Gilded Age industrialists influenced the systems that shaped psychiatry and the mental illness industry to control the populace. These few ultra-wealthy men manipulated the economic, social, and political climate of that era, which was marked by industrial growth, wealth inequality, and efforts to maintain social control.
During the Gilded Age, there was a growing interest in medicalization and the idea of managing societal problems through professionalized, institutionalized systems. This included the rise of psychiatry, which became a way to pathologize and control behaviors that were seen as disruptive to the order of society. Mental illness was often framed in ways that served to control marginalized groups, including the poor, the immigrant working class, and women.
Here are some ways in which the era’s social conditions influenced the development of the mental illness industry:
Pathologizing Social “Deviance”
Industrialists and policymakers had an interest in maintaining a stable, orderly workforce, and those who resisted, exhibited disruptive behavior, or did not fit into the idealized societal structure were sometimes labeled as mentally ill. This medicalized approach helped to ensure social compliance, controlling the behavior of those who could pose a threat to the established hierarchy. For example, working-class people, immigrants, and women who defied gender roles were often diagnosed with mental illnesses and confined to asylums or given treatments to correct their “deviations.”
The Role of Psychiatry in Social Control
Early psychiatry emerged when industrialists were also heavily invested in maintaining social order and economic stability. Institutions like asylums and psychiatric hospitals were, at times, used to remove people who were seen as problematic, further dehumanizing them and reinforcing the dominant power structures. The development of psychiatric diagnosis and treatment methods aligned with the needs of the state and industrial elites to keep society orderly and maintain control over populations that were becoming more diverse and increasingly restless.
Economic Incentives
The establishment of psychiatric institutions and the medicalization of mental health also served economic interests. Both the pharmaceutical and psychiatric industries began to profit from the idea that mental illness could be treated with institutional care or medication. This model benefited both the wealthy elite who had the resources to shape medical and social systems and the institutions that provided care, all while reinforcing the broader system of control.
The rise of psychiatry and the institutionalization of mental health care in the late 19th century aligned with the Gilded Age industrialists’ economic and social interests, which included maintaining social order and control over a rapidly changing, industrialized society. The industry’s early development played into these dynamics by medicalizing and institutionalizing social problems, especially in ways that marginalized or controlled those who didn’t fit the idealized, compliant role of the worker.
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