Archives, mental health systems, and the history of mental health in colonial South India: Critical questions

Emerging trends in the history of mental health globally emphasise the need to critically examine the history of mental health, and this applies to colonial India as well. However, despite the inseparable relationship between social hierarchies (such as race and caste) and mental health outcomes, we find that archival sources on mental health in colonial South India remain inaccessible, limiting researchers' ability to understand the complexities and nuances of this relationship. Despite an extensive search through state archives, records of mental health institutions, and other government departments, anticipated sources remain elusive. We argue that mainstream mental health systems exhibit a lack of sensitivity to the socio-historical roots of mental health crises and are plagued by systemic issues, such as staff shortages and limited access to sources, which contribute to a poor understanding of marginalised peoples' experiences. Mental health systems need to deepen their awareness of the socio-historical determinants of human suffering. This is vital to realising an ethical, people-centred mental healthcare ecosystem.

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Publication Details

Journal
Indian Journal of Medical Ethics
Published
2025-12-15
DOI
https://doi.org/10.20529/ijme.2025.092
Primary Topic
Historical Psychiatry and Medical Practices
Type
article
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article

Archives, mental health systems, and the history of mental health in colonial South India: Critical questions

Sudarshan R Kottai, D Sathya
Indian Journal of Medical Ethics
Historical Psychiatry and Medical Practices
article

Archives, mental health systems, and the history of mental health in colonial South India: Critical questions

Sudarshan R Kottai, D Sathya
article en

Abstract

Emerging trends in the history of mental health globally emphasise the need to critically examine the history of mental health, and this applies to colonial India as well. However, despite the inseparable relationship between social hierarchies (such as race and caste) and mental health outcomes, we find that archival sources on mental health in colonial South India remain inaccessible, limiting researchers' ability to understand the complexities and nuances of this relationship. Despite an extensive search through state archives, records of mental health institutions, and other government departments, anticipated sources remain elusive. We argue that mainstream mental health systems exhibit a lack of sensitivity to the socio-historical roots of mental health crises and are plagued by systemic issues, such as staff shortages and limited access to sources, which contribute to a poor understanding of marginalised peoples' experiences. Mental health systems need to deepen their awareness of the socio-historical determinants of human suffering. This is vital to realising an ethical, people-centred mental healthcare ecosystem.

Indian Journal of Medical EthicsVol. 11(1)
Indian Institute of Technology Palakkad (IN)
Openalex Percentile: Top 48%
Historical Psychiatry and Medical Practices
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