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James Tilly Matthews


James Tilly Matthews (1770 – 10 January 1815) was a London tea broker, originally from Wales and of Huguenot descent, who was committed to Bethlem (colloquially Bedlam) psychiatric hospital in 1797. His case is considered to be the first fully documented of paranoid schizophrenia.

In the early 1790s, concerned at the likelihood of war between Britain and France, Matthews travelled to France with the radical David Williams who was acquainted with such Girondists as Jacques Pierre Brissot and Le Brun. Williams made efforts at mediation which failed, whereupon Matthews took the lead. Despite the eccentricity of his statements, he gained the trust of the French government for a short time.

On 2 June 1793 the Girondists were displaced by the Jacobins and Matthews fell under suspicion for his Girondist associations and also because he was suspected of being a double agent. He was arrested and imprisoned for three years during the height of The Terror until 1796 when the French authorities concluded that he was a lunatic and released him.

Returning to London, Matthews wrote two letters to Lord Liverpool, in which he accused the Home Secretary of treason and complained about conspiracies directed against his life. After interrupting a debate in the House of Commons by shouting "Treason" at Lord Liverpool from the Public Gallery, he was arrested and held at Tothill Fields Bridewell, a secure house of correction in Tothill Fields, Westminster before being admitted to the Bethlem (Bedlam) psychiatric hospital on 28 January 1797. Upon examination he declared that he had taken part in secret affairs of state (referring to his efforts in France), but had been betrayed and abandoned by William Pitt's administration.


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