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The word bedlam, meaning uproar and confusion, is derived from the name of the Bethlem Royal Hospital.. The hospital became a modern psychiatric facility, but historically it was representative of the worst excesses of asylums in the era of lunacy reform. The position of master of Bedlam was a sinecure largely regarded by its occupants as means of profiting at the expense of the poor in their charge. The 1598 visitation by the Bridewell Governors had observed that the hospital was filthely kept. Up until the seventeeth century the Board of Governors referred to the inmates as either the poore or prisoners. An inspection by the Governors in 1631 reported that the patients were likely to starve. Inmates left in their cells with their own excreta were, on occasion, liable to throw filth & Excrem[en]t into the hospital yard or onto passing staff and visitors. Affluent Londoners could go to see the unfortunate inmates, to laugh at them, abuse them, or watch them being tortured. Outings to see them were so commonplace as not to need explanation. Samuel Pepys' diary for 19 February 1669 for example notes that All the afternoon I at the Office, while the young people went to see Bedlam.

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boku wa matta

“You can tell me, I’m a doctor”

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