Abandoned buildingThe Trans-Allegheny Lunatic Asylum
One of the largest hand-cut stone buildings in North America, built in West Virginia for two hundred and fifty patients. By the 1950s it held around two and a half thousand, in unheated wards, under a lobotomy programme applied here unusually widely. The hospital closed in 1994. Night tours run through it now, and most of the accounts concern the fourth floor, where the most severe cases were kept.