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[cont'd.] new institutions. Earle's controversial critique
contributed to a reassessment of the role of the state hospitals in the second half of the nineteenth century. Supporters of the state hospitals fell back on more modest claims for their value -- as places to ease the suffering of the sick and the burdens of the families. By the dawn of the twentieth century, the newly renamed Northampton State Hospital housed six hundred people in severely overcrowded conditions. The rise of psychotherapy and the development of alternative institutions for the practice of psychiatry contributed to a devaluing of the hospital and the work that it did, even as the numbers of patients treated there swelled to record numbers. Increasingly, the state hospital served only those people with few economic resources or those whose conditions were not easily amenable to treatment, such as the senile elderly, as well as becoming a last resort for anyone who needed help but could find it nowhere else. Over the first half of the twentieth century...
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