[1] The national press was outraged by Lomax’s revelations, with The Times publishing an article entitled "Asylum Horrors - A Doctors Indictment".

[3] Whilst many attempts at asylum reform had been made previously, it was Lomax’s book and the associated newspaper articles that alerted public opinion on a wide scale.

[1] The Lomax affair was a significant prelude to the 1926 Royal Commission on Lunacy and Mental Disorder.

[4] It was an important book because it directed public attention to the defects of the Asylum system which had hitherto been taken on trust.

[1] Lomax’s vivid descriptions of patients' behaviour and mental state in asylums and of the institutional process produced insights which were to be rediscovered 30 years later by researchers who themselves went on to influence mental health care from 1959 onwards.