Though it starts off slow, by Chapter 2 the enthralling story of John Monroe, one of several Monroes to be primary physician at Bethlem hospital in London, England, begins to unfold. This man spent four decades in his position at "Bedlam" which is likely why he is the one to be featured - as opposed to his father James, who held the position before him and his son Thomas, who came afterwards.
Though I was aware that John Monroe has somewhat of a bad reputation in our day and age, largely because of his work in mad-doctoring and that Bethlem hospital is associated with great horror and scandal.. I didn't reach that conclusion from this book. There was evidence of mistreatment and false confinement and a lack of much help beyond custodial-type care - it seemed more a symptom of the ages rather then an intentional practice.
It was obvious, however, that a motivating factor for people to become engaged in the business of lunacy by owning and operating madhouses (often without any credentials or experience) and catering to those pronounced mad was the profit to made from such. Though mad-doctors, it is said, were not well respected in the 17-18-19th centuries, John Monroe and others seemed to have reached quite a great height in their social status.
What I found most fascinating was the many stories of those deemed mad - most especially the story of "Mad Meg" near the end of the book. Along with these stories there is a great deal of pictures in the book with excellent descriptions by the authors. It is very clear from reading that the two authors know their subject well and have done a great deal of research. I was familiar with Skull's work prior to this reading but had not had the pleasure of reading Andrews. Both authors have several other titles on the subject that I have since picked up and look forward to reading.
The book ends abruptly with the death of John Monroe. I would have liked to hear about what happened with Thomas Monroe when he took over "the business" much like we were able to read about James Monroe's work. But, the book is about John Monroe so I suppose it makes sense to concentrate largely on his work and I believe the others are likely written about in greater detail in the other books available by these authors.
The book was a joy to read, I think you will enjoy it!