REVIEW ESSAY Beyond Social Construction: Toward New Histories of Psychiatry

Focusing on symptom classification and on the outcome of somatic interventions, Berrios and Shorter challenge the social constructionist and anti-psychiatry tendencies that have framed the writing of the history of psychiatry for the past quarter-century. Contextualizing clinical interventions, these studies point out the value of examining the proposition that practitioners were motivated as much about curing distress as they were about eliminating nonconformity. Such examinations require an understanding of the strengths and limits of medical science that often have been trivialized or ignored by some social constructionists. Together the studies under review open the possibility that recent biological interventions may have transformed psychiatry in such fundamental ways that they call into question the assumptions that have underlay in an almost two-century-old classification system. Ironically, adherence to the scientific method (falsification) reveals that the biological revolution in psychiatry fits post-modern claims about the tentative nature of knowledge claims, while it simultaneously undercuts the particular historical interpretations of post-modern scholarship.     

Audit Bodies: Embodied Participation,Disability Universalism,and Accessibility in India

Abstract: In this article we think critically about the role of the “access audit” in creating new forms of embodied participation, experiential and technical expertise, and imaginaries of what the modern Indian city should be. We analyze how disability activists make claims about the relationship between subjective bodily experiences and bodies of objective knowledge. We also explore the emergence of a professional access audit apparatus focused on technical standards. As neither volunteer nor professional access audits result in significant architectural or structural changes, we are interested in what other effects and affects these audits produce and what discursive authority claims of inaccessibility have. This article analyzes the practice of conducting “access audits” by lay and professional disability rights activists and organizations in urban India. We argue that access audits are overly focused and that they have limited impact. In overly focusing on physical and technical access, auditors miss the importance of programmatic and policy interventions as well as the need for a more collective contentious politics. Our research illustrates that the contested field of access auditing appears to prevent a unified disability coalition from forming. In addition, it is important for auditors to think critically about the concept of “access” and ask what social, economic, and political processes are embedded within the concept.     

New perspectives on forced migration in the history of twentieth-century neuroscience

ABSTRACT

This special issue of the Journal of the History of the Neurosciences, comprised of six articles and one commentary, reflects on the multifold dimensions of intellectual migration in the neurosciences and illustrates them by relevant case studies, biographies, and surveys from twentieth-century history of science and medicine perspectives. The special issue as a whole strives to emphasize the impact of forced migration in the neurosciences and psychiatry from an interdisciplinary perspective by, first, describing the general research topic, second, by showing how new models can be applied to the historiography and social studies of twentieth-century neuroscience, and, third, by providing a deeper understanding of the impact of European émigré researchers on emerging allied fields, such as neurogenetics, biological psychiatry, psychosomatics, and public mental health, etc. as resulting from this process at large.     

TENURE SECURITY INTERVENTIONS IN CAMBODIA: TESTING BEBBINGTON'S APPROACH TO DEVELOPMENT GEOGRAPHY

The relationship between the development industry and the problems it claims to address is problematic. Development studies have often found development practice systematically misrepresenting its context with the result that interventions are out of kilter with reality and fail. In a series of articles in the early 2000s Antony Bebbington suggested development geographers attend to the spatial distribution of development interventions by mapping and explaining immanent development, mapping and explaining intentional development and studying the relationships between them. This article uses the case of property rights interventions in Cambodia to examine the extent that Bebbington's approach might explain development interventions and their relationship to the contexts into which they are inserted. Primary data consist of interviews with key actors involved in decisions over the locations of these interventions. Secondary data consist of reports and databases showing their geographical spread, and political and social science literature explaining the main transitions in recent Cambodian history. The main empirical finding is that the interventions, land titling and community forestry, have not been implemented in the places where the problems they are claimed to address are located. The methodological reflection is that Bebbington's approach valuably challenges policy narratives that tend to smooth space and conceal unevenness. However, it provides only a broad theoretical framework rather than any theoretical content. The approach may only realize its potential when Bebbington and others begin to apply it to generate hypotheses and theory. A new hypothesis emerging from the Cambodian case is briefly introduced in this regard.     

Bad blood: poverty, psychopathy and the politics of transgression in Kenya Colony, 1939-59

This article examines the inter-relationship between psychiatry and sex, both fertile fields within the recent historiography of colonialism and empire. Using a series of case files pertaining to European patients admitted to the Mathari Mental Hospital in Nairobi during the 1940s and 1950s, this article shows how sexual transgression among colonial Europeans precipitated, and was combined with, mental distress. Considering psychiatric treatment as a form of social control, the article investigates a number of cases in which a European patient had been perceived to have transgressed the normative sexual behaviour codes of settler society in Kenya. What these files suggest is that transgressive sexuality in Kenya was itself framed by indices, as insistent as they were uncertain, of gender, race and class. While psychiatry as social control has some degree of purchase here, more valuable is an attempt to discern the particular ways in which certain forms of sexual behaviour were understood in diagnostic terms. Men who had sex with Africans, we see, tended to be diagnosed as 'depressed' on arrival at the hospital but were judged to be mentally normal consequently. Women, by contrast, were liable to be diagnosed as psychopathic, a diagnosis, I argue, that helped to explain the uniquely transgressive status of impoverished European women living alone in the margins of white society. Unlike white men, moreover, women did not have to have sex with non-Europeans to transgress sexual codes: this is because female poverty was a sexual problem in a way that male poverty decidedly was not. Poor white women were marked by uncertainty over their sexual behaviour—and dubious racial identity in its turn—and the problem of social contamination was described by reference both to the polluted racial ancestry of an individual and to the prospective contamination of healthy racial stocks. This article aims to address current historical debates around sex and empire, 'white subalternity' and the social history of psychiatry and mental health. All names have been changed to protect patient anonymity.     

Historical essay: electroconvulsive therapy, memory, and self in America

Electroconvulsive Therapy (ECT) practitioners and anti-ECT activists have divergent interpretations of both the treatment and its history. Despite claims by ECT opponents that practitioners do not acknowledge memory side effects, the published literature on the procedure demonstrates psychiatrists' awareness of this issue. And though current ECT practitioners claim that memory side effects were mostly the result of outmoded methods, investigators continue to publish studies that indicate ongoing memory problems. This article explores the conflict between pro- and anti-ECT groups around the issue of memory side effects in the broader context of changes in American psychiatry and society.     

Geschlecht und Gesellschaft: Die ersten Ärztinnen und sozialpolitische Vorurteile

The objective mode of scientific inquiry has increasingly been called into question especially within feminist theory. I have tried to introduce two methodological approaches in examing a small area of medical opinion-making in the medical press at a period in which the question of women doctors was being discussed, but very few women doctors were actually practicing in Germany. Methodologically feminist history sees gender as a structural component used to ascribe sexual division of labour and to form concepts of “masculinity” and “femininity” in a society. It does not define “women's history” as a separate sphere additive to other traditional areas of historical writing including history of science. The second methodological approach is that of deconstruction: “objective” statements in medicine and the biological sciences are part of social and cultural preconceptions. I have examined the pattern of unreflected scientific statements about women's claims to want to become doctors. The pattern is one of preventive prejudice: representative doctors wrote about women in physiological and biological terms of being “weak” and “unfit”. This was an effective strategy for maintaining a status quo of dequalification. The historical examination of women entering the professions has not so much to do with their own capacities, but rather with socially conceived forms of argumentation indirectly applied: preventive statements in medicine about biological function, the “weaker” sex, intellectual denigration, physiological determinism. Some of the statements I found are amusing, but the humour becomes bitter when the consequences enter our social consciousness.     

Property,Authority and Citizenship: Land Claims,Politics and the Dynamics of Social Division in West Africa

In the contemporary African context of rising competition and anxiety over access to land, neoliberal policy interventions designed to clarify property rights, broaden political participation and increase official accountability have frequently provoked rather than alleviated social and political conflict. Comparing case histories of local struggles over land and authority in selected rural areas in Ghana, Côte d'Ivoire and Bénin, this paper argues that in situations where access to land has been linked historically to claims on authority and social belonging, pressures to privatize or clarify ownership have intensified debates over citizenship and governance as well as over land claims per se. Ensuing struggles over land and entitlement have intersected with national as well as local economic and political dynamics, reinforcing ‘traditional’ hierarchies, contributing to the proliferation of formal and informal governing agents and institutions, and frequently disrupting or subverting open governance and sustainable resource use, rather than helping to create conditions for sustainable development and democratization.     

The Politics of Emergency

Military and humanitarian interventions have become commonplace in recent years, provoking some to suggest that the right to intervene in the face of an emergency has become a new global norm. Emergencies and interventions pose unique challenges for political and legal theories of sovereignty, legitimacy, and democracy. Political anthropologists and other social scientists have focused on critiques of sovereign power and military and humanitarian interventions, but more attention to the cultural aspects of how emergencies operate and to the positive and negative effects they might have on political and social life is needed.     

2. NO ROOM FOR GOD? HISTORY,SCIENCE, METAPHYSICS,AND THE STUDY OF RELIGION

Despite widespread beliefs to the contrary within the secular intellectual culture of the modern academy, scientific findings are not necessarily incompatible with religious truth claims. The latter include claims about the reality of God as understood in traditional Christianity and the possibility of divinely worked miracles. Intellectual history, philosophy, and science's own self‐understanding undermine the claim that science entails or need even tend toward atheism. By definition a radically transcendent creator‐God is inaccessible to empirical investigation. Denials of the possibility or actual occurrence of miracles depend not on science itself, but on naturalist assumptions that derive originally from a univocal metaphysics with its historical roots in medieval nominalism, which in turn have deeply influenced philosophy and science since the seventeenth century. The metaphysical postulate of naturalism and its correlative empiricist epistemology constitute methodological self‐limitations of science—only an unjustified move from postulate to assertion permits ideological scientism and atheism. It is entirely possible that religious claims consistent with the empirical findings of the natural and social sciences might be true. Therefore historians of religion not only need not assume that atheism is true in their research, but they should not do so if they want to understand religious people on their own terms rather than to impose on them an undemonstrated and indemonstrable ideology. Exhortations to critical thinking apply not only to religious views, but also to uncritically examined secular ideas and assumptions, however widespread or institutionally embedded.     

Rural mental health and social geographies of caring

This paper contributes to an emerging geographical literature on the social geographies of caring. Drawing on recently undertaken empirical work in the Scottish Highlands, personal accounts about the provision of both formal and informal care for people with mental health problems are evaluated. The notion of ‘community care’ is critiqued, as too are claims about how rural and remote rural locations engender particular configurations of caring roles, practices and relations. It is shown that geographical distance, social proximity, stoic cultures and rural gossip networks all have a part to play in how caring occurs in such places. The paper concludes by suggesting areas of future research.     

Eugenics ideals,racial hygiene,and the emigration process of German-American neurogeneticist Franz Josef Kallmann (1897–1965)

ABSTRACT

Biological psychiatry in the early twentieth century was based on interrelated disciplines, such as neurology and experimental biology. Neuropsychiatrist Franz Josef Kallmann (1897–1965) was a product of this interdisciplinary background who showed an ability to adapt to different scientific contexts, first in the field of neuromorphology in Berlin, and later in New York. Nonetheless, having innovative ideas, as Kallmann did, could be an ambiguous advantage, since they could lead to incommensurable scientific views and marginalization in existing research programs. Kallmann followed his Dr. Med. degree (1919) with training periods at the Charité Medical School in Berlin under psychiatrist Karl Bonhoeffer (1868–1948). Subsequently, he collaborated with Ernst Ruedin (1874–1952), investigating sibling inheritance of schizophrenia and becoming a protagonist of genetic research on psychiatric conditions. In 1936, Kallmann was forced to immigrate to the USA where he published The Genetics of Schizophrenia (1938), based on data he had gathered from the district pathological institutes of Berlin’s public health department. Kallmann resumed his role as an international player in biological psychiatry and genetics, becoming president (1952) of the American Society of Human Genetics and Director of the New York State Psychiatric Institute in 1955. While his work was well received by geneticists, the idea of genetic differences barely took hold in American psychiatry, largely because of émigré psychoanalysts who dominated American clinical psychiatry until the 1960s and established a philosophical direction in which genetics played no significant role, being regarded as dangerous in light of Nazi medical atrocities. After all, medical scientists in Nazi Germany had been among the social protagonists of racial hygiene which, under the aegis of Nazi philosophies, replaced medical genetics as the basis for the ideals and application of eugenics.     

‘YOUTH RIOTS’ AND THE CONCEPT OF CONTENTIOUS POLITICS IN HISTORICAL RESEARCH

This article analyses European ‘youth riots’ as a social phenomenon after World War II. It also uses a specific riot – the 1948 Stockholm Easter Riots – in order to discuss the limits and potential of some theoretical assumptions underlying the field of historical contentious politics studies, primarily ‘contentious politics’ and ‘claims’. Using police reports and newspapers, the article shows that the riots were part of a European repertoire of post-war ‘youth riots’, but that they also bear similarities to an older popular repertoire of contention in Sweden. However, the riots do not really fit into the concept of ‘contentious politics’, as this concept is built on ‘claim-making’ as a key aspect and the participants did not make explicit claims. This leads to the conclusion that other theoretical tools, inspired by the concept of ‘moral economy’, are better suited for understanding the motivations of the rioters, whose actions are interpreted as a way of defending a perceived moral right of access to the urban public space.     

国外儿童独立活动性研究进展与启示

儿童独立活动性是衡量儿童自主活动能力的重要指标,提升儿童独立活动性对于增加儿童体力活动量、减少肥胖几率、促进社会交往等具有积极作用。本文梳理了国外学者对于儿童独立活动性的研究成果,介绍了儿童独立活动性的基本概念,从理论模型与实证研究两方面总结了儿童独立活动性的影响因素与作用机制,整理了其测量指标与具体方法,并归纳了相关实践研究。在此基础上,文章指出了现有研究在影响机制、测度方法以及理论向实践转化方面的不足,并提出了对我国的启示内容,以期为我国提供借鉴。     

The late George Alexander turner,M.D.

The paper argues the case for population geography as a strong, self‐aware sub‐discipline that plays to its strengths, while not abandoning innovation. In place of hollow calls for (re)‐theorisation, population geographers should first recognise their claims to certain kinds of praxis in contributing to an ethical and equitable society through the insights that population geography can bring. Second, the paper argues that rather than focusing on bringing social theory into population geography, there is more potential in examining how (in)adequately social theory has engaged with demographic issues. Third, the paper suggests that population geographers need to think about the new contexts in which they are engaging with large spatially‐referenced numerical data sets.     

Conditional Belonging: Farm Workers and the Cultural Politics of Recognition in Zimbabwe

This article examines Zimbabwean land politics and the study of rural interventions, including agrarian reform, more broadly, using the analytical framework of territorialized ‘modes of belonging’ and their ‘cultural politics of recognition’. Modes of belonging are the routinized discourses, social practices and institutional arrangements through which people make claims for resources and rights, the ways through which they become ‘incorporated’ in particular places. In these spatialized forms of power and authority, particular cultural politics of recognition operate; these are the cultural styles of interaction that become privileged as proper forms of decorum and morality informing dependencies and interdependencies. The author traces a hegemonic mode of belonging identified as ‘domestic government’, put in place on European farms in Zimbabwe's colonial period, and shows how it was shaped by particular political and economic conjunctures in the first twenty years of Independence after 1980. Domestic government provided a conditional belonging for farm workers in terms of claims to limited resources on commercial farms while positioning them in a way that made them marginal citizens in the nation at large. This is the context for the behaviour of land‐giving authorities which have actively discriminated against farm workers during the politicized and violent land redistribution processes that began in 2000. Most former farm workers are now seeking other forms of dependencies, typically more precarious and generating fewer resources and services than they had accessed on commercial farms, with their own particular cultural politics of recognition, often tied to demonstrating support to the ruling political party.     

The politics of Australian yuppies

Although many popular claims are made about the social distinctiveness and political importance of yuppies (young, urban or upwardly‐mobile professionals), there is little firm evidence to support such claims. This paper uses national survey data to identify individuals who might be classified as yuppies, and examines their demographic and social attributes and political orientations. The results show that there are no substantial differences between yuppies on the one hand, and non‐yuppies (young, rural persons or young urban non‐professionals) and people aged 40 and over on the other. Moreover, yuppies tend to be liberal rather than conservative on most issues, economic ones included. These results suggest that claims about the distinctiveness and political importance of yuppies are generally exaggerated.     

Magnificent entrances and undignified exits: chronicling the symbolism of castle space in Normandy

Recent years have seen an increase in the number of studies on the symbolism of the castle, particularly in relation to lordship. Such studies are interdisciplinary in nature and often employ the language of the use of space in order to determine how castles functioned and how they were perceived. This article considers what the chroniclers of eleventh- and twelfth-century Normandy meant by castle space. This analysis can help us to determine how space was used, its connection to ideas about social relationships, including gender, and the chroniclers' purpose in including the events they described in their narratives. Many of the episodes described by the chroniclers relate to ideas about the authority and legitimacy of both men and women. As such the spatial setting of the castle is a means of holding up good examples of how authority should be exercised as well as illustrations of what happens when people either fail to uphold that authority or appropriate it in an illegitimate manner.     

Magnificent entrances and undignified exits: chronicling the symbolism of castle space in Normandy

Recent years have seen an increase in the number of studies on the symbolism of the castle, particularly in relation to lordship. Such studies are interdisciplinary in nature and often employ the language of the use of space in order to determine how castles functioned and how they were perceived. This article considers what the chroniclers of eleventh- and twelfth-century Normandy meant by castle space. This analysis can help us to determine how space was used, its connection to ideas about social relationships, including gender, and the chroniclers' purpose in including the events they described in their narratives. Many of the episodes described by the chroniclers relate to ideas about the authority and legitimacy of both men and women. As such the spatial setting of the castle is a means of holding up good examples of how authority should be exercised as well as illustrations of what happens when people either fail to uphold that authority or appropriate it in an illegitimate manner.