This chapter summarizes the preceding discussions and presents some concluding thoughts from the author. This book has examined families' strategies for understanding, coping with, and managing insane family members, roughly from 1820 to 1860, a period that coincided with the rise of psychiatry and of the asylum. It analyzed both the internal dynamics and the external relations of families with insane members. The book reiterates the importance of the economic and financial aspects of the domestic problem of lunacy, in contrast to the emotional aspects that have so far been emphasized in the historiography on nineteenth-century psychiatry.
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