Melancholia, with Special Reference to its Characteristics in Cumberland and Westmorland
[…]A case of melancholia, which in the upper and middle classes might be treated at home throughout the whole of its course, would, if it occurred in a working-class family, be sent to an asylum as soon as the individual was so far affected as to be unable to continue his occupation.[…]Where the case is one at all suited for home treatment, it is always best for all concerned to keep the patient out of an asylum so as to avoid the stigma, unjust though it be, which is attached to those who have been in an asylum or who have had relative under treatment there.
Source: W. F. Farquharson, "Melancholia, with Special Reference to its Characteristics in Cumberland and Westmorland," The Lancet (September 21, 1895): 725