We tend to think of mental hospitals as “snake pits”—places of nightmarish squalor and abuse—and this is how they have been portrayed in books and film. Few Americans, however, realize these institutions were once monuments of civic pride, built with noble intentions by leading architects and physicians, who envisioned the asylums as places of refuge, therapy, and healing.

For more than half the nation’s history, vast mental hospitals were a prominent feature of the American landscape. From the mid-nineteenth century to the early twentieth, more than 250 institutions for the insane were built throughout the United States; by 1948 they housed over half a million patients. But over the next thirty years, with the introduction of psychotropic drugs and policy shifts toward community-based care, patient populations declined dramatically, leaving many of these massive buildings neglected and abandoned.

From 2002 to 2008, I visited seventy institutions in thirty states, photographing palatial exteriors designed by famous architects and crumbling interiors that appeared as if the occupants had just left. I also documented how the hospitals functioned as self-contained cities, where almost everything of necessity was produced on site: food, water, power, and even clothing and shoes. Since many of these places have been demolished, the photographs serves as their final, official record.

Chris Payne (b. 1968), a photographer based in New York City, specializes in the documentation of America’s vanishing architecture and industrial landscape. His first book, New York’s Forgotten Substations: The Power Behind the Subway (Princeton Architectural Press, 2002), offered dramatic, rare views of the behemoth machines that are hidden behind modest facades in New York City. His latest book, Asylum: Inside the Closed World of State Mental Hospitals (MIT Press, 2009), which includes an essay by the renowned neurologist Oliver Sacks, is the result of a six-year exploration of America’s vast and largely abandoned state mental institutions.

Trained as an architect, Payne is a graduate of Columbia University and the University of Pennsylvania. His interest in historic buildings and industrial architecture began shortly after college, when he documented cast iron bridges, grain elevators, and power plants for the Historic American Engineering Record of the National Park Service, and, later, produced measured drawings for New York University’s excavations at Aphrodisias, a Greco-Roman city in Turkey. He has been awarded grants by the Graham Foundation, the New York State Council on the Arts, and the New York Foundation for the Arts.

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2 Comments on “Asylum

  1. Thank you for these startling and eerie photographs. Readers may also want to know (and read), The Lives They Left Behind: Suitcases from a State Hospital Attic, by Darby Penney and Peter Stastny (Bellevue Literary Press, 2009), another sad reminder of forgotten buildings and lives.

  2. Interesting but the psychotropics created more problems than solved and you should visit mental institutions now.

    Nothing has changed. ECT is still a treatment and they are thinking about lobotomy again because the psychotropics don’t help and are on the market to make money.

    Please search “The influence of pharmaceutical industry”

    search “SSRI side effects” SSRIs withdrawal symptoms

    This is a very serious issue and even people who don’t need taking drugs are being prescribed because of money.

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