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This article uses two cases at either end of the nineteenth century to demonstrate sexual misdemeanours in sites of mental health care, and particularly how they were dealt with, both legally and in the press. They illustrate issues around cultures of complaint and the consequences of these for medical careers. Far from being representative, they highlight the need for further research into the doctor\u2013patient relationship within asylums, and what happened when the boundaries were blurred.<\/jats:p>","DOI":"10.1177\/0957154x20967299","type":"journal-article","created":{"date-parts":[[2020,10,29]],"date-time":"2020-10-29T06:09:02Z","timestamp":1603951742000},"page":"69-84","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Sexual abuse by superintending staff in the nineteenth-century lunatic asylum: medical practice, complaint and risk"],"prefix":"10.1177","volume":"32","author":[{"given":"Cara","family":"Dobbing","sequence":"first","affiliation":[{"name":"University of Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alannah","family":"Tomkins","sequence":"additional","affiliation":[{"name":"Keele University, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,10,29]]},"reference":[{"key":"bibr1-0957154X20967299","unstructured":"14 Geo III c.49; 23 Geo III c.13; 7 Geo IV c.74; 4 & 5 Wm IV c.76; 8 & 9 Vict. c.100; 20 & 21 Vic c.71."},{"key":"bibr2-0957154X20967299","unstructured":"Berkshire Records Office [BRO], 9 Coley Avenue, Reading, Berkshire RG1 6AF: D\/H14\/D2\/2\/1\/1798. Letter dated 11 November 1898 from Carlisle Gaol to Broadmoor; Annual Report as to the state of the patient, 1 March 1900; Letter from Broadmoor to Dr Neale, 25 May 1900."},{"key":"bibr3-0957154X20967299","unstructured":"Carlisle Archive Centre [CAC], Lady Gillford\u2019s House, Petteril Bank Road, Carlisle, CA1 3AJ: C\/C\/2\/417 Prosecution: Dr John Archibald Campbell."},{"key":"bibr4-0957154X20967299","author":"THOS 8\/1\/3\/1\/10","year":"1877","journal-title":"Eleventh Annual Report of the Cumberland and Westmorland Lunatic Asylum"},{"key":"bibr5-0957154X20967299","unstructured":"The National Archives [NA], Kew, Richmond, Surrey, TW9 4DU: IR 1\/32, f. 1 Board of Stamps, apprenticeship book, 1783-86."},{"key":"bibr6-0957154X20967299","unstructured":"TS 11\/1122\/5800 Treasury Solicitor papers, Rex v. Philip Parry Price Myddelton 1796."},{"key":"bibr7-0957154X20967299","unstructured":"Staffordshire Record Office [SRO], Eastgate Street, Stafford, ST16 2LZ: D 1798\/617\/113."},{"key":"bibr8-0957154X20967299","first-page":"3","author":"Anonymous","year":"1796","journal-title":"Whitehall Evening Post"},{"key":"bibr9-0957154X20967299","volume-title":"Crim. Con.: A Full and Impartial Report of that Most Extraordinary Trial, With Speeches of Counsel and Judge\u2019s Charge: In the Case Wherein J. Hinds, Esq. Was Plaintiff, and P.P. Middleton, M.D Defendant, in an Action for Crim. Con, . . . . 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