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'The dark world of the insane'

Disturbing black and white photos reveal the miserable lives of patients in a mental hospital in the 1930s

Eisenstaedt's photography humanised the patients who had been institutionalised

JAW-dropping black and white photos capture the everyday struggles of patients at a mental hospital in New York in the 20th Century.

Photojournalist Alfred Eisenstaedt took the gritty snaps in 1937, when the Pilgrim State Hospital was the largest facility of its kind in the world.

 View of a group of patients, three of whom wear straitjackets, at Pilgrim State Hospital in 1939
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View of a group of patients, three of whom wear straitjackets, at Pilgrim State Hospital in 1939Credit: Getty Images

In 1900, New York City’s asylums had become dangerously overpopulated, as caregivers struggled to deal with the workload and overcrowding.

To help ease the burden, three new facilities were set-up, including the Pilgrim State Hospital.

The institution, which was named after New York’s Commissioner of Mental Health, Dr Charles W Pilgrim, opened its doors in 1931.

 Exterior view of Building 25 on the campus of Pilgrim State Hospital, taken by Eisenstaedt in 1937
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Exterior view of Building 25 on the campus of Pilgrim State Hospital, taken by Eisenstaedt in 1937Credit: Getty Images
 Many patients were restrained by straightjackets, as shown by this poignant portrait of a patient taken in 1938
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Many patients were restrained by straightjackets, as shown by this poignant portrait of a patient taken in 1938Credit: Getty Images
 A pair of nurses strap an unidentified patient into to a bath for hydrotherapy treatment in 1937
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A pair of nurses strap an unidentified patient into to a bath for hydrotherapy treatment in 1937Credit: Getty Images

By the end of World War II, the hospital held almost 14,000 patients and over 4,000 employees.

But the mental health stigma continued to isolate patients from the rest of society.

Eisenstaedt’s candid photos helped to shape the US public’s perception to mental health in the 20th century, as those pictured in the images looked terribly normal.

 A view of an unidentified patient as she looks through an iron railing at Pilgrim State Hospital in 1937
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A view of an unidentified patient as she looks through an iron railing at Pilgrim State Hospital in 1937Credit: Getty Images
 Feelings of entrapment are evoked when looking at this snap of an patient holding his hands on his head as he gazes out of the window in 1937
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Feelings of entrapment are evoked when looking at this snap of an patient holding his hands on his head as he gazes out of the window in 1937Credit: Getty Images
 A doctor presents a patient and her case to staff members following her arrival at the institution
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A doctor presents a patient and her case to staff members following her arrival at the institutionCredit: Getty Images
 A pair of nurses try to restrain a female patient who stomps her foot in a hallway in 1937
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A pair of nurses try to restrain a female patient who stomps her foot in a hallway in 1937Credit: Getty Images

Unlike his contemporaries, Eisenstaedt used a 35mm film camera to take the shots.

Even though the smaller devices weren’t equipped with flash, they allowed the photographer to shoot people in action, evoking a more candid feel.

Describing his decision to take this alternative approach, Eisenstaedt told New York Magazine: "They don't take me too seriously with my little camera.

"I don't come as a photographer. I come as a friend."

 Patients congregate in a courtyard together at Pilgrim State Hospital in 1937
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Patients congregate in a courtyard together at Pilgrim State Hospital in 1937Credit: Getty Images
 Two male patients wait in line for food inside the hospital's communal cafeteria
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Two male patients wait in line for food inside the hospital's communal cafeteriaCredit: Getty Images
 A male patient sits with his head in his hands as he eats a meal in the hospital's cafeteria
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A male patient sits with his head in his hands as he eats a meal in the hospital's cafeteriaCredit: Getty Images

While some of his moving snaps show patients longingly gazing out of the hospital windows, others capture the mentally ill constrained by straight-jackets.

Some of the most harrowing images showed residents going for hydrotherapy, which the Pilgrim State Hospital described a "continuous baths".

If doctors believed patients were close to a breakdown, they would be kept in the warm water for hours on end to help calm them down.

When the images were published in Life in 1938, there were 500,000 men, women and children incarcerated in psychological institutions in the USA.

Alongside the poignant pictures, the magazine printed: “Mentally balanced people shun and fear the insane.

“The general public refuses to face the terrific problem of what should be done for them.

“Today, though their condition has been much improved, they are still the most neglected, unfortunate group in the world.

“(These) pictures showing the dark world of the insane and what scientists are doing to lead them back to the light of reason.”

 An unidentified patient appears to be deep in contemplation as she holds a bundle of belongings and stares out of the window
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An unidentified patient appears to be deep in contemplation as she holds a bundle of belongings and stares out of the windowCredit: Getty Images
 Group portrait of patients and staff members as they pose outside Pilgrim State Hospital in 1937
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Group portrait of patients and staff members as they pose outside Pilgrim State Hospital in 1937Credit: Getty Images
 A male patient reclines on three chairs as he reads the newspaper during his stay at the Pilgrim State Hospital
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A male patient reclines on three chairs as he reads the newspaper during his stay at the Pilgrim State HospitalCredit: Getty Images

German-born photographer Eisenstaedt passed away in 1995 at the age of 96.

Decades on, his breath-taking snaps continue to be remembered.

His iconic picture of an American sailor kissing a nurse during the V-J Day celebration was recently remembered as Time’s 100 Most Influential Photos of All Time.

 Dozens of windows clinically lined up in the exterior view of Building 25 on the hospital campus
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Dozens of windows clinically lined up in the exterior view of Building 25 on the hospital campusCredit: Getty Images
 A group of unidentified male patients, one with his hand on his head, sit by a window in Pilgrim State Hospital
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A group of unidentified male patients, one with his hand on his head, sit by a window in Pilgrim State HospitalCredit: Getty Images
 Doctors present a patient and her case to staff members at the psychiatric hospital
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Doctors present a patient and her case to staff members at the psychiatric hospitalCredit: Getty Images
 Hospital inmates sit by window, with one unidentified resident peering out of the window
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Hospital inmates sit by window, with one unidentified resident peering out of the windowCredit: Getty Images
 Male patients stand in queue at Pilgrim State Hospital in New York, 1937
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Male patients stand in queue at Pilgrim State Hospital in New York, 1937Credit: Getty Images

It’s not just Eisenstaedt’s photos that helped to change the way the public viewed mentally ill members of society.

Photographers Jerry Cooke and Mary Delaney Cooke opened people’s eyes to the inside Cleveland State Hospital in 1946.

Their findings were published in a Life magazine article that was used as an exposé to shed light on the shocking conditions inside the institution and to campaign for better facilities.

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