His vision for Google’s role in reforming mental health care creates an unprecedented intersection between the fraught social politics of public surveillance, ‘philanthrocapitalism‘ and the psychological industries:
“Google’s strength in data analytics could be leveraged to identify patterns such as changes in cognition and behavior that are difficult to detect in the early stages of psychosis, he says. In many cases, people who were eventually diagnosed with the disease went undiagnosed for years because their initial symptoms masked themselves as traditional adolescent behavior, such as isolation from others and difficulty with academics, Insel says. Smartphones, for example, could collect speech data that would be plugged into an algorithm that detects disorganized speech patterns indicative of psychosis.”
Read the full article here. Conversation on the topic welcome and encouraged.
The November 2015 issue of Social History of Medicine includes several pieces of interest to AHP readers. Articles in this issue include ones that explore the modern construction of human subjects, madness during voyages to New Zealand during the Victorian and Edwardian eras, and the use of case records of early 20th century Eastern European emigrants as sources. Full titles, authors, and abstracts follow below.
“Migration and Madness at Sea: The Nineteenth- and Early Twentieth-century Voyage to New Zealand,” by Angela McCarthy.
This article draws on a range of sources—including surgeon superintendents’ reports as well as asylum records—to examine the mental health of migrants and crew on the voyage to New Zealand during the Victorian and Edwardian eras. It examines key themes such as relations between crew and passengers, the emotional dimensions of insanity, attempts to export the insane, and collaboration between doctors and relatives in adhering to mental health legislation in order to repatriate the insane, all of which facilitate assessment of wider debates about medical authority. While surgeon superintendents documented actions rather than causes for unusual behaviour, asylum doctors and family members were more likely to attempt to explain mental disturbance at sea. Additionally, this article examines the beliefs of medical officials who paradoxically argued that the voyage was beneficial, rather than detrimental, to health.
“Making up ‘Vulnerable’ People: Human Subjects and the Subjective Experience of Medical Experiment,” by Nancy D. Campbell and Laura Stark.
This paper explores how ‘the human subject’ was figured historically and expands the interpretive range available to historians for understanding the subjective experiences of people who have served in medical experiments in the past. We compare LSD studies on healthy ‘volunteers’ conducted in two experimental settings in the 1950s: the US National Institutes of Mental Health’s (NIMH) Addiction Research Center (ARC) Lexington, Kentucky and the NIH Clinical Center (NIHCC) in Bethesda, Maryland. Sources consist of oral history interviews, transcripts and archival documents including photographs and records. Political priorities and historical contingencies relevant for crystalising the expert domain of modern bioethics, especially the 1960s US Civil Rights movement, were central for producing the ‘vulnerability’ attributed to the modern figure of the ‘human subject’. Using Ian Hacking’s historical ontology approach, we suggest how this figure of the ‘vulnerable human subject’ affected historical actors’ self-understandings while foreclosing paths of historical inquiry and interpretation.
In Under the Strain of Color, Gabriel N. Mendes recaptures the history of a largely forgotten New York City institution that embodied new ways of thinking about mental health, race, and the substance of citizenship. Harlem’s Lafargue Mental Hygiene Clinic was founded in 1946 as both a practical response to the need for low-cost psychotherapy and counseling for black residents (many of whom were recent migrants to the city) and a model for nationwide efforts to address racial disparities in the provision of mental health care in the United States.
The result of a collaboration among the psychiatrist and social critic Dr. Fredric Wertham, the writer Richard Wright, and the clergyman Rev. Shelton Hale Bishop, the clinic emerged in the context of a widespread American concern with the mental health of its citizens. It proved to be more radical than any other contemporary therapeutic institution, however, by incorporating the psychosocial significance of antiblack racism and class oppression into its approach to diagnosis and therapy.
Mendes shows the Lafargue Clinic to have been simultaneously a scientific and political gambit, challenging both a racist mental health care system and supposedly color-blind psychiatrists who failed to consider the consequences of oppression in their assessment and treatment of African American patients. Employing the methods of oral history, archival research, textual analysis, and critical race philosophy, Under the Strain of Color contributes to a growing body of scholarship that highlights the interlocking relationships among biomedicine, institutional racism, structural violence, and community health activism.
The May 2015 issue of Social History of Medicine is now online. The issue includes a number of items that may be of interest to AHP readers, including an article on Irish patients in the Victorian Lancashire asylum system and one on the importance of black celebrity activism in making the mental health of black youth a civil rights issue. The issue also includes a special section, “Focus on Learning from Pain,” where a number of recent volumes on the history of pain are reviewed. Full titles, authors, and abstracts follow below.
A website chronicling the history of the Devon County Mental Hospital (formerly the Devon County Lunatic Asylum) at Exminster has recently launched. The site is an outgrowth of a series of projects undertaken by Nicole Baur and Jo Melling at the Exeter Centre for Medical History at the University of Exeter, along with John Draisey of the Devon Heritage Centre.
Included on the site are sections that detail the history of the hospital’s setting and operation and describe four case studies from archived patient records. The site also features a detailed bibliography of publications related to the hospital, as well as a section of multimedia material and a page soliciting memories from those with some association with the hospital. As the site itself describes,
This website takes you on a fascinating journey through the history of the Devon County Lunatic Asylum at Exminster. Based on archival case notes and supplemented by Medical Superintendents’ and Commissioners of Lunacy’s reports as well as interviews with former staff, we tell the stories of real patients and their journey into, and life within, the asylum, hoping to highlight changes in the legislation and care of people suffering from mental health problems.
The November 2012 issue of History of Psychology is now online. Included in this issue are articles on the history of psychology in Columbia, the neurological status of Little Albert, and the work of Alfred Binet in his Sorbonne laboratory (above). Also included in this issue is a piece on how the history of the DSM can be used to teach students about the complexities of conceptions of mental health and illness, as well as a description of an archive for the history of psychology in Spain and an author’s reflection on the process of writing a recent book on William Stern. Full titles, authors, and abstracts follow below.
“Colombian approaches to psychology in the 19th century,” by Gilberto Leonardo Oviedo. The abstract reads,
Colombian intellectuals of the 19th century widely consulted scientific psychology in regard to their political, religious, and educational interests. Colombian independence from Spain (1810) introduced the necessity of transforming the former subjects into illustrious citizens and members of a modern state. After independence, political liberals embraced Bentham’s thesis of utilitarianism and the theories of sensibility, with a teaching style based in induction. Conservatives defended the Catholic tradition about the divine origin of the soul and used scholasticism as a model of teaching. A bipartisan coalition, the Regeneration, incorporated the ideas of modern psychology based on the principles of Thomistic thought (Neo-Thomism). The Neo-Thomists considered psychology as a science of the soul and debated physiological explanations of the mind. The conceptual advances of the period have been trivialized in historical accounts of psychology in Colombia, due to the emphasis on the institutionalization processes of the discipline in 1947.