Tag Archives: therapeutics

Managing Madness: Weyburn Mental Hospital and the Transformation of Psychiatric Care in Canada

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Managing Madness: Weyburn Mental Hospital and the Transformation of Psychiatric Care in Canada, by Erika Dyck and Alex Deighton, is now available from the University of Manitoba Press. The book is described on the publisher’s website as follows:

The Saskatchewan Mental Hospital at Weyburn has played a significant role in the history of psychiatric services, mental health research, and community care in Canada. Its history provides a window to the changing nature of mental health services over the twentieth century.

Built in 1921, the Saskatchewan Mental Hospital was billed as the last asylum in North America and the largest facility of its kind in the British Commonwealth. A decade later, the Canadian Committee for Mental Hygiene cited it as one of the worst institutions in the country, largely due to extreme overcrowding. In the 1950s, the Saskatchewan Mental Hospital again attracted international attention for engaging in controversial therapeutic interventions, including treatments using LSD.

In the 1960s, sweeping health care reforms took hold in the province and mental health institutions underwent dramatic changes as they began moving patients into communities. As the patient and staff population shrank, the once palatial building fell into disrepair, the asylum’s expansive farmland fell out of cultivation, and mental health services folded into a complicated web of social and correctional services.

Managing Madness examines the Weyburn mental hospital, the people it housed, struggled to understand, help, or even tried to change, and the ever-shifting understanding of mental health.

Full details here.

On the Couch: A Repressed History of the Analytic Couch from Plato to Freud

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AHP readers may be interested in a new book exploring the history of the psychoanalytic couch. On the Couch: A Repressed History of the Analytic Couch from Plato to Freud by Nathan Kravis is now available from MIT Press. (The volume was also recently reviewed in the Los Angeles Review of Books.) As the publisher describes,

The peculiar arrangement of the psychoanalyst’s office for an analytic session seems inexplicable. The analyst sits in a chair out of sight while the patient lies on a couch facing away. It has been this way since Freud, although, as Nathan Kravis points out in On the Couch, this practice is grounded more in the cultural history of reclining posture than in empirical research. Kravis, himself a practicing psychoanalyst, shows that the tradition of recumbent speech wasn’t dreamed up by Freud but can be traced back to ancient Greece, where guests reclined on couches at the symposion (a gathering for upper-class males to discuss philosophy and drink wine), and to the Roman convivium (a banquet at which men and women reclined together). From bed to bench to settee to chaise-longue to sofa: Kravis tells how the couch became an icon of self-knowledge and self-reflection as well as a site for pleasure, privacy, transgression, and healing.

Kravis draws on sources that range from ancient funerary monuments to furniture history to early photography, as well as histories of medicine, fashion, and interior decoration, and he deploys an astonishing array of images—of paintings, monuments, sculpture, photographs, illustrations, New Yorker cartoons, and advertisements.

Kravis deftly shows that, despite the ambivalence of today’s psychoanalysts—some of whom regard it as “infantilizing”—the couch continues to be the emblem of a narrative of self-discovery. Recumbent speech represents the affirmation in the presence of another of having a mind of one’s own.