gave the Massachusetts legislature.
Read this moment
Today on The Clinical Times
Love to Dream recalls portable baby sound machine over fire and burn risk
Love to Dream has recalled its portable Sleep Machine because its lithium-ion battery can overheat while charging with an incompatible charger, creating a risk of fire and burns.
Read today’s top stories
All 526 moments in the history of medicine. This one is in chapter 5, Cures and codes

