The article examines the role of the family in the lives of women in a
turn-of-the-century psychiatric institution in British Columbia, Cana
da. The continued connection between institutionalized women and their
families is highlighted. Evidence drawn from the psychiatric case fil
es of 774 women patients at British Columbia's Provincial Hospital for
the Insane show that families significantly influenced such factors o
f institutional life as the conditions of care, the timing of discharg
e and the possibility of readmission. Conclusions presented here under
score the negotiated and conflictual nature of asylum practice.