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Conscience and Convenience: The Asylum and its Alternatives in Progressive America

By David J. Rothman

From the cover: This book makes a unique and significant Contribution to American social history and so­cial policy. It explores, as no other work has done, the origins and consequences of the pro­grams that have dominated criminal justice, juvenile justice, and mental health in the twen­tieth century. David Rothman combines his skills as a historian with his knowledge of con­temporary social problems to interpret the practices of probation, parole, and indetermi- late sentences; the juvenile courts; the outpa­tient clinics; and the contemporary design of the penitentiary, the reformatory, and the men­tal hospital. Conscience and Convenience is a worthy suc- jessor to David Rothman’s prizewinning and uglily influential book. The Discovery of the \syhnn. Just as that volume analyzed the ori­gins of institutions for* the deviant and the de­pendent, so this study casts new light on the modern effort to reform the asylum and devise ilternatives for it. And once again, his appraisal urthers our understanding of the fundamental character of social order and disorder in the Jnited States.

The title points to the dynamic that is at the core of the book. Progressive-Era men and ,vomen of good conscience introduced the mea­sures mentioned above with the intention of iroviding individualized cure and treatment or the deviants and thereby solving the prob- ems of crime and mental illness. But to appre­ciate the fate of these reforms, one must reckon .vith convenience. Administrators, from war- lens to judges to mental hospital superin- endents, turned these procedures to their pwn advantage. The result was a hybrid pro­gram whose flaws we are only beginning to Imderstand.

Boston. Little, Brown and Co. 1980. 459p.