Sensory Stress and Personal Agency: Emotional Casualty Rates amongst USAAF Heavy Bomber Crews over Europe during the Second World War

The findings of psychiatrists working for the USAAF have long dominated scholarship on aerial combat stress during the Second World War, including explanations why the emotional casualty rate aboard American heavy bombers varied by crew position. Critical examination suggests that the answers put forward are unsatisfactory, opening the way for an alternate analytic approach. Comprehending the different forms and levels of sensory stress heavy bomber crews experienced during combat missions in combination with different degrees of individual agency yields a more nuanced and convincing way of comprehending why some jobs were more psychologically demanding than others, and hence why casualty rates varied.     

Queensland Aborigines,Multiple Realities and the Social Sources of Suffering: Psychiatry and Moral Regions of Being: Part 1

ABSTRACT This two part paper considers the experience of a range of magico‐religious experiences (such as visions and voices) and spirit beliefs in a rural Aboriginal town. The papers challenge the tendency of institutionalised psychiatry to medicalise the experiences and critiques the way in which its individualistic practice is intensified in the face of an incomprehensible Aboriginal ‘other’ to become part of the power imbalance that characterises the relationship between Indigenous and white domains. The work reveals the internal differentiation and politics of the Aboriginal domain, as the meanings of these experiences and actions are contested and negotiated by the residents and in so doing they decentre the concerns of the white domain and attempt to control their relationship with it. Thus the plausibility structure that sustains these multiple realities reflects both accommodation and resistance to the material and historical conditions imposed and enacted by mainstream society on the residents, and to current socio‐political realities. I conclude that the residents' narratives chart the grounds of moral adjudication as the experiences were rarely conceptualised by local people as signs of individual pathology but as reflections of social reality. Psychiatric drug therapy and the behaviourist assumptions underlying its practice posit atomised individuals as the appropriate site of intervention as against the multiple realities revealed by the phenomenology of the experiences. The papers thus call into question Australian mainstream ‘commonsense’ that circulates about Aboriginal and Torres Strait Islander people which justifies representations of them as sickly outcasts in Australian society.     

Cajal's Brief Experimentation with Hypnotic Suggestion

Spanish histologist Santiago Ramón y Cajal, one of the most notable figures in Neuroscience, and winner, along with Camillo Golgi, of the 1906 Nobel Prize in Physiology or Medicine for his discoveries on the structure of the nervous system, did not escape experimenting with some of the psychiatric techniques available at the time, mainly hypnotic suggestion, albeit briefly. While a physician in his thirties, Cajal published a short article under the title, “Pains of labour considerably attenuated by hypnotic suggestion” in Gaceta Médica Catalana. That study may be Cajal's only documented case in the field of experimental psychology. We here provide an English translation of the original Spanish text, placing it historically within Cajal's involvement with some of the key scientific and philosophical issues at the time.     

Living in the tenth century. Mentalities and social orders

In his series of lectures, Le pouvoir psychiatrique, Michel Foucault employs concepts from the military field of knowledge in order to analyse the founding scenes of psychiatry. I focus on three issues connected to Foucault's use of these military terms. Firstly, I examine why Foucault was reluctant to use concepts from sociology and psychology in Le pouvoir psychiatrique and how this affects the notions that he had formulated in his earlier work, Histoire de la folie. Secondly, I show how he challenges traditional understandings of the founding scenes of psychiatry by using concepts from a different field of knowledge. In doing this, he creates metaphors, and this is something that he himself had previously been critical of doing. Thirdly, I reflect upon the fact that Foucault's creative use of concepts from different disciplines and examples from different historical times can be related to episodes in his own life; I argue why it is important to supplement a structural analysis with linguistic, phenomenological and hermeneutical ones.     

Television documentary,history and memory. An analysis of Sergio Zavoli's The Gardens of Abel

This article examines a celebrated documentary made for Italian state TV in 1968 and transmitted in 1969 to an audience of millions. The programme – The Gardens of Abel – looked at changes introduced by the radical psychiatrist Franco Basaglia in an asylum in the north-east of Italy (Gorizia). The article examines the content of this programme for the first time, questions some of the claims that have been made for it, and outlines the sources used by the director, Sergio Zavoli. The article argues that the film was as much an expression of Zavoli's vision and ideas as it was linked to those of Franco Basaglia himself. Finally, the article highlights the way that this programme has become part of historical discourse and popular memory.     

YOUNG MAN M

This article focuses on the case of young man M, who had planned to assassinate the Governor-General of Finland in 1878. The Physician-in-Chief Thiodolf Saelan conducted a psychiatric assessment on M’s mental state and concluded that M suffered from moral insanity. Saelan backed up his argument with cases of political violence in Europe and in the United States that Finnish newspapers had reported with great detail. I argue that Saelan had specific aims in presenting M’s case to the public, and the main aim was to defend the category of diminished responsibility in criminal law. He stressed the role of psychiatric expertise in evaluating responsibility. Saelan’s arguments were a success, as the category of diminished responsibility was included in the Criminal Code of Finland (39/1889).     

“History had taken such a large piece out of my life” — Neuroscientist refugees from Hamburg during National Socialism

ABSTRACT

Approximately 9,000 physicians were uprooted for so-called “racial” or “political” reasons by the Nazi regime and 6,000 fled Germany. These refugees are often seen as survivors who contributed to a “brain drain” from Germany. About 432 doctors (all specialties, private and academic) were dismissed from the major German city of Hamburg. Of these, 16 were Hamburg University faculty members dismissed from their government-supported positions for “racial” reasons, and, of these, five were neuroscientists. In a critical analysis, not comprehensively done previously, we will demonstrate that the brain drain did not equal a “brain gain.” The annihilation of these five neuroscientists’ careers under different but similar auspices, their shameful harassment and incarceration, financial expropriation by Nazi ransom techniques, forced migration, and roadblocks once reaching destination countries stalled and set back any hopes of research and quickly continuing once-promising careers. A major continuing challenge is finding ways to repair an open wound and obvious vacuum in the German neuroscience community created by the largely collective persecution of colleagues 80 years ago.     

Continuity and Discontinuity in the Historical Development of Modern Psychopharmacology

In the middle of the twentieth century psychiatry underwent a transition that is often referred to as the “psychopharmacology revolution.” Implicit in the term revolution is the idea that a paradigm shift occurred. Specifically, it has been argued that psychiatry abandoned the psychoanalytic paradigm in favor of a qualitatively distinct conceptual system based on brain chemistry. The validity of this view requires that psychoanalysis had the status of a paradigm. This paper presents evidence that psychoanalysis did not constitute a paradigm and that the advent of psychopharmacology was not, technically, a scientific revolution. Instead, the rise of modern psychopharmacology was the culmination of a linear growth of biological knowledge that began to develop in the nineteenth century.     

War in the mental hospitals: sychiatry and clinical files (1940 – 52)

Abstract

Is there a connection between war and madness? How have psychiatrists responded to the problem of those ‘driven mad by war’? This article tries to answer these questions by drawing on clinical records for three Italian psychiatric hospitals in the period from 1940 to 1950. While these problems have been researched and debated for combatants during the World War I, in the case of the World War II, as this article shows, it is necessary to take into account the impact of war not only on soldiers but also on civilians who were equally involved in the trauma of war.     

Medical Hermeneutics of Murder. Race,Medicine and Law in a Murder Case from Finnmark, 1911

Abstract

This article seeks to investigate the investigation of a murder case in Finnmark in 1911, where four siblings killed their young brother. In the legal investigations following the misdeed, a number of medical experts played a prominent role. Their role was to assess the mental condition of the defendants, but also to make sense of the murder. A specific interpretational mode was called for: a “medical hermeneutics” of the murder. The murder investigation becomes an occasion for discussing medical and juridical interpretations of human agency at the turn of the century, and especially of the role of the concept of “race” in these interpretations. For at least some of the physicians involved, the racial make-up of the ethnic group to which the actors belonged constituted an inevitable part of the context that made the act intelligible. Although the concept of race, and the conceptual frameworks offered by degenerationism and medical psychology to a certain degree made the act intelligible, these interpretational schemes had little to offer in terms of assessing the legal accountability of the defendants. Hence, the case illustrates the profound epistemological limits of medical interpretation in facing a legal case.