The Opal (1851–1860) is a ten volume journal written, edited and printed by the patients of the Utica State Lunatic Asylum, circa 1851. On its more than 3,000 pages, writers talked of their experiences and world views, giving great insight to the environment of New York's premiere state-operated Asylum, in Utica, New York. Themes that continuously arose in the poetry, prose, political commentary, and articles about insanity include issues concerning medication, restraint, seclusion, human rights, liberty, overcoming oppression, and support. (This summary is from Wikipedia.)
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