• Skip to main content

CentreForMedicalHumanities.org

  • Home
  • Telehealth Analysis
  • Research Translations
  • Evidence Reviews
  • Blog
  • About

Asylum Geographies: Introducing a new social science blog by Kim Ross

posted on February 1, 2025

Research Summary: Asylum Geographies

Topic: Historical and geographical analysis of Scottish asylums during the “Asylum Age” (19th century)
Primary Focus: Examination of 21 District Asylums constructed between 1857-1913 and their spatial/architectural design principles
Research Methodology: Geographical and Foucauldian archival analysis exploring macro- and micro-geographies of institutional planning and location
Key Theoretical Framework: “Medico-moral” discourse linking moral treatment, medical hygiene, and rural isolation as therapeutic intervention
Scholar: Kim Ross, PhD student, University of Glasgow (School of Geographical and Earth Sciences and History of Medicine)
Secondary Inquiry: Contemporary approaches to adaptive reuse of asylums in the deinstitutionalization era
Disciplinary Relevance: Medical Humanities; demonstrates how archival texts functioned as active agents in institutional reform

Asylums possess fascinating geographies, with distinctive urban, local, regional, and environmental connections, with the sites and architecture of the former institutions carefully chosen by a variety of people, for very specific reasons. The blog Asylum Geographies explores these geographies and institutions in detail, from the macro to the micro scale, and across different time periods.

Hello, my name is Kim Ross, and I am a PhD student at the University of Glasgow, working with both the School of Geographical and Earth Sciences and the History of Medicine department. My research looks into the emergence and development of the ‘Asylum Age’ in nineteenth century Scotland. My thesis briefly details the establishment of the charitable Royal Asylums, and the Lunacy (Scotland) Act of 1857, but the main focus will be centred on the construction of the state-run District Asylums; Scotland’s “forgotten” asylums, 21 of which were constructed between 1857-1913. Furthermore, I will also be inquiring in to what to do with these ‘difficult’ buildings in an era of deinstitutionalisation. I have recently started a blog to explore some of my archival research thoughts and findings, as well as sharing some of my site-visit meanderings. Posts will explore varying aspects of my research, mostly through a geographical lens.

The predominant line of thought emerging in the nineteenth century was of a treatment that should remove those people regarded as mentally ill from the stress of community and family life – freeing the mind from, in particular, the city and factory – by moving them to the isolated, ‘idyllic’, ‘natural’, rural setting. This brought together ‘moral’, medical and hygienic dimensions – the ‘medico-moral’ discourse – ultimately outlining the institutional geography by having a profound influence on asylum location and design. Approaching the archive from a specifically geographical Foucauldian perspective, the ideal Scottish ‘blueprint’ for district asylum location and architecture is uncovered and reconstructed by ‘picking out’ the macro and micro-geographies discussed within official documentation, then applying this model to the District Asylums to see what extent the ‘ideal’ was reached, but also to see how it was moulded and developed over the decades. As asylum location and architecture was a relatively novel concern, questions of siting and design became more pertinent, and indeed central, in institutional planning during the years after the mid-century lunacy reforms. ‘Fitting the building to its purposes’ involved a variety of structural innovations, stylistic refinements and new ways of organizing the “space reserved by society for insanity” (Foucault, 1965:251).

I think that this research may be of interest to those working within the Medical Humanities, as the archival texts explored within the blog were functional, they ‘did’ things, they made things happen, they ‘authored’ changes in the asylum system from mid-nineteenth century Scotland forward, and thus impacted on the lives of all the patients and staff who found themselves living in these institutions. The likes of the Scottish Commissioners in Lunacy effectively “produced” real asylum geographies from their texts. Crucially, it is only very recently that many of these nineteenth century ‘products’ have finally been closed: their locations and architecture have been the backdrop to thousands of patients lives, for better or worse. What the Commissioners wrote in their ‘blueprint’, to a considerable extent then transferred into ‘bricks-and-mortar’, is hence of inestimable importance.

It’s a pleasure to introduce this blog to the Medical Humanities community. I hope that some may find it interesting, and also that it might spark thoughts, debates and discussions around an area of research that is inherently inter-disciplinary yet to-date relatively under-studied. To find out more, please visit Asylum Geographies.

Related Articles

  • Industriousness and Daydreaming: Cognitive Neuroscience’s Re…
  • Nootropic Supplement Safety Guide 2026: Who Should Be Cautio…
  • Nootropic Ingredients Research 2026: What Studies Actually S…
  • How Cognitive Function Changes With Age: 2026 Overview

Filed Under: Thought Piece

CentreForMedicalHumanities.org is an independent health evidence publication. This site is not a medical practice, healthcare provider, academic institution, or research organization. Nothing on this site constitutes medical advice. Consult a qualified healthcare provider before making decisions about supplements, medications, or health interventions. This website is not affiliated with Durham University, the Institute for Medical Humanities, or any academic or medical institution. The domain name reflects previous ownership history and does not indicate institutional affiliation, academic authority, or endorsement. The Durham Institute for Medical Humanities is an active research institute at Durham University — visit their official page for information about their programs and research. Some content on this site contains affiliate links. Purchases made through these links may generate a commission for this publication at no cost to the reader. See our Evidence Standards page for full disclosure details. Content produced by the CMH Evidence Review editorial team. © 2026 CentreForMedicalHumanities.org. All rights reserved. | About | Our Evidence Standards | Non-Affiliation Notice | Privacy Policy