By Jock McCulloch

During this first heritage of the perform and theoretical underpinnings of colonial psychiatry in Africa, Jock McCulloch describes the scientific ways of recognized eu psychiatrists who labored without delay with indigenous Africans, between them Frantz Fanon, J.C. Carothers, and Wulf Sachs. They have been a disparate team, working independently of each other, and as a rule in highbrow isolation. yet regardless of their adjustments, they shared a coherent set of rules approximately "The African Mind," premised at the colonial inspiration of African inferiority. In exploring the shut organization among the ideologies of settler societies and psychiatric examine, this exciting learn is among the few makes an attempt to discover colonial technology as a approach of information and tool.

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In 1948 Mathari treated a total of 750 patients. Of these sixty-eight were Europeans, sixty-two were Asians and the rest were Africans. In that same year the European hospitals in Nairobi treated 1,464 in-patients and a further 2,122 out-patients. The African civil hospitals in the capital treated a total of 21,181 in-patients. 80 Apart from the usual range of ailments dealt with at public hospitals, venereal disease clinics alone in the colony were treating many more patients than was Mathari.

A contemporary review of a colonial mental health system of a rather different kind is available from Algeria. In 1955fivephysicians employed at the Blida asylum near Algiers, writing out of frustration with the conditions endured by patients and staff and in protest at the unwillingness of French authorities to remedy the situation, produced a report structured around the patients' experience of the service. 10 In 1955, they reported that there was an estimated deficiency of several thousand beds for psychiatric patients in Algeria; there were not even adequate facilities for urgent cases.

Second, even where lunatics had committed a crime they were to be treated as ill rather than as offenders. 79 This did not stop the practice of holding lunatics for prolonged periods in Psychiatry and colonial practice 25 prisons, and it took almost fifteen years before wards in African hospitals were set aside specifically for the temporary accommodation of the insane. By the end of 1952 such wards were operating at Nakuru, Kisumu, Nyeri, Fort Hall, Kitui and Embu, and further extensions were commenced in 1953 at Mathari.

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