Category: Mental Health History

On This Day … 29 May

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People (Deaths)

  • 1966 – Ignace Lepp, Estonian-French priest and psychologist (b. 1909).

Ignace Lepp

Ignace Lepp (born John Robert Lepp; 26 October 1909 to 29 May 1966), was a French writer of Estonian origin.

According to his book Atheism in Our Time, Lepp was an atheist and Marxist for many years and claimed to have occupied important positions in the communist party with whom he later became very disillusioned. He then converted to Roman Catholicism and was ordained a priest in 1941. He wrote many non-fiction books including some about atheism, religion, and later psychiatry, as he was a psychologist and psychoanalyst.

He wrote among other books: The Ways of Friendship, The Psychology of Loving, The Authentic Existence, The Communication of Existences. He also wrote The faith of men; meditations inspired by Teilhard de Chardin (Teilhard et la foi des homme), about the French thinker Pierre Teilhard de Chardin.

On This Day … 28 May

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Events

  • 1961 – Peter Benenson’s article The Forgotten Prisoners is published in several internationally read newspapers.
    • This will later be thought of as the founding of the human rights organisation Amnesty International.

People (Deaths)

  • 1937 – Alfred Adler, Austrian-Scottish ophthalmologist and psychologist (b. 1870).

The Forgotten Prisoners

“The Forgotten Prisoners” is an article by Peter Benenson published in The Observer on 28 May 1961. Citing the Universal Declaration of Human Rights articles 18 and 19, it announced a campaign on “Appeal for Amnesty, 1961” and called for “common action”. The article also launched the book Persecution 1961 and its stories of doctor Agostinho Neto, philosopher Constantin Noica, lawyer Antonio Amat and Ashton Jones and Patrick Duncan.

Benenson reputedly wrote his article after having learnt that two Portuguese students from Coimbra were imprisoned in Portugal for raising a toast to freedom. The article was reprinted in newspapers across the world and provoked a flood of responses from the readers, marshalling groups in several countries to examine human rights abuses.

While, in 2015, the original story still remains to be verified, the appeal marks the beginning of Amnesty International, founded in London the same year following the publication after Benenson enlisted a Conservative, a Liberal and a Labour MP.

Alfred Adler

Alfred Adler (07 February 1870 to 28 May 1937) was an Austrian medical doctor, psychotherapist, and founder of the school of individual psychology.

His emphasis on the importance of feelings of inferiority, the inferiority complex, is recognised as an isolating element which plays a key role in personality development. Alfred Adler considered a human being as an individual whole, therefore he called his psychology “Individual Psychology”.

Adler was the first to emphasize the importance of the social element in the re-adjustment process of the individual and who carried psychiatry into the community. A Review of General Psychology survey, published in 2002, ranked Adler as the 67th most eminent psychologist of the 20th century.

On This Day … 27 May

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People (Births)

  • 1879 – Karl Bühler, German-American linguist and psychologist (d. 1963).

Karl Buhler

Karl Ludwig Bühler (27 May 1879 to 24 October 1963) was a German psychologist and linguist. In psychology he is known for his work in gestalt psychology, and he was one of the founders of the Würzburg School of psychology. In linguistics he is known for his organon model of communication and his treatment of deixis as a linguistic phenomenon. He was the dissertation advisor of Karl Popper.

Biography

Bühler was born in Meckesheim. In 1899 he started medical school at the University of Freiburg, where he received his doctorate in 1903. He continued working as an assistant, and started taking a second degree in psychology graduating in 1904. In 1906 he worked as an assistant Professor at the University of Freiburg with von Kries, and as an assistant to Oswald Külpe at the University of Würzburg.

He completed his Habilitation thesis at Würzburg in 1907, with the title Tatsachen und Probleme zu einer Psychologie der Denkvorgänge (“Facts and problems of the psychology of thought processes”). This text became foundational for the Würzburg School of psychology and sparked heated controversy with Wilhelm Wundt. In 1909 Bühler moved to the University of Bonn, becoming an assistant to Oswald Külpe.

From 1913 to 1918 Bühler worked as an associate professor in Munich. In World War I he performed military service as a doctor. During the war he married Charlotte Malachowski, a student of Edmund Husserl. In 1918 he was made a full professor of philosophy and education at the Technical University of Dresden.

In 1922 he became Professor of Psychology at the University of Vienna and the head of the Psychology Department. In the same year were also appointed as full professors Moritz Schlick and Robert Reininger who become president of the Philosophical Society of Vienna until its disbandment in 1938. Bühler participated in the founding of the Psychological Institute of Vienna as part of the city’s efforts to reorganize the school system on the basis of new scientific findings about child psychology. He also worked in the field of the philosophy of language as a prosecutor of the school of Brentano, Meinong, Josef Klemens Kreibig and Alois Höfler. Bühler’s wife, Charlotte Bühler, followed him and received a professorship in Vienna. Both taught at the University of Vienna until their common emigration.

On 23 March 1938, Bühler was briefly detained by the Nazis, which caused him to flee to London in 1940, then to Oslo. Finally he emigrated to the United States, where he worked from 1940 to 1945 as a professor in Minnesota and from 1945 to 1955 as a professor of psychiatry at the University of Southern California, Los Angeles.

In 1959 Karl Bühler was honoured with the Wilhelm-Wundt-Medal of the German Society of Psychology. He died in Los Angeles.

On This Day … 25 May

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People (Births)

  • 1860 – James McKeen Cattell, American psychologist and academic (d. 1944).
  • 1941 – Uta Frith, German developmental psychologist.
  • 1947 – Catherine G. Wolf, American psychologist and computer scientist.

James McKeen Cattell

James McKeen Cattell (25 May 1860 to 20 January 1944), American psychologist, was the first professor of psychology in the United States, teaching at the University of Pennsylvania, and long-time editor and publisher of scientific journals and publications, most notably the journal Science. He also served on the board of trustees for Science Service, now known as Society for Science & the Public (or SSP), from 1921-1944.

At the beginning of Cattell’s career, many scientists regarded psychology as, at best, a minor field of study, or at worst a pseudoscience such as phrenology. Perhaps more than any of his contemporaries, Cattell helped establish psychology as a legitimate science, worthy of study at the highest levels of the academy. At the time of his death, The New York Times hailed him as “the dean of American science.” Yet Cattell may be best remembered for his uncompromising opposition to American involvement in World War I. His public opposition to the draft led to his dismissal from his position at Columbia University, a move that later led many American universities to establish tenure as a means of protecting unpopular beliefs.

Uta Frith

Uta Frith (née Aurnhammer; born 25 May 1941) is a German developmental psychologist working at the Institute of Cognitive Neuroscience at University College London. She has pioneered much of the current research into autism and dyslexia, and has written several books on the two subjects arguing for autism to be considered a mental condition rather than being caused by parenting. Her book Autism: Explaining the Enigma introduces the cognitive neuroscience of autism. She is credited for creating the Sally-Anne test along with fellow scientists Alan Leslie and Simon Baron-Cohen. She also pioneered the work with child dyslexia. Among the students she has mentored are Tony Attwood, Maggie Snowling, Simon Baron-Cohen and Francesca Happé.

Catherine G. Wolf

Catherine Gody Wolf (25 May 1947 to 07 February 2018) was an American psychologist and expert in human-computer interaction. She was the author of more than 100 research articles and held six patents in the areas of human-computer interaction, artificial intelligence, and collaboration. Wolf was known for her work at IBM’s Thomas J. Watson Research Center in Yorktown Heights, NY, where she was a 19-year staff researcher.

In the late 1990s, Wolf was diagnosed with Amyotrophic lateral sclerosis (ALS), better known as Lou Gehrig’s disease. Despite a rapid physical deterioration, Wolf was still able to communicate with the world via electronic sensory equipment, including a sophisticated brain-computer interface. Remarkably, with almost no voluntary physical functions remaining, she published novel research into the fine-scale abilities of ALS patients.

On This Day … 24 May

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People (Births)

  • 1878 – Lillian Moller Gilbreth, American psychologist and engineer (d. 1972).

People (Deaths)

  • 2012 – Jacqueline Harpman, Belgian psychoanalyst and author (b. 1929).

Lillian Moller Gilbreth

Lillian Evelyn Moller Gilbreth (24 May 1878 to 02 January 1972) was an American psychologist, industrial engineer, consultant, and educator who was an early pioneer in applying psychology to time-and-motion studies.

She was described in the 1940s as “a genius in the art of living.” Gilbreth, one of the first female engineers to earn a Ph.D., is considered to be the first industrial/organisational psychologist.

She and her husband, Frank Bunker Gilbreth, were efficiency experts who contributed to the study of industrial engineering, especially in the areas of motion study and human factors. Cheaper by the Dozen (1948) and Belles on Their Toes (1950), written by two of their children (Ernestine and Frank Jr.) tell the story of their family life and describe how time-and-motion studies were applied to the organisation and daily activities of their large family. Both books were later made into feature films.

Jacqueline Harpman

Jacqueline Harpman (05 July 1929 to 24 May 2012) was a Belgian writer who wrote in French.

She was born on 05 July 1929, in Brussels, Belgium, and was later well known for her books written in French. She also worked as a psychoanalyst and lived in Etterbeek, Brussels. She died on 24 May 2012, in Brussels, Belgium, after having been severely ill for a long time. She was 82.

On This Day … 22 May

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People (Births)

  • 1932 – Robert Spitzer, American psychiatrist and academic (d. 2015).

Robert Spitzer

Robert Leopold Spitzer (22 May 1932 to 25 December 2015) was a psychiatrist and professor of psychiatry at Columbia University in New York City. He was a major force in the development of the Diagnostic and Statistical Manual of Mental Disorders (DSM).

Education

He received his bachelor’s degree in psychology from Cornell University in 1953 and his M.D. from New York University School of Medicine in 1957. He completed his psychiatric residency at New York State Psychiatric Institute in 1961 and graduated from Columbia University Centre for Psychoanalytic Training and Research in 1966.

Spitzer wrote an article on Wilhelm Reich’s theories in 1953 which the American Journal of Psychiatry declined to publish.

Career

Spitzer spent most of his career at Columbia University in New York City as a Professor of Psychiatry until he retired in 2003. He was on the research faculty of the Columbia University Centre for Psychoanalytic Training and Research where he retired after 49 years in December 2010. He has been called one of the most influential psychiatrists of the 20th century. The Lancet’s obituary described him as “Stubborn, sometimes abrasive, and always eager, Spitzer’s work was guided by a strong sense of ethical fairness”. A colleague at Columbia has described him as an “iconoclast” who “looked for injustice”.

Screening and Diagnostic Tools

Spitzer was a major architect of the modern classification of mental disorders. In 1968, he co-developed a computer program, Diagno I, based on a logical decision tree, that could derive a diagnosis from the scores on a Psychiatric Status Schedule which he co-published in 1970 and that the United States Steering Committee for the United States-United Kingdom Diagnostic Project used to check the consistency of its results.

Spitzer was a member on the four-person United States Steering Committee for the United States-United Kingdom Diagnostic Project, which published their results in 1972. They found the most important difference between countries was that the concept of schizophrenia used in New York was much broader than the one used in London, and included patients who would have been termed manic-depressive or bipolar.

He developed psychiatric methods that focused on asking specific interview questions to get at a diagnosis as opposed to the open-ended questioning of psychoanalysis, which was the predominant technique of mental health. He codeveloped the Mood Disorder Questionnaire (MDQ), a screening technique used for diagnosing bipolar disorder. He also co-developed the Patient Health Questionnaire (PRIME-MD) which can be self-administered to find out if one has a mental illness. The portions of PRIME-MD directed at depression (PHQ2 and PHQ9) have since become accepted in primary care medicine for screening and diagnosis of major depression as well as for monitoring response to treatment.

Position on the Diagnostic and Statistical Manual of Mental Disorders

In 1974, Spitzer became the chair of the American Psychiatric Association’s task force of the third edition of the Diagnostic and Statistical Manual of Mental Disorders the so-called, DSM-III which was released in 1980. Spitzer is a major architect of the modern classification of mental disorders which involves classifying mental disorders in discrete categories with specified diagnostic criteria but later criticised what he saw as errors and excesses in the DSM’s later versions, although he maintained his position that the DSM is still better than the alternatives.

In 2003, Spitzer co-authored a position paper with DSM-IV editor Michael First, stating that the “DSM is generally viewed as clinically useful” based on surveys from practicing professionals and feedback from medical students and residents, but that primary care physicians find the DSM too complicated for their use. The authors emphasized that given then-current limitations in understanding psychiatric disorders, a multitude of DSM codes/diagnoses might apply to some patients, but that it would be a “total speculation” to assign a single diagnosis to a patient. The authors rejected calls to adopt the ICD-9 because it lacked diagnostic criteria and would “[set] psychiatry back 30 years,” while the ICD-10, closely resembled the DSM-III-R classification.[14] In 2013, a definitive autobiography of Spitzer, The Making of DSM-III®: A Diagnostic Manual’s Conquest of American Psychiatry, was published by author and historian Hannah S. Decker.

Spitzer was briefly featured in the 2007 BBC TV series The Trap, in which he stated that the DSM, by operationalising the definitions of mental disorders while paying little attention to the context in which the symptoms occur, may have medicalised the normal human experiences of a significant number of people.

In 2008, Spitzer had criticised the revision process of the DSM-5 for lacking transparency. He has also criticised specific proposals, like the proposed introduction of the psychosis risk syndrome for people who have mild symptoms found in psychotic disorders.

On Homosexuality

Spitzer led a successful effort, in 1973, to stop treating homosexuality as a mental illness.

It was partly due to Spitzer’s efforts that homosexuality was “removed” (i.e. renamed as Sexual Orientation Disturbance) in 1974 DSM-II: “By withdrawing it from the manual, homosexuality was legitimized as a normal difference rather than a psychiatric behavior. This early powerful statement by institutional psychiatry that this is normal sped up the confidence of people in the movement.”

In 2001, Spitzer delivered a controversial paper, “Can Some Gay Men and Lesbians Change Their Sexual Orientation?” at the 2001 annual APA meeting; he argued that it is possible that some highly motivated individuals could successfully change their sexual orientation from homosexual to heterosexual.

Awards

Spitzer received the Thomas William Salmon Medal from the New York Academy of Medicine for his contributions to psychiatry.

On This Day … 21 May

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People (Births)

  • 1912 – John Curtis Gowan, American psychologist and academic (d. 1986).

John Curtis Gowan

John Curtis Gowan (21 May 1912 to 02 December 1986) was a psychologist who studied, along with E. Paul Torrance, the development of creative capabilities in children and gifted populations.

Graduating from Thayer Academy, Braintree, Massachusetts, in 1929, John Gowan was only 17 when he entered Harvard University, earning his undergraduate degree four years later. A master’s degree in mathematics followed; he then moved to Culver, Indiana, where he was employed as a counsellor and mathematics teacher at Culver Military Academy from 1941 to 1952. Earning a doctorate from UCLA, he became a member of the founding faculty at the California State University at Northridge, where he taught as a professor of Educational Psychology from 1953 until 1975, when he retired with emeritus status.

Dr. Gowan became interested in gifted children after the Russians gained superiority in space with the 1957 launch of Sputnik. He formed the National Association for Gifted Children the following year. He was the group’s executive director and president from 1975 to 1979 and over the years wrote more than 100 articles and fourteen books on gifted children, teacher evaluation, child development, and creativity.

While at Northridge, he developed a programme to train campus counsellors, was nominated in 1973 as outstanding professor, and had been a counsellor, researcher, Fulbright lecturer, and visiting professor at various schools including the University of Singapore, the University of Canterbury in Christchurch, New Zealand, the University of Hawaii, and Connecticut State College. He was a fellow of the American Psychological Association and was also a colleague of the Creative Education Foundation.

Besides his work in Educational Psychology as specifically related to gifted children, he also had an interest in psychic (or psychedelic) phenomena as it relates to human creativity. His work in this area was inspired by the writings of Aldous Huxley and Carl Jung. Based on his work in creativity and with gifted children, Dr. Gowan developed a model of mental development that derived from the work of Jean Piaget and Erik Erikson, but also included adult development beyond the ordinary adult successes of career and family building, extending into the emergence and stabilisation of extraordinary development and mystical states of consciousness. He described the entire spectrum of available states in his classic Trance, Art, & Creativity (1975), with its different modalities of spiritual and aesthetic expression. He also devised a test for self-actualisation, (as defined by Abraham Maslow), called the Northridge Developmental Scale.

On This Day … 20 May

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People (Deaths)

  • 2014 – Sandra Bem, American psychologist and academic (b. 1944).

Sandra Bem

Sandra Ruth Lipsitz Bem (22 June 1944 to 20 May 2014) was an American psychologist known for her works in androgyny and gender studies. Her pioneering work on gender roles, gender polarisation and gender stereotypes led directly to more equal employment opportunities for women in the United States.

Education and Career

Bem attended Margaret Morrison Carnegie College, now known as Carnegie-Mellon University, and majored in psychology. She recalls the head of the counselling centre, Bob Morgan, encouraging her to study to become a psychiatrist. This was the first time such a high-status career had ever been suggested to her. Subsequently, she entered the University of Michigan in 1965 and obtained her Ph.D. in developmental psychology in 1968. Her dissertation focused primarily on cognitive processing and problem solving with young children. Her main influence while at the University of Michigan was experimental psychologist David Birch. Her early work focused on the behaviour of young children and their ability to solve problems, and utilize self-control and instruction.

After obtaining her Ph.D., Bem got a full-time tenure-track position as a professor at Carnegie-Mellon for three years and then moved on to work at Stanford University, where she worked until 1978. She left Stanford University because her application for tenure was denied. She and husband Daryl Bem both took tenured teaching positions at Cornell University in 1978, where she became a psychology professor and the director of the women’s studies programme. While at Cornell, Bem focused research on gender schema theory, sexuality, and clinical psychology until she retired in 2010.

Influences on the Field of Psychology

Bem was an American psychologist known for her works in androgyny and gender studies. Bem and her husband Daryl Bem advocated egalitarian marriage. The husband-wife team became highly demanded as speakers on the negative impacts of sex role stereotypes on individuals and society. At the time, there was a lack of empirical evidence to support their assertions because this was uncharted territory, and so Sandra Bem became very interested and determined to gather data that would support the detrimental and limiting effects of traditional sex roles. In her early career, she was heavily involved in women’s liberation movement, and she did work on sex-biased job advertising. Her involvement led to being a contributor to landmark cases concerning recruitment of women in the work force against companies such as AT&T and the Pittsburgh Press.

Early on in Bem’s career she created the Bem Sex-Role Inventory (BSRI), which is an inventory that acknowledges that individuals may exhibit both male and female characteristics. The BSRI is a scale developed to determine what kind of sex role an individual fulfils. It is a self-report inventory that asks participants how well 60 different attributes describe themselves by using a seven-point scale. These attributes reflect the definition of masculinity (20 questions) and femininity (20 questions), and the remaining 20 questions were merely filler questions (Bem, 1993). In this inventory the feminine and masculine items were chosen on what was culturally appropriate for males and females at that time in the early 1970s. The BSRI was later used to measure psychological flexibility and behavioural indicators. Bem also developed the gender schema theory. According to the gender schema theory, “the child learns to evaluate his or her adequacy as a person in terms of the gender schema, to match his or her preferences, attitudes, behaviours, and personal attributes against the prototypes stored within it.” This theory states that an individual uses gender as a way to organize various things in a person’s life into categories. Her research questioned the social beliefs and assumptions that sex roles are opposite, bipolar, and mutually exclusive. The data she collected were supportive of a merging of male and female traits to enable a person to be a fully functioning, adaptive human over an emphasis on gender stereotypes.

She asserted that masculine and feminine dimensions could be divided into two spheres, rather than one: A person with high masculine and low feminine identification would be categorised as “masculine”. A person with high feminine identification and low masculine identification, would be categorised as “feminine”. A person who had high identification with both characteristics would be categorised as “androgynous”. A person who has low identification with both dimensions would be considered “undifferentiated”.

One of Bem’s main arguments was that traditional gender roles are restrictive for both men and women, and can have negative consequences for individuals as well as society as a whole.

As previously mentioned, a person could be categorised as “androgynous” when taking the BSRI. Androgyny is defined as “the integration of both masculinity and femininity in a single individual”. Androgyny allows one to freely engage in both masculine and feminine behaviours. According to Bem, people’s behaviour can demonstrate what she defined as situational appropriateness. Situational appropriateness is demonstrated when behaviour is reflective of one’s environment. For example, a woman demonstrating knowledge of sports at a basketball game is appropriate. Androgyny may also blend modalities. An example of androgyny blending modalities would be a woman being both assertive and compassionate when firing someone from a job.

Awards and Honours

Sandra Bem received many awards for her research. Her first was the American Psychological Association Distinguished Scientific Award for an Early Career contribution to Psychology in 1976. In 1977 she was awarded the Distinguished Publication Award of the Association of Women in Psychology and in 1980 she received the Young Scholar Award of the American Association of University Women (Makosky, 1990). In 1995, she was selected as an “Eminent Woman in Psychology” by the Divisions of General Psychology and History of Psychology of the American Psychological Association. Critics of Bem’s work generally argued against the political nature of her theories and her objectivity in the material which she studied.

On This Day … 19 May

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People (Births)

  • 1920 – Tina Strobos, Dutch psychiatrist known for rescuing Jews during World War II (d. 2012).

People (Deaths)

  • 1987 – James Tiptree, Jr., American psychologist and author (b. 1915).

Tina Strobos

Tina Strobos, née Tineke Buchter (19 May 1920 to 27 February 2012), was a Dutch physician and psychiatrist from Amsterdam, known for her resistance work during World War II. While a young medical student, she worked with her mother and grandmother to rescue more than 100 Jewish refugees as part of the Dutch resistance during the Nazi occupation of the Netherlands. Strobos provided her house as a hiding place for Jews on the run, using a secret attic compartment and warning bell system to keep them safe from sudden police raids. In addition, Strobos smuggled guns and radios for the resistance and forged passports to help refugees escape the country. Despite being arrested and interrogated nine times by the Gestapo, she never betrayed the whereabouts of a Jew.

After the war, Strobos completed her medical degree and became a psychiatrist. She studied under Anna Freud in England. Strobos later emigrated to the United States to study psychiatry under a Fulbright scholarship, and she subsequently settled in New York. She married twice and had three children. Strobos built a career as a family psychiatrist, receiving the Elizabeth Blackwell Medal in 1998 for her medical work, and finally retired from active practice in 2009.

In 1989, Strobos was honoured as Righteous Among the Nations by Yad Vashem for her rescue work. In 2009, she was recognised for her efforts by the Holocaust and Human Rights Education Centre of New York City.

James Tiptree Jr

Alice Bradley Sheldon (born Alice Hastings Bradley; 24 August 1915 to 19 May 1987) was an American science fiction author better known as James Tiptree Jr., a pen name she used from 1967 to her death. It was not publicly known until 1977 that James Tiptree Jr. was a woman. From 1974 to 1977 she also used the pen name Raccoona Sheldon. Sheldon was inducted by the Science Fiction Hall of Fame in 2012.

She studied for her bachelor of arts degree at American University (1957-1959), going on to achieve a doctorate at George Washington University in Experimental Psychology in 1967. She wrote her doctoral dissertation on the responses of animals to novel stimuli in differing environments. During this time, she wrote and submitted a few science fiction stories under the name James Tiptree Jr., in order to protect her academic reputation.

What is Democratic Psychiatry?

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Introduction

Democratic Psychiatry (Italian: Psichiatria Democratica) is Italian real society and movement for liberation of the ill and weak from segregation in mental hospitals by pushing for the Italian psychiatric reform.

The movement was political in nature but not anti-psychiatric in the sense in which this term is used in the Anglo-Saxon world. Democratic Psychiatry called for radical changes in the practice and theory of psychiatry and strongly attacked the way society managed mental illness. The movement was essential in the birth of the reform law of 1978.

Organising Committee

Democratic Psychiatry was created by a group of left-orientated psychiatrists, sociologists and social workers under direction of Franco Basaglia who was its figurehead. An organising committee, which constituted in Bologna the first nucleus group called Democratic Psychiatry, consisted of Franca Basaglia, Franco Basaglia, Domenico Casagrande, Franco di Cecco, Tullio Fragiacomo, Vieri Marzi, Gian Franco Minguzzi, Piera Piatti, Agostino Pirella, Michele Risso, Lucio Schittar, Antonio Slavich.

Brief History

In 1977, Democratic Psychiatry helped the Radical Party, a political organisation principally concerned with the human rights defence, to collect together three-quarter of a million signatories to a petition to improve the mental health law and thus to prohibit hospitalisation to psychiatric hospitals. According to Italian law this petition could have resulted in a national referendum on the issue. To avoid a referendum which could have forced the government to resign, the government passed Law 180 in May 1978 and thus initiated the dismantling of the psychiatric hospitals.

Directive Committee

The 2010 National Congress of Democratic Psychiatry in Rome elected the new directive committee consisted of national secretary Emilio Lupo, national president Luigi Attenasio, honorary president Agostino Pirella, national treasurer Maurizio Caiazzo.

Approach

Basaglia and his followers deemed that psychiatry was used as the provider of scientific support for social control to the existing establishment. The ensuing standards of deviance and normality brought about repressive views of discrete social groups. This approach was nonmedical and pointed out the role of mental hospitals in the control and medicalisation of deviant behaviours and social problems. According to A. Giannelli, at least in the beginning Democratic Psychiatry used phenomenological and existential ideas as its ideological and cultural reference point. However, according to P. Fusar-Poli with co-authors, Democratic Psychiatry was culturally grounded on Gramsci’s theory of “revolutionary reform” and Foucault’s critique of the “medical model”.

Objectives

The objectives of the association were (and still are) to pool professional initiatives and energies in any part of society which are aimed at closing mental hospitals and restoring the rights of psychiatric patients.

Programme

The programme of Democratic Psychiatry stated in Bologna on the 08 of October 1973 included the following proposals:

  • To continue to fight against exclusion, by analysing and rejecting its sources in the social structure (the social relations of production) and in the superstructures (norms and values) of our society.
  • To continue the struggle against the “asylum” as the place where exclusion finds its most obvious and violent expression, as well as the practical means of reproducing the mechanisms of social marginalisation.
  • To underline the dangers of reproducing segregating institutional structures, even in the mental health services created outside the hospital.
  • To make explicit, in a practical way, the link between acting in the specific psychiatric field and the more general problem of medical care, by demanding a unified action (beyond the division of labour and skills) which in the specific struggle for the promotion of mental health involves us in the broadest possible struggle for a concrete and necessary health reform based on, and expressing, a new social logic.