This thesis examines in depth the six borough and county asylums of Hampshire andSussex between 1845 and 1930. The research is of an interdisciplinary nature and offers asynthesis of archaeological, historical, and sociological methodologies. The primaryfocus is on the standing asylum buildings. Fieldwork has been used to establish apermanent record of the building complexes prior to their imminent destruction andredevelopment and has provided a basis upon which to examine the quality of thesebuildings as places of treatment and cure. This fieldwork has then been coupled withextensive documentary research in order to repopulate the asylum with the patients andstaff that lived and worked within them.The key themes of this study are designed to provide a three dimensional analysis of thebuildings in order to assess their quality and effectiveness. These themes include:reading gender, status and control from the building complexes; understanding theepidemiology of the asylum populations; establishing the effectiveness of the asylums ashospitals in view of asylum borne disease; and charting the asylum building genreevolution over a period of eighty years as a design response to providing better treatmentand care. In order to do this over 6,000 separate patient transactions have beenincorporated.Asylum buildings have received little attention from archaeologists or historians. Noasylum building to date has been rigorously researched. This study takes six asylumbuildings, extensively examines them, repopulates them, and evaluates theireffectiveness. This is done within the context of the original purpose of the asylumcommissioners, the epidemiological facts, and the current historiographical debate.