Scott Wilson practices as a Psychiatrist in Boston, Massachusetts.

A 60-bed inpatient unit for court referred and continuing care mental health patients. Because of the long stays of many ELMHC patients, the site also offers an unusual chance to observe the long-term response of schizophrenic and other illnesses to gradual introduction and consistent maintenance of medication, as well as to the secure social structure and material safety that has often been lacking for many patients before their arrival. Erich Lindemann was a German-born psychologist, psychiatrist, and public health scholar who is best known for developing a modern psychology of grief in the wake of the infamous Coconut Grove Nightclub fire in 1942, but who also served at various times as the chief of psychiatry at Massachusetts General Hospital, the president of the Boston Psychoanalytic Society, and as a leader in various early organizations that established the field of community psychiatry in the middle decades of the twentieth century. Designed by Paul Rudolph immediately after he completed the Art and Architecture Building at Yale in 1963. Sadly, this looks like the last place one would go for help. Armed with his theory of psychology, Rudolph chose to sacrifice the function of the Lindemann Center to further an emotive agenda. The essential aim was to express the program of the building and creating within an environment "suitable" for the mentally ill. The spaces inside reflect Rudolph's romanticized view of mental illness: eerie, twisting stairways, one of which leads nowhere like an oubliette in a Medieval keep; amorphous passages that never reveal their ends; a chapel that creates a stirring, dismal ambiance through spatial theatrics. On the exterior this atmosphere is intended to perpetuate the mood at a subconscious level. Rudolph made the building "insane" in order to express the insanity within. While the Lindemann Center very expressive, it has also proven to be very dangerous. As has been noted by psychiatrists who have worked in the building or sent patients there, the building can be physically and psychologically damaging. It's really not hard to imagine the effects of the building's subtle, encrypted psychedelia on a patient already prone to paranoia and hallucinations. Horror stories of patients lost in the building are common, as are accounts of assaults on patients and staff in its many dim, secluded alcoves. Indeed, the building has proved to be so insidious that it is possible to hold certain spaces responsible for repeatedly abetting self-destructive acts. A catwalk over the Lindemann's plaza-level lobby had to be glazed after it invited too many suicide attempts. The chapel, a top-lit chamber called out on the skyline with a crowning finial, is experienced as the heart of the building, what Rudolph once called "that releasing space which dominates." It has been sealed shut since shortly after the building opened in 1972; a patient died there after igniting himself on the concrete slab altar. As one former Lindemann Center psychiatrist noted darkly, the patient was just following environmental cues: "It looks like a place that should be used for human sacrifice."

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Dr. Kradin practices Anatomic Pathology, Internal Medicine, and Pulmonary in Boston, Massachusetts.

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