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Asuncion, Paraguay, 2003. The oldest ward of the Neuro-Psychiatric Hospital holds patients who are chronically ill.

Asuncion, Paraguay, 2003. A woman is locked in a cell, while other patients pace back and forth at the Neuro-Psychiatric Hospital.

Asuncion, Paraguay, 2003. Gateway into the women's chronic ward at the Neuro-Psychiatric Hospital.

Asuncion, Paraguay, 2005. Portrait resembling Jesus was scratched onto a wall at the Neuro-Psychiatric Hospital by a mute patient whom others fear.

Asuncion, Paraguay, 2003. Abandoned by his family, seventeen-year-old Julio has also been held at the Neuro-Psychiatric Hospital for four years in a tiny cell that has a hole in the floor for a toilet and no electricity. PARAGUAY. Asuncion. 2003.…

Asuncion, Paraguay, 2003. Seventeen-year-old Jorge, who has autism, has been held at the Neuro-Psychiatric Hospital for four years in a tiny cell that has a hole in the floor for a toilet and no electricity.

Asuncion, Paraguay, 2003. Seventeen-year-old Jorge, who has autism, has been held at the Neuro-Psychiatric Hospital for four years in a tiny cell that has a hole in the floor for a toilet and no electricity.

Budapest, Hungary, 2001. A young boy lives and plays in a locked ward of a state hospital with his emotionally troubled mother.

Budapest, Hungary, 2001. A young boy lives and plays in a locked ward of a state hospital with his emotionally troubled mother.

Yerevan, Armenia, 2000. A former frontline soldier who hears voices has been diagnosed as schizophrenic by some doctors and deemed cowardly by others.