Moscow Serbsky Institute
Encyclopedia
The Serbsky State Scientific Center for Social and Forensic Psychiatry is a psychiatric hospital
Psychiatric hospital
Psychiatric hospitals, also known as mental hospitals, are hospitals specializing in the treatment of serious mental disorders. Psychiatric hospitals vary widely in their size and grading. Some hospitals may specialise only in short-term or outpatient therapy for low-risk patients...

 and the main center for the forensic psychiatry
Forensic psychiatry
Forensic psychiatry is a sub-speciality of psychiatry and an auxiliar science of criminology. It encompasses the interface between law and psychiatry...

 of the Soviet Union
Soviet Union
The Soviet Union , officially the Union of Soviet Socialist Republics , was a constitutionally socialist state that existed in Eurasia between 1922 and 1991....

 and Russia
Russia
Russia or , officially known as both Russia and the Russian Federation , is a country in northern Eurasia. It is a federal semi-presidential republic, comprising 83 federal subjects...

. The institution was briefly called the Serbsky Institute in the past and is briefly called the Serbsky Center now. Its hospital got a lot of negative publicity because many Soviet dissidents
Soviet dissidents
Soviet dissidents were citizens of the Soviet Union who disagreed with the policies and actions of their government and actively protested against these actions through either violent or non-violent means...

 were incarcerated and tortured there.

Institute

The Institute was organized in 1921. The institute is named after Russian psychiatrist Vladimir Serbsky
Vladimir Serbsky
Vladimir Petrovich Serbsky was one of the founders of the forensic psychiatry in Russia. An author of The Forensic Psychopathology, Serbskiy thought delinquency to have no congenital diatheses, considering it to be caused by social reasons....

. One of the main stated purpose of the institute is forensic psychiatry for the criminal courts. Moscow Serbsky Institute conducts more than 2,500 court-ordered evaluations per year .

The Institute also claimed leadership in studying different types of psychosis
Psychosis
Psychosis means abnormal condition of the mind, and is a generic psychiatric term for a mental state often described as involving a "loss of contact with reality"...

, brain trauma, alcoholism
Alcoholism
Alcoholism is a broad term for problems with alcohol, and is generally used to mean compulsive and uncontrolled consumption of alcoholic beverages, usually to the detriment of the drinker's health, personal relationships, and social standing...

 and drug addiction. Among the celebrities treated there of addictions was Vladimir Vysotsky
Vladimir Vysotsky
Vladimir Semyonovich Vysotsky was a Soviet singer, songwriter, poet, and actor whose career had an immense and enduring effect on Russian culture. He became widely known for his unique singing style and for his lyrics, which featured social and political commentary in often humorous street...

 . The last director of the Institute (1990-2010) was Tatyana Dmitrieva 

Instrument of psychiatric repressions

In the Soviet Union
Soviet Union
The Soviet Union , officially the Union of Soviet Socialist Republics , was a constitutionally socialist state that existed in Eurasia between 1922 and 1991....

, dissidents
Soviet dissidents
Soviet dissidents were citizens of the Soviet Union who disagreed with the policies and actions of their government and actively protested against these actions through either violent or non-violent means...

 were often declared the mentally ill. Practically in all cases, dissidents were examined in the Serbsky Central Research Institute for Forensic Psychiatry which conducted forensic-psychiatric expert evaluation of persons brought to justice under political articles. Certified, the persons were sent for involuntary treatment
Involuntary treatment
Involuntary treatment refers to medical treatment undertaken without a person's consent. In almost all circumstances, involuntary treatment refers to psychiatric treatment administered despite an individual's objections...

 to special hospitals of the system of MVD of the Russian Federation. In 1960s and 1970s, the trials of dissenters and their referral for “treatment” to special psychiatric hospitals of the system of MVD came out into the open before the world public, and information of “psychiatric terror,” which the leadership of the institute was flatly denying, began to appear. The majority of psychiatric repressions date from the late 1960s to the early 1980s.

Alexander Esenin-Volpin
Alexander Esenin-Volpin
Alexander Sergeyevich Esenin-Volpin is a prominent Russian-American poet and mathematician.Born on May 12, 1924 in the former Soviet Union, he was a notable dissident, political prisoner, poet, and mathematician...

, Viktor Nekipelov
Viktor Nekipelov
Viktor Aleksandrovich Nekipelov was a Russian poet, writer, Soviet dissident, member of the Moscow Helsinki Group.Pharmacist by occupation, in 1968, he participated in protest against the Soviet invasion of Czechoslovakia....

, and Zviad Gamsakhurdia
Zviad Gamsakhurdia
Zviad Gamsakhurdia was a dissident, scientist and writer, who became the first democratically elected President of the Republic of Georgia in the post-Soviet era...

  http://web.archive.org/web/20091027081503/http://www.geocities.com/shavlego/AdamLazi.htm were among the prisoners of Serbsky Institute. Gen. Pyotr Grigorenko
Pyotr Grigorenko
Petro Grigorenko or Petro Hryhorovych Hryhorenko or Pyotr Grigoryevich Grigorenko was a high-ranked Soviet Army commander of Ukrainian descent, later a prominent Soviet human rights activist, dissident and writer.-Early life:Petro Grigorenko was born in a village of rural Zaporizhzhia Oblast,...

 was determined as insane in the Serbsky Institute because he "was unshakably convinced of the rightness of his actions" and twisted by "reformist ideas."

The official Soviet psychiatric science also came up with the definition of "sluggishly progressing schizophrenia
Sluggishly progressing schizophrenia
Sluggishly progressing schizophrenia or sluggish schizophrenia was a category of schizophrenia diagnosed by psychiatrists in the Soviet Union...

", a special form of the illness that supposedly affects only the person's social behavior, with no trace on other traits: "most frequently, ideas about a struggle for truth and justice are formed by personalities with a paranoid
Paranoia
Paranoia [] is a thought process believed to be heavily influenced by anxiety or fear, often to the point of irrationality and delusion. Paranoid thinking typically includes persecutory beliefs, or beliefs of conspiracy concerning a perceived threat towards oneself...

 structure," according to the Serbsky Institute professors (a quote from Vladimir Bukovsky
Vladimir Bukovsky
Vladimir Konstantinovich Bukovsky is a leading member of the dissident movement of the 1960s and 1970s, writer, neurophysiologist, and political activist....

's archives). Some of them had high rank in the MVD, such as the infamous Danil Luntz, who was characterized by Viktor Nekipelov
Viktor Nekipelov
Viktor Aleksandrovich Nekipelov was a Russian poet, writer, Soviet dissident, member of the Moscow Helsinki Group.Pharmacist by occupation, in 1968, he participated in protest against the Soviet invasion of Czechoslovakia....

 as "no better than the criminal doctors who performed inhuman experiments on the prisoners in Nazi
Nazism
Nazism, the common short form name of National Socialism was the ideology and practice of the Nazi Party and of Nazi Germany...

 concentration camps".

Recent years

The Center underwent many changes over the last 10 or 15 years and psychiatry is not used for suppression of dissenters anymore, the Center Director Tatyana Dmitrieva said. The rooms where Soviet dissidents were imprisoned are used only to treat alcohol and drug addicts now.

Many psychiatric trials were pursued in order to confirm the inability to understand of many high-rank officials in cases of rapes and murders, as occurred in Chechnya
Chechnya
The Chechen Republic , commonly referred to as Chechnya , also spelled Chechnia or Chechenia, sometimes referred to as Ichkeria , is a federal subject of Russia . It is located in the southeastern part of Europe in the Northern Caucasus mountains. The capital of the republic is the city of Grozny...

 by Yuri Budanov
Yuri Budanov
Yuri Dmitrievich Budanov was the Russian military officer convicted by a Russian court of kidnapping and murder in Chechnya.Budanov was highly controversial in Russia: despite the conviction, Budanov enjoyed widespread support of Russian households, as polled by public opinion. At the same time,...

 (he was eventually charged for his crimes, after more than three years of trials).

On the other hand, Yuri Savenko
Yuri Savenko
Yuri Sergeevich Savenko is a Russian psychiatrist, the president since 1989 of the Independent Psychiatric Association of Russia. He is also a member of the Council of Experts under the Ombudsman for Human Rights in the Russian Federation. He holds M.D. and Ph.D...

, the head of the Independent Psychiatric Association of Russia
Independent Psychiatric Association of Russia
The Independent Psychiatric Association of Russia is a non-state professional human rights organization.- History :The IPA was established in Moscow in March 1989 and became the first psychiatric association in the USSR which was not controlled by the State...

, alleges that "practically nothing has changed. They have no shame at the institute about their role with the Communists. They are the same people, and they do not want to apologize for all their actions in the past." Attorney Karen Nersisyan agrees: "Serbsky is not an organ of medicine. It’s an organ of power."

In the early 1990s, the Director of the Serbsky Center Tatyana Dmitrieva brought the required words of repentance for political abuse of psychiatry which had had unprecedented dimensions in the Soviet Union for discrediting, intimidation and suppression of the human rights movement carried out primarily in this institution. Her words were widely broadcasted abroad but were limitedly published in the St. Petersburg newspaper Chas Pik within the country. However, in her 2001 book Aliyans Prava i Milosediya (The Alliance of Law and Mercy), Dmitrieva wrote that there were no abuses in psychiatry and if there were those, they were no more than in the vaunted Western countries. Moreover, the mentioned book by Dmitrieva administers to the old and new national intellectuals the rebuke that professor Vladimir Serbsky
Vladimir Serbsky
Vladimir Petrovich Serbsky was one of the founders of the forensic psychiatry in Russia. An author of The Forensic Psychopathology, Serbskiy thought delinquency to have no congenital diatheses, considering it to be caused by social reasons....

 and others were wrong not to cooperate with the police department because otherwise there would have been neither revolution nor bloodshed and that the current intellectuals are wrong to oppose the authorities.

Recent controversies

Moscow Serbsky Institute conducts many court-ordered evaluations. Results of some of them are hotly disputed
  • When war criminal Yuri Budanov
    Yuri Budanov
    Yuri Dmitrievich Budanov was the Russian military officer convicted by a Russian court of kidnapping and murder in Chechnya.Budanov was highly controversial in Russia: despite the conviction, Budanov enjoyed widespread support of Russian households, as polled by public opinion. At the same time,...

     was tested there in 2002, the panel conducting the inquiry was led by Tamara Pechernikova, who condemned poet Natalya Gorbanevskaya
    Natalya Gorbanevskaya
    Natalya Yevgenyevna Gorbanevskaya is a Russian poet, translator of Polish literature and civil rights activist. She is also a citizen of Poland.- Life :Gorbanevskaya graduated from Leningrad University in 1964 and became a technical editor and translator...

    . Budanov was found not guilty by reason of "temporary insanity". After public outrage, he was found sane by another panel that included Georgi Morozov, the former Serbsky director who declared many dissidents insane in the past.

  • Serbsky Institute also made an evaluation of the alleged mass poisoning of hundreds of Chechen school children Panel found that the disease was caused simply by "psycho-emotional tension".

  • There are numerous cases when people "inconvenient" for Russian authorities are imprisoned in psychiatric institutions in 2000s. . Some of the these people were diagnosed at the Serbsky Institute.

Drop in the level of forensic expert reports of the Serbsky Center

In 2004, Yuri Savenko stated that the passed law on state expert activity and introduction of profession of forensic expert psychiatrist actually destroyed adversary-based examinations and that the Serbsky Center turned into a complete monopolist of forensic examination, which it had never been under Soviet rule. Formerly, a court could include any psychiatrist in a commission of experts, but now the court only chooses an expert institution. An expert has the right to participate only in commissions, in which he is included by the head of his expert institution, and can receive the certificate of qualification as an expert only after having worked in a state expert institution for three years.

According to Savenko, the Serbsky Center has long labored to legalize its monopolistic position of the Main expert institution of the country. It turned out to be a considerable drop in the level of its expert reports. Such a drop was inevitable and foreseeable in the context of the Serbsky Center efforts to eliminate adversary character of the expert reports of the parties and then to maximally degrade the role of a professional as a reviewer and critic of a presented expert report.

On 28 May 2009, Yuri Savenko wrote to the President of the Russian Federation
President of the Russian Federation
The President of the Russian Federation is the head of state, supreme commander-in-chief and holder of the highest office within the Russian Federation...

 Dmitry Medvedev
Dmitry Medvedev
Dmitry Anatolyevich Medvedev is the third President of the Russian Federation.Born to a family of academics, Medvedev graduated from the Law Department of Leningrad State University in 1987. He defended his dissertation in 1990 and worked as a docent at his alma mater, now renamed to Saint...

 an open letter
Open letter
An open letter is a letter that is intended to be read by a wide audience, or a letter intended for an individual, but that is nonetheless widely distributed intentionally....

, in which Savenko asked Medvedev to submit to the State Duma
State Duma
The State Duma , common abbreviation: Госду́ма ) in the Russian Federation is the lower house of the Federal Assembly of Russia , the upper house being the Federation Council of Russia. The Duma headquarters is located in central Moscow, a few steps from Manege Square. Its members are referred to...

 a draft law prepared by the Independent Psychiatric Association of Russia to address a sharp drop in the level of forensic psychiatric examinations, which Savenko attributed to a lack of competition within the sector and its increasing nationalization.

On 15 June 2009, the working group chaired by the Director of the Serbsky Center Tatyana Dmitrieva sent the Supreme Court of Russia a joint application whose purport was to declare appealing against the forensic expert reports of state expert institutions illegal and prohibit courts from receiving lawsuits filed to appeal against the reports. The reason put forward for the proposal was that appeals against expert reports are allegedly filed “without regard for the scope of case” and that one must appeal against an expert report “only together with a sentence.” In other words, according to Yuri Savenko, all professional errors and omissions are presented as untouchable by virtue of the fact that they were infiltrated into the sentence. That is cynicism of administrative resources, cynicism of power, he says.

The draft of the application to the Supreme Court of the Russian Federation was considered in the paper “Current legal issues relevant to forensic-psychiatric expert evaluation” by E.Y. Shchukina and S.N. Shishkov focusing on the inadmissibility of appealing against an expert report without regard for the scope of evaluated case. While talking about appealing against “reports”, the authors of the paper, according to lawyer Dmitry Bartenev, mistakenly equate reports with actions of experts (or an expert institution) and justify the impossibility of “parallel” examination and evaluation of actions of experts without regard for the scope of evaluated case. Such a point of view taken by the authors appears clearly erroneous because abuse by experts of rights and legitimate interests of citizens including trial participants, of course, may be a subject for a separate appeal.

In 2010, when the outpatient forensic-psychiatric examination of Yulia Privedyonnaya, a member of a youth organization, was carried out in the Sebsky Center, its experts asked her the question “What do you think of Putin?” that Savenko called an inappropriate, unseemly, indelicate, and police one.

In fiction

In 1976, Viktor Nekipelov
Viktor Nekipelov
Viktor Aleksandrovich Nekipelov was a Russian poet, writer, Soviet dissident, member of the Moscow Helsinki Group.Pharmacist by occupation, in 1968, he participated in protest against the Soviet invasion of Czechoslovakia....

 published in samizdat
Samizdat
Samizdat was a key form of dissident activity across the Soviet bloc in which individuals reproduced censored publications by hand and passed the documents from reader to reader...

 his book Institute of Fools: Notes on the Serbsky Institute documenting his personal experience at Psychiatric Hospital of the Serbsky Institute. In 1980, the book was translated and published in English. Viktor Nekipelov, a well-known dissident poet, was arrested in 1973, sent to the Section 4 of the Serbsky Institute of Forensic Psychiatry for psychiatric evaluation, which lasted from 15 January to 12 March 1974, was judged sane (which he was), tried, and sentenced to two years' imprisonment. In his account, he wrote compassionately, engagingly, and observantly of the doctors and other patients; most of the latters were ordinary criminals feigning insanity in order to be sent to a mental hospital, because hospital was a ‘cushy number’ as against prison camps. According to the President of the Independent Psychiatric Association of Russia
Independent Psychiatric Association of Russia
The Independent Psychiatric Association of Russia is a non-state professional human rights organization.- History :The IPA was established in Moscow in March 1989 and became the first psychiatric association in the USSR which was not controlled by the State...

 Yuri Savenko
Yuri Savenko
Yuri Sergeevich Savenko is a Russian psychiatrist, the president since 1989 of the Independent Psychiatric Association of Russia. He is also a member of the Council of Experts under the Ombudsman for Human Rights in the Russian Federation. He holds M.D. and Ph.D...

, Nekipelov’s book is a highly dramatic humane document, a fair story about the nest of Soviet punitive psychiatry, a mirror that psychiatrists always need to look into. Only in 2005, the book was published in Russia.

In the 1983 novel Firefox Down
Firefox Down
Firefox Down is a 1983 novel by author Craig Thomas. It is a sequel to his novel Firefox. Craig Thomas dedicated the first edition of the novel to actor/director/producer Clint Eastwood, who starred as Mitchell Gant in the film adaptation of the first novel, stating, "For Clint Eastwood — pilot of...

by Craig Thomas
Craig Thomas (author)
David Craig Owen Thomas was a Welsh author of thrillers, most notably the Mitchell Gant series.-Background:...

, captured American pilot Mitchell Gant is imprisoned in a KGB psychiatric clinic "associated with the Serbsky Institute", where he is drugged and interrogated to force him to reveal the location of the Firefox aircraft, which he has stolen and flown out of Russia.

See also

  • Punitive psychiatry in the Soviet Union
  • Political abuse of psychiatry
    Political abuse of psychiatry
    Political abuse of psychiatry is the purported misuse of psychiatric diagnosis, detention and treatment for the purposes of obstructing the fundamental human rights of certain groups and individuals in a society...

  • Human rights abuses
  • Psychiatric imprisonment
  • Anti-psychiatry
    Anti-psychiatry
    Anti-psychiatry is a configuration of groups and theoretical constructs that emerged in the 1960s, and questioned the fundamental assumptions and practices of psychiatry, such as its claim that it achieves universal, scientific objectivity. Its igniting influences were Michel Foucault, R.D. Laing,...

  • Psychiatric survivors movement
    Psychiatric survivors movement
    The psychiatric survivors movement is a diverse association of individuals who are either currently clients of mental health services , or who consider themselves survivors of interventions by psychiatry, or who identify themselves as ex-patients of mental health services...


External links

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