His name comes from the Bethlem Royal Hospital insane asylum, and is a reference to his madness-inducing "paranoid pill".
In the early 1930s Clear's mental health began to deteriorate, resulting in him eventually being admitted to the Bethlem Royal Hospital, where he died in 1960.
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William Hogarth's A Rake's Progress (1732–33) displays in a series of paintings the spiralling fortunes of a wealthy but spendthrift son and heir who loses his money, and who as a consequence is imprisoned in the Fleet Prison and ultimately Bedlam.