Celebrating 15!

In the Depth of Memory

The origins of holistic health through the "Manuscript of the Hospital for the insane of Valladolid"

Manuscript from the Hospital for the Insane of Valladolid (Back cover) (1867) by Lázaro RodríguezFundación Uriach

Remedies against oblivion  

The Uriach Foundation safeguards a valuable bibliographic collection dedicated to the evolution of the health sciences. Its holdings,  ranging from ancient treatises to contemporary works, preserve the memory of the pharmaceutical, botanical, and humanistic knowledge that has accompanied the holistic care of people throughout the centuries.

Manuscript from the Hospital for the Insane of Valladolid (Title page) (1867) by Lázaro RodríguezFundación Uriach

Among these works stands out the handwritten Memoria of the Hospital for the Insane of Valladolid, written in 1867 by its director, Lázaro Rodríguez. This document constitutes an exceptional testimony to psychiatric care in 19th century Spain.  

Madhouse by Francisco GoyaFundación Uriach

Madness

At that time, “madness” was regarded as a threat to social and moral order rather than as an illness that could be treated. Misunderstanding and stigma shaped the lives of those who suffered from mental disorders.  

Manuscript from the Hospital for the Insane of Valladolid (Page 1) (1867) by Lázaro RodríguezFundación Uriach

A refuge for the abandoned

Hospitals for the insane were not true healthcare centers, but rather places where many patients were isolated and forgotten. With limited resources, care often amounted to mere custody rather than genuine treatment or healing, in an era still struggling to understand mental illness.  

Drawing of the Hospital for the Insane of Valladolid (1875)Fundación Uriach

The Hospital for the insane of Valladolid  

This hospital became one of the most important provincial centers in the country. The Memoria describes its organization, the relationships between doctors and caregivers, the economic and social difficulties faced by the institution, and proposes measures to improve the well-being of the inmates.  

Doctor Philippe Pinel freeing the insane from their chains in 1795 at the Salpêtrière Hospital in Paris by Tony Robert-FleuryFundación Uriach

A blurred boundary

The document reveals the tension between caring for, confining, and treating patients. It was a time of transition, when the custodial model still prevailed but some European practices promoting clinical observation, hygiene, and early treatments began to take root. In this search for more humane approaches, natural therapies emerged based on artistic and educational activities.

Manuscript from the Hospital for the Insane of Valladolid (Page 18) (1867)Fundación Uriach

Art in confinement

One of the most striking sections of the manuscript brings together drawings made by the inmates in the hospital’s newly established drawing school. These works reveal their sensitivity and foreshadow.

Manuscript from the Hospital for the Insane of Valladolid (Page 24) (1867)Fundación Uriach

In the 20th century, art therapy became established as a discipline that uses artistic creation as a means of communication and healing. What was once used as an occupational activity in the Valladolid hospital is now recognized as a precursor of practices applied worldwide to promote well-being and holistic health.  

The drawings reveal the level of focus the exercise required. Drawing not only trained the eye and the hand but also helped patients organize their thoughts, regain calm, and reconnect with their capacity for attention.  

Manuscript from the Hospital for the Insane of Valladolid (Page 36) (1867)Fundación Uriach

These pieces, usually copies of sacred images, were a common exercise in the artistic training of the time. Although not original works, their precision reveals remarkable skill and delicacy in execution.

Manuscript from the Hospital for the Insane of Valladolid (Page 46) (1867)Fundación Uriach

Traces of sanity

The manuscript also includes handwriting sheets produced by the inmates in the hospital’s reading and writing school. These exercises demonstrate the patients’ educational progress and reflect the rehabilitative efforts of the institution, which sought to go beyond mere confinement.

Manuscript from the Hospital for the Insane of Valladolid (Page 42) (1867)Fundación Uriach

The practice of calligraphy was part of basic education. Moreover, the act of writing fostered patience and perseverance, qualities considered essential for personal growth and everyday discipline.  

Manuscript from the Hospital for the Insane of Valladolid (Page 40) (1867)Fundación Uriach

Nature and movement

Lázaro Rodríguez also included in his report several proposals to improve the inmates lives: from promoting organized physical exercise as part of holistic care, to using gardens and farmland where patients could cultivate the soil, breathe fresh air, and step beyond confinement.  

Manuscript from the Hospital for the Insane of Valladolid (Page 6) (1867) by Lázaro RodríguezFundación Uriach

An innovative vision  

These proposals reflect a remarkably modern therapeutic approach—one that anticipated practices later embraced by psychiatry and natural health: therapeutic horticulture, hygienic gymnastics, and artistic activities as pathways to expression and identity.  

Manuscript from the Hospital for the Insane of Valladolid (Page 75) (1867)Fundación Uriach

The faces of silence  

Finally, the Memoria includes the list of patients admitted in 1867. Beyond its administrative purpose, it offers a collective portrait of names, origins, and social conditions, giving a human dimension to each inmate and rescuing them from anonymity.  

Manuscript from the Hospital for the Insane of Valladolid (Cover) (1867)Fundación Uriach

Each line of this manuscript speaks of the effort to understand human suffering. Looking back is not merely an act of remembrance, but a commitment to continue building a vision of holistic health that is fairer, more compassionate, and profoundly human.  

Credits: All media
The story featured may in some cases have been created by an independent third party and may not always represent the views of the institutions, listed below, who have supplied the content.

Interested in Visual arts?

Get updates with your personalized Culture Weekly

You are all set!

Your first Culture Weekly will arrive this week.

Home
Discover
Play
Nearby
Favorites