This innovative collection of essays employs historical and sociological approaches to provide important case studies of asylums, psychiatry and mental illness in England, Wales, Scotland and Ireland. Leading scholars in the field working on a variety of geographical, temporal, socio-cultural, economic and political contexts, show how class and gender have historically affected and conditioned the thinking, language, and processes according to which society identified and responded to the mentally ill. Contributors to this volume focus on both class and gender and thus are able to explore their interaction, whereas previous publications addressed class or gender incidentally, partially, or in isolation. By adopting this dual focus as its unifying theme, the volume is able to supply new insights into such interesting topics as patient careers, the relationship between lay and professional knowledge of insanity, the boundaries of professional power, and the creation of psychiatric knowledge. Particularly useful to student readers (and to those new to this academic field) is a substantive and accessible introduction to existing scholarship in the field, which signposts the ways in which this collection challenges, adjusts and extends previous perspectives.