Images of deviance: visual representations of mental defectives in early twentieth-century medical texts

In his Feeblemindedness in Children of School-Age , first published in 1911, Charles Paget Lapage, physician to the Manchester Children's Hospital, wrote that one ‘only has to watch a group of feebleminded children to see that most of them have some peculiarity’. These words appear towards the end of an extensive discussion of the physical characteristics that could be found in feeble-minded children and are accompanied by a plate comprising four photographs of ‘Feebleminded Children showing Defective Expression’ (Figure 1).