Showering Has a Dark, Violent History

In the 19th century, cold rinses and days-long baths became a way to treat — and control — psychiatric patients

The Atlantic
The Atlantic

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The design for a psychiatric-hospital shower from the Belgian physician Joseph Guislain. Photo: Guislain/Internet Archive

By Sarah Zhang

The 19th century was a time of great innovation in plumbing. Cities got the first modern sewers, with tunnels that snaked for miles underground. Houses got bathrooms, with ceramic toilets, tubs, and sinks that you would easily recognize today. And, not to be left behind in this period of infrastructure overhaul, psychiatric hospitals got hydrotherapy: the method of using water to treat madness.

By then, this curious idea was not new. In the 17th century, for example, the Flemish physician Jan Baptist van Helmont would plunge patients into ponds or the sea. His inspiration came from a story he’d heard of an escaping “lunatic” who ran right into a lake. The man nearly drowned, but when he recovered, so did his mind, apparently. Van Helmont concluded that water could stop “the too violent and exorbitant Operation of the fiery Life.” His began stripping his patients naked, binding their hands, and lowering them headfirst into the water, according to van Helmont’s son, who wrote a book about his father.

Van Helmont’s method was not practical or, frankly, safe: Patients sometimes drowned. It never did become…

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