A Home away from home: Anna Hope’s novel ‘The Ballroom’ has links with our own Suffolk history

the ballroom image
Picture: Mark Davis / Guzelian Picture shows the ballroom at West Riding Pauper Lunatic Asylum at High Royds Hospital, Menston, West Yorkshire. A photographic book entitled `Asylum’ has just been published and shows the work of photographer Mark Davis who has photographed derelict asylum’s round Britain and Ireland.
This feature was first published by The Bury Free Press in their print edition only and is reprinted here by kind permission.

Grand ballrooms are not the first thing that come to mind when we imagine the Victorian asylums of our recent past but a newly published novel by Anna HopeThe Ballroom, was inspired by her discovery old photographs of an ornate ballroom in a northern asylum, now fallen into disrepair. And whilst her story is set many miles away, in the Yorkshire Ridings, it has intriguing parallels with the old county asylum, once known as St Audry’s near Ipswich and the exhibition dedicated to it in Stowmarket’s Museum of East Anglian Life. After reading Anna’s novel and interviewing her for this feature, I realised that it was time to re-visit this local museum which has an exhibit about the old St Audry’s asylum and talk to Lisa Harris who is employed there as Collections and Interpretation Manager.

The St Audry’s Project tells the tale of the old St Audry’s Hospital in Melton, which began life as the Suffolk County Asylum in 1832, on the site of an old workhouse. When St Audry’s closed in 1993, its museum collection and archive were divided between various regional establishments. Since then, the Museum of East Anglian Life has been collating oral testimonies and working with local people to ensure that such an important and fascinating part of Suffolk history is not lost. Lisa explains the history of the collection and her involvement in it.

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Abbots Hall at Museum of East Anglian Life. Image: Museum of East Anglian Life

“The Museum of East Anglian Life was re-developing Abbots Hall and we wanted to look at the concept of home and belonging: home as in the people who themselves once lived in Abbots Hall; home as in being a proud Stowmarket girl, or a Suffolk person or even an East Anglian. We also wanted to look at different types of home, of which an asylum is one, and we knew we had the St Audrys collection which hadn’t actually been on public display before, to my knowledge,” she says

“All the archives that survived are based at Ipswich Records Office so this gave us a chance to talk about this whole element of life in Suffolk but also to link into the bigger picture and we were able to get funding from Comic Relief for this.

It is interesting that the collection came into being via the informal efforts of the staff who once worked at the hospital and I ask Lisa about this.

“The collection came here originally because it was in the teaching section of St Audry’s, housed in the attic. When they became a teaching hospital in the 1950s different staff gradually gathered items such as clothing, farm equipment and patients belongings and created a museum on site. But when the asylum closed in 1953, there was concerns as to where all of this might go. Some of the more medical items went to the Science Museum in London, a lot of it went to Felixstowe Museum and the rest came here”, she explains, sweeping her arm around the room lined with glass vitrines containing the tokens used as part of a patient-goods exchange system, the books and records, carefully inked in black fountain pen, pairs of spectacles, thick hard-to-rip nightgowns and decks of cards.

There’s staged vignettes too: a hospital screen has become an art installation where people have attached labels inscribed with the stigmatising language used to describe mental illness and the people who experience it. ‘Mental’, ‘schizoid’, ‘mental enfeeblement’ are starkly stamped on paper luggage tags and there’s a bed and bath with restraints in one corner plus the recorded voices of former staff who talk of their own lives there, often in a pronounced Suffolk burr. As visitors move slowly around the room, these voices fill the air, bringing the room to life.

Conducting research such as this can be made challenging by the stringent rules which control access to patient records: By law, a 30 year closure period is applied to administrative and committee papers, 80 years for student and staff records, and 100 years for personal medical records. This means the most important voices of all – that of the patients- are missing. Both Lisa Harris and Anna Hope emphasise the importance of that patient voice and the ways in which they sought it out for their respective endeavours.

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Anna Hope: author of The Ballroom

The voice of the patients in The Ballroom are vivid, born in part from the many hours of research its author put in, as Anna Hope explains. “Their [the patients] voices do break through too, particularly in the casebooks. I read extensively in the casebooks of High Royds for the period in which the book is set, and the patients jumped vividly from their pages; even the act of holding the casebook in my hands was powerful: the marbled covers, the smell of age, the photographs of the patients, and their own words, erupting into the present, making themselves heard.” Anna skilfully combines her research with the imagination of a fiction author, managing to avoid the trap that many authors fall into, of circumventing the objectivity of historical data to such a degree that accuracy suffers.

“We decided our exhibition would only go up to the 1920s because we can’t access any of the records after that date so why try to tell a story that isn’t out there yet in purely historical terms?” Lisa points out. “Our concern was telling that historical story in the hope that people can learn from it. And that maybe we don’t make the same mistakes in the future that we made in the past…or in the case of something has worked well, we’ll take that and work out how we can take that forward now. We’re trying to do sessions with medical professionals because in order to tell the story you’ve got to have some understanding of the terminology and the treatments. I’m not a medical expert, my understanding  is of curating and preservation: woodworm and rust!” She laughs. “I need to be able to point people in the right direction to get greater understanding, and to properly explain the context”, something which served her well when later on in our chat,  Lisa tells me about her encounters with some artefacts which appear to have a sinister purpose.
In 1832, when St Audry’s was called  The Suffolk County Asylum for Pauper Lunatics, Dr John Kirkman was appointed Medical Superintendent  and his reports and those of the doctors following him show a mind remarkably in tune with some of today’s philosophies of what constitutes good mental health care. The concept of an asylum as a home from home was central to his management: “Drugs are of course necessary in some cases, but moral treatment is essential to all and this is obtained chiefly by means of employment, amusement, pleasing associations and cheerful surroundings which act as medicine to the deceased mind” said the 50th Annual Report, back in 1888″  and the hospital became a self-sufficient community which nonetheless had strong ties to the village of Melton. Dr Kirkman couldn’t be more different to Dr Fuller, one of the narrators in Hope’s book.

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High Royds Hospital, Menston, West Yorkshire.

The Ballroom is Anna Hope’s second novel and it begins with the arrival of Ella Fay at the Sharston asylum in 1911. She is sent there because, after railing against the lack of light in the textiles mill where she works, she snaps and breaks one of the windows- a socially transgressive act in the eyes of her employers and her colleagues, albeit perfectly understandable and rational to us. John Mulligan is already a patient at Sharston, an Irishman suffering from depression provoked by the death of his daughter and his wife’s subsequent abandonment of him. When Ella and John meet at a Friday night dance in the asylum’s beautiful ballroom, they embark upon a slow-burn of a relationship, marked by surreptitious meetings outdoors and smuggled letters and encounters in the wild, expansive Yorkshire moors.

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The Ballroom by Anna Hope

Overseeing their care and to a certain extent, their fate, is Dr Charles Fuller, an ambitious yet inadequate medic who becomes slowly obsessed by the growing eugenics movement which advocated the social control and compulsory sterilisation of the poor and anyone with a mental illness or learning disability. In 1908, the newly appointed home secretary, Winston Churchill, was determined to solve the problem of what he referred to as  the“feeble-minded” – anyone who was deemed unable to self-determine. Churchill’s views on compulsory sterilisation crystallised and he began to circulate pamphlets on the subject among the cabinet. The Eugenics Society grew increasingly influential and in 1913 the Mental Deficiency Act established powers to incarcerate the “feeble-minded” in specially-built asylums. As we see in John and Ella’s story, the sexes lived separately and only met in strictly monitored meetings, in their case, the weekly dance and these impending laws threaten their relationship and very existence, in John’s case.

I asked Anna Hope about the clear parallels with todays social and political situation, not just in the UK but across Europe too, where cuts to health and social care have disproportionately impacted upon the poor and the mentally unwell and the language used to justify government policy has become ugly. “The welfare state; universal healthcare, access to education and greater social mobility are being eroded daily. Not just that, but I feel something even more insidious taking place; poverty has shifted in my lifetime from being something that should be ameliorated by a healthy government and society, to something that is perceived as the fault of those who find themselves poor. I think this is deeply dangerous and beneath the cuts to child benefits for instance, amongst many other cuts, there’s a disturbing echo, as you say, of eugenic policy,” she says.

As for the long view, Anna emphasises the importance of re-visiting the recent past in order to learn from it. We must guard against rose-tinted historiography too. “I think it’s a good time to look a little into our past and see what we were capable of” she says. “Churchill, for example, has been very well served by history, and for good reason, but if you look at his language as home secretary in 1911, in its insistence on ‘racial purity’ and the threat to the race from social degeneration it’s really not so very far from Hitler’s a few decades later.”

Do you think we lost as much as we gained from the abolition of the asylum system with regard to the purest meaning of the word? Have we forgotten that sometimes, some people do need a place of asylum while they recover, I ask Anna.

“That’s a really great question. Before I started researching I think my preconception, from reading lots of novels, about the Victorian and Edwardian asylum system was that once you were there you were there for life and the key was thrown away. Reading the casebooks gave me a different picture; there were many women for instance who were suffering from exhaustion or what sounded like post-natal depression, and who must have been working all hours in the mills or similar places, who simply needed a place to rest” she says.
“Following their stories in the casebooks I was really surprised and happy to read how many of them improved steadily over time with decent food, and rest and time away from work and families”, Anna adds. “So the asylum began to be a more nuanced, complex environment, not just this bleak, monolithic place from which no one ever emerged.”
Lisa Harris concurs with this and addresses some of the common stereotypes and misconceptions people held and still hold about an admission to an asylum. “A lot of people come to us and say “I’ve been tracing my family tree and I think I’ve found someone who was in an asylum and they get worried about this” she states, then looks back at her own initial reactions when she began looking through the St Audrys collection in the early days of developing the exhibit at the museum.
A Home From Home
The ‘Home From Home’ exhibition at Museum of East Anglian Life
“When I started this, I didn’t know very much about asylums at all and the first thing I found was this set of branding irons,” she says, pointing to a set of narrow branding irons displayed in a glass case. “Now the first thing that went through my head and our Learning Officers head was ‘Oh no, they branded the patients,  that is awful!’, but as we went on, we thought this cannot possibly be true. We had an over-active imagination and I do give a talk about the implications of this [for historical research]. But, in the light of the restraints we also found it was an understandable assumption and we were really pleased when we discovered the hospital had its own farm!”, she laughs wryly.
How many of us have assumed patients never left once admitted and lived in social seclusion, isolated from local villages, a source of fear, prejudice and trepidation to the locals? Not necessarily so, according to both Lisa and Anna although it would be naive to assume that the patients lived free from this. People with mental illness still have to negotiate the impact of stigma, whether this be socially, occupationally or politically [usually all three] and this prejudice is deeply rooted in the past. Lisa tells me more about St Audry’s and its position in the local community.
“The hospital was like a little city and the whole village of Melton relied on St Audrys. There was an overseeing of the patients as they went into the village and people were protective of them. That’s what humans do, what they should do. Look at the Second World War and how we cared for people. Would we still do that today? I hope so…” she says, quietly and goes on to touch upon the misconceptions many of us have about asylums whilst also warning against adopting a rose-tinted view of life in one.
” My concern was always that I would look at this with rose tinted glasses because its really easy to do that but the more you talk to people and the more stories you hear, you think actually, I’m not rose tinting it.And I spent months reading the medical records, and they are obviously written to sound good but as you read them you realise that on the whole, these people really did care and they wanted the patients to get better.”
You hear a lot of stories” Lisa smiles, warming to her theme. “St Audrys was a home for unmarried mothers- which was not necessarily true-and it was likely a misunderstanding of postnatal depression. People say ‘they went in and never came out.’ Well, the research I did showed that unless there was an issue with other illnesses like dementia or epilepsy for example, which weren’t really understood back then, people were admitted and usually came out within two years.”
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This bath was used for psychiatric treatments: from the ‘Home From Home’ exhibition

 

Anna tells me, that same lack of medical knowledge meant that “it certainly wasn’t a great time for mental health-care” and expands upon this. “I’d argue that it was perhaps a little better than the age of lobotomy and experimentation that came not so long after the First World War. When you look at the records for the pre-World War One asylums there were very few drugs used on the patients, which meant that many suffered without remission but also that they were awake and alive in a way that later patients perhaps weren’t allowed to be.” Certainly the discovery of Chlorpromazine in the fifties led to its being described as a chemical cosh and many people suffered from its terrible sedating side-effects.

And what of the ballroom which first inspired Anna Hope to write her novel? Well, interestingly I also discovered that St Audry’s had a ballroom too which is, for me,  one of the most unexpected counterpoints to the stereotype of an asylum as a dour and crepuscular place- all worthy, joyless therapies and rigid monitoring. I also discovered that ballrooms were common in Victorian mansions from the 1880s until around 1920, and these mansions were, after all, family homes which links beautifully to Dr Kirkman’s belief that St Audry’s should replicate the home as much as possible and be filled with activities and things that were not merely useful but also stimulated the patient aesthetically.

“The more we looked into it, the more we discovered that St Audrys acted as a home away from home and this was all of the principles that Dr Kirkman put into place about being able to step out of your day to day life and the drudgery and issues that worried you,” Lisa says.

“If you had a mental illness, [although obviously these illnesses were understood in a different way to how we interpret them today], you then could be taken somewhere that was safe. You could be kept warm, you could be fed and given the chance to keep yourself clean but also, be given something that would keep your mind active. So being involved in day to day running- making clothes, helping with washing, on the farm,. It kept you busy and gave you the time to heal, I suppose”, she adds, and her words very much reflect the  St Audry’s 28th annual report of 1865 which reports, in the purple prose of the Victorian age,”the admission is in dark insanity, the discharge in bright reason and  light.”

Interestingly, in The Ballroom, Dr Charles Fuller, is initially keen to encourage his patients to enjoy dance and music, playing the piano for them in the dayroom and when he is introduced to the new Ragtime music emanating from New Orleans by a local music-shop employee he attempts and fails, to embody its joyful and less boundaried spirit. I held my breath as I read this because Charles is as imprisoned, in his own way, as some of the patients but fails to recognise this and I really hoped he might break free. The psychic struggle he becomes embroiled in is something I asked Anna about, especially with regards to his lessening empathy for his patients and increased ‘othering’ of them in line with his belief that eugenics is the way forward. “I thought it was dramatically more interesting if he was deeply in denial about his own demons and desires. I think perhaps it’s impossible to become the sort of character Charles does without deep suppression of one’s empathy,” she says, something which chimes with Dr Kirkman’s own beliefs about how to care for the mentally unwell, some of which are inscribed on the walls of the exhibit in the Museum of East Anglian Life. “No restraint can be employed which is so powerful as tenderness. Watchfullness, activity, gentleness and that peculiar tact acquired by long training to replace contests of strength between patient and keeper.

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Vitrine containing nurses uniforms from St Audry’s hospital
Lisa is privy to the reactions of visitors to the St Audry’s exhibit.” I’ve come in and there have been groups of people in here and they start a conversation along the lines of ‘Oh, we worked at St Audrys and it was really like family, with everyone looking out for each other. Generations of the same families worked there” she explains. “Dr Kirkman started the hospital in the 1800s but his ideas and principles carried right on through.”
“We did a survey a couple of years ago” she adds, “and since we’ve opened, the St Audry’s exhibit has seemed like a room where people feel the need to come in and be quiet and we’re not that kind of museum, not a quiet museum really! But the survey said that people felt they needed to talk to each other about it and our work has opened up ways for them to do this.
“It has encouraged adults and children to talk about mental health.”
Sadly, it has been more challenging to encourage patients to come forward, the latter more understandably. “We struggle to get in touch with people who once were hospitalised” says Lisa. “We’ve done appeals but they don’t necessarily want to talk about it.”
There is pain here, I comment. Lisa nods. “This  exhibit has made our team more aware of mental health  issues, and more aware of how we each have our own needs. I think its one of the most exciting projects I’ve ever worked on.”

The Ballroom is out now. 

The Museum of East Anglian Life website.

Related links: an oral history of a Suffolk psychiatric hospital

Museum images courtesy of The Museum of East Anglian Life, except where indicated.

Image of The Ballroom book cover, Anna Hope, the High Royds hospital, courtesy of Anna Hope/Transworld publishers.

The header image of West Riding Pauper Lunatic Asylum is courtesy Mark Davis / Guzelian

 

Telling it like it is’ -Saint Audry’s + the story of an asylum

“No restraint can be employed which is so powerful as tenderness.” Dr John Kirkman, Medical Superintendent (1829-1876)

ST AUDRY’S PROJECT- TELLING IT LIKE IT IS

 

The St Audry’s project is a Comic Relief funded project exploring the history of St Audry’s Hospital and it draws upon contemporary experiences in a consideration of how attitudes to mental health have changed. Artist Juliet Lockhart has worked on the St Audry’s project alongside local people to depict the hospital, its history and attitudes towards mental illness both yesterday and today.

St Audry’s Hospital, situated in rural Suffolk, closed its doors in 1993.  Originally a workhouse, it became the Suffolk County Asylum in 1832.  Countless people passed though the hospital, for many it became home, and they left behind their stories, some of which are recorded, the majority lost. Sadly the nature of mental health means that patients historically have been voiceless both politically and culturally- how many people today know that a person under a section of the Mental Health Act legally cannot vote? In addition, data protection and privacy laws means that a hundred years must pass from the death of the last patient before any personal details can be released into the public realm. 

In 2012, a project was set up by the Museum of East Anglian Life to explore the hidden history of St Audry’s. The Museum, alongside Felixstowe Museum and the Suffolk Record Office, were recipients of the hospital museum collection and archive when it closed.  ‘Telling it like is: the story of a psychiatric hospital in Suffolk’ collaborated with mental health service users to create work to accompany a permanent display in Abbot’s Hall, part of the Museum. The project also explored and recorded people’s emotional connections with the St Audry’s site.

Artist Juliet Lockhart worked alongside the Museum to deliver a series of textile, stitching and creative writing workshops.  From these workshops came a wealth of material that informed two artworks, now on display in Abbot’s Hall.

The workshops were designed so that people could participate in as many as they wanted to.  Some came just once, others were regulars throughout the project.

Using the collection housed at the Museum as a starting point, people began to explore issues around mental health through art and writing.  Words such as ‘lunatic’ and ‘asylum’ were discussed and ideas sprang from associated thoughts about the values and judgements society (and the individuals who make this up)  ascribe to people and therefore the words they choose to describe them with;

     “lunatic should be accepted as a word     

          from history that is

          now outdated”.  F.M.

 The first textile pieces produced were a series of images and texts using cyanotype fabric prints.  These distinctive blue and white prints were created by designs drawn onto acetate which were then used in a similar way to a photographic negative.  The acetate was placed onto the chemically treated fabric, exposed for a few minutes in sunlight and then rinsed in plain water.  During the process the fabric undergoes several colourchanges before the original image appears in white against a blue background.

The images produced were emotional responses to objects in the Museum.  The Black Shuck is part of the folklore of East Anglia.  A ghostly black dog is said to roam the highways and byways.  A terrifying sight, a beast associated with the Devil and a harbinger of disaster.  For the artist of this piece, The Black Shuck represents her depression, sometimes it is overwhelming, at times it shrinks but it is always there hovering, ever present and interestingly, the ‘Black Dog’ is a common metaphor for depressive disorder, Winston Churchill famously called his depression the very same name. 

Simple printmaking techniques were also explored during these sessions and some of the thoughts that came from discussions around mental health were incorporated onto the fabric pieces.

The textile sessions went on to inspire the creative writing workshops and through a series of writing prompts and visual images, a selection of poems emerged.

TELLING IT LIKE IT IS 

This tree has no root system.

 The branches are fragmented

much like my existence.

 On a road to nowhere.

 Leaves on branches that bear no fruit or future,

malnourished waiting to fail and die.

 The leaves shake as if nervous with a gentle breeze.

The branches sway as a large feather

to the white clouds above.

 

Clearing a passage to the sky

so I can finally rest in pieces .

 After the ten workshops had ended there was pile of images, words, paper and fabric that needed to be brought together somehow but from the outset of the project, the work produced was always driven by the individual. No set rules meant that each person could respond to the themes however they wished with the guidance of Juliet Lockhart.   The finished pieces differed in size, content and execution as a consequence; an important metaphor for people so often defined amorphously when in fact they are as unique as any other societal group.  Ruth Gillan, the project manager took inspiration from a photograph of a ward in St Audry’s when it was first opened.

A replica of part of the room divider shown in the photograph was commissioned with the idea that the panes of glass would be replaced by a series of fabric panels. 

 

A series of sewing workshops took place in the splendid dining room in Abbot’s Hall.

The various pieces of text and images were stitched, appliqued and embroidered before being joined together as crazy patchwork.  Crazy patchwork uses irregular piece of fabric combined to create a haphazard design.  Crazy patchwork is usually embellished with embroidery, as well as  buttons, lace and ribbons.  It is extremely creative and free flowing and so fitted in with the ethos behind the artwork.

 Many of the panels were worked on by more than one person.  Pieces of fabric were passed around for someone to stitch words on, someone else to add a border and someone else to embroider.  Some of the pieces went home to be worked on and some to Woodlands, the mental health unit at Ipswich Hospital.  Fabric and threads were confined to a blue palette to create unity.

Finally the crazy patchwork was mounted onto wooden frames and fixed into the wooden door frame.

Juliet Lockhart worked on the second artwork to be installed.   Ruth Gillan had sourced an original metal hospital screen, the kind that was used to provide a modicum of privacy in a crowded ward.

 She began her research by visiting the Suffolk Records Office to look at some of the old 19th century admissions records from St Audry’s. On some of the pages staff had clipped photographs of patients.

Juliet wanted to give these patients a presence in the collection at the Museum.  She used two of these images to create shadow figures, which she cut out of muslin and bonded onto a muslin panel.

Further inspiration was a comment made by a participant during one of the creative writing workshops.

 ‘I would like labels in life to become a thing of the past’

 Juliet made white labels and printed them with a variety of diagnoses and slang words connected with mental health.  Some of these were sourced from the admissions records, others more up to date.

The aim of this artwork was to stimulate a discussion around the use of labels.  She asked a series of questions, Should a label define who we are?  Who creates these labels and why?  Do we treat people differently if we know that they are labeled as having a mental illness?  Does a label such as ‘schizophrenic’ or ‘psychotic’ actually provide help to a person?  Do we know what that label means or do we just take a guess?  Does that label undermine the humanity of a person?  Do labels become our identity?  Are labels positive or negative?  Do we try to see the person behind the label?  Should labels become a thing of the past?

The artwork seen and text reproduced in this report were created by Juliet Lockhart, Melissa, J.A.M., Richard and Fred.

Thanks go to Comic Relief for funding this project.