Delusions of Madness by Kimberly K. Taylor; Harrowing Historical Fiction About The Reality of Mental Asylums and Mistreatment of Women

Delusions of Madness by Kimberly K. Taylor; Harrowing Historical Fiction About The Reality of Mental Asylums and Mistreatment of Women

By Julie Sara Porter

Bookworm Reviews 

This review is also on Reedsy Discovery.

Spoilers: Delusions of Madness by Kimberly K. Taylor is about as skin crawling, creepy, harrowing, and anxiety inducing as any Supernatural Horror book or movie. The most disturbing part of this Historical Fiction nightmare is that it is true. It depicts the lives of patients, especially women in a 19th century mental asylum and it does not skimp on any of the details. Even if you don't have dementophobia (fear of insanity-which I do), you might still have nightmares.

Proper 19th century Ohio wife and mother, Cassie Alexander is institutionalized by her husband, Jed who reports that she has gone insane. She hasn't. She and Jed are having marital problems and he is having an affair and needs to get rid of the competition before he can move onto the Second Mrs. Alexander. He convinces a judge that she needs to be institutionalized, so she is sent to a mental asylum.

When Cassie arrives, she finds a filthy degrading place filled with suffering patients, practices that damage them even more, and a sadistic or indifferent staff that tortures and abuses those under their alleged care. It doesn't take Cassie long to figure out that mental asylums are not there to treat people or help them recover. They are places to put people to forget about them.

Mental asylums have become an important topic in the past year with President Trump insisting that immigrants “from prisons and mental asylums” are being sent to the US, probably confusing mental asylums (institutions for the treatment and care of the mentally ill) with asylum seekers (people fleeing persecution, war, or violence and applying for legal recognition as refugees to another country but whose claims are still pending). Last year he signed an executive order aimed at reducing homelessness and severe mental illness by encouraging the expansion of involuntary, long-term commitment into psychiatric care including reducing community health services and bringing back long-term mental institutions and insane asylums.

It's important to remember that the treatment at such centers wasn't always the best and to understand the history of how people were treated back in the day, to recognize the mistreatment for what it was, prevent such abuse from repeating itself, and remember that there are resources that can be contacted if such abuse does happen now.

Taylor pulls no punches in her descriptions of the horrid conditions that Cassie and the other inmates/prisoners suffer through. We are treated to drafty mildewed walls, filthy floors with rancid odors and waste that is barely cleaned, uncomfortable and filthy beds, rats and other vermin that inhabit some of the rooms, and the sounds of tortured sobbing and screaming. It is not a pleasant place to say the least, said Ms. Obvious.

Then there is the staff who make Nurse Ratched from One Flew Over the Cuckoo’s Nest look like Florence Nightingale. They beat and physically torture the patients and purposely use dehumanizing language to bring them down to their lowest basest level.

Dr. Gooding, the asylum's primary physician, sexually assaults the patients. One of the patients ends up pregnant and he arranges for her to have an illegal, painful, and potentially destructive abortion. Matron Harrow, the asylum director is adept at manipulating and mentally abusing her charges. She has a particular vendetta against Cassie because there is a personal link between her and Cassie's erstwhile husband. She saves the worst punishments for her.

The asylum patients are subjected to various torturous punishments disguised as treatment from the moment they enter. They are branded upon entry. If one steps out of line as Cassie does, they are sedated and deprived of food and water. They are subjected to torture disguised as treatment like dunking their heads in ice cold water, throwing them in solitary confinement, or strapping them to a chair and spinning it around to the point of disorienting them.

 There are also early forms of electroconvulsive therapy and lobotomies practiced by people who do not know what they are doing.All of these are means to break a patient's spirits and remove their free will. If they are constantly monitored, ridiculed, tortured, beaten, and dehumanized, they will consent to anything.

The dehumanization is revealed in various ways in the book. Some are left screaming. Others sit in fetal positions crying. Many just lie inert, no longer giving a damn. One woman whose child has died holds nothing but air in her hands under the delusion that her baby is with her. The sad part is if help and reform comes to the asylum, these women will be too far gone to appreciate it.

In some ways, the asylum is representative of the patriarchy. Women’s sanity is determined by husbands, male family members, judges, doctors, and attendants who make medical decisions for them. Women who help the system like matrons, nurses, and Conservative women can only seize power by siding with men and condemning women who don't fit the program. The results are the women are silenced, isolated, deprived of any agency, and left utterly dependent and complacent to whatever abuse they receive.

Just like other facets of the patriarchy, it takes women to challenge it and reveal what is wrong. While most of the female patients are left dependent and animalistic by the abuse, ironically it strengthens Cassie. She argues with staff when she or others are abused. She stands up for and defends those who can no longer speak or reason for themselves. She still recognizes their humanity. She covertly takes notes on her situation and tries to send hidden messages to authority figures so something legal and permanent can be done to stop it. She's not the only one.

The book is set around the same time that Nellie Bly wrote her famous Ten Days in a Mad House expose in which she faked mental illness symptoms to be institutionalized and was sent to Bellevue Hospital and later Blackwell Island. She took notes of the poor treatment and abuse and compiled them into her book which was such a sensation that reforms in mental institutions began almost immediately. Bly and her book even get a shout out in this book as Cassie and her fellow inmates now have someone speaking out for them and telling the truth. 

Cassie in the book and Bly in real life forced the public to see that the mentally ill, particularly mentally ill and institutionalized women are people with names, histories, and identities. They challenged the people in charge and on the outside to recognize their humanity and change and reform the institutions accordingly.

 

BASH: Love, Madness, and Murder by Michael Bartos; Suspenseful Satire Flies Close to the Cuckoo’s Nest but Falls Flat

 

BASH: Love, Madness, and Murder by Michael Bartos; Suspenseful Satire Flies Close to the Cuckoo’s Nest but Falls Flat

By Julie Sara Porter 

Bookworm Reviews 

Spoilers: For someone to be placed in a mental hospital, they would have to be considered a potential harm to themselves and others. For someone to want to be put in there, they would have to be even more mentally ill, an investigative reporter looking for a story, or both. Ashley Roper, one of the protagonists of Michael Bartos’ novel BASH: Love, Madness, and Murder is both and he has a story to investigate.

The Blakemore Anderson State Hospital (BASH) is the site of several controversies. Accused murderer, Burton Peale escaped from there. Another, Tyler Goode languished there. There are reports of drugs being unwisely distributed and potential mistreatment. It's not a pleasant place to be sent to but it is a potential story so Ashley, a reporter for the lifestyle newspaper, Charley Town, decides to investigate it. He will impersonate a patient there and find out what's going on. Unfortunately, he finds getting admitted is the easy part. It's surviving and getting out of this environment that's the hard part.

BASH is kind of a mixed bag with some parts that work and others that don't. Some subplots get introduced and threaten to turn the book into something else but peter out before they pose any real effect on the narrative. Burton Peale’s escape promises to be thrilling but most of the points produce very little suspense and are only recalled after the fact. 

There are hints of abuse and corruption from the upper levels but the results aren't shown in a way that shows any after effects towards the patients. Maybe, in a drive to be satiric, Bartos ignored the human interest element that in such an environment people would be suffering, people who are often unable to function in the outside world and are at the mercy of their caregivers.

The plot that works the best is Ashley's. He is someone who is looking for a good story. He gained prominence because of his first person articles detailing his service in Afghanistan. This article could give him some more relevance and bring some much needed publicity to Charley Town, which with the exception of Ashley's military themed articles, has a reputation of being mostly local news and light fluff.

There is some humor and suspense with the process in which Ashley gets himself committed and the lengths that his girlfriend and friends have to use to get him released. It almost gives a gaslighting quality towards the possibility that Ashley's investigation could have gotten him committed for the rest of his life, even having doubts whether he imagined the circumstances that brought him there and slipping into the insanity that he feigned.

It would have been much more interesting if BASH was written as a terrifying place that deserves to be exposed so we would be much more concerned about Ashley's time there but the potential activities are more subverted and less upfront. It mutes the trouble that Ashley has gotten into for trying to expose the corruption but does show his determination in trying to reveal it.

BASH could be a better book but it needs to have more care in putting the ideas together to make a decent work.

New Book Alert: The Fading of Kimberly by Kit Crumpton; Interesting Look at Early 20th Century Mental Health Care is Marred By Uneven Writing

Spoilers: Kit Crumpton's book The Fading of Kimberly works as an interesting look at mental health treatment in the early 20th century. It gives the Reader a strong sense of the world of psychiatric hospitals in which the slightly oddest behavior could have someone share the same hospital as a sadistic killer. A world where psychiatrists are not as fond of treating the mentally ill as they are of shocking them or cutting them open.


Unfortunately The Fading of Kimberly is marred by uneven writing in which character's motivations are unclear and plot threads are left dangling. These glaring flaws keep this from being a perfect book instead it is a good one which needs some tweaking.





Kimberly Weatherspoon is the spoiled pampered only daughter of Warren Weatgerspoon, a wealthy widower. She is a perfect example of someone with Narcissistic Personality Disorder. She is overly concerned with her appearance and receiving attention from others. Kimberly arranges parties and other events so she can be the center of attention. She also seeks romance from the most handsome and wealthiest men so they can laud praise and bestow gifts to her.





With that narcissism also comes an immaturity suggesting Borderline Personality Disorder. Kimberly has a hard time living with rejection as her fiancé, Edwin, learns the hard way. She catches him in an embrace with her father's secretary, Laverne, and shoots them both dead. The subsequent verdict has her declared guilty but her father's connections manage to have her declared legally insane and she is committed to a sanitarium.





Unfortunately, she is not alone during her time in Elgin State Hospital. Among the other patients is one Riley Nacht, a former astronomer with a connection to Kimberly. When Kimberly attended boarding school, Riley taught a session on star gazing to her class. During a field trip, Riley got a moment alone with Dorothy, one of Kimberly's classmates and murdered the young girl. Like Kimberly he too was declared legally insane and institutionalized.





The book is effective in describing people with mental illness and psychiatric disorders and the treatment towards them which pretty much amounted to little to no treatment at all. One thing the book shows is how difficult it is for people to live with such disorders and how difficult it is for the people around them. Kimberly is extremely self-involved to the point of being irritating to the other characters and the Reader, it is only until later that we learn that she had a childhood with a father who adored her but preferred to throw money and possessions at her rather than commit to any real parenting.





Kimberly grew with a strong sense of entitlement and very little self-control. This is shown prominently during her school years when she bribes classmates with gifts in lieu of friendships and is unable to form real attachments with them. Even after Dorothy is murdered and Kimberly is an eyewitness to the crime, she blocks out the murder and retreats further into herself and her own little world as if avoiding acknowledging the murder itself.





Kimberly's narcissism makes her a difficult person to live with as her engagement to Edwin shows. Edwin is certainly a fortune hunter that when Warren bribes him with money to leave his little girl and run, Edwin does not have much internal struggle as he goes for the long green and runs. However, Kimberly's demands and constant craves for attention wears on him, as well as her lack of concern about anything that isn't about her.

Kimberly's time in the Elvin State Hospital is the most interesting part as we are shown various treatments like cold bath and shock therapy that harm more than cure.

There are also psychologists who  use guess work in diagnosing patients such as giving ones like Riley free reign to see how he works. This proves to be a big problem as one of the orderlies, himself troubled, befriends Riley to the point where he uses his advice to molest female patients in their sleep. One character is given a lobotomy and is heartbreakingly reduced to a shell of their former self.

Crumpton clearly knows a lot about the early years of the mental health profession since she researched it for a non-fiction book, The Fading of Lloyd about her great uncle who died in a psychiatric hospital. But her fiction writing needs work.

The opening in which it is suggested that Kimberly might be the reincarnation of Anne Boleyn is interesting but out of place in a book that doesn't deal with the supernatural in the rest of the book.  It is out of place and is more filler than anything else.

While Kimberly's back story helps us understand her, its placement in the middle of the book is a detriment. The Reader is subjected to several chapters of her acting spoiled and irritating so that by the time they learn about why she is the way she is, they may not care. It would be better to tell the story chronologically to give us the girl before the narcissist.

There are some odd things towards the end. The final moments between Riley, his orderly, and Kimberly is anticlimactic and involves circumstances that don't even directly involve them. Some revelations between Warren and his butler are thrown in at the last minute that should have been revealed earlier (and certainly would have spared this Reader from thinking entirely different.)

As a book about mental health, The Fading of Kimberly stands out. As a novel, it kind of fades away.