In 1885, an English psychiatrist published the case of a man called W.B., who had spent much of his life cycling through jail and asylums. W.B. was “a quiet and useful man,” the doctor wrote in The Journal of Mental Science. He was educated, and enjoyed reading newspapers. He had also, since he was boy, enjoyed slicing up horses. Humans too. “He was fond of his stepmother but confessed that he planned to rape her,” the doctor reported. Unlike demented or melancholic patients, W.B. seemed to have every control over his reason. And yet he did unreasonable things. The doctor classified him as morally insane, a term that had evolved from the ideas of Philippe Pinel, the founder of modern psychia
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