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America’s First Private Mental Hospital Is Still Open Today

Two centuries ago, people with mental illnesses were viewed as socially deviant and even possessed. Often incarcerated, homeless, or otherwise cast out, there was little sympathy—let alone medical treatment—for people suffering from depression, mood disorders, or other psychiatric conditions.

But in Pennsylvania, people dealing with mental illness could find help at the Asylum for the Relief of Persons Deprived of the Use of Their Reason, or the Friends Hospital, which opened its doors May 15, 1817. Although the name of America’s first private mental hospital wasn’t exactly sensitive (at least by today’s standards), the “friends” part was real—it was a reference to the Quakers, also known as the Religious Society of Friends.

Quakers had a different perspective on people with mental illness. The Quaker religion recognizes what they call the Inner Light—a divine spirit that they believe inhabits every person, sick or well. As a result, people are seen as deserving of dignity no matter what their mental health condition. After all, Quakers themselves knew what it was like to be treated as outcasts: After fleeing England for the sake of religious freedom, they faced persecution from Puritan colonists who saw them as threats to the social order. Only after William Penn founded his own colony—Pennsylvania—in 1681 did Quakers find a place of their own.

But mental illness affected the tight-knit Quaker community in both America and England. In the 1790s, a young Quaker woman named Hannah Mills was placed in a York, England lunatic asylum and died soon after. Appalled by her treatment, her fellow Quakers decided to set up an asylum of their own in York, one that was run on Quaker principles and that would treat people with mental illnesses “as much in the manner of a rational being as the state of his mind will possibly allow," according to an early history of the asylum.

The York Retreat, as it was called, was an inspiration to an American Quaker minister named Thomas Scattergood, who was no stranger to depression. He decided to call for a similar institution in Philadelphia, and in 1813, local Quakers organized the Asylum for the Relief of Persons Deprived of the Use of Their Reason.

Philadelphia already had a lunatic asylum—the country’s first hospital, which cared for the physically sick as well as those suffering from mental illness. But the Pennsylvania Hospital was crowded, and even though it was a pioneer of psychiatric treatment in that it saw mental illness as a disease, mental patients were often treated as curiosities. Visitors could pay money for a glimpse of the “lunaticks” inside, turning both their suffering and their treatment into entertainment.

The new asylum was different. Instead of putting patients on display or dishing out corporal punishment, it offered what Quakers called “moral treatment.” Patients lived in bright, airy rooms and the windows’ iron bars were disguised as wood. Caretakers treated patients as calmly and respectfully as possible and practiced early forms of talk and occupational therapy. Patients helped run the farm and participated in leisure activities. The hospital’s mission statement focused on both body and mind, pledging to provide patients the “requisite medical aid, [and] such tender, sympathetic attention as may soothe their agitated minds, and under the Divine Blessing, facilitate their recovery.”

Its philosophies were ahead of its time, but the hospital’s practices also reflected the medical beliefs of its era. Freezing shower baths, “blisters” designed to swell the skin and distract patients, and bleeding—common treatments for physical ailments among patients without mental illness—were used at the hospital, too [PDF]. But by treating its patients as humans, not inmates, the hospital set a new standard for psychiatric care.

As the years passed, the hospital began to admit non-Quaker patients and even incorporated pet therapy and a gym. Today, the hospital treats adolescents, adults, and seniors and includes a long-term residential program designed to give patients access to permanent housing and psychiatric resources without confining them to the hospital.

The hospital now admits over 5000 patients per year. It’s dropped its old-fashioned name, but it’s still run by Quakers, and the stately Scattergood Hall—a National Historic Landmark—is the first thing new patients see as they’re welcomed to the hospital. The hospital’s 1813 mission statement is still in effect, too. The definition of “tender, sympathetic attention” for people with mental illness may have shifted, but the purpose of America’s first private mental hospital has not.

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12 Solid Facts About New Hampshire's Old Man of the Mountain
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On May 3, 2003, the craggy rock face known as New Hampshire's Old Man of the Mountain tumbled to the ground in spectacular fashion. For a landmark that had been in the state's DNA for generations, its collapse was like a death in the family to some. The day after it fell, people left flowers at the base of Cannon Mountain in Franconia Notch State Park as a sort of funeral tribute, and plans were immediately launched to create a longer-lasting memorial. So what was so great about the Old Man of the Mountain, pre- and post-crumble? Read on for the stone-cold facts.

1. THANKS TO NATHANIEL HAWTHORNE, THE OLD MAN WAS ALSO KNOWN AS “THE GREAT STONE FACE.”

Although not explicitly named, it’s widely believed Hawthorne based his 1850 short story "The Great Stone Face"—which was set in an anonymous state that happens to look like New Hampshire—on the Old Man. At that time, the mountainous figure was already a tourist draw to the Granite State. Hawthorne described it as an “enormous giant, or a Titan,” with a “broad arch of the forehead,” a long-bridged nose, and having “vast lips.” Eventually Hawthorne’s nickname stuck, along with other loving titles like “Old Man” and “the Profile.”

2. THE "FACE" WAS ACTUALLY A SERIES OF LEDGES.

These granite cliff ledges, 40 feet tall and 25 feet wide, when viewed from the north at certain angles looked like a jagged face. Hawthorne corroborated this, writing in “The Great Stone Face”: “If the spectator approached too near, he lost the outline of the gigantic visage, and could discern only a heap of ponderous and gigantic rocks ... Retracing his steps, however, the wondrous features would again be seen; and the farther he withdrew from them, the more like a human face, with all its original divinity intact, did they appear."

3. HE COULD HAVE BEEN 12,000 YEARS OLD.

An 1856 postcard of The Old Man of the Mountain
Public Domain, Wikimedia Commons

The Old Man was first discovered and recorded in 1805 by road surveyors Francis Whitcomb and Luke Brooks, which put the landmark at nearly 200 years old by the time it fell. But it likely first formed when water inside cracks in the granite bedrock froze and thawed following the retreat of glaciers about 12,000 years ago. (This freezing and thawing process was what hastened its eventual collapse.) According to geologist Brian Fowler in a research report by the Old Man of the Mountain Legacy Fund, the lower ledge—or chin—of the Old Man is assumed to have fallen first. Once that support was gone, the rest of the rock fell in formation.

4. CANNON MOUNTAIN WAS SO NAMED BECAUSE IT LOOKS LIKE ANTIQUE ARTILLERY.

The Old Man jutted from a cliff in Cannon Mountain in New Hampshire’s White Mountains, within Franconia Notch State Park. Originally named Profile Mountain, it took on a new name since its granite dome resembles a cannon from select vantage points. There are even three sub-peaks, nicknamed “The Cannon Balls.”

5. SOME OF THE STRONGEST SURFACE WINDS EVER IN THE U.S. WERE RECORDED ON TOP OF CANNON MOUNTAIN.

The gusts measured 199.5 mph on April 2, 1973. While impressive, they were likely even higher since 199.5 mph was the limit of what the researchers' instruments could record at the time. The highest surface wind gust in the U.S. still belongs in-state, though, with New Hampshire's Mount Washington recording 231 mph winds in 1934.

6. A SERIES OF TURNBUCKLES AND IRON TIES WERE PLACED WITHIN ITS FACE TO KEEP IT TOGETHER.

By 1916, as it became clear the Old Man might not live forever, the first efforts to protect the rock formation were made. By the 1920s, a crack in the Old Man’s "forehead" was clearly noticeable, and residents who were worried about its safety used chains, turnbuckles, and iron ties to keep the crack from separating. Many of those metal rods used to hold the Old Man together were still attached to the mountain years later.

7. THE STATE EVENTUALLY SPENT A SMALL FORTUNE TRYING TO SAVE IT.


Julius Hall, Public Domain, Wikimedia Commons

In 1957, the New Hampshire state legislature passed a $25,000 appropriation for the necessary repairs to slow the Old Man's deterioration. These steps included quick-drying cement and steel rods meant to fill in and fortify cracks. The rocky Band-Aids were maintained every summer.

8. THE CARETAKERS’ MAINTENANCE ROUTINES WERE METICULOUS.

One longtime caretaker, Niels Nielsen, took great pains to keep the Old Man clean since 1965. Nielsen would spray bleach on the rock face and in its cracks, then carefully remove moss and lichen in an effort to prevent cracks from spreading further. He would even clean out the Old Man’s ear with a garden hoe. When Nielsen retired, he passed the job on to his son, David. The face continued to be groomed until its collapse.

9. NIELS NIELSEN SAW THE OLD MAN AS A GIFT FROM GOD.

According to Yankee Magazine, Nielsen was rather enchanted by the rock formation. “I had sailed around the world as a merchant seaman, yet I had never seen anything like the Old Man," he said. "I don’t believe anyone can be up there and not feel the presence of God."

10. BUT EVEN NIELSEN KNEW IT MIGHT FALL SOME DAY.

Nielsen was asked by Yankee what would happen if the Old Man ever fell. “The Lord put him here, and the Lord will take him down," Nielsen replied. Research concluded its collapse was natural—that the freezing-thawing process and subsequent erosion over time caused its downfall.

11. YOU CAN STILL "SEE" THE OLD MAN.


Rob Gallagher, Public Domain, Wikimedia Commons

The image of the Old Man has lived on as a state emblem since 1945, appearing on highway signs, on the back of drivers licenses, and on the reverse of the state quarter. But residents weren’t done with honoring the now-deceased rock face. At Old Man of the Mountain Profile Plaza and Historic Site in Franconia, special viewfinders and steel “profilers” at vantage points near Profile Lake offer a glimpse of what the formation used to look like.

12. THERE’S EVEN AN OLD MAN OF THE MOUNTAIN FLOWER.

Old-Man-of-the-Mountain, or tetraneuris grandiflora, is found in the Intermountain Regions and Rocky Mountains in states like Wyoming, Montana, Utah, Colorado, and Idaho. It’s sometimes called an alpine sunflower and got its common name from the wooly hairs that cover its leaves.

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Stones, Bones, and Wrecks
Take a Closer Look at the $17 Billion 'Holy Grail of Shipwrecks'

Feast your eyes on these new images of the treasure among the wreckage of the Spanish ship San José, often called the "holy grail of shipwrecks." When it sank on June 8, 1708, it was carrying gold, silver, jewels, and other precious cargo worth roughly $17 billion today. Now, Woods Hole Oceanographic Institution (WHOI) is revealing the major role it played in the 2015 expedition to find the San José.

The three-masted, 62-gun Spanish galleon exploded and sank at the hands of the British during the War of the Spanish Succession. It was carrying its riches to the Colombian city of Cartegena to finance the war. Archaeologists had been trying to find the San José for decades before it was finally located on November 27, 2015, during an expedition organized by Colombia, Maritime Archaeology Consultants (MAC), and WHOI. The multibillion-dollar treasure, which still sits nearly 2000 feet below the surface of the ocean near Cartegena, is just now being revealed.

WHOI's autonomous underwater vehicle REMUS 6000 was responsible for finding the elusive wreck. REMUS has been with the project since the beginning: The machine created the first side-scan sonar images of the site. After that, REMUS journeyed to a point 30 feet above the site and captured high-resolution photos of the ship's distinctive bronze cannons, which are engraved with dolphins. REMUS's documentation of this defining feature allowed scientists to positively identify the wreck as the fabled San José. (Thanks to whoever had the idea to put dolphins on the cannon in the first place.)

WHOI also released REMUS's photos of the wreckage, which show details of the horde, including ceramics and those famous cannons. "This constitutes one of the greatest—if not the biggest, as some say—discoveries of submerged patrimony in the history of mankind,” Colombian president Juan Manuel Santos said back when the treasure was discovered.

The San José's treasure is the subject of a legal battle for ownership between Colombia and U.S. salvage company Sea Search Armada, which helped look for the wreck. In 2011, four years before the San José was even found, the court ruled that the booty belongs to Colombia, but the dispute is ongoing. Because of the legal drama, the exact location of the wreck remains a government secret.

Below, check out the newly released pictures for a closer look at cannons, teacups, and other ceramics.

cannons from the San Jose
Woods Hole Oceanographic Institution

pots from the San Jose
Woods Hole Oceanographic Institution

teacups from the San Jose
Woods Hole Oceanographic Institution

REMUS 6000
REMUS 6000
Mike Purcell, Woods Hole Oceanographic Institution


A mosaic of images taken by the REMUS 6000 depicts the whole site.
A mosaic of images taken by the REMUS 6000 depicts the whole site.
Jeff Kaeli, Woods Hole Oceanographic Institution

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