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Fur die historische Entwicklung der Psychiatrie stellt das 19. Jahrhundert eine entscheidende Epoche dar. In dieses Jahrhundert fallen Prozesse und Ereignisse, die bis heute die Struktur und Ausrichtung des Faches massgeblich pragen: So ist die Entstehung der Psychiatrie als wissenschaftliche Disziplin und therapeutische Praxis mit der Tatigkeit von namhaften Psychiatern dieses Jahrhunderts, wie Reil, Heinroth, Jacobi, Griesinger oder Kraepelin, verbunden. Ebenso ist die feste Institutionalisierung des Fachs in staatlichen und privaten Versorgungseinrichtungen durch konkrete soziale, wirtschaftliche und politische Ereignisse des 19. Jahrhunderts massgeblich gepragt. Weiter steht das 19. Jahrhundert fur die 'Medikalisierung' des Faches und fur seine Abgrenzung sowohl gegenuber anderen medizinischen Fachrichtungen als auch gegenuber der Theologie und der Jurisprudenz. Schliesslich ist die Etablierung der Psychiatrie als universitares Fach - mit der Einrichtung von Universitatskliniken und ordentlichen Professuren - eine Entwicklung, die ihre Wurzeln und Bedingungsfaktoren ganz wesentlich in der zweiten Halfte des 19. Jahrhunderts im deutschsprachigen Raum hat. Uberblickt man den heutigen Stand der Psychiatrie in Deutschland, aber auch international, so wird deutlich, wie sehr das Fach von diesen historischen Vermachtnissen gepragt worden ist. Auch wenn das 20. Jahrhundert mit zum Teil fatalen und einschneidenden Ereignissen und Entwicklungen verbunden war, weisen die vorangegangenen Weichenstellungen doch auf eine uberraschende Aktualitat des 19. Jahrhunderts fur die Psychiatrie des 21. Jahrhunderts hin.
The psychiatric profession in Germany changed radically from the mid-nineteenth century to the beginning of World War I. In a book that demonstrates his extensive archival knowledge and an impressive command of the primary literature, Eric J. Engstrom investigates the history of university psychiatric clinics in Imperial Germany from 1867 to 1914, emphasizing the clinical practices and professional debates surrounding the development of these institutions and their impact on the course of German psychiatry.The rise of university psychiatric clinics reflects, Engstrom tells us, a shift not only in asylum culture, but also in the ways in which social, political, and economic issues deeply influenced the practice of psychiatry. Equally convincing is Engstrom's argument that psychiatrists were responding to and working to shape the rapidly changing perceptions of madness in Imperial Germany. In a series of case studies, the book focuses on a number of important clinical spaces such as the laboratory, the ward, the lecture hall, and the polyclinic. Engstrom argues that within these spaces clinics developed their own disciplinary economies and that their emergence was inseparably intertwined with jurisdictional contests between competing scientific, administrative, didactic, and sociopolitical agendas.
The comparative global history of mental health care in the twentieth century remains relatively uncharted territory. Psychiatric Cultures Compared offers an overview of various national psychiatric cultures, comparing, for example, advances in Dutch psychiatry with developments abroad. Wide-ranging essays cover analyses of the field of psychiatric nursing, the changing use of psychotropic medicine, the emergence of in- and outpatient mental health sectors, the rise of the anti-psychiatry movement, and a critical look at modern day deinstitutionalization.
First multi-year cumulation covers six years: 1965-70.
Although physicians during World War I, and scholars since, have addressed the idea of disorders such as shell shock as inchoate flights into sickness by men unwilling to cope with war's privations, they have given little attention to the agency many soldiers actually possessed to express dissent in a system that medicalized it. In Germany, these men were called Kriegszitterer, or "war tremblers," for their telltale symptom of uncontrollable shaking. Based on archival research that constitutes the largest study of psychiatric patient files from 1914 to 1918, Diagnosing Dissent examines the important space that wartime psychiatry provided soldiers expressing objection to the war. Rebecca Ayako Bennette argues that the treatment of these soldiers was far less dismissive of real ailments and more conducive to individual expression of protest than we have previously thought. In addition, Diagnosing Dissent provides an important reevaluation of German psychiatry during this period. Bennette's argument fundamentally changes how we interpret central issues such as the strength of the German Rechtsstaat and the continuities or discontinuities between the events of World War I and the atrocities committed—often in the name of medicine and sometimes by the same physicians—during World War II.
Spurred by ideals of individual liberty that took hold in the Western world in the late nineteenth century, psychiatrists and public officials sought to reinvent asylums as large-scale, totally designed institutions that offered a level of freedom and normality impossible in the outside world. This volume explores the “caged freedom” that this new psychiatric ethos represented by analyzing seven such buildings established in the Austro-Hungarian monarchy between the late 1890s and World War I. In the last two decades of the Habsburg Empire, architects of asylums began to abandon traditional corridor-based plans in favor of looser formations of connected villas, echoing through design the urban- and freedom-oriented impulse of the progressive architecture of the time. Leslie Topp considers the paradoxical position of designs that promoted an illusion of freedom even as they exercised careful social and spatial control over patients. In addition to discussing the physical and social aspects of these institutions, Topp shows how the commissioned buildings were symptomatic of larger cultural changes and of the modern asylum’s straining against its ideological anchorage in a premodern past of “unenlightened” restraint on human liberty. Working at the intersection of the history of architecture and the history of psychiatry, Freedom and the Cage broadens our understanding of the complexity and fluidity of modern architecture’s engagement with the state, with social and medical projects, and with mental health, psychiatry, and psychology.
Neurasthenia, meaning nerve weakness, was ‘invented’ in the United States as a disorder of modernity, caused by the fast pace of urban life. Soon after, from the early 1880s onwards, this modern disease crossed the Atlantic. Neurasthenia became much less ‘popular’ in Britain or the Netherlands than in Germany. Neurasthenia’s heyday continued into the first decade of the twentieth century. The label referred to conditions similar to those currently labelled as chronic fatigue syndrome. Why this rise and fall of neurasthenia, and why these differences in popularity This book, which emerged out of an Anglo-Dutch-German conference held in June 2000, explores neurasthenia’s many-sided history from a comparative perspective.