Tag Archives: Finland

New Medical History: Psychiatry in the Atomic Age, Transvestism in Finland, Therapy in Russian Defectology

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The January 2018 issue of Medical History is now available and includes several articles that may be of interest to AHP readers. Full details below.

“Healing a Sick World: Psychiatric Medicine and the Atomic Age,” by Ran Zwigenberg. Abstract:

The onset of nuclear warfare in Hiroshima and Nagasaki had far-reaching implications for the world of medicine. The study of the A-bomb and its implications led to the launching of new fields and avenues of research, most notably in genetics and radiation studies. Far less understood and under-studied was the impact of nuclear research on psychiatric medicine. Psychological research, however, was a major focus of post-war military and civilian research into the bomb. This research and the perceived revolutionary impact of atomic energy and warfare on society, this paper argues, played an important role in the global development of post-war psychiatry. Focusing on psychiatrists in North America, Japan and the United Nations, this paper examines the reaction of the profession to the nuclear age from the early post-war period to the mid 1960s. The way psychiatric medicine related to atomic issues, I argue, shifted significantly between the immediate post-war period and the 1960s. While the early post-war psychiatrists sought to help society deal with and adjust to the new nuclear reality, later psychiatrists moved towards a more radical position that sought to resist the establishment’s efforts to normalise the bomb and nuclear energy. This shift had important consequences for research into the psychological trauma suffered by victims of nuclear warfare, which, ultimately, together with other research into the impact of war and systematic violence, led to our current understanding of Post-Traumatic Stress Disorder (PTSD).

“Boyish Mannerisms and Womanly Coquetry: Patients with the Diagnosis of Transvestitismus in the Helsinki Psychiatric Clinic in Finland, 1954–68,” by Katariina Parhi. Abstract:

This article examines the case files of patients diagnosed with Transvestitismus [transvestism] in the Psychiatric Clinic of the Helsinki University Central Hospital in the years 1954–68. These individuals did not only want to cross-dress, but also had a strong feeling of being of a different sex from their assigned one. The scientific concept of transsexuality had begun to take form, and this knowledge reached Finland in phases. The case files of the transvestism patients show that they were highly aware of their condition and were very capable of describing it, even if they had no medical name for it. Psychiatrists were willing to engage in dialogue with the patients, and did not treat them as passive objects of study. Although some patients felt that they had been helped, many left the institution as frustrated, angered or desperate as before. They had sought medical help in the hope of having their bodies altered to correspond to their identity, but the Clinic psychiatrists insisted on seeing the problem in psychiatric terms and did not recommend surgical or hormonal treatments in most cases. This attitude would gradually change over the course of the 1970s and 1980s.

“Lechebnaia pedagogika: The Concept and Practice of Therapy in Russian Defectology, c. 1880–1936,” by Andy Byford. Abstract:

Therapy is not simply a domain or form of medical practice, but also a metaphor for and a performance of medicine, of its functions and status, of its distinctive mode of action upon the world. This article examines medical treatment or therapy (in Russian lechenie), as concept and practice, in what came to be known in Russia as defectology (defektologiia) – the discipline and occupation concerned with the study and care of children with developmental pathologies, disabilities and special needs. Defectology formed an impure, occupationally ambiguous, therapeutic field, which emerged between different types of expertise in the niche populated by children considered ‘difficult to cure’, ‘difficult to teach’, and ‘difficult to discipline’. The article follows the multiple genealogy of defectological therapeutics in the medical, pedagogical and juridical domains, across the late tsarist and early Soviet eras. It argues that the distinctiveness of defectological therapeutics emerged from the tensions between its biomedical, sociopedagogical and moral-juridical framings, resulting in ambiguous hybrid forms, in which medical treatment strategically interlaced with education or upbringing, on the one hand, and moral correction, on the other.

New Social History of Medicine: Historicizing Hacking’s Concepts, Psychopathy, & More

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The most recent issue of Social History of Medicine includes several articles of interest to AHP readers. Articles in this issue historicize Ian Hacking’s concepts via the example of Munchausen syndrome, describe the development of public health alcohol education in Britain, and explore psychopathy as social engineering in Finland. Full details below.

“Concepts, Diagnosis and the History of Medicine: Historicising Ian Hacking and Munchausen Syndrome,” by Chris Millard. Open Access. Abstract:

Concepts used by historians are as historical as the diagnoses or categories that are studied. The example of Munchausen syndrome (deceptive presentation of illness in order to adopt the ‘sick role’) is used to explore this. Like most psychiatric diagnoses, Munchausen syndrome is not thought applicable across time by social historians of medicine. It is historically specific, drawing upon twentieth-century anthropology and sociology to explain motivation through desire for the ‘sick role’. Ian Hacking’s concepts of ‘making up people’ and ‘looping effects’ are regularly utilised outside of the context in which they are formed. However, this context is precisely the same anthropological and sociological insight used to explain Munchausen syndrome. It remains correct to resist the projection of Munchausen syndrome into the past. However, it seems inconsistent to use Hacking’s concepts to describe identity formation before the twentieth century as they are given meaning by an identical context.

“‘Everybody Likes a Drink. Nobody Likes a Drunk’. Alcohol, Health Education and the Public in 1970s Britain,” by Alex Mold. Open Access. Abstract: Continue reading New Social History of Medicine: Historicizing Hacking’s Concepts, Psychopathy, & More →

Advance Access from Social History of Medicine on Psychiatry and Social Engineering in Finland, 1945–1968

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A new article has been published online first by the journal of the Social History of Medicine that will be of interest to our readership. Katariina Parhi and Petteri Pietikainen write on “Socialising the Anti-Social: Psychopathy, Psychiatry and Social Engineering in Finland, 1945–1968.” The abstract reads as follows:

This article argues that in Finland during the two decades after the Second World War, the diagnosis of psychopathy represented a failed attempt to adjust ‘difficult’ individuals to the social order. Discussing the social and medical character of the diagnosis, we examine psychopathy using the analytic and historical framework of social engineering in post-war Finland. We utilise patient records, official documents and psychiatric publications and analyse the diagnostic uses of psychopathy and its associations with social maladjustment. We also address the question of how mental health care in the less-developed northern part of Finland grappled with behavioural deviance, and especially with behaviour deemed ‘anti-social’. Contextualising psychopathy as a marker of individual disorganisation within the development of social organisation, this article contributes to historical scholarship that maps mental disorders onto the historical development of the nation.

 

Nordic Network for Madness Studies

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madness studies cropContinuing the theme of the history of madness that has organically cropped up in our posts as of late, the Finnish University of Oulu‘s  Department of the History of Science and Ideas has launched a new forum for scholars of madness as a substantive topic with a geographic focus on the Nordic region specifically, Europe at large, but with a global scope.

Their mission statement is as follows:

The main purpose of Madness Studies is to provide a useful platform for communication, cooperation and collaboration across national borders and disciplinary boundaries. At this early stage, the primary goal is to compile data about scholars, doctoral students and research groups involved in research activities, as well as inform about conferences, journals, books and primary sources. Potential future forms of activities include a founding of a society and organization of meetings devoted to the multidisciplinary aspects of madness.

Current projects include: modern depression and contemporary culture in Finland,  a history of the life and conditions of Danish children and adults who were taken into public care during the period 1945–1980,  mental health, medicine and social engineering in 20th century Finland, and perspectives on current forms of social vulnerabilities in contemporary Finnish society.

Current scholars range from Finland, Sweden, Denmark, the Netherlands, the UK, and Spain in Europe, to Canada, the US, Argentina, and Australia.

Find further details here. Apply to join the network here!