The nineteenth century witnessed a great shift in how insanity was regarded and treated. Well documented is the emergence of psychiatry as a medical specialization and the role of lunatic asylums in the West. Unclear are the relationships between the heads of institutions and the individuals treated within them. 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–patient relationship within asylums, and what happened when the boundaries were blurred.

中文翻译：

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十九世纪疯人院主管人员的性虐待：医疗实践、投诉和风险


十九世纪见证了精神错乱的看待和治疗方式发生了巨大转变。精神病学作为医学专业的出现以及精神病院在西方的作用都有据可查。机构负责人和机构内接受治疗的个人之间的关系尚不清楚。本文使用十九世纪末的两个案例来展示精神卫生保健场所中的性轻罪，特别是如何在法律和媒体上处理这些行为。它们阐述了抱怨文化的问题以及这些文化对医疗职业的影响。它们远非具有代表性，而是强调需要进一步研究收容所内的医患关系，以及当界限模糊时会发生什么。