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The Most Solitary of Afflictions is written by Andrew Scull and published by Yale University Press. It's available with International Standard Book Number or ISBN identification 0300107544 (ISBN 10) and 9780300107548 (ISBN 13).
Andrew Scull studies the evolution of the treatment of lunacy in England, tracing transformations in social practices & beliefs, the development of institutional management of the mad, & exposing the contrasts between the expectations of asylum founders & the harsh realities of institutional life. Originally published: 1993.