Category: Psychiatry

To contextualise this series about psychiatry, see: here. Below, an abridged translation of a chapter of one of my books:
 
 

Modern psychiatry pushes us in one direction—toward blaming the victim and exonerating the adult authorities. It’s the easy way out for all of the adults, including the child abuser; but it’s a disaster for the child.

—Peter Breggin [1]

The biggest surprise I ran across while reading Thomas Szasz and Jeffrey Masson was the discovery that, since its beginnings, psychiatry has sided parents during conflicts with their children; and it has sided them independently of the moral or sanity of the parents. In the 17th century the admission regulations to two French insane asylums for minors stipulated that:

Children of artisans and other poor inhabitants of Paris up to the age of twenty-five, who used their parents badly or who refused to work through laziness, or, in the case of girls, who were debauched or in evident danger of being debauched, should be shut up, the boys in the Bicêtre, the girls in the Salpêtrière. This action was to be taken on the complaint of the parents. [2]

In the same way, in the 18th century parents could appeal to the king for the purpose of, by means of a lettre de cachet confining a rebel child in the Bastille. [3]

In the 19th century the same situation shows up in America. In 1865 the Boston Times Messenger described the McLean Hospital as a ‘Bastille for the incarceration of some persons obnoxious to their relatives’. [4]

This bizarre history could be comprehended if we see psychiatry from an unfamiliar viewpoint: not as psychiatry presents itself, an objective science, but as an extralegal system of penalties which, since its origins, has allied itself with the status quo. And this doesn’t refer only to the alliance of psychiatrists with parents, but with husbands in other times. In America’s 1850s, for instance, Illinois commitment statute indicated:

Married women… may be entered or detained in the hospital (the state asylum of Jacksonville) at the request of the husband of the woman… without evidence of insanity required in other cases [my italics]. [5]

In the 20th century psychiatry gained even more power and influence in Western civilization. It converted itself into a big psycho-pharmaceutical industry, which acts within the tough arena of the market and the laws of supply and demand.

The key word is demand. When family problems arise the parents, and only the parents, have the economic means to hire professionals. Thus, from its origins it has been very convenient for these professionals to see family problems as medical problems, and they have deceived themselves to see such problems that way. Paediatrician Robert Mendelssohn observed: ‘teens are Big Business for psychiatrists’.[6] Psychiatry is not oriented to defend teenagers during family problems. That would put psychiatrists in conflict with the parents, the source of income of the psychiatrist. Paul Fink, president of the American Psychiatric Association (APA), put it bluntly: ‘It is the task of APA to protect the earning power of psychiatrists’.[7]

That psychiatrists have played the role of lawyers for the parents and the status quo can be seen with extraordinary transparency when studying the psychiatric labels in the 18th and 19th centuries. A few examples will illustrate this point.

When slavery was legal in the United States, Dr. Samuel Cartwright discovered that slaves who ran away from their masters suffered from drapetomania, a disease that only afflicted blacks who had ‘an insane desire to run away from their owners’.[8] Other blacks suffered from the medical disease dyasthesia Aethiopica, which pathological symptom was ‘paying no attention to property’. Benjamin Rush, the father of American psychiatry also discovered various nervous diseases. He called one of them anarchia, and defined it as ‘the excess passion for liberty’. At present Rush’s portrait continues to deck out the official seal of the American Psychiatric Association.

In 19th century-Europe the situation was no better. Women who didn’t comply with the role assigned to them were labelled folie lucide in France and moral insanity in England and its equivalent labels in Switzerland and Germany. Many were confined in insane asylums prompted by their husbands, fathers or brothers. Indeed, in the 19th century women were the main targets of organised psychiatry (just as in the 20th and the 21st centuries children and teenagers are once more the main target). Jeffrey Masson disclosed testimonies of some of the victims of these mercenary inquisitors: women that managed to escape the asylums and exposed both their families and the psychiatrists. One of these, Hersilie Rouy, committed as a result of a dispute with her brother, testifies in a book published in 1883 in Paris that:

For fourteen years I have lived under incarceration that cut me off from the real world, took away my civil rights, deprived me of my name, took away everything I owned, destroyed my entire existence without even being able to say why. [9]

Incidentally, I am not using these examples to promote feminism or anti-slavery for American blacks. I believe in patriarchy—but in a patriarchal society not based on the pseudoscientific claim that the liberated women in the 19th century suffered from a biomedical disease and that therefore should be ‘treated’ by MDs. This is analogous to the pseudoscientific claim in our century that boys who don’t pay due attention in the traditional school system have a brain disease that must be treated with Ritalin. The same could be said about runaway black slaves: punish them if you want but do not invent spurious diseases. Otherwise, such pseudoscientific diagnoses and empowering of the medical profession beyond its limits will metastasise into the white community with dire consequences.

Another piece of information that shocked me while reading Masson and Szasz was that since those times there has not only been an association between abusive parents and husbands with psychiatrists, but another alliance between psychiatrists and the state. For instance, after escaping and publishing her book Rouy appealed the French Ministry of Justice. Yet the ministry sided the psychiatrists:

Our doctor who knows more about it than we do has the conviction that she is mad and we bow before his infallible science. [10]

The case of Hersilie Rouy was not the only one that Masson disclosed in his investigations, but the pattern is very similar: young women perfectly sane diagnosed as suffering from ‘moral insanity’ in spite of the fact that the doctors acknowledged that there wasn’t anything wrong with their intellects. This is why the condition was named folie lucide in France (literally, lucid madness).

Another curious psychiatric label for unmarried ladies of the high society that had fiancés of lower status—and here I cannot help reminding the film Titanic—was nymphomania.[11] In some cases these ladies were confined in their bloom of youth to be liberated old to homes for the aged. Following next I quote an excerpt from a letter of Dr. Massini to Dr. Binswanger to confine Julie La Roche to an insane asylum in Switzerland:

In mid-January she ran off from there, supposedly with her brother, but in fact with the adventurer von Smirnoff, and suddenly appeared in Basel, presenting him as her fiancé. Here of course the relationship was nor approved…

All of this leads me to conclude that Miss La Roche, who is otherwise a thoroughly lovable girl, is heading toward ‘moral insanity’, which makes medical supervision advisable… She will surely attempt to escape, perhaps at the least pretend to commit suicide. It will therefore be necessary to put her in charge of incorruptible guards who will watch over her very closely… I do not believe that Mr. La Roche ever mistreated his daughter. [12]

It could be thought that these are relics of a barbarian psychiatric past already surpassed that have nothing to do with our civilised age. This was La Roche’s testimony:

My father abused me in a terrible manner… after he had thrown a sharp object at my head with such force that my face was covered with blood, to which a deep wound testified. There are witnesses to all these events.

One day in Saarburg, where we returned after our marriage [with von Smirnoff], and where I had to remain in bed, we were surprised by the police and then by my father. Though sick, I was dragged off through storm and rain by Mr. La Roche [her father]. My marriage certificate, everything was in vain. With court transportation, I was taken to Kreuzlingen, which is a private insane asylum (as can be ascertained by looking it up in any directory). There, on the first day, I was diagnosed as melancholic and insane.[13]

Like Hersilie Rouy, La Roche managed to escape. Thanks to this she left us her testimony, originally published in the Swiss newspaper Thurgauer Tagblatt. And just as the Rouy case, the united psychiatrists faced the exposé. Julie La Roche never was vindicated before society. On the contrary: the newspaper where her testimony appeared had to publish a shameful recantation stating that La Roche suffered, in effect, from moral insanity.[14]

The labels of the 19th century were not always invented to cause stigma on second-class citizens, sometimes they were invented to avoid stigma in the favoured classes. For instance, when a daughter of a high-born family stole something and was arrested, a psychiatrist was asked to diagnose that the poor girl suffered from kleptomania, an illness which symptom was an uncontrollable compulsion to steal.[15] Thus the law was outwitted and the spoiled daughter could return home. But like the stigmatising labels, it’s notorious to see how authorities used to go into open-handed complicity with psychiatrists to avoid, or to cause, social stigma.

These diagnoses—‘drapetomania’, ‘dyasthesia Aethiopica’ and ‘anarchia’ for blacks (anarchia, the disease invented by the father of American psychiatry was applied for whites as well), and ‘folie lucide’, ‘nymphomania’ and ‘kleptomania’ for women—seem ludicrous nowadays. Values have changed so much that the essentially political character of the labels and the role of psychiatrists as agents of the system and the affluent classes is visible from every point of view.

However, regardless of the obscure technicalities of present-day labels, which makes more difficult for the layman to detect the trick, the situation at present continues to be basically the same. The concealed objective of psychiatry has always been control, especially control of the most vulnerable members in society. That this policy persisted in the 20th century can be heard from the cynical statements of Francis Braceland, who was president of the American Psychiatric Association during the hippie movement in the 1960s:

It is a feature of some illnesses that people do not have insight into the fact that they are sick. In short, sometimes it is necessary to protect them for a while from themselves… If a man brings his daughter to me from California because she is in manifest danger of falling into vice or in some way disgracing herself, he doesn’t expect me to let her loose in my hometown for that same thing to happen. [16]

I could not say it more plainly. Notice how the thoughtpolice have not changed since the 17th century when they sent these ‘daughters in danger of falling into vice’ to the Salpêtrière Hospital in Paris. Again, I am not against disciplining a spoiled brat. I only take issue with the immense danger of inventing pseudoscientific diseases that the medical profession should treat as if they were ‘illnesses’, often against the will of the ‘patient’.

Something similar could even be said about quite a few cases diagnosed as ‘schizophrenia’. Below, a quotation from the brochure Schizophrenia published in 1998 by the Royal College of Psychiatrists and the National Schizophrenia Fellowship of England:

How do families react if a son or a daughter, a brother or a sister develops schizophrenia and becomes odd and unpredictable? They may regard the change in behaviour as rebellious, perverse and unacceptable without at first realising that it is due to mental illness. [17]

This brochure, destined to the masses, expresses more clearly the behavioural criterion for schizophrenia than the Diagnostic and Statistical Manual of Mental Disorders or DSM, the ‘Bible’, so to speak, of the psychiatrists.[18] The brochure does not ask how the adolescent sees his parents. It does not ask, for instance, ‘Is your mother so reluctant to her “psychological childbirth” that she treats you like a little boy?’ ‘Is she possessive, tyrannical and harass you often?’ Or ‘Is your father a passive fellow who always obeys your mom?’

Psychiatrists would never do a brochure for youngsters who cannot remunerate them. Those who wrote the brochure, the official psychiatric associations in England, have had ears exclusively for what the parents say, who are euphemistically called ‘the family’. It doesn’t even occur to them that the adult child’s version exists, or that his or her rebelliousness may be justified. The equation: rebellious, perverse, unacceptable is schizophrenic reminds me that during Brezhnev’s ruling the political dissident’s rebelliousness, an unacceptable perversity for Russian authorities, was officially considered a symptom of schizophrenia.[19]

The English brochure is most perverse when advocating the idea that ‘they may regard the change in behaviour as rebellious without at first realising that it is due to mental illness’. In other words, adolescent rebellion is, by definition of the most reputable associations of English psychiatry, an illness, schizophrenia or schizoidism; the feminist liberation of the 19th century was an illness, moral insanity; the anxiety of the black slave to escape was an illness, drapetomania. All these illnesses require medical intervention, which frequently ends up in incarceration without legal trial. The same brochure says:

People with schizophrenia do not always realise they are ill and may refuse treatment when they badly need it. In these circumstances, the Mental Health Act in England and Wales [enacted in 1983] and similar legal arrangements in other countries, permit compulsory admission to hospital. [20]

Take notice that this is a brochure published in 1998, and that they gave it to me in 1999 in a ‘mental health’ course in England’s Open University.

In essence, psychiatry has not changed since the 19th century, only the social values have changed. Psychiatrists have behaved, and continue to behave, as agents of the current status quo: be it slave-owners at the south of the United States, bourgeois parents that abhor the plebeian affairs of their liberated daughters, or harassing mothers that do not tolerate any rebelliousness in their children.

More direct evidence that an alliance exists between parents and psychiatrists, an alliance not declared to the public, has been exposed by a man who defrocked himself from the lucrative profession of psychoanalysis and that I have already quoted: Masson. In Final analysis he says:

‘When a child manifests gross pathology…’ these words startled me into consciousness. They were enunciated, for emphasis, very slowly, and in a booming voice. There could be no doubt about it, the department chairman was a fine orator. He had acted on the stage. His voice, his urban wit, his friendliness, his poise, his great knowledge of literature were all admirable. He laughed a great deal. He liked to make jokes. You had to like him.

But you did not have to like what he said. And I did not. What was it to ‘manifest gross pathology’? In this case, an eight-year-old boy was the ‘identified’ patient. The word ‘identified’ was a popular and venerable psychiatric term. He had been ‘identified’ as the patient by his mother and father, simply because he was not doing well at school, he had few friends, and he was a ‘problem’ at home. How was this, I wondered at the time, ‘gross pathology’? Where was I? I was at grand rounds.[21]

‘Grand rounds’ was the visit of psychiatric wards in the city of Toronto during Masson’s training for an analyst. The hospital staff met and a senior psychiatrist presented a case of one of the hospitalised ‘patients’. As Masson observed, this was humiliating for the patient:

It soon became apparent that every presentation of therapy was only good as the intellect and heart of the presenter. You did not, you could not, learn about the patient, but you learned plenty about the presenter… So here was a department chairman talking about still another ‘patient’, Jill, nineteen, ‘who was admitted to the hospital with a schizophrenic psychotic decompensation’.[22]

The department chairman who presented these cases was a respected psychiatrist who believed in electroshock. Masson continues:

How did we know, for example, that somebody was ‘sick’? It was simple: they were brought to the hospital. The chairman made it clear that a person who had been ‘identified’ as a patient by the family, was, in fact, disturbed in a psychiatric way. People apparently did not err when it came to making these kinds of home diagnoses. Thus, he told us, speaking of the ‘maladjusted’ (a medical term?) child, that we should accept

that the ‘identified’ patient is ‘sicker’ than the others. A study by S. Wolff (in the British Journal of Psychiatry) lends support to the family’s identification of its most disturbed member as the ‘sick one’…

To me, this was suspiciously convenient for the psychiatrist. What gave the psychiatric community this power? [23]

Who gives psychiatry these inquisitorial powers against children and teenagers? Society and its laws, of course; the state, our very culture! (Remember the epigraph of this book, ‘To commit violent and unjust acts, it is not enough for a government to have the will or even the power; the habits, ideas and passions of the time must lend themselves to their committal’, wrote Alexis de Tocqueville.) Masson is the only former analyst of the world that has dared to expose in his writings what happens in the ‘indoctrination process’ of this ‘semi-secret society’ as he calls the formation of psychoanalysts.

Another piece of evidence that there exist a criminal association of parents and psychiatrists is suggested by the fact that American psychiatry, represented by the American Psychiatric Association, has entered a collaboration with the National Alliance on Mental Illness. NAMI is formed by parents that, like Julie La Roche’s father, want to undertake psychiatric action against their offspring. NAMI’s position has been so extreme that it has even come to harass those psychiatrists who are not practitioners of the bioreductionist faith. [24]

It’s important to know that this alliance between tyrannical parents and psychiatrists is a very old story, and that it continues without serious challenge in our societies.

________

[1] Peter Breggin, Toxic psychiatry: why therapy, empathy and love must replace the drugs, electroshock, and biochemical theories of the ‘new psychiatry’ (St. Martin’s Press, 1994), pp. 269 & 315.

[2] Quoted in Thomas Szasz, The manufacture of madness: a comparative study of the Inquisition and the mental health movement (Syracuse University Press, 1997), p. 14.

[3] Ibid., pp. 48f.

[4] Ibid., 308.

[5] Ibid., p. 307.

[6] Toxic psychiatry (op. cit.), p. 298.

[7] Ibid., p. 360.

[8] This, and the following diagnoses, appear in Mind games (op. cit.), p. 105.

[9] Quoted in Jeffrey Masson, Against therapy: emotional tyranny and the myth of psychological healing (Harper Collins, 1997), p. 57. The alliance between parents and psychiatrists is exposed in chapters 1, 5 and 6 esp.

[10] Ibid., p. 60.

[11] Roger Gomm, ‘Reversing deviance’ in Tom Heller (ed.) Mental health matters (The Open University, 1996), p. 80.

[12] Against therapy, pp. 70f.

[13] Ibid., pp. 72f.

[14] Ibid., p. 76.

[15] Mental health matters, p. 80.

[16] Quoted in The manufacture of madness, pp. 46f.

[17] Schizophrenia (National Schizophrenia Fellowship & Royal College of Psychiatrists, 1998), p. 12.

[18] Diagnostic and statistical manual of mental disorders, fourth edition, DSM-IV (American Psychiatric Association, 1994).

[19] Thomas Szasz, The therapeutic state (Prometheus Books, 1984), p. 223.

[20] Schizophrenia, op. cit., p. 9.

[21] Jeffrey Masson, Final analysis: the making and unmaking of a psychoanalyst (Harper Collins, 1991), pp. 48f.

[22] Ibid., pp. 50f.

[23] Ibid., p. 51.

[24] Toxic psychiatry, pp. 425f.