Jim Crow in the Asylum: Psychiatry and Civil Rights in the American South

Author:   Kylie M. Smith
Publisher:   The University of North Carolina Press
ISBN:  

9781469689197


Pages:   352
Publication Date:   13 January 2026
Format:   Hardback
Availability:   Not yet available   Availability explained
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Jim Crow in the Asylum: Psychiatry and Civil Rights in the American South


Overview

There is a complicated history of racism and psychiatric healthcare in the Deep South states of Georgia, Alabama, and Mississippi. The asylums of the Jim Crow era employed African American men and women served as places of treatment and care for African Americans with psychiatric illnesses and, inevitably, were places of social control. Black people who lived and worked in these facilities needed to negotiate complex relationships of racism with their own notions of community, mental health, and healing. Kylie M. Smith mixes exhaustive archival research, interviews, and policy analysis to offer a comprehensive look at how racism affected Black Southerners with mental illness during the Jim Crow era. Complicated legal, political, and medical changes in the late twentieth century turned mental health services into a battlefield between political ideology and psychiatric treatment approaches, with the fallout having long-term consequences for patient outcomes. Smith argues that patterns of racially motivated abuse and neglect of mentally ill African Americans took shape during this era and continue to the present day. As the mentally ill become increasingly incarcerated, reminds readers that, for many Black Southerners, having a mental illness was—and still is—tantamount to committing a crime.

Full Product Details

Author:   Kylie M. Smith
Publisher:   The University of North Carolina Press
Imprint:   The University of North Carolina Press
Dimensions:   Width: 2.50cm , Height: 15.50cm , Length: 23.50cm
ISBN:  

9781469689197


ISBN 10:   1469689197
Pages:   352
Publication Date:   13 January 2026
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Hardback
Publisher's Status:   Forthcoming
Availability:   Not yet available   Availability explained
This item is yet to be released. You can pre-order this item and we will dispatch it to you upon its release.

Table of Contents

Reviews

""This is the best mixture of careful social history with an intellectual and theoretical approach to the history of racism and psychiatry that I have seen. The book will be a model for every historian--a must-read.""--Susan M. Reverby, author of Co-Conspirator for Justice: The Revolutionary Life of Dr. Alan Berkman


""In clear, sober prose, Smith merges policy, clinical science, and patient experience to analyze racism and psychiatry's symbiotic relationship. Working against immense silences in the archive, Smith unearths the voices of Black patients and their advocates, providing vital insight into how they faced and resisted their confinements and treatments. Jim Crow in the Asylum is required reading for anyone interested in the histories of psychiatry, the South, and race.""--Jonathan Sadowsky, Case Western Reserve University ""This is the best mixture of careful social history with an intellectual and theoretical approach to the history of racism and psychiatry that I have seen. The book will be a model for every historian--a must-read.""--Susan M. Reverby, author of Co-Conspirator for Justice: The Revolutionary Life of Dr. Alan Berkman


Author Information

Kylie M. Smith is associate professor and director of the Center for Healthcare History and Policy at Emory University.

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Latest Reading Guide

NOV RG 20252

 

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