Am J Psychiatry 166:2, February 2009 151 Images in Psychiatry ajp.psychiatryonline.org Oregon State Hospital, 1883–2008 T he controversial Oregon State Hospital in Salem, Ore., was added to the National Register of Historic Places on March 6, 2008. It was created as an asylum based on the principles of “moral treatment” promoted by Dr. Thomas Story Kirkbride (1) and others. Most of the buildings are now unoccupied and decay-ing. The state is preparing to replace the psychiatric hospital with a new $250 million complex, but the new hospital will not be ready until 2011. The front section of the main building, including the cupola (pictured), will be preserved as a museum on the his-tory of mental health care. Oregon State Hospital was immortalized as the filming location of the 1975 Academy Award-winning movie One Flew Over the Cuckoo’s Nest . Dr. Dean Brooks, hospital superintendent at the time, agreed to let producers Michael Douglas and Saul Zaentz make the movie at the hospital because space was ample—a va-
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