Top Highlights

• Richmond and Portrane included general paralysis (tertiary syphilis) (pp:307), mania- cal chorea (pp:307), dysentery (pp:31), acute rheumatism (pp:491), "extensive fatty disease of the heart" (pp:31-32), "extensive valvular disease of the heart" (pp:200), uraemia (pp:116), epilepsy (pp:98) and erysipelas
• Richmond heralded the beginning of an extraordinary period of asylum-building which persisted throughout the latter half of the 19th century and resulted in large asylums opening in Belfast, Derry, Armagh, Omagh, Dublin, Killarney, Kilkenny, Limerick, Sligo and Mullingar.
• one of the earliest asylums to open in Ireland during this period; was one of the largest residential institutions of any kind in 19th century Ireland; and, arguably, served as a model for the development and management of other psychiatric institu- tions throughout the remainder of the century
• imprisonment with a view to effecting any real cure
• he daily average number of patients on our books was 1,958, as compared with 2,878, the daily average number resident during 1906.

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