20th century in literature fiction fluctuate between the two. Largely ignored by mainstream literary criticism for the most of the century, these genres developed their own establishments and critical awards; these include the "Nebula Award" (since 1965), the "British Fantasy Award" (since 1971) or the "Mythopoeic Awards" (since 1971). Towards the end of the 20th century, electronic literature developed due to the development of hypertext and later the world wide web. The Nobel Prize in Literature was awarded annually throughout the century (with the exception of 1914, 1918, 1935 and 1940–1943), the first laureate (1901) being Sully Prudhomme. The New York Times Best Seller
Charles Prudhomme at Howard, medical students attended lectures at St. Elizabeth's Hospital, a federally funded psychiatric hospital for mental patients. Dr. Benjamin Karpman, a psychoanalyst and forensic psychiatrist, was a member of the hospital staff, and a professor of psychiatry at Howard. Prudhomme attended his classes and wrote his senior paper on suicide which was published in 1938 in the journal, "The Psychoanalytic Review". Prudhomme planned to do a psychiatric residency at St. Elizabeth's but he was told that federal legislation, which established the hospital in 1855, enforced segregation. In 1937, he obtained a fellowship at the University of Chicago but was