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Face of Madness: Hugh W. Diamond and the Origin of Psychiatric Photography

de Sander L. Gilman

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Today the use of photography (and its extension, video) in psychiatry is a common practice. But in the 1850s, when pioneering medical photographer and psychiatrist Dr. Hugh W. Diamond was behind the camera, this technique was an innovative application of art to science, reflecting and expanding the contemporary interest in physiognomic characteristics. In The Face of Madness, notable scholar Sander Gilman has curated a unique exhibition of 54 of Dr. Diamond's photographs and commentary. Diamond's photographs are eloquent portraits of the insane-the melancholy, the depressed, the deranged, the alcoholic-whom he cared for at the Surrey County Lunatic Asylum. In addition to their psychiatric significance, these photographs are notable works of art since Diamond was a pioneer in experimenting with and refining photographic techniques. Diamond's paper "On the Application of Photography to the Physiognomic and Mental Phenomena of Insanity," is included in this printing. This discourse discloses three functions of photography which are still relevant to the practice of psychiatry today: Photography can record the appearance of the mentally ill for study; it can be used for treatment through the presentation of an accurate self-image; and it can record the visages of patients to facilitate identification in case of later readmission. In addition to Diamond's paper, notes and analysis by Dr. John Conolly are also included in this volume. Dr. Conolly, one of Dr. Diamond's associates, was widely considered to be the leading British psychiatrist of the mid-nineteenth century. His patient case studies accompany 17 of Diamond's photographs. These reports include clinical information as well as diagnoses based on the theories of the physiognomy of insanity accepted at that period. The Face of Madness is a book to be treasured not only by psychiatrists, but also by photographers and medical historians. As Eric T. Carlson writes in the Introduction: "Until now these photographs have been known only through the sketches made from them. Professor Gilman has performed a great service in locating them and by giving us their history."… (mais)
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Dr. Hugh Diamond's innovative work with photography early in its history pointed to both artistic and practical uses. And, because accuracy of visual recording is one of the medium's prime characteristics, it also explores the question of what can we know from what we seen in detailed photography of a person. For his work with inmates in a lunatic asylum, Diamond explored the use of photography in three ways: as a way to study the mentally ill, as a way to communicate to the mentally ill about their condition, and to identify particular individuals who might go in and out of treatment. This is the 1850's, leading to continuing use of photography as a psychiatric tool.

The extent to which we can ascertain internal and emotional states from external likeness, from portraiture, has been a central question through the history of photographic discussion. There is more to be gained for an answer in considering such work as Diamond's and its extension to many other scientific studies, outside the normal attention of photography and is typical critics.
  j-b-colson | Sep 26, 2012 |
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Today the use of photography (and its extension, video) in psychiatry is a common practice. But in the 1850s, when pioneering medical photographer and psychiatrist Dr. Hugh W. Diamond was behind the camera, this technique was an innovative application of art to science, reflecting and expanding the contemporary interest in physiognomic characteristics. In The Face of Madness, notable scholar Sander Gilman has curated a unique exhibition of 54 of Dr. Diamond's photographs and commentary. Diamond's photographs are eloquent portraits of the insane-the melancholy, the depressed, the deranged, the alcoholic-whom he cared for at the Surrey County Lunatic Asylum. In addition to their psychiatric significance, these photographs are notable works of art since Diamond was a pioneer in experimenting with and refining photographic techniques. Diamond's paper "On the Application of Photography to the Physiognomic and Mental Phenomena of Insanity," is included in this printing. This discourse discloses three functions of photography which are still relevant to the practice of psychiatry today: Photography can record the appearance of the mentally ill for study; it can be used for treatment through the presentation of an accurate self-image; and it can record the visages of patients to facilitate identification in case of later readmission. In addition to Diamond's paper, notes and analysis by Dr. John Conolly are also included in this volume. Dr. Conolly, one of Dr. Diamond's associates, was widely considered to be the leading British psychiatrist of the mid-nineteenth century. His patient case studies accompany 17 of Diamond's photographs. These reports include clinical information as well as diagnoses based on the theories of the physiognomy of insanity accepted at that period. The Face of Madness is a book to be treasured not only by psychiatrists, but also by photographers and medical historians. As Eric T. Carlson writes in the Introduction: "Until now these photographs have been known only through the sketches made from them. Professor Gilman has performed a great service in locating them and by giving us their history."

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