The Narrenturm (Fool's Tower) in Vienna is continental Europe's oldest building for the accommodation of mental patients. Built in 1784, it is next to the site of the old Vienna General Hospital (today a university campus), and is now home to the Federal Pathologic-Anatomical Museum Vienna (German: Pathologisch-anatomisches Bundesmuseum Wien).
The Narrenturm was constructed in 1784, under Emperor Joseph II, by Isidore Canevale. It consisted of a five-storey, fortress-like circular building with 28 rooms and a ring of slit windows, plus a central chamber aligned north-south. There were in total 139 individual cells for the inmates. The building of the Narrenturm was prompted by the discovery of underground dungeons used by the Capuchin monks of Vienna for housing their mentally ill brethren; another factor was that Joseph II had learned about similar institutions in France during his travels there. The construction of the Narrenturm points to a new attitude towards the mentally ill – they began to be distinguished from the rest of society, and not simply classified among the general category of "the poor".
Each cell had strong, barred doors as well as chains for restraining inmates. With its barracks-like appearance, the tower was a visible expression of the segregation, stigmatisation and criminalisation of socially deviant forms of behaviour.
By the late 1790s the tower had already been made fully obsolete by innovations in the treatment of mental patients. Despite appearances, the Narrenturm was not an implementation of Jeremy Bentham's hypothetical panopticon, as the cells could not be monitored from a central post.
The tower's round shape is the source of the Viennese slang word Gugelhupf (a type of round cake) for mental asylums and psychiatric clinics.
When it was first built, the Narrenturm had a lightning rod or "lightning catcher" installed on the roof ridge. Two of the supporting fixtures can still be seen in the inner chamber. In that time Václav Prokop Diviš, a clergyman in Přímětice near Znojmo, had studied plant growth and healing with electrical currents present, publishing his findings to the medical community. He was not the only person who believed electricity to have health benefits – however, it is not known whether the lightning rod in the Narrenturm, whose remnants are probably the oldest surviving pieces of such a device in the world, was used in the treatment of patients.