The London hospital that once functioned as a public tourist attraction

Bethlem Hospital: The history of the legendary institution for the mentally ill - Colin S. Gale · 49:11 · Video: Gresham College · Watch at the source

In short: Before it became a restricted medical facility, Bethlem Hospital opened its wards to the public. For centuries, Londoners visited not just to offer charity, but to observe the patients. This legacy of voyeurism has left a powerful, haunting metaphor in our modern cultural landscape.

For much of its early history, Beth and the institution's inner workings were far from private. Until 1770, Bethlem Hospital allowed members of the public to visit its wards at specified times during the week. This level of access was accompanied by strategically placed 'poor boxes' near the entrance, designed to solicit donations from the visiting crowds. While other early modern hospitals permitted similar access, Bethlem remains the most famous for this practice.

The hospital's physical locations shifted significantly over the centuries. From its foundation in 1247 until 1676, it was situated in Bishopsgate. In 1676, it moved to the south side of what is now Finsbury Circus, where it remained until 1815. By the early nineteenth century, the building was in such a state of decay that the Hospital Surveyor described its original construction as having been done with 'more haste than evident wisdom.' This structural failure led to the building's demolition and the auctioning of its materials in 1815.

Despite the loss of its original structures, certain elements of Bethlem's identity endure. Two notable survivors of the 1815 demolition are the large-scale statues by Caius Gabriel Cibber, depicting 'Raving' and 'Melancholy Madness.' Once landmarks atop the hospital's gates, they are now housed in the archives at the current Beckenham/Croydon border site. Today, Bethlem continues to operate as a working psychiatric hospital within the NHS, though it has moved away from the 'visitor attraction' model that once defined its public reputation.

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