Despite the conventional pose, Emma is not pictured within the warm bosom of a family home. Instead, she was photographed in the workroom of the Vinland Home for the Feeble Minded, where she was incarcerated beginning at the age of 8. She, like many thousands of other young people at the turn of the twentieth century, would come to be interpellated into a vast, medicalized system that conscripted large swathes of the American population, mostly culled from the lower- and working-classes, as medically unfit to reproduce. Thinking carefully about how women like Emma, marked by society as unclean and unfit, experienced the institutions in which they lived as home, as private sites of domestic labor, training, learning, and other quotidian cares, and, conversely, as sites of medical incursion, state violence, and public interference and surveillance, requires that we take seriously the unbearable logic of asylums-- environments which, for a brief time after their utopian inceptions, operated as eerie doubles to the private home.