Who ought to govern those held in custody, and by what right?Democracy in Captivityexamines various efforts to answer these questions, centering on two case studies at custodial institutions: the rise and demise of patient self-governance at St. Elizabeths Hospital in Washington, DC, between 1947 and 1965 and the prisoner-organized governance of Massachusettss Walpole State Prison following a 1973 prison-guard strike. As Christopher D. Berk shows, the promise of these initiatives was tempered by the custodians backlash to their wards attempts at self-rule. This backlash arrived not only in the blunt forms of restraint chairs, riot gear, and a surgeons scalpel but also as more covert measures taken under the cover of so-called democratic managementwhich in turn entrenched disenfranchisement and naturalized authoritarian rule. Turning from these case studies to a wider consideration of custody and democracy, Berk explores pathologies that have captured the politics of punishment, with pressing implications for the practice of democracy both inside and outside custodial institutions.