The official History of Spring Grove Hospital lists "the supposed causes of Insanity, in order of prevalence among the 143 patients at the Maryland Hospital in the year 1844" as: Intemperance (27), Ill Health (12), Masturbation (9), Constitutional (9), Domestic Trouble (6), Religious Excitement (4), Pecuniary Loss (4), Love Affair (3), Puerperal [related to childbirth] (3), Loss of Friends (2), Disappointed Ambition (1), Mortified Pride (1), Remorse (1), Political Excitement (1), Want of Employment (1), Unknown (59).A little game of badminton sounds nice right about now.
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