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BEDLAM · BETHLEHEM · LONDON

How did a hospital become a synonym for chaos?

The name already existed. A London hospital changed what it meant.

Bedlem was already a form of Bethlehem — “in bedlem borne”, around 1440 — two centuries before the chaos. Then a London priory, founded 1247, loaded that sound with new meanings: a hospital, a mad person, madness, uproar. The hospital crossed London. The word travelled further.

Follow both tracks

1247
Priory of St Mary of Bethlehem founded
1522
a “bedleme” can be a person (Skelton)
1660–61
Cowley: “A Babel, and a Bedlam”
The Rake in Bedlam: plate 8, published 25 June 1735Hooke's new building in an engraving by Robert White (Wellcome Collection)Raving and Melancholy Madness: the 1680 gate statues in a 1784 engraving (Wellcome Collection)
Three pictures, one line:
The plate, the palace, the statues: one hospital across three centuries — while the word slips away.

Two tracks

The building moves. The word escapes.

Two journeys on one line: the hospital walks across London while the word leaves the building behind. Drag through eight centuries and watch them separate.

  1. Bethlehemthe town
  2. Bedlemthe Middle English form
  3. Bedlamthe hospital's meanings
  4. bedlamuproar and confusion

The building

1247

The priory

The Priory of St Mary of Bethlehem is founded at Bishopsgate. Hospital status comes later; the lunatics later still.

B-01

The building

1403

The hospital

Recorded as a hospital since 1329; an inquisition finds its patients suffering from mental disorders.

B-02

The word

c. 1440

Bedlem already

“Ihesu, þat was in bedlem borne”: the short form already names Bethlehem itself.

B-10

The word

1522

A person

Skelton's “madde bedleme”: the name leaves the building — a bedlam can now be a person.

B-10

The word

1528

The hospital

Tyndale's “they of Bedlam”: Bedlam now names the London hospital.

B-10

The word

1598

Madness

Marston's roll call — “Bedlame, Frenzie, Madnes, Lunacie”: the word means the condition.

B-10

The word

1605–06

The beggars

Lear puts “Bedlam beggars, who with roaring voices” on stage.

B-07

The word

1660–61

Chaos

Cowley: “A Babel, and a Bedlam grow.” The building is no longer needed.

B-10

The word

1663

Any asylum

“The Bedlam” can mean any madhouse, anywhere.

B-10

The building

1676

The palace

Moorfields: Hooke's palace for the hospital; Cibber's statues crown the gate.

B-03

The artwork

1735

The plate

Hogarth publishes the final plate of A Rake's Progress: the Rake ends in Bedlam.

B-08

The building

1770

The doors close

Public visiting ends after centuries of open doors.

B-03

The building

1815

Southwark

The hospital moves south of the river.

B-03

The building

1930

Beckenham

The hospital leaves London; the word stays.

B-04

stop 1 of 14

Evidence rooms

Four rooms, one word

Open each room. Every line carries its source.

The form is older

Bedlem was Bethlehem before it was a hospital: Wyclif writes “Bedleem” in 1382, and a prayer book has Christ “in bedlem borne” around 1440. The hospital loaded an old sound with new meanings. (WEHD, MW)

The hospital

Priory 1247, hospital by 1329, mad patients by 1403, City protection 1346, royal foundation for lunatics 1547 — then four homes: Bishopsgate, Moorfields (1676, Hooke's palace, Cibber's statues), Southwark (1815), Beckenham (1930, still a hospital). (Survey of London, Museum of the Mind)

The escape

Person by 1522 (Skelton's “madde bedleme”), the hospital's own name by 1528 (Tyndale), madness by 1598 (Marston), Lear's beggars around 1605, any asylum by 1663 — with chaos already there by 1660–61, when Cowley writes “A Babel, and a Bedlam grow”. (WEHD)

The afterlife

Hogarth publishes the Rake's end in Bedlam in June 1735 (the plate, after the 1734 paintings); the public is shut out from 1770; today the dictionaries define bedlam as uproar and confusion, no hospital required. (Soane, MFAH, MW, Cambridge)

Hooke's new building in an engraving by Robert White (Wellcome Collection)
Hooke's new building in an engraving by Robert White (Wellcome Collection) Source: Wikimedia Commons, CC BY 4.0
Raving and Melancholy Madness: the 1680 gate statues in a 1784 engraving (Wellcome Collection)
Raving and Melancholy Madness: the 1680 gate statues in a 1784 engraving (Wellcome Collection) Source: Wikimedia Commons, CC BY 4.0

Test yourself

What does bedlam mean here?

Seven historical uses, five senses. Set each card on the sense it carries.

Choose each card's sense. Keys 1–5 place the chosen card.

  1. 1522 · Skelton

    “Such a madde bedleme for to rewle this reame”

    Sense
  2. 1528 · Tyndale

    “they of Bedlam may see that they are but madness”

    Sense
  3. 1598 · Marston

    “Bedlame, Frenzie, Madnes, Lunacie”

    Sense
  4. c. 1605 · Lear

    “Bedlam beggars, who with roaring voices”

    Sense
  5. 1699 · Pomfret

    “'Twas both an hospital and bedlam too”

    Sense
  6. 1660–61 · Cowley

    “A Babel, and a Bedlam grow”

    Sense
  7. 1713 · Guardian

    “Our house is a sort of Bedlam, and nothing in order”

    Sense

Score: 0 of 7

The right sense, card by card:

  1. PERSON — 1522 · Skelton “Such a madde bedleme for to rewle this reame”; c. 1605 · Lear “Bedlam beggars, who with roaring voices”
  2. HOSPITAL — 1528 · Tyndale “they of Bedlam may see that they are but madness”
  3. MADNESS — 1598 · Marston “Bedlame, Frenzie, Madnes, Lunacie”
  4. ASYLUM — 1699 · Pomfret “'Twas both an hospital and bedlam too”
  5. CHAOS — 1660–61 · Cowley “A Babel, and a Bedlam grow”; 1713 · Guardian “Our house is a sort of Bedlam, and nothing in order”

Years follow the historical dictionary; Murray dated the Cowley citation a.1667, but the passage stands in the 1660–61 issues.

Sources

Receipts

Every date above comes from below.

Type: Fraunces and Source Serif 4, under the SIL Open Font Licence.

Short answers

Why is chaos called bedlam?

Because a London hospital filled an old name with new meanings. Bedlem was already a form of Bethlehem; St Mary of Bethlehem (priory 1247) turned that sound into a mad person by 1522, madness by 1598, and a scene of uproar by 1660–61.

Where was Bedlam hospital?

Four homes: Bishopsgate (1247), Moorfields (1676), Southwark (1815, now the Imperial War Museum), Beckenham (1930, still a hospital).

When does “bedlam” first appear?

As a person-word in 1522 (Skelton's “madde bedleme”); as the hospital's name in 1528 (Tyndale); as chaos by 1660–61, when Cowley writes “A Babel, and a Bedlam grow”. Shakespeare's “Bedlam beggars” come around 1605, between madness and asylum.

Is Bedlam hospital still open?

The hospital works on in Beckenham as Bethlem Royal Hospital, with the Museum of the Mind on its grounds.