In the first extensive American study of child psychiatry in the Soviet Union, Dr. Nancy Rollins explains that her aim is two-fold: to expand knowledge of the theory, diagnosis, and treatment of psychiatric disorders of children and adolescents and to stimulate a professional dialogue. Her attainment of this goal is clearly evidenced here by means of her astute assessment of the findings of her four-month visit to Russia as an individual investigator on the Medical Cultural Exchange program. The author's basic concern about the relationship between a society's child-rearing practices, character formation, and psychiatric disorder propelled her to ponder such questions as: Is there a describable difference between the Soviet conscience and the American conscience, as it develops during the years of childhood and adolescence? What about the problems of sexual identity in the two societies? Identity crises? Why have Soviet psychiatrists and educators remained so consistently anti-Freudian? In addressing herself to the various questions that intrigued her, Dr. Rollins first considers the history of Soviet psychiatric thought, with the major influences shaping the direction of Soviet child psychiatry and the social perspective with personal impressions of Soviet culture and society. Ensuing chapters, based upon first-hand observations and case material, take a close look at such topics as the organization of psychiatric services, diagnosis, general treatment methods, special psychotherapy, research, and psychiatric training programs. The author's reactions to the people she encountered in children's psychoneurological hospitals, polyclinics, sanatoria, and research institutions contributes a lively dimension to this impressive work. The study points out some differences between Soviet and American treatment methods; for example, Soviet treatment aims at inducing peace and relaxation in the patient, whereas American methods encourage exposure to and mastery of conflicts and tolerance of anxiety. Dr. Rollins also offers suggestions for further study and reflects on the relation of psychiatry and culture in the two countries.

What madness meant was a fiercely contested question in Soviet society. State of Madness examines the politically fraught collision between psychiatric and literary discourses in the years after Joseph Stalin's death. State psychiatrists deployed set narratives of mental illness to pathologize dissenting politics and art. Dissidents such as Aleksandr Vol'pin, Vladimir Bukovskii, and Semen Gluzman responded by highlighting a pernicious overlap between those narratives and their life stories. The state, they suggested in their own psychiatrically themed texts, had crafted an idealized view of reality that itself resembled a pathological work of art. In their unsanctioned poetry and prose, the writers Joseph Brodsky, Andrei Siniavskii, and Venedikt Erofeev similarly engaged with psychiatric discourse to probe where creativity ended and insanity began. Together, these dissenters cast themselves as psychiatrists to a sick society. By challenging psychiatry's right to declare them or what they wrote insane, dissenters exposed as a self-serving fiction the state's renewed claims to rationality and modernity in the post-Stalin years. They were, as they observed, like the child who breaks the spell of collective delusion in Hans Christian Andersen's story "The Emperor's New Clothes." In a society where normality means insisting that the naked monarch is clothed, it is the truth-teller who is pathologized. Situating literature's encounter with psychiatry at the center of a wider struggle over authority and power, this bold interdisciplinary study will appeal to literary specialists; historians of culture, science, and medicine; and scholars and students of the Soviet Union and its legacy for Russia today.

People with mental disorders often suffer the worst conditions of life.This book is the first comprehensive survey of the mental health/human rights relationship. It examines the relationships and histories of mental health and human rights, and their interconnections with law, culture, ethnicity, class, economics, biology, and stigma.

Between the 1880s and the 1930s, children became the focus of unprecedented scientific and professional interest in modernizing societies worldwide, including in the Russian Empire and then the Soviet Union. Those who claimed children as special objects of investigation were initially spread across a network of imperfectly professionalized scholarly and occupational groups based mostly in the fields of medicine, education, and psychology. From their various perspectives, they made ambitious claims about the contributions that their emergent expertise made to the understanding of, and intervention in, human bio-psycho-social development. The international movement that arose out of this catalyzed the institutionalization of new domains of knowledge, including developmental and educational psychology, special needs education, and child psychiatry. Science of the Child charts the evolution of the child science movement in Russia from the Crimean War to the Second World War. It is the first comprehensive history in English of the rise and fall of this multidisciplinary field across the late Imperial and Soviet periods. Drawing on ideas and concepts emanating from a variety of theoretical domains, the study provides new insights into the concerns of Russia's professional intelligentsia with matters of biosocial reproduction and investigates the incorporation of scientific knowledge and professional expertise focused on child development into the making of the welfare/warfare state in the rapidly changing political landscape of the early Soviet era.

This book is aimed at a professional audience of psychiatrists, psychologists, and educators, as well as Slavic studies scholars and teachers and intelligent lay readers. It would be presumptious to attempt to cover the entire field of Soviet psychiatry and psychology in one modest volume. During the past several decades there has been a remarkable flourishing and diversification of research in psychology and psychiatry in the USSR. What we have attempted to do in this symposium is to present a constructive critical overview of certain limited areas by arranging an interchange of observations and ideas between several American scientists knowledgeable in these fields and a psychologist and psychiatrist who obtained their education and working experience in the USSR. We hope to be able to expand such symposia in the future, so as to cover other important areas of these disciplines. This monograph presents an eyewitness account of Pavlov by W. Horsley Gantt, one of three surviving students of Pavlov, and, to the best of my knowledge, the only American who actually studied and worked with Pavlov. It is a measure of Dr. Gantt's devotion to the development of scientific psychiatry that he went to the USSR to spend six years in Pavlov's laboratory at a time of extreme economic hardship and political turmoil in that country and in the face of having to master a difficult language. In his presentation, Dr.

First published in 1992. Routledge is an imprint of Taylor & Francis, an informa company.