Book: Madness in the City of Magnificent Intentions: A History of Race and Mental Illness in the Nation's Capital, by Martin Summers

Dr. Summers’ most recent book, Madness in the City of Magnificent Intentions: A History of Race and Mental Illness in the Nation’s Capital, is a social and cultural history of medicine which focuses on African American patients at Saint Elizabeths Hospital, a federal mental institution in Washington, D.C., from its founding in 1855 to the 1980s. It charts the history of Saint Elizabeths from its founding to the late-1980s, when the hospital's mission and capabilities changed as a result of deinstitutionalization, and its transfer from the federal government to the District of Columbia.

The book argues that assumptions about the existence of distinctive black and white psyches shaped the therapeutic and diagnostic regimes in the hospital and left a legacy of poor treatment of African American patients, even after psychiatrists had begun to reject racialist conceptions of the psyche. Yet black patients and their communities asserted their own agency and exhibited a "rights consciousness" in large and small ways, from agitating for more equal treatment to attempting to manage the therapeutic experience.

Madness in the City of Magnificent Intentions: A History of Race and Mental Illness in the Nation’s Capital (Oxford University Press, 2019).