The attack of psychiatric legitimacy in the 1960s: rhetoric and reality

During the 1960s there was a sustained attack on psychiatric legitimacy. Thomas S. Szasz was the most vituperative and best-known critic, but he was by no means alone. Individuals and groups from both extremes of the political spectrum were united in their belief that psychiatry was not a legitimate medical specialty, but one that was devoted to protecting its authority as well as enforcing societal norms associated with an unjust society. The attack on psychiatry, of course, did not occur in a vacuum; numerous social and intellectual currents played major roles. To comprehend such attacks and their consequences requires an understanding of the larger societal context as well as the changes that transformed psychiatry in the post-World War II years.     

The making of contemporary American psychiatry, part 1: patients, treatments, and therapeutic rationales before and after World War II

This article, the 1st in a 2-part series, uses patient records from California's Stockton State Hospital to unearth the midcentury roots of contemporary American psychiatry. These patient records allow the authors to examine 2 transformations: the post-World War II expansion of psychiatry to include the diagnosis and treatment not only of psychotic patients but also of nonpsychotic patients suffering from problems of everyday living, and the 1950s introduction of the first psychotropic drugs, which cemented the medical status of these new disorders, thus linking a new therapeutic rationale to biological understandings of disease. These transformations laid the groundwork for a contemporary psychiatry characterized by voluntary outpatient care, pharmacological treatment of a wide range of behaviors and distress, and a doctor-patient relationship and cultural acceptance of disease that allow psychiatric patients to identify themselves as consumers.     

“… the art of shaping a democratic reality and being directed by it …”—philososophy of science in turbulent times

This article has three objectives: First, it revises the history of the reception of Ludwik Fleck??s monograph Entstehung und Entwicklung einer wissenschaftlichen Tatsache (1935, Genesis and Development of a Scientific Fact). Contrary to the established picture, Fleck??s book was largely discussed in the years before the outbreak of World War II. What becomes clear when reading these early reviews and especially Fleck??s comments to those written by representatives of Nazi Germany is, second, the political dimension of his epistemology. In this respect, Fleck??s emphasis on the genuinely democratic character of science will be discussed in some detail. And third, Fleck??s notion of ??Denkstil????thought-style??shall be examined more closely since, as we will claim, it can be understood as a notion indicating where the democratic dimension of science encounters its limits.     

Why the self is empty. Toward a historically situated psychology

This article presents a contextualized treatment of the current configuration of self, some of the pathologies that plague it, and the technologies that attempt to heal it. Of particular interest is the historical shift from the Victorian, sexually restricted self to the post-World War II empty self. The empty self is soothed and made cohesive by becoming "filled up" with food, consumer products, and celebrities. Its historical antecedents, economic constituents, and political consequences are the focus of this article. The two professions most responsible for healing the empty self, advertising and psychotherapy, find themselves in a bind: They must treat a psychological symptom without being able to address its historical causes. Both circumvent the bind by employing the life-style solution, a strategy that attempts to heal by covertly filling the empty self with the accoutrements, values, and mannerisms of idealized figures. This strategy solves an old problem but creates new ones, including an opportunity for abuse by exploitive therapists, cult leaders, and politicians. Psychology's role in constructing the empty self, and thus reproducing the current hierarchy of power and privilege, is examined.     

Verdeckte Spuren deutscher Geschichte – verdeckende Psychoanalyse

This article is a response to Michael Ermann??s article ??Hidden traces of the German history. Children of WW II and the Nazi era??an unwanted heritage?? (??Verdeckte Spuren deutscher Geschichte. Kriegskinder und ihre Kinder??ein ungewolltes Erbe??), which appeared in the December 2010 issue ofForum der Psychoanalyse. The ??childhood in war research?? presented there contributes, according to the thesis of this essay, more to additional concealment than to uncovering the German past for it portrays unusual features in the mental development of persons born in the time of National Socialism and World War II one-sidedly as the results of war experiences, whereas the effects of National Socialism are ignored. On the basis of quotations from the text the view is developed that the covering up and blurring of National Socialism and its mental effects can be attributed to defense mechanisms, which are passed on from one generation to the next also by psychoanalysts and which narrow the focus of study. The hope is expressed that psychoanalytic research will overcome this hampering factor and in future increasingly shed light on those causes of mental suffering which lie in the National Socialist German past.     

Jung's evolving views of Nazi Germany: From 1936 to the end of World War II

This article first shows Jung's evolving views of Nazi Germany from 1936 to the beginning of World War II. In a lecture at the Tavistock Clinic, London, in October 1936, he made his strongest and most negative statements to that date about Nazi Germany. While in Berlin in September 1937 for lectures to the Jung Gesellschaft, his observations of Hitler at a military parade led him to conclude that should the catastrophe of war come it would be far more and bloodier than he had previously supposed. After the Sudetenland Crisis in Fall 1938, Jung in interviews made stronger comments on Hitler and Nazi Germany. The article shows how strongly anti‐Nazi Jung's views were in relation to events during World War II such as Nazi Germany's invasion of Poland, the fall of France, the bombings of Britain, the U.S. entry into the War, and Allied troops advancing into Germany. Schoenl and Peck, ‘An Answer to the Question: Was Jung, for a Time, a “Nazi Sympathizer” or Not?’ (2012) demonstrated how his views of Nazi Germany changed from 1933 to March 1936. The present article shows how his views evolved from 1936 to the War's end in 1945.     

Alvin W. Gouldner and industrial sociology at Columbia University

Alvin W. Gouldner (1920--1980) was a prolific sociologist of the post-World War II era who spent the early part of his career (the 1950s) in the field of industrial sociology. A case study of Gouldner's early life and career is useful insofar as it intertwines with the development of industrial sociology as a distinct subfield within sociology. Through this analysis we are also better able to understand how and in what ways a burgeoning organizational studies program developed at Columbia University during the 1940s. This analysis of the historical and cultural contexts within which Gouldner came to prominence as an industrial sociologist at Columbia, and the intellectual program that resulted, can also help shed light on more recent trends in organizational studies.     

Identity behind the Iron Curtain: Recent advances in identity research in changing contexts

Abstract

The present article introduces the special issue on identity in the former Soviet bloc countries. We begin by discussing identity as a developmental task, as well as the social-contextual forces that direct and constrain the ways in which individual people construct their identities. We then articulate some specific challenges inherent in identity development within contexts characterized by social change – primarily the fact that the available identity alternatives, and the ways in which individuals are expected to go about choosing from among these alternatives, are likely changing rapidly. We frame Erikson’s original work as having been grounded in times of rapid social change in the post-World War II United States, and describe the direct relevance of Erikson’s work for the study of more contemporary instances of sociopolitical change. We then introduce and summarize the articles included in the special issue.     

Day,Night, or Dawn: Commentary on Paper by Steven Stern

It was in the years immediately following World War II and through the 1950s that the psychoanalytic establishment officially defined psychoanalysis as a subspecialty of psychiatry, and it was in that context of the professionalization of American medicine that they codified the distinction between psychoanalysis and (psychoanalytic) psychotherapy. In this commentary on Steven Stern's “Session Frequency and the Definition of Psychoanalysis,” I deconstruct a series of binaries that was built into the analysis/therapy distinction and that has plagued our discipline. It is argued that psychoanalysis identified itself with the culturally “masculine” and heterosexual values of autonomous individuality (the intrapsychic), while it split off all that was relational and social (interpersonal), marked as “feminine,” homosexual, and “primitive,” onto psychotherapy, which it then devalued. The paper then examines the implications for practice and psychoanalytic education.     

Bioethics and anti-bioethics in light of Nazi medicine: what must we remember?

Only recently have historians explored in depth the role of the medical profession in Nazi Germany. Several recent works reveal that physicians joined the Nazi party in disproportionate numbers and lent both their efforts and their authority to Nazi eugenic and racist programs. While the crimes of the physician Mengele and a few others are well known, recent research points to a much broader involvement by the profession, even in its everyday clinical work. Analogous activities existed in the German legal and industrial communities; disruption of the medical ethic thus sprang from the broader social contexts of Nazi Germany. The new United States Holocaust Memorial Museum, now opening on the Mall in Washington, D.C., will have an opportunity to educate the public about both the great crimes at Auschwitz and other camps, and the gradual but thorough degradation of ethics in the German medical profession. From this presentation, contemporary bioethics can ponder the proper use of the Nazi analogy in bioethical debate.     

Cultural context in medical ethics: lessons from Japan

This paper examines two topics in Japanese medical ethics: non-disclosure of medical information by Japanese physicians, and the history of human rights abuses by Japanese physicians during World War II. These contrasting issues show how culture shapes our view of ethically appropriate behavior in medicine. An understanding of cultural context reveals that certain practices, such as withholding diagnostic information from patients, may represent ethical behavior in that context. In contrast, nonconsensual human experimentation designed to harm the patient is inherently unethical irrespective of cultural context. Attempts to define moral consensus in bioethics, and to distinguish between acceptable and unacceptable variation across different cultural contexts, remain central challenges in articulating international, culturally sensitive norms in medical ethics.     

Johann Christian August Heinroth (1773–1843): The First Professor of Psychiatry as a Psychotherapist

Heinroth is known as the first professor of psychiatry. His chair was established 200?years ago on the 21st of October 1811. His major importance for the history of psychotherapy has not yet been acknowledged. Heinroth regarded restriction as well as activation as fundamental remedies for mental illnesses. Restriction meant making a voluntary decision to live a life based on religious faith and to abstain from earthly satisfaction. Within his specific psychotherapeutical module??the ??direct-psychic?? method??he utilized the patient??s mental powers??mood, mind and will, but also his spirituality. His therapeutic approach additionally contained elements of cognitive, behavioral and conversational therapy.     

Learning to stand tall: Idiopathic scoliosis,behavioral electronics,and technologically-assisted patient participation in treatment,c. 1969–1992

Drawing on the archives of American learning psychologist Neal E. Miller, this article investigates the role of instrumentation in the expansion and diversification of the behavior therapy domain from the late 1960s to the early 1990s. Through the case of Miller's research on the use of biofeedback to treat idiopathic scoliosis, it argues that the post-World War II adoption of electronic technology by behavioral psychologists contributed to extending their subject matter to include physiological processes and somatic conditions. It also enabled a technologically-instrumented move outside the laboratory through the development of portable ambulatory treatment devices. Using the example of the Posture-Training Device that Miller and his collaborators invented for the behavioral treatment of idiopathic scoliosis, this paper considers how electromechanical psychological instrumentation illustrated a larger and ambiguous strategic shift in behavior therapy from an orientation toward external control to one of self-control.     

Mindless psychiatry and dubious ethics

Psychiatry all around the world is seen as a specialized branch of medicine. Mental disorders are seen in organic terms and are treated like any other forms of physical disease--with drugs and other forms of organic interventions. This paper argues that the medical model, despite its popularity and continued usage is, to a large extent, unreliable and invalid. Although the present model of psychiatry is in need of an urgent 'paradigm shift', it still continues to exercise immense power and popularity over other approaches to mental illness. The reasons for its popularity and power are analysed and interpreted in historical, scientific, social, economic, and socio-political terms. The practice of psychiatry raises a variety of deep-rooted conceptual and applied issues, particularly those related to the definition and diagnoses of mental illness, treatment procedures, and the ethical practices within psychiatry. It is argued that the need to pathologise every form of mental aberration will be counter-productive in the future. Should this trend remain unchecked it will eventually stifle all forms of scientific, literary, and artistic development.     

The Emotional Citizen: Emotion as a Function of Political Sophistication

Scholars and popular commentators have often stereotyped emotion as a tool that citizens use to reason about politics in place of hard fact and critical thought. Indeed, critics have often seen emotion as a potentially dangerous force that can sway the unsophisticated masses to undesirable ends. This article challenges the view that emotion is an outgrowth of low sophistication, arguing that high sophisticates are more likely to experience emotion in reaction to politics and that emotions are more influential on the political behavior of high sophisticates. Drawing upon appraisal theory, this article develops a theory of how political engagement elicits emotionality about politics, and how emotion interacts with understanding and motivation to produce its greatest impact on the behavior of those citizens who are the most politically sophisticated. Behavioral effects are examined in the contexts of presidential voting behavior and Iraq War policy attitudes. Hypotheses are tested on pooled American National Election Studies (ANES) data and an original web‐based survey of undergraduates.     

The growth and transformation of American ego psychology

The roots of ego psychology trace back to Sigmund Freud's The Ego and the Id (1923) and "Inhibitions, Symptoms and Anxiety" (1926), works followed by two additional fundaments, Anna Freud's The Ego and the Mechanisms of Defense (1936) and Heinz Hartmann's Ego Psychology and the Problem of Adaptation (1939). It was brought to full flowering in post-World War II America by Hartmann and his many collaborators, and for over two decades it maintained a monolithic hegemony over American psychoanalysis. Within this framework the conceptions of the psychoanalytic psychotherapies evolved as specific modifications of psychoanalytic technique directed to the clinical needs of the spectrum of patients not amenable to psychoanalysis proper. This American consensus on the ego psychology paradigm and its array of technical implementations fragmented several decades ago, with the rise in America of Kohut's self psychology, geared to the narcissistic disorders, and with the importation from Britain of neo-Kleinian and object-relational perspectives, all coinciding with the rapid growth of the varieties of relational psychoanalysis, with its shift in focus to the two-person, interactive, and co-constructed transference-countertransference matrix. Implications of this intermingled theoretical pluralism (as contrasted with the unity of the once dominant ego psychology paradigm) for the evolution of the American ego psychology are spelled out.     

?Psychische St?rung�� als Begr��ndung f��r staatliche Eingriffe in Grundrechte des Individuums

When dealing with ?old cases?? of preventive detention as well as retrospectively ordered preventive detention, a continuation of confinement should be possible if the offender involved suffers from a ??mental disorder?? which constitutes the danger of future serious violent or sexual crimes. In this psychiatric article it will be explained that the terms ??mental illness?? and also ??mental disorder?? must retain an empirical scientifically definable psychiatric content in order not to instigate deception. They must also be functionally defined in each judicial environment (police law, social law, civil law and criminal law) with respect to the capabilities of the individual which are impaired by the mental disorder. Such an approach could prevent a misuse of psychiatry for purely political security purposes.     

The presence of the past: using memory work to search for psychological traces of the Nazi past in contemporary Germans

This study examines how far traces of the Nazi past can still be found in the psychological family environment of college students and academics attending a counselling centre two generations after the end of World War II. It considers how such traces can be elicited in discussions and tackled systematically within a therapeutic context. It was found that many families had never talked about their memories of the Nazi period, ignoring or repressing them. This study showed that the failure to discuss such topics within families was of decisive significance during counselling sessions, and that current problems often relate to an unprocessed family past.