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Amadeus Arkham was the only son of mentally-ill Elizabeth Arkham, Amadeus watched his mother struggle with her illness for years, which drove him to become a psychiatrist. Years later, having earned a residency at the Metropolis State Psychiatric Hospital, he returned home, and having found his mother to be growing worse, aided her in committing suicide. After her death, he became the sole owner of her home, the Mercey Mansion, which he decided to turn into a facility for the mentally ill. He gave up his practice at MSPH and moved his wife Constance and daughter Harriet into the mansion.

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