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Various forms of outdoor relief were extended by the parish authorities to families in these circumstances, including financial support, the provision of parish nurses and, where family care was not possible, lunatics might be 'boarded out' to other members of the local community or committed to private madhouses.The rise of the lunatic asylum and its gradual transformation into, and eventual replacement by, the modern psychiatric hospital, explains the rise of organized, institutional psychiatry.While there were earlier institutions that housed the 'insane', the conclusion that institutionalisation was the correct solution to treating people considered to be "mad" was part of a social process in the nineteenth century that began to seek solutions outside families and local communities.

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A few towns had towers where madmen were kept (called Narrentürme in German, or "fools' towers").The ancient Parisian hospital Hôtel-Dieu also had a small number of cells set aside for lunatics, whilst the town of Elbing boasted a madhouse, the Tollhaus, attached to the Teutonic Knights' hospital.In the Islamic world, the Bimaristans were described by European travelers, who wrote about their wonder at the care and kindness shown to lunatics.In 872, Ahmad ibn Tulun built a hospital in Cairo that provided care to the insane, which included music therapy.

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To illustrate this with one regional example, in England at the beginning of the nineteenth century, there were, perhaps, a few thousand "lunatics" housed in a variety of disparate institutions but by the beginning of the twentieth century, that figure had grown to about 100,000.This growth coincided with the development of alienism, now known as psychiatry, as a medical specialty.

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  2. eric   •  

    Moreover, we anticipate PP-AR may help analyze the behavior history of SHA, e.g.

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