Madness: Race and Insanity at a Jim Crow Asylum by Antonia Hylton

A Pittsburgh Arts and Lectures selection, Madness  was a tough read because of the brutality of the treatment to those who were virtually incarcerated at the Crownsville State Hospital in Maryland, known as the Hospital for the Negro Insane of Maryland. Antonia Hylton's recounting of the treatment of blacks who had or supposed to have had a mental illness is heart-rending. Spurred by the dialogue with a relative who was so fearful of the treatment by white supremacists, she researched this institution for nearly 10 years. 

Through a series of case studies, she described the establishment of the hospital in 1911, built by those who would occupy it, through its closure in 2004. Prevalent throughout the history were some common threads of an understaffed and overcrowded facility, despicable conditions of the facility, and abusive behavior toward the black patients. It was an emotional read that makes the reader shake her head as to how any human being can be treated as such. However, when one looks around at our contemporary society, this history doesn't seem that far removed. 

One of the more saddening stories was that of Elsie Lacks, daughter of Henrietta Lacks. Elsie was born in 1940 and suffered from epilepsy and cerebral palsy as a result of a head injury at birth. Because of this she needed constant attention and Henrietta and her husband. Day, were advised to send her to a hospital, that being Crownsville. She was only 10 years old. Her mother visited her religiously for a few years before she, herself, became ill with cervical cancer. At her death, no one seemed to think that it was necessary to tell Elsie or bring her to her mother's viewing. Elsie died in 1955 at fifteen. Just like her mother, Elsie was subjected to many unauthorized and unorthodox treatments, including aggressive forms of shocks to the brain. It was her younger sister, Deborah, and author Rebecca Skloot who dug to the bottom of the hidden files to find out how Elsie was treated without any informed consent. 

Antonia spoke on 10 February 2025 and beautifully articulated how she wrote her exposé of the Crownsville hospital. The book is a well-researched work of journalism that details the tragedy of treating the mentally ill in the United States and the civil rights, or lack thereof of black citizens.