Jonathan Toms is a Fellow of the Institute for the History and Work of Therapeutic Environments. He has a PhD in the history of medicine and was a Wellcome Funded Research Fellow at the University of Warwick Centre for the History of Medicine, UK, from 2006-9. He has published articles on the history of mental health and learning disability.

• Preface 1. Moral Treatment and the 'Dialectic of the Family' 2. Moral Treatment for the Community at Large 3. The Mental Hygiene Movement's Emotional Contradictions 4. Dialectic Rightside Up? 5. Developing in the Womb of the Old? 6. Alternative Dialectics 7. Alienation Revisited 8. Dialectic Dismembered Afterword Bibliography Index