She was born in the 1920s on Merseyside, England, imprisoned under order aged 11. Classified ‘feeble-minded’, her offending behaviour was unspecified ‘persistent theft’. Incarceration lasted 45 years, behind the bars of harsh regimes. Judged aggressive and violent, she self-harmed. Jane Doe lives in recent history, an object of psychiatric and surgical experimentation. She is one of many women – and men – of great courage and determination whose private resistance to public degradation led eventually to release. Her twilight years have been lived out in day–to-day routines of a society which, for so long, denied her existence. No explanations, no apologies and no acknowledgement of the institutionalised brutalisation of a locked-in ward.
For much of the 20th century Jane Doe and those similarly classified, including children born and brought up in ‘mental hospitals’, endured enforced mutilation, electrically induced convulsions, drugging and ritual humiliation. Their bodies and minds constituted unrestricted test sites in medicine’s obsession with the identification and eradication of individual pathology. They feared the perpetrators, the formalised physical abuse of the doctors accompanied by the routine, informal assaults of ‘care’ staff, and they feared the fate of absent friends; those who disappeared. A fear of death not by natural causes but by unlawful killing: experiments that failed, drug cocktails with fatal side-effects, restraint methods that suffocated and suicides of despair. These were the consequences of licensed assault and the institutionalisation of inhuman and degrading treatment. Another night trolley, another premature death.
Informed and endorsed by the pseudo–scientific principles of eugenicism, these punishing regimes were not confined to Nazi barbarism or other forms of totalitarian rule. They were central to routine treatment administered to those classified and researched as mentally disordered throughout social democracies; forming an invisible and virtually autonomous archipelago of incarceration in mental institutions and special hospitals. For such regimes to exist, to remain hidden from independent scrutiny, professionals within and beyond the network were involved. They were implicated through an unquestioning acceptance of classifications made by powerful definers and their failure to inquire into the dubious circumstances of unexplained deaths. Doctors, nurses, care workers, psychologists, psychiatrists, coroners, pathologists, police officers, lawyers, administrators, clergy remained silent, ambivalent, accepting – and someone pushed the trolley.