Another Val Lewton production, his last for RKO, this one "suggested by" a painting by Hogarth. Lewton and director Mark Robson wrote the screenplay, and Boris Karloff joined Lewton for the third and last time. Anna Lee, who had been in films since 1932, and whose career lasted long enough that she was a featured player for many years on General Hospital, was the female lead. Karloff plays Sims, the head of St. Mary's of Bethlehem Asylum, known colloquially as "Bedlam", and Lee plays Nell Bowen, a woman upset with the barbaric treatment of the "patients" (i.e. inmates) at the asylum. Sims manages to get Nell committed to his asylum, and ... well, I'll avoid too many spoilers.
Karloff is great in this one, showing glimpses of the human hiding beneath the sadist. There's a sense that the sick people (not just the patients but Sims as well) are formed in part by society, and at the picture's end, we're told that "Reforms were begun in 1773--a new hospital was erected shortly afterward--and since that time Bedlam--once a by-word for terror and mistreatment--has led the way to enlightened and sensible treatment of the mentally ill."
You don't really watch this for the history, of course. There aren't any shock-scares ... the film relies on a general unease, with Karloff ever-present and ever-creepy and Lee trapped in the asylum. There's all the atmosphere you expect from a Val Lewton movie. The supporting cast includes Ian "Hey, It's That Guy" Wolfe and Jason Robards Sr. Everything is done in a tidy 79 minutes. There were some great movies in 1946 (My Darling Clementine, The Big Sleep, Notorious), but Bedlam is a good a horror movie as any other from that year, at least that I've seen. 7/10.
Here, Sims uses his inmates to put on a show for the rich: