Notes 1 A Nameless Difference 1. Further information about Ralph and other Victorian children with symp- toms of autism can be found in Waltz and Shattock (2004). This article is based on the medical journals of Dr William Howship Dickinson, which are held in the Great Ormond Street Hospital archives. Birth, death and occupational information about Ralph and Margaret Sedgwick and their eight children, including Ralph, were obtained through British census records. 2. The medical uses of calomel, or mercury chloride, had been known since at least the seventeenth century. It was an effective antibacterial and purga- tive, widely used to treat ailments like syphilis. It also accumulated in the body if used regularly over time, causing irrevocable damage to the brain and other internal organs. The small amounts sometimes used for children with bowel symptoms at Great Ormond Street Hospital are unlikely to have caused any additional problems, however. 6 Bedlam, Behaviourism, and Beyond 1. ‘Jimmy Jones’ is a composite identity based on accounts collected for the Cardiff People First organisation’s Ely Hospital project; my 2011 interview with John Clements, a former clinician at Ely Hospital; and other accounts of life in British long-stay hospitals, particularly Hubert and Hollins (2006). 2. Willowbrook was a large institution for people with developmental disabil- ities in New York. Investigative journalists working with concerned staff and parents revealed the extent of neglect, abuse, and unethical medical experimentation that took place there (which are discussed elsewhere in this book). This well-publicised news story contributed greatly to the pace of deinstitutionalisation in the US. 3. 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