Tag Archives: DSM

History of Psychiatry: Lobotomies, Therapies, the DSM, and More

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The March 2018 issue of History of Psychiatry is now online. Articles in this issue explore the history of lobotomy, moral therapy, the history of the DSM, and more. Full titles, authors, and abstracts below.

“History of lobotomy in Poland,” by Kinga J?czmi?ska. Abstract:

In Poland, there were 176 cases of prefrontal leucotomy performed by Moniz’s method between 1947 and 1951. There were also several cases in which alternative psychosurgical techniques were used: prefrontal topectomy by Bilikiewicz and colleagues, and prefrontal topischemia by Ziemnowicz. This article analyses the following: publications by Choróbski, who performed lobotomy in Poland, and by Korzeniowski, who assessed its short-term results; a report by Bornsztajn, who reviewed general results of the method; and clinical research by Broszkiewicz and by Konieczy?ska, who assessed Polish patients in terms of long-term results of lobotomy. Negative clinical evaluation of lobotomy led to its abandonment in Poland, a decision strengthened by a regulation that forbade lobotomy in the USSR and impacted Polish psychiatry.

“Rotation therapy for maniacs, melancholics and idiots: theory, practice and perception in European medical and literary case histories,” by Sheila Dickson. Abstract:

This article examines the development and use of rotation therapy in the emerging field of psychiatry at the beginning of the 19th century, and the cross-fertilization between British, Irish, German, French and other European proponents of ‘Cox’s Swing’. Its short-lived popularity is linked to prevalent Enlightenment thought, to the development of an industrial and technological society, to the modern medical theories of irritability, and to the new practice of ‘moral management’ of the mentally ill. Case studies documenting the use of the Swing are considered from these perspectives, and are compared with contemporary public reactions in the form of publications in newspapers and of a literary text by German Romantic author Ludwig Achim von Arnim.

“François Leuret: the last moral therapist,” by Edward M Brown. Abstract: Continue reading History of Psychiatry: Lobotomies, Therapies, the DSM, and More →

Barbara Gittings, Gay Rights, and DSM Reform

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Barbara Gittings, Frank Kameny, and John E. Fryer in disguise as Dr. H. Anonymous. Photo by Kay Tobin Lahusen

The Journal of Gay & Lesbian Mental Health has just published a review of the recent book Barbara Gittings: Gay Pioneer. As Jack Drescher notes in his review Gittings, as part of a lifetime of LGBT activist efforts, pushed to remove homosexuality from the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders. Drescher notes,

Gittings, at Lahusen’s suggestion, sought an openly gay psychiatrist to present at a 1972 APA symposium entitled “Psychiatry: Friend or Foe to Homosexuals? A Dialogue.” Along with Gittings and [Frank]  Kameny, the panel included a gay-friendly heterosexual analyst, Judd Marmor. As none of the gay psychiatrists she knew would appear openly gay in public—at the time, one could lose one’s medical license because homosexuality was illegal in almost every U.S. state—Barbara Gittings convinced John Fryer to appear in disguise as Dr. H. Anonymous.

Fryer, wearing an oversized tuxedo, a rubber Richard Nixon Halloween mask, and a fright wig, explained to his fellow psychiatrists the pain of the professional closet. [Kay Tobin] Lahusen’s photograph of the masked Dr. H Anonymous, now gone viral on the Internet, is a chilling, yet humorous, iconic moment in the history of the LGBT civil rights movement. Further, the panel and the hard work of Gittings, Lahusen, Kameny, and Fryer led to the APA’s removing “homosexuality” from its Diagnostic and Statistical Manual (DSM-II) the following year.

More on Gittings and Tracy Baim’s biography can be found here.

New History of Psychiatry: DSM, Phrenology, War Psychiatry, & More

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The December 2016 issue of History of Psychiatry is now online. Articles in this issue explore psychiatric classification in the DSM, Italian colonial psychiatry, the phrenological studies of skulls, and more. Full titles, authors, and abstracts follow below.

“Italian colonial psychiatry: Outlines of a discipline, and practical achievements in Libya and the Horn of Africa,” by Marianna Scarfone. The abstract reads,

This article describes the establishment of psychiatry in Italy’s former colonies during the period 1906–43, in terms of the clinical and institutional mechanisms, the underlying theories and the main individuals involved. ‘Colonial psychiatry’ (variously called ‘ethnographic’, ‘comparative’ or ‘racial’ psychiatry) – the object of which was both to care for mentally afflicted colonists and local people and also to understand and make sense of their pathologies – received most attention in colonial Libya, starting in the first months of the Italian occupation (1911–12) and then taking institutional form in the 1930s; in the colonies of what was known as ‘Italian East Africa’, on the other hand, less was said about psychiatric care, and practical achievements were correspondingly limited.

“Natural kinds, psychiatric classification and the history of the DSM,” by Jonathan Y Tsou. The abstract reads, Continue reading New History of Psychiatry: DSM, Phrenology, War Psychiatry, & More →

New History of Psychiatry: LSD, Madhouses, Psychiatric Semiology…

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The June 2016 issue of History of Psychiatry is now online. Articles in this issue explore psychiatric semiology, the German Research Institute of Psychiatry in Munich, madness in novelist Muriel Spark’s work, LSD as treatment in Denmark, the DSM and learning disabilities, Joseph Mason’s madhouse, and the work of Max Scheler. Full titles, authors, and abstracts follow below.

“The emergence of psychiatric semiology during the Age of Revolution: evolving concepts of ‘normal’ and ‘pathological’,” by Diego Enrique Londoño and Professor Tom Dening. The abstract reads,

This article addresses some important questions in psychiatric semiology. The concept of a sign is crucial in psychiatry. How do signs emerge, and what gives them validity and legitimacy? What are the boundaries of ‘normal’ and ‘pathological’ behaviour and mental experiences? To address these issues, we analyse the characteristics and rules that govern semiological signs and clinical elements. We examine ‘normality’ from the perspective of Georges Canguilehm and compare the differences of ‘normal’ in physiology and psychiatry. We then examine the history and the philosophical, linguistic and medical-psychiatric origins of semiology during the eighteenth and nineteenth centuries (the Age of Revolution). The field of rhetoric and oratory has emphasized the importance of passions, emotions and language as applied to signs of madness. Another perspective on semiology, provided by Michel Foucault, lays stress on the concept of ‘instinct’ and the axis of voluntary-involuntary behaviour. Finally, we analyse how statistics and eugenics have played an important role in our current conceptualization of the norm and therefore the scientific discourse behind the established clinical signs.

“Psychiatric governance, völkisch corporatism, and the German Research Institute of Psychiatry in Munich (1912–26). Part 2,” by Eric J Engstrom, Wolfgang Burgmair, and Matthias M Weber. The abstract reads, Continue reading New History of Psychiatry: LSD, Madhouses, Psychiatric Semiology… →

New Hist. of Psychiatry: DSM-III, ECT, Veridical Hallucinations, & More

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The December 2015 issue of History of Psychiatry is now online. Articles in this issue explore multiaxial assessment in the DSM-III, electroconvulsive therapy, and veridical hallucinations in France, among other topics. Full titles, authors, and abstracts follow below.

“Félix Voisin and the genesis of abnormals,” by Claude-Olivier Doron. The abstract reads,

This article traces the genealogy of the category of ‘abnormals’ in psychiatry. It focuses on the French alienist Felix Voisin (1794–1872) who played a decisive role in the creation of alienist knowledge and institutions for problem children, criminals, idiots and lunatics. After a presentation of the category of ‘abnormals’ as understood at the end of the nineteenth century, I identify in the works of Voisin a key moment in the concept’s evolution. I show how, based on concepts borrowed from phrenology and applied first to idiocy, Voisin allows alienism to establish links between the medico-legal (including penitentiary) and medical-educational fields (including difficult childhood). I stress the extent to which this enterprise is related to Voisin’s humanism, which claimed to remodel pedagogy and the right to punish on the anthropological particularities of individuals, in order to improve them.

“The nature of delusion: psychologically explicable? psychologically inexplicable? philosophically explicable? Part 1,” by J. Cutting and M. Musalek. The abstract reads, Continue reading New Hist. of Psychiatry: DSM-III, ECT, Veridical Hallucinations, & More →

Special Issue: “Feminism and/in/as Psychology: The Public Sciences of Sex and Gender”

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Feminists form Division 35 of the American Psychological Association in 1973, now the Society for the Psychology of Women.

The August issue of History of Psychology is now online. Guest edited by Alexandra Rutherford and Michael Pettit, this special issue explores “Feminism and/in/as psychology: The public sciences of sex and gender.” As Rutherford and Pettit write in their abstract,

In our introduction to this special issue on the histories of feminism, gender, sexuality, and the psy-disciplines, we propose the tripartite framework of “feminism and/in/as psychology” to conceptualize the dynamics of their conjoined trajectories and relationship to gender and sexuality from the late 19th through the late 20th centuries. “Feminism and psychology” highlights the tensions between a political movement and a scientific discipline and the efforts of participants in each to problematize the other. “Feminism in psychology” refers to those historical moments when self-identified feminists intervened in psychology to alter its content, methodologies, and populations. We propose, as have others, that these interventions predate the 1970s, the period most commonly associated with the “founding” of feminist psychology. Finally, “feminism as psychology/psychology as feminism” explores the shared ground between psychology and feminism—the conceptual, methodological, and (more rarely) epistemological moments when psychology and feminism made common cause. We suggest that the traffic between feminism and psychology has been persistent, continuous, and productive, despite taking different historically and geographically contingent forms.

Full titles, authors, and abstracts for articles in this special issue follow below.

“The personal is scientific: Women, gender, and the production of sexological knowledge in Germany and Austria, 1900–1931,” Kirsten Leng. The abstract reads, Continue reading Special Issue: “Feminism and/in/as Psychology: The Public Sciences of Sex and Gender” →

New History of Psychiatry: Possession in the DSM, Jung’s Seances, & More

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The September 2015 issue of History of Psychiatry is now online.  Among the articles in this issue are ones on Carl Jung (above) and his investigation of his cousin’s mediumship, the epistemological problems of incorporating possession into the DSM, a case study of a museum of mental health care history, and much more. Full titles, authors, and abstract follow below.

“The epistemological significance of possession entering the DSM,” by Craig Stephenson. The abstract reads,

The discourse of the American Psychiatric Association’s DSM reflects the inherently dialogic or contradictory nature of its stated mandate to demonstrate both ‘nosological completeness’ and cultural ‘inclusiveness’. Psychiatry employs the dialogic discourse of the DSM in a one-sided, positivistic manner by identifying what it considers universal mental disease entities stripped of their cultural context. In 1992 the editors of the Diagnostic and Statistical Manual of Mental Disorders proposed to introduce possession into their revisions. A survey of the discussions about introducing ‘possession’ as a dissociative disorder to be listed in the DSM-IV indicates a missed epistemological break. Subsequently the editors of the DSM-5 politically ‘recuperated’ possession into its official discourse, without acknowledging the anarchic challenges that possession presents to psychiatry as a cultural practice.

“‘A vehicle of symbols and nothing more’. George Romanes, theory of mind, information, and Samuel Butler,” by Donald R Forsdyke. The abstract reads, Continue reading New History of Psychiatry: Possession in the DSM, Jung’s Seances, & More →

BBC Radio4’s “Ritual Sexual Abuse: The Anatomy of a Panic”

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BBC Radio4 is currently airing a two-part programme on “Ritual Sexual Abuse: The Anatomy of a Panic.” As their website describes,

David Aaronovitch of The Times traces the powerful intellectual influences behind what he sees as one of the most important cultural shifts of the past 40 years: from a society in which accusations of sexual abuse were wrongly ignored to one in which the falsely accused were crushed by a system where the mantra was “victims must be believed”.

In the first of two programmes, Aaronovitch will examine the role played by unproven psychoanalytic theories which, from the 1980s, spread from the world of therapists in Canada and the USA to social work, medicine and then to law enforcement in Britain.

From the NSPCC to academia it was believed that children were being sexually abused in group Satanic rituals, which involved murder and animal sacrifice. The programme will explore how these bizarre ideas took hold, how they were related to mistaken psychotherapeutic practices, and how they resonate still.

The programme will look at the influences of four books which played a key role in influencing the intellectual and cultural climate. These are Sybil, Michelle Remembers, The Diagnostic and Statistical Manual of Mental Disorders (DSM) and The Courage to Heal.

….

In the second of two programmes, Aaronovitch re-examines the role played by unproven psychoanalytic theories which, from the 1980s, spread from the world of therapists in Canada and the USA to social work, medicine and then to law enforcement in Britain.

The programme explores the parallels between the belief in ritual abuse with some of the claims being made today about VIP paedophile rings and group murder.

Some of the mistakes of the past – such as the false accusations made against parents in the Orkneys and Rochdale of satanic abuse – have been acknowledged. But, Aaronovitch argues, without a profound understanding of how and why such moral panics arise we are unlikely to avoid similar mistakes in the future. And when such mistakes recur we risk an over-reaction and a return to a culture of denial.

Episode one can be heard online here and episode two can be heard here.

“Why is the Diagnostic and Statistical Manual of Mental Disorders so hard to revise?”

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The forthcoming June 2015 issue of Studies in History and Philosophy of Science Part C: Studies in History and Philosophy of Biological and Biomedical Sciences includes an article by Rachel Cooper on the difficulty of revising the Diagnostic and Statistical Manual of Mental Disorders. Full details follow below.

“Why is the Diagnostic and Statistical Manual of Mental Disorders so hard to revise? Path-dependence and “lock-in” in classification,” by Rachel Cooper. The abstract reads,

The latest edition of the Diagnostic and Statistical Manual of Mental Disorders, the D.S.M.-5, was published in May 2013. In the lead up to publication, radical changes to the classification were anticipated; there was widespread dissatisfaction with the previous edition and it was accepted that a “paradigm shift” might be required. In the end, however, and despite huge efforts at revision, the published D.S.M.-5 differs far less than originally envisaged from its predecessor. This paper considers why it is that revising the D.S.M. has become so difficult. The D.S.M. is such an important classification that this question is worth asking in its own right. The case of the D.S.M. can also serve as a study for considering stasis in classification more broadly; why and how can classifications become resistant to change? I suggest that classifications like the D.S.M. can be thought of as forming part of the infrastructure of science, and have much in common with material infrastructure. In particular, as with material technologies, it is possible for “path dependent” development to cause a sub-optimal classification to become “locked in” and hard to replace.

New Issue of History of Psychiatry: DSM, Autism, & Hospital Magazines

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The December 2013 issue of History of Psychiatry is now online. Included in this issue are articles that explore the magazines produced in Irish psychiatric hospitals, the nature of DSM classification, and the history of autism. Full titles, authors, and abstracts follow below.

“Søren Kierkegaard (1813–55): a bicentennial pathographical review,” by Johan Schioldann and Ib Søgaard. The abstract reads,

Researchers in the fields of psychology, psychiatry, medicine and theology have made exhaustive efforts to shed light on the elusive biography/pathography of the great Danish philosopher Søren Kierkegaard (1813–55). This ‘bicentennial’ article reviews his main pathographical diagnoses of, respectively, possible manic-depressive [bipolar] disease, epilepsy, complex partial seizure disorder, Landry-Guillain-Barré’s acute ascending paralysis, acute intermittent porphyria with possible psychiatric manifestations, and syphilidophobia.

“Through the lens of the hospital magazine: Downshire and Holywell psychiatric hospitals in the 1960s and 1970s,” by Pauline Prior and Gillian McClelland. The abstract reads, Continue reading New Issue of History of Psychiatry: DSM, Autism, & Hospital Magazines →