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It must be said at the outset that the field of mental illness has always been debatable ground. Who is sane, who isn't, and who is qualified to judge? Standards have fluctuated wildly, and abuses have been numerous. In the last century, in the United States, a wife could be committed to an asylum on the say-so of her husband and two easily-paid-off doctors alone, and there are cases on record of wives who were 'put away' for holding theological opinions that differed from those of the husband, or for refusing to have as much sex as he would like.

Margaret Atwood#47

HistoryGenderMental healthLaw

About this quote

What does it mean?
Atwood highlights the historical instability of mental health standards and how legal and medical systems were misused to control women's behavior and beliefs.
In plain terms
Definitions of sanity have changed wildly, and women were once easily locked away for disagreeing with their husbands.
What can you take from it?
Medical standards can be weaponized to enforce social norms.

Where it applies

  • studying feminist history
  • analyzing medical ethics
  • understanding asylum systems

Putting it to work

  • audit institutional decision processes
  • protect patient rights
  • historical research

Questions to consider

  • Who gets to define sanity?
  • How do laws reflect power?

Another view

Modern systems have reforms, though bias and abuse still persist in different forms.

More from Margaret Atwood

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