The legal procedure produced questionnaires, reports and protocols which drove the patient-related record keeping in the psychiatric departments.
The paper reconstructs the invention of the loose file system in German psychiatry in the early nineteenth century as a special case of medical and juridical relationship. The loose file allows the gathering of all information of the treatment of the respective patient in one folder, which enables it to be reordered for the different ways of reimbursing care, providing cure, and to store the patient’s file for re-use in the case of re-admission. Psychiatry was the first discipline to introduce the new filing system. The reason for this was not, I argue, a medical one. Legislation and juridical debates about the status of the mentally ill person prompted a new admission procedure. The new Prussian General Law Code required a formal ‘declaration of lunacy’ which was negotiated in a regular trial. ‘Lunatics and raving mad persons’ came under the ‘special supervision and preventative care of the state’. The legal procedure produced questionnaires, reports and protocols which drove the patient-related record keeping in the psychiatric departments.