Xu Lindong, a poor village farmer with close-cropped hair and a fourth-grade education, knew nothing but decades of backbreaking labor. Even at age 50, the rope of muscles on his arms bespoke a lifetime of hard plowing and harvesting in the fields of his native Henan Province.

But after four years locked up in Zhumadian Psychiatric Hospital, he was barely recognizable to his siblings. Emaciated, barefoot, clad in tattered striped pajamas, Mr. Xu spoke haltingly. His face was etched with exhaus...

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