The Alabama Insane Hospital was born directly out of Dix’s efforts. In 1852, the state legislature authorized funding to build the hospital. The first patient was admitted in April 1861, a soldier sent from nearby Fort Morgan and diagnosed upon arrival with mania caused by “political excitement.” (For all its progressivism, the hospital loosely and liberally diagnosed, at times admitting patients for something as minor as a smoking habit.)

The building itself was a key part of the treatment that Dix and her allies envisioned—the hospital was designed according to the Kirkbride plan, an architectural style developed by the psychiatrist Thomas Kirkbride with patients’ well-being in mind. In Kirkbride’s view, the building itself, set on grounds that were “tastefully ornamented,” could itself be therapeutic for patients, “a special apparatus for the care of lunacy.” It would forego the use of straitjackets and shackles, which had been standard practice at the time, and busy its patients with farm work and recreation.

And then there was the newspaper, written and printed entirely by patients—something for them to do, but also an assurance to the outside world that all was well inside the hospital’s walls.

“The economic climate of the south at the time, it was a big investment for the state, and a really big risk,” said Ryan Phillips, a journalist based in Birmingham, Alabama, who is writing a book about the hospital. “The paper was a way to bridge the gap with the community, but more importantly, it let the folks at the state level who were funding it know, ‘This is what we’re doing, your money isn’t wasted on this place.’”

There were columns on Darwinism, essays on literature, and updates about goings on at the hospital, including an editorial complaining that the female patients were too loud (a letter in a subsequent issue upbraided the editor for his sexism). There were concert reviews, marriage and death notices, and a recurring section of one-off musings called Meteoric Dust.

“It is pleasantly written,” reads an 1876 column in the American Journal of Insanity (now the American Journal of Psychiatry), “and no doubt aifords [sic] amusement as well as substantial advantages to the patients.”

“It bears the motto Imgus a non Locendo,” the column continues, “which may be freely translated, ‘light out of darkness.’” This is wrong, though. The Latin phrase that appeared on the top of each front page was actually Lucus a non Lucendo, roughly translated to “a dark grove because it is not light,” used to indicate something nonsensical—the mark of a dry wit that permeated much of what the paper printed.

On the hospital’s collegiate neighbors: “The inmates of the University come to acquire ideas. We come to get rid of them.”

On an ongoing project by one of the hospital’s residents: “We learn from an undoubted source that one of our most popular and talented lady-patients is engaged in writing for publication a novel to be called Uncle Eddie. We risk nothing in promising that its readers will be edified.”