Political abuse of psychiatry
Encyclopedia
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. In other words, abuse of psychiatry including one for political purposes is deliberate action of getting citizens certified, who, because of their mental condition, need neither psychiatric restraint nor psychiatric treatment. Psychiatrists have been involved in human rights abuses in states across the world when the definitions of mental disease were expanded to include political disobedience. As scholars have long argued, governmental and medical institutions code menaces to authority as mental diseases during political disturbances. Nowadays, in many countries, political prisoners are sometimes confined and abused in mental institutions. Psychiatric confinement of sane people is uniformly considered a particularly pernicious form of repression.
Psychiatry possesses a built-in capacity for abuse that is greater than in other areas of medicine. The diagnosis of mental disease allows the state to hold persons against their will and insist upon therapy in their interest and in the broader interests of society. In addition, receiving a psychiatric diagnosis can in itself be regarded as oppressive. In a monolithic state, psychiatry can be used to bypass standard legal procedures for establishing guilt or innocence and allow political incarceration without the ordinary odium attaching to such political trials. The use of hospitals instead of jails prevents the defendants from receiving legal aid before the courts, makes indefinite incarceration possible, discredits the prisoners and their ideas. In that manner, whenever open trials are undesirable, they are avoided.
In the period from the 1960s up to 1986, abuse of psychiatry for political purposes was reported to be systematic in the Soviet Union, and occasional in other Eastern European countries such as Romania
, Hungary
, Czechoslovakia
, and Yugoslavia
. Political abuse of psychiatry also takes place in the People's Republic of China
. Psychiatric diagnoses such as the diagnosis of ‘sluggish schizophrenia’ in political dissidents in the USSR were used for political purposes.
in 1940s, the abuse of psychiatry was the abuse of the 'duty to care' in enormous scale: 300,000 individuals were sterilized and 100,000 killed in Germany alone and many thousands further afield, mainly in eastern Europe
.
, over 600 dissidents were detained and kept out of public view in mental hospitals.
came to power in 1959, few considerable allegations regarding the political abuse of psychiatry in this country emerged before the late 1980s. Americas Watch and Amnesty International
published reports alluding to cases of possible unwarranted hospitalization and ill-treatment of political prisoners. These reports concerned the Gustavo Machin hospital in Santiago de Cuba
in the southeast of the country and the major mental hospital in Havana
. In 1977, a report on alleged abuse of psychiatry in Cuba presenting cases of ill-treatment in mental hospitals going back to the 1970s came out in the United States. It presents grave allegations that prisoners end up in the forensic ward of mental hospitals in Santiago de Cuba and Havana where they undergo ill-treatment including electroconvulsive therapy
without muscle relaxants or anaesthesia. The reported application of ECT in the forensic wards seems, at least in many of the cited cases, not to be an adequate clinical treatment for the diagnosed state of the prisoner — in some cases the prisoners seem not to have been diagnosed at all. Conditions in the forensic wards have been described in repulsive terms and apparently are in striking contrast to the other parts of the mental hospitals that are said to be well-kept and modern.
In August 1981, the Marxist historian Ariel Hidalgo was apprehended and accused of ‘incitement against the social order, international solidarity and the Socialist State’ and sentenced to eight years’ imprisonment. In September 1981, he was transported from State Security Headquarters to the Carbó-Serviá (forensic) ward of Havana Psychiatric Hospital where he stayed for several weeks.
published the book Dangerous Minds: Political Psychiatry in China Today and its Origins in the Mao Era written by Robin Munro
and based on the documents obtained by him. The British researcher Robin Munro, a sinologist who was writing his dissertation in London after a long sojourn in China, had travelled to China several times to survey libraries in provincial towns and had gathered a large amount of literature which bore the stamp ‘secret’ but at the same time was openly available. This literature included even historical analyses going back to the days of the Cultural Revolution
and concerned articles and reports on the number of people who were taken to mental hospitals because they complained of a series of issues. It was found, according to Munro, that the involuntary confinement of religious groups, political dissidents, and whistleblowers had a lengthy history in China. The abuse had begun in the 1950s and 1960s, and had grown extremely throughout the Cultural Revolution. During the period of the Cultural Revolution, from 1966 to 1976, it achieved its apogee, then under the reign of Mao Zedong
and the Gang of Four
, which established a very repressive and harsh regime. No deviance or opposition in thought or in practice was tolerated.
The documents told of a massive abuse of psychiatry for political purposes during the leadership of Mao Zedong, during which millions of people had been declared mentally sick. In the 1980s, according to the official documents, there was political connotation to fifteen percent of all forensic psychiatric cases. In the early 1990s, the numbers had dropped to five percent, but with beginning of the campaign against Falun Gong
, the percentage had again increased quite rapidly.
Chinese official psychiatric literature testifies distinctly that the Communist Party's notion of ‘political dangerousness’ was long since institutionally engrafted in the diagnostic armory of China's psychiatry and included in the main concept of psychiatric dangerousness.
The People’s Republic of China is the only country which appears to abuse psychiatry for political purposes in a systematic way, and despite international criticism, this seems to be continuing. Political abuse of psychiatry in the People’s Republic of China is high on the agenda and has produced recurring disputes in the international psychiatric community. The abuses there appear to be even more widespread than in the Soviet Union in the 1970s and 1980s and involve the incarceration of ‘petitioners’, human rights workers, trade union activists, followers of the Falun Gong movement, and people complaining against injustices by local authorities.
It also seemed that, China had hardly known high security forensic institutions until 1989. However, since then, the Chinese authorities have constructed the entire network of special forensic mental hospitals called Ankang which in Chinese is for ‘Peace and Health.’ By that time, China had had 20 Ankang institutions with the staff employed by the Ministry of State Security. The psychiatrists who worked there were wearing uniforms under their white coats.
The political abuse of psychiatry in China seems to take place only in the institutions under the authority of the police and the Ministry of State Security but not in those belonging to other governmental sectors. Psychiatric care in China falls into four sectors that hardly connect up with each other. These are Ankang institutions of the Ministry of State Security; those belonging to the police; those that fall under the authority of the Ministry of Social Affairs; those belonging to the Ministry of Health. Both the sectors belonging to the police and the Ministry of State Security are the closed sectors, and, consequently, information hardly ever leaks out. In the hospitals belonging to the Ministry of Health, psychiatrists do not contact with the Ankang institutions and, actually, had no idea of what occurred there, and could, thereby, sincerely state that they were not informed of political abuse of psychiatry in China.
In China, the structure of forensic psychiatry was to a great extent identical to that in the USSR. On its own, it is not so strange, since psychiatrists of the Moscow Serbsky Institute
visited Beijing
in 1957 to help their Chinese ‘brethren’, the same psychiatrists who promoted the system of political abuse of psychiatry in their own USSR. As a consequence, diagnostics were not much different than in the Soviet Union. The only difference was that the Soviets preferred ‘sluggish schizophrenia’ as a diagnosis, and the Chinese generally cleaved to the diagnosis ‘paranoia
’ or ‘paranoid schizophrenia’. However, the results were the same: long hospitalization in a mental hospital, involuntary treatment with neuroleptics, torture, abuse, all aimed at breaking the victim’s will.
The World Psychiatric Association
(WPA) attempted to confine the problem by presenting it as Falung Gong issue and, at the same time, make the impression that the members of the movement were likely not mentally sound, that it was a sect which likely brainwashed its members, etc. There was even a diagnosis of ‘qigong syndrome’ which was used reflecting on the exercises practiced by Falung Gong. It was the unfair game aiming to avoid the political abuse of psychiatry from dominating the WPA agenda.
In August 2002, the General Assembly was to take place during the next WPA World Congress in Yokohama
. The issue of Chinese political abuse of psychiatry had been placed as one of the final items on the agenda of the General Assembly. When the issue was broached during the General Assembly, the exact nature of compromise came to light. In order to investigate the political abuse of psychiatry, the WPA would send an investigative mission to China. The visit was projected for the spring of 2003 in order to assure that one could present a report during the annual meeting of the British Royal College of Psychiatrists
in June/July of that year and the Annual Meeting of the American Psychiatric Association
in May of the same year. After the 2002 World Congress, the WPA Executive Committee’s half-hearted attitude in Yokohama came to light: it was an omen of a longstanding policy of diversion and postponement. The 2003 investigative mission never took place, and when finally a visit to China did take place, this visit was more of scientific exchange. In the meantime, the political abuse of psychiatry persisted unabatedly, nevertheless the WPA did not seem to care.
's rule of the Soviet Union, reports started reaching the West that religious and political dissenters were being detained in maximum-security mental hospitals in the USSR without medical justification. In 1977, the World Psychiatric Association
condemned the USSR for this practice, and six years later, the All-Union Society of Neuropathologists and Psychiatrists seceded from the WPA rather than face almost definite expulsion. During this period, while reports of continuous repression multiplied, Soviet psychiatric officials refused to allow international bodies to see the hospitals and patients in question and denied the charges of abuse. In 1989, however, the stonewalling of Soviet psychiatry was overcome by perestroika
and glasnost
. Over the objection of the psychiatric establishment, the Soviet government permitted a delegation of psychiatrists from the USA, representing the U.S. Government, to carry out extensive interviews of suspected victims of abuse.
In February 1989, a delegation of US psychiatrists and other experts visited the Soviet Union on the invitation of the Soviet government. The delegation was able systematically to interview and assess present and past involuntarily admitted mental patients chosen by the visiting team, as well as to talk over procedures and methods of treatment with some of the patients, their friends, relatives and, sometimes, their treating psychiatrists. Whereas the delegation originally sought interviews with 48 persons, it eventually saw 15 hospitalized and 12 discharged patients. About half of the hospitalized patients were released in the two months between the submission of the initial list of names to the Soviets authorities and the departure from the Soviet Union of the US delegation. The delegation came to the conclusion that nine of the 15 hospitalized patients had disorders which would be classified in the United States as serious psychoses, diagnoses corresponding broadly with those used by the Soviet psychiatrists. One of the hospitalized patients had been diagnosed as having schizophrenia
although the US team saw no evidence of mental disorder. Among the 12 discharged patients examined, the US delegation found that nine had no evidence of any current or past mental disorder; the remaining three had comparatively slight symptoms which would not usually warrant involuntary commitment in Western countries. According to medical record, all these patients had diagnoses of psychopathology or schizophrenia.
When returned home after a visit of more than two weeks, the delegation wrote its report which was pretty damaging to the Soviet authorities. The delegation established not only that there had taken place systematic political abuse of psychiatry but also that the abuse had not come to an end, that victims of the abuse still remained in mental hospitals, and that the Soviet authorities and particularly the Soviet Society of Psychiatrists and Neuropathologists still denied that psychiatry had been employed as a method of repression.
was a supposed mental illness
described by American
physician Samuel A. Cartwright
in 1851 that caused black slaves to flee captivity. In addition to identifying drapetomania, Cartwright prescribed a remedy. His feeling was that with "proper medical advice, strictly followed, this troublesome practice that many Negroes have of running away can be almost entirely prevented." In the case of slaves "sulky and dissatisfied without cause" — a warning sign of imminent flight — Cartwright prescribed "whipping
the devil out of them" as a "preventative measure". As a remedy for this disease, doctors also made running a physical impossibility by prescribing the removal of both big toes.
In the United States, political dissenters have been involuntarily committed. For example, in 1927 a demonstrator named Aurora D'Angelo was sent to a mental health facility for psychiatric evaluation after she participated in a rally in support of Sacco and Vanzetti
.
In the 1970s, Martha Beall Mitchell
, wife of U.S. Attorney General John Mitchell
, was diagnosed with a paranoid mental disorder for claiming that the administration of President Richard M. Nixon was engaged in illegal activities. Many of her claims were later proved correct, and the term "Martha Mitchell effect
" was coined to describe mental health misdiagnoses when accurate claims are dismissed as delusional.
In 2006, Canadian psychiatrist Colin A. Ross
's book was published, titled The C.I.A. Doctors: Human Rights Violations by American Psychiatrists. The book presents evidence based on 15,000 pages of documents received from the CIA via the Freedom of Information Act
that there have been systematic, pervasive violations of human rights by American psychiatrists during the recent 65 years.
In 2010, the book The Protest Psychosis: How Schizophrenia Became a Black Disease
by psychiatrist
Jonathan Metzl (who also has a Ph.D. in American studies
) was published. The book covers the history of the 1960s Ionia State Hospital located in Ionia, Michigan
and now converted to a prison and focuses on exposing the trend of this hospital to diagnose African American
s with schizophrenia
because of their civil rights
ideas. The book suggests that in part the sudden influx of such diagnoses could traced to a change in wording in the DSM-II, which compared to the previous edition added "hostility" and "aggression" as signs of the disorder.
who part ranks with a government agency or major corporation can expect to be depicted as unhinged; it's in the agency's best interests. For example, Russ Tice
was punished with psychiatric evaluations that labeled him as "mentally unbalanced" after persisting in his investigations of potentially illegal spying activity at the NSA. As another example, an NYPD veteran who alleged falsified crime statistics in his department was forcibly committed to a mental institution.
Psychiatry possesses a built-in capacity for abuse that is greater than in other areas of medicine. The diagnosis of mental disease allows the state to hold persons against their will and insist upon therapy in their interest and in the broader interests of society. In addition, receiving a psychiatric diagnosis can in itself be regarded as oppressive. In a monolithic state, psychiatry can be used to bypass standard legal procedures for establishing guilt or innocence and allow political incarceration without the ordinary odium attaching to such political trials. The use of hospitals instead of jails prevents the defendants from receiving legal aid before the courts, makes indefinite incarceration possible, discredits the prisoners and their ideas. In that manner, whenever open trials are undesirable, they are avoided.
In the period from the 1960s up to 1986, abuse of psychiatry for political purposes was reported to be systematic in the Soviet Union, and occasional in other Eastern European countries such as Romania
Communist Romania
Communist Romania was the period in Romanian history when that country was a Soviet-aligned communist state in the Eastern Bloc, with the dominant role of Romanian Communist Party enshrined in its successive constitutions...
, Hungary
People's Republic of Hungary
The People's Republic of Hungary or Hungarian People's Republic was the official state name of Hungary from 1949 to 1989 during its Communist period under the guidance of the Soviet Union. The state remained in existence until 1989 when opposition forces consolidated in forcing the regime to...
, Czechoslovakia
Czechoslovakia
Czechoslovakia or Czecho-Slovakia was a sovereign state in Central Europe which existed from October 1918, when it declared its independence from the Austro-Hungarian Empire, until 1992...
, and Yugoslavia
Socialist Federal Republic of Yugoslavia
The Socialist Federal Republic of Yugoslavia was the Yugoslav state that existed from the abolition of the Yugoslav monarchy until it was dissolved in 1992 amid the Yugoslav Wars. It was a socialist state and a federation made up of six socialist republics: Bosnia and Herzegovina, Croatia,...
. Political abuse of psychiatry also takes place in the People's Republic of China
People's Republic of China
China , officially the People's Republic of China , is the most populous country in the world, with over 1.3 billion citizens. Located in East Asia, the country covers approximately 9.6 million square kilometres...
. Psychiatric diagnoses such as the diagnosis of ‘sluggish schizophrenia’ in political dissidents in the USSR were used for political purposes.
Nazi Germany
In Nazi GermanyNazi Germany
Nazi Germany , also known as the Third Reich , but officially called German Reich from 1933 to 1943 and Greater German Reich from 26 June 1943 onward, is the name commonly used to refer to the state of Germany from 1933 to 1945, when it was a totalitarian dictatorship ruled by...
in 1940s, the abuse of psychiatry was the abuse of the 'duty to care' in enormous scale: 300,000 individuals were sterilized and 100,000 killed in Germany alone and many thousands further afield, mainly in eastern Europe
Eastern Europe
Eastern Europe is the eastern part of Europe. The term has widely disparate geopolitical, geographical, cultural and socioeconomic readings, which makes it highly context-dependent and even volatile, and there are "almost as many definitions of Eastern Europe as there are scholars of the region"...
.
Romania
In Romania, there have been allegations of some particular cases of psychiatric abuse during over a decade. In addition to particular cases, there is evidence that mental hospitals were utilized as short-term detainment centers. For instance, before the 1982 International University Sports ‘Olympiad’Universiade
The Universiade is an International multi-sport event, organized for university athletes by the International University Sports Federation . The name is a combination of the words "University" and "olympiad"...
, over 600 dissidents were detained and kept out of public view in mental hospitals.
Japan
In Japanese mental institutions, cases of disgraceful conditions resulting in despair and death have been well documented.Cuba
Although Cuba has been politically connected to the Soviet Union since the United States broke off relations with Cuba shortly after the president Fidel CastroFidel Castro
Fidel Alejandro Castro Ruz is a Cuban revolutionary and politician, having held the position of Prime Minister of Cuba from 1959 to 1976, and then President from 1976 to 2008. He also served as the First Secretary of the Communist Party of Cuba from the party's foundation in 1961 until 2011...
came to power in 1959, few considerable allegations regarding the political abuse of psychiatry in this country emerged before the late 1980s. Americas Watch and Amnesty International
Amnesty International
Amnesty International is an international non-governmental organisation whose stated mission is "to conduct research and generate action to prevent and end grave abuses of human rights, and to demand justice for those whose rights have been violated."Following a publication of Peter Benenson's...
published reports alluding to cases of possible unwarranted hospitalization and ill-treatment of political prisoners. These reports concerned the Gustavo Machin hospital in Santiago de Cuba
Santiago de Cuba
Santiago de Cuba is the second largest city of Cuba and capital city of Santiago de Cuba Province in the south-eastern area of the island, some south-east of the Cuban capital of Havana....
in the southeast of the country and the major mental hospital in Havana
Havana
Havana is the capital city, province, major port, and leading commercial centre of Cuba. The city proper has a population of 2.1 million inhabitants, and it spans a total of — making it the largest city in the Caribbean region, and the most populous...
. In 1977, a report on alleged abuse of psychiatry in Cuba presenting cases of ill-treatment in mental hospitals going back to the 1970s came out in the United States. It presents grave allegations that prisoners end up in the forensic ward of mental hospitals in Santiago de Cuba and Havana where they undergo ill-treatment including electroconvulsive therapy
Electroconvulsive therapy
Electroconvulsive therapy , formerly known as electroshock, is a psychiatric treatment in which seizures are electrically induced in anesthetized patients for therapeutic effect. Its mode of action is unknown...
without muscle relaxants or anaesthesia. The reported application of ECT in the forensic wards seems, at least in many of the cited cases, not to be an adequate clinical treatment for the diagnosed state of the prisoner — in some cases the prisoners seem not to have been diagnosed at all. Conditions in the forensic wards have been described in repulsive terms and apparently are in striking contrast to the other parts of the mental hospitals that are said to be well-kept and modern.
In August 1981, the Marxist historian Ariel Hidalgo was apprehended and accused of ‘incitement against the social order, international solidarity and the Socialist State’ and sentenced to eight years’ imprisonment. In September 1981, he was transported from State Security Headquarters to the Carbó-Serviá (forensic) ward of Havana Psychiatric Hospital where he stayed for several weeks.
China
In 2002, Human Rights WatchHuman Rights Watch
Human Rights Watch is an international non-governmental organization that conducts research and advocacy on human rights. Its headquarters are in New York City and it has offices in Berlin, Beirut, Brussels, Chicago, Geneva, Johannesburg, London, Los Angeles, Moscow, Paris, San Francisco, Tokyo,...
published the book Dangerous Minds: Political Psychiatry in China Today and its Origins in the Mao Era written by Robin Munro
Robin Munro
Robin Munro is a British legal scholar, author, and human rights advocate. He received his PhD from the Department of Law, School of Oriental & African Studies, University of London....
and based on the documents obtained by him. The British researcher Robin Munro, a sinologist who was writing his dissertation in London after a long sojourn in China, had travelled to China several times to survey libraries in provincial towns and had gathered a large amount of literature which bore the stamp ‘secret’ but at the same time was openly available. This literature included even historical analyses going back to the days of the Cultural Revolution
Cultural Revolution
The Great Proletarian Cultural Revolution, commonly known as the Cultural Revolution , was a socio-political movement that took place in the People's Republic of China from 1966 through 1976...
and concerned articles and reports on the number of people who were taken to mental hospitals because they complained of a series of issues. It was found, according to Munro, that the involuntary confinement of religious groups, political dissidents, and whistleblowers had a lengthy history in China. The abuse had begun in the 1950s and 1960s, and had grown extremely throughout the Cultural Revolution. During the period of the Cultural Revolution, from 1966 to 1976, it achieved its apogee, then under the reign of Mao Zedong
Mao Zedong
Mao Zedong, also transliterated as Mao Tse-tung , and commonly referred to as Chairman Mao , was a Chinese Communist revolutionary, guerrilla warfare strategist, Marxist political philosopher, and leader of the Chinese Revolution...
and the Gang of Four
Gang of Four
The Gang of Four was the name given to a political faction composed of four Chinese Communist Party officials. They came to prominence during the Cultural Revolution and were subsequently charged with a series of treasonous crimes...
, which established a very repressive and harsh regime. No deviance or opposition in thought or in practice was tolerated.
The documents told of a massive abuse of psychiatry for political purposes during the leadership of Mao Zedong, during which millions of people had been declared mentally sick. In the 1980s, according to the official documents, there was political connotation to fifteen percent of all forensic psychiatric cases. In the early 1990s, the numbers had dropped to five percent, but with beginning of the campaign against Falun Gong
Falun Gong
Falun Gong is a spiritual discipline first introduced in China in 1992 by its founder, Li Hongzhi, through public lectures. It combines the practice of meditation and slow-moving qigong exercises with the moral philosophy...
, the percentage had again increased quite rapidly.
Chinese official psychiatric literature testifies distinctly that the Communist Party's notion of ‘political dangerousness’ was long since institutionally engrafted in the diagnostic armory of China's psychiatry and included in the main concept of psychiatric dangerousness.
The People’s Republic of China is the only country which appears to abuse psychiatry for political purposes in a systematic way, and despite international criticism, this seems to be continuing. Political abuse of psychiatry in the People’s Republic of China is high on the agenda and has produced recurring disputes in the international psychiatric community. The abuses there appear to be even more widespread than in the Soviet Union in the 1970s and 1980s and involve the incarceration of ‘petitioners’, human rights workers, trade union activists, followers of the Falun Gong movement, and people complaining against injustices by local authorities.
It also seemed that, China had hardly known high security forensic institutions until 1989. However, since then, the Chinese authorities have constructed the entire network of special forensic mental hospitals called Ankang which in Chinese is for ‘Peace and Health.’ By that time, China had had 20 Ankang institutions with the staff employed by the Ministry of State Security. The psychiatrists who worked there were wearing uniforms under their white coats.
The political abuse of psychiatry in China seems to take place only in the institutions under the authority of the police and the Ministry of State Security but not in those belonging to other governmental sectors. Psychiatric care in China falls into four sectors that hardly connect up with each other. These are Ankang institutions of the Ministry of State Security; those belonging to the police; those that fall under the authority of the Ministry of Social Affairs; those belonging to the Ministry of Health. Both the sectors belonging to the police and the Ministry of State Security are the closed sectors, and, consequently, information hardly ever leaks out. In the hospitals belonging to the Ministry of Health, psychiatrists do not contact with the Ankang institutions and, actually, had no idea of what occurred there, and could, thereby, sincerely state that they were not informed of political abuse of psychiatry in China.
In China, the structure of forensic psychiatry was to a great extent identical to that in the USSR. On its own, it is not so strange, since psychiatrists of the Moscow Serbsky Institute
Moscow Serbsky Institute
The Serbsky State Scientific Center for Social and Forensic Psychiatry is a psychiatric hospital and the main center for the forensic psychiatry of the Soviet Union and Russia. The institution was briefly called the Serbsky Institute in the past and is briefly called the Serbsky Center now...
visited Beijing
Beijing
Beijing , also known as Peking , is the capital of the People's Republic of China and one of the most populous cities in the world, with a population of 19,612,368 as of 2010. The city is the country's political, cultural, and educational center, and home to the headquarters for most of China's...
in 1957 to help their Chinese ‘brethren’, the same psychiatrists who promoted the system of political abuse of psychiatry in their own USSR. As a consequence, diagnostics were not much different than in the Soviet Union. The only difference was that the Soviets preferred ‘sluggish schizophrenia’ as a diagnosis, and the Chinese generally cleaved to the diagnosis ‘paranoia
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...
’ or ‘paranoid schizophrenia’. However, the results were the same: long hospitalization in a mental hospital, involuntary treatment with neuroleptics, torture, abuse, all aimed at breaking the victim’s will.
The World Psychiatric Association
World Psychiatric Association
The World Psychiatric Association is an international umbrella organisation of psychiatric societies.-Objectives and goals:Originally created to produce world psychiatric congresses, it has evolved to hold regional meetings, to promote professional education and to set ethical, scientific and...
(WPA) attempted to confine the problem by presenting it as Falung Gong issue and, at the same time, make the impression that the members of the movement were likely not mentally sound, that it was a sect which likely brainwashed its members, etc. There was even a diagnosis of ‘qigong syndrome’ which was used reflecting on the exercises practiced by Falung Gong. It was the unfair game aiming to avoid the political abuse of psychiatry from dominating the WPA agenda.
In August 2002, the General Assembly was to take place during the next WPA World Congress in Yokohama
Yokohama
is the capital city of Kanagawa Prefecture and the second largest city in Japan by population after Tokyo and most populous municipality of Japan. It lies on Tokyo Bay, south of Tokyo, in the Kantō region of the main island of Honshu...
. The issue of Chinese political abuse of psychiatry had been placed as one of the final items on the agenda of the General Assembly. When the issue was broached during the General Assembly, the exact nature of compromise came to light. In order to investigate the political abuse of psychiatry, the WPA would send an investigative mission to China. The visit was projected for the spring of 2003 in order to assure that one could present a report during the annual meeting of the British Royal College of Psychiatrists
Royal College of Psychiatrists
The Royal College of Psychiatrists is the main professional organisation of psychiatrists in the United Kingdom responsible for representing psychiatrists, psychiatric research and providing public information about mental health problems...
in June/July of that year and the Annual Meeting of the American Psychiatric Association
American Psychiatric Association
The American Psychiatric Association is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the most influential worldwide. Its some 38,000 members are mainly American but some are international...
in May of the same year. After the 2002 World Congress, the WPA Executive Committee’s half-hearted attitude in Yokohama came to light: it was an omen of a longstanding policy of diversion and postponement. The 2003 investigative mission never took place, and when finally a visit to China did take place, this visit was more of scientific exchange. In the meantime, the political abuse of psychiatry persisted unabatedly, nevertheless the WPA did not seem to care.
The Soviet Union
From the early 1970s, during Leonid BrezhnevLeonid Brezhnev
Leonid Ilyich Brezhnev – 10 November 1982) was the General Secretary of the Central Committee of the Communist Party of the Soviet Union , presiding over the country from 1964 until his death in 1982. His eighteen-year term as General Secretary was second only to that of Joseph Stalin in...
's rule of the Soviet Union, reports started reaching the West that religious and political dissenters were being detained in maximum-security mental hospitals in the USSR without medical justification. In 1977, the World Psychiatric Association
World Psychiatric Association
The World Psychiatric Association is an international umbrella organisation of psychiatric societies.-Objectives and goals:Originally created to produce world psychiatric congresses, it has evolved to hold regional meetings, to promote professional education and to set ethical, scientific and...
condemned the USSR for this practice, and six years later, the All-Union Society of Neuropathologists and Psychiatrists seceded from the WPA rather than face almost definite expulsion. During this period, while reports of continuous repression multiplied, Soviet psychiatric officials refused to allow international bodies to see the hospitals and patients in question and denied the charges of abuse. In 1989, however, the stonewalling of Soviet psychiatry was overcome by perestroika
Perestroika
Perestroika was a political movement within the Communist Party of the Soviet Union during 1980s, widely associated with the Soviet leader Mikhail Gorbachev...
and glasnost
Glasnost
Glasnost was the policy of maximal publicity, openness, and transparency in the activities of all government institutions in the Soviet Union, together with freedom of information, introduced by Mikhail Gorbachev in the second half of the 1980s...
. Over the objection of the psychiatric establishment, the Soviet government permitted a delegation of psychiatrists from the USA, representing the U.S. Government, to carry out extensive interviews of suspected victims of abuse.
In February 1989, a delegation of US psychiatrists and other experts visited the Soviet Union on the invitation of the Soviet government. The delegation was able systematically to interview and assess present and past involuntarily admitted mental patients chosen by the visiting team, as well as to talk over procedures and methods of treatment with some of the patients, their friends, relatives and, sometimes, their treating psychiatrists. Whereas the delegation originally sought interviews with 48 persons, it eventually saw 15 hospitalized and 12 discharged patients. About half of the hospitalized patients were released in the two months between the submission of the initial list of names to the Soviets authorities and the departure from the Soviet Union of the US delegation. The delegation came to the conclusion that nine of the 15 hospitalized patients had disorders which would be classified in the United States as serious psychoses, diagnoses corresponding broadly with those used by the Soviet psychiatrists. One of the hospitalized patients had been diagnosed as having schizophrenia
Schizophrenia
Schizophrenia is a mental disorder characterized by a disintegration of thought processes and of emotional responsiveness. It most commonly manifests itself as auditory hallucinations, paranoid or bizarre delusions, or disorganized speech and thinking, and it is accompanied by significant social...
although the US team saw no evidence of mental disorder. Among the 12 discharged patients examined, the US delegation found that nine had no evidence of any current or past mental disorder; the remaining three had comparatively slight symptoms which would not usually warrant involuntary commitment in Western countries. According to medical record, all these patients had diagnoses of psychopathology or schizophrenia.
When returned home after a visit of more than two weeks, the delegation wrote its report which was pretty damaging to the Soviet authorities. The delegation established not only that there had taken place systematic political abuse of psychiatry but also that the abuse had not come to an end, that victims of the abuse still remained in mental hospitals, and that the Soviet authorities and particularly the Soviet Society of Psychiatrists and Neuropathologists still denied that psychiatry had been employed as a method of repression.
Russia
Reports on particular cases continue to come from Russia where the worsening political climate appears to make an atmosphere in which local authorities feel able to again use psychiatry as a means of frightening. In modern Russia, the fact that a person is a human rights defender again means that the person risks receiving a psychiatric diagnosis.The United States
DrapetomaniaDrapetomania
Drapetomania was a supposed mental illness described by American physician Samuel A. Cartwright in 1851 that caused black slaves to flee captivity. Today, drapetomania is considered an example of pseudoscience, and part of the edifice of scientific racism...
was a supposed mental illness
Mental illness
A mental disorder or mental illness is a psychological or behavioral pattern generally associated with subjective distress or disability that occurs in an individual, and which is not a part of normal development or culture. Such a disorder may consist of a combination of affective, behavioural,...
described by American
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...
physician Samuel A. Cartwright
Samuel A. Cartwright
Samuel Adolphus Cartwright was a physician who practiced in Mississippi and Louisiana in the antebellum United States. During the American Civil War he joined the Confederate States of America and was assigned the responsibility of improving sanitary conditions in the camps about Vicksburg,...
in 1851 that caused black slaves to flee captivity. In addition to identifying drapetomania, Cartwright prescribed a remedy. His feeling was that with "proper medical advice, strictly followed, this troublesome practice that many Negroes have of running away can be almost entirely prevented." In the case of slaves "sulky and dissatisfied without cause" — a warning sign of imminent flight — Cartwright prescribed "whipping
Flagellation
Flagellation or flogging is the act of methodically beating or whipping the human body. Specialised implements for it include rods, switches, the cat o' nine tails and the sjambok...
the devil out of them" as a "preventative measure". As a remedy for this disease, doctors also made running a physical impossibility by prescribing the removal of both big toes.
In the United States, political dissenters have been involuntarily committed. For example, in 1927 a demonstrator named Aurora D'Angelo was sent to a mental health facility for psychiatric evaluation after she participated in a rally in support of Sacco and Vanzetti
Sacco and Vanzetti
Ferdinando Nicola Sacco and Bartolomeo Vanzetti were anarchists who were convicted of murdering two men during a 1920 armed robbery in South Braintree, Massachusetts, United States...
.
In the 1970s, Martha Beall Mitchell
Martha Beall Mitchell
Martha Beall Mitchell was the wife of John N. Mitchell, United States Attorney General under President Richard Nixon. Martha Mitchell gained notoriety in the press during the Nixon administration for her frequent phone calls to reporters and colorful comments on the state of the nation...
, wife of U.S. Attorney General John Mitchell
John N. Mitchell
John Newton Mitchell was the Attorney General of the United States from 1969 to 1972 under President Richard Nixon...
, was diagnosed with a paranoid mental disorder for claiming that the administration of President Richard M. Nixon was engaged in illegal activities. Many of her claims were later proved correct, and the term "Martha Mitchell effect
Martha Mitchell effect
The Martha Mitchell effect is the process by which a psychiatrist, psychologist, or other mental health clinician mistakes the patient's perception of real events as delusional and misdiagnoses accordingly.-Description:...
" was coined to describe mental health misdiagnoses when accurate claims are dismissed as delusional.
In 2006, Canadian psychiatrist Colin A. Ross
Colin A. Ross
Colin A. Ross is a psychiatrist of Canadian origin and professional training. Ross attended medical school at the University of Alberta, Edmonton, Canada and completed his training in psychiatry at the University of Manitoba, Winnipeg, Canada...
's book was published, titled The C.I.A. Doctors: Human Rights Violations by American Psychiatrists. The book presents evidence based on 15,000 pages of documents received from the CIA via the Freedom of Information Act
Freedom of Information Act (United States)
The Freedom of Information Act is a federal freedom of information law that allows for the full or partial disclosure of previously unreleased information and documents controlled by the United States government. The Act defines agency records subject to disclosure, outlines mandatory disclosure...
that there have been systematic, pervasive violations of human rights by American psychiatrists during the recent 65 years.
In 2010, the book The Protest Psychosis: How Schizophrenia Became a Black Disease
The Protest Psychosis: How Schizophrenia Became a Black Disease
The Protest Psychosis: How Schizophrenia Became a Black Disease is 2010 book written by psychiatrist Jonathan Metzl , and published by Beacon Press, covering the history of the 1960s Ionia State Hospital—located in Ionia, Michigan and now converted to a prison...
by psychiatrist
Psychiatrist
A psychiatrist is a physician who specializes in the diagnosis and treatment of mental disorders. All psychiatrists are trained in diagnostic evaluation and in psychotherapy...
Jonathan Metzl (who also has a Ph.D. in American studies
American studies
American studies or American civilization is an interdisciplinary field dealing with the study of the United States. It traditionally incorporates the study of history, literature, and critical theory, but also includes fields as diverse as law, art, the media, film, religious studies, urban...
) was published. The book covers the history of the 1960s Ionia State Hospital located in Ionia, Michigan
Ionia, Michigan
Ionia is the largest city in, and the county seat of, Ionia County, Michigan, United States. The population was 11,394 at the 2010 census. Every late July it hosts what may be the world's largest free-admission fair...
and now converted to a prison and focuses on exposing the trend of this hospital to diagnose African American
African American
African Americans are citizens or residents of the United States who have at least partial ancestry from any of the native populations of Sub-Saharan Africa and are the direct descendants of enslaved Africans within the boundaries of the present United States...
s with schizophrenia
Schizophrenia
Schizophrenia is a mental disorder characterized by a disintegration of thought processes and of emotional responsiveness. It most commonly manifests itself as auditory hallucinations, paranoid or bizarre delusions, or disorganized speech and thinking, and it is accompanied by significant social...
because of their civil rights
Civil rights
Civil and political rights are a class of rights that protect individuals' freedom from unwarranted infringement by governments and private organizations, and ensure one's ability to participate in the civil and political life of the state without discrimination or repression.Civil rights include...
ideas. The book suggests that in part the sudden influx of such diagnoses could traced to a change in wording in the DSM-II, which compared to the previous edition added "hostility" and "aggression" as signs of the disorder.
Psychiatric reprisals
Whistle-blowersWhistleblower
A whistleblower is a person who tells the public or someone in authority about alleged dishonest or illegal activities occurring in a government department, a public or private organization, or a company...
who part ranks with a government agency or major corporation can expect to be depicted as unhinged; it's in the agency's best interests. For example, Russ Tice
Russ Tice
Russell D. Tice is a former intelligence analyst for the U.S. Air Force, Office of Naval Intelligence, Defense Intelligence Agency and National Security Agency...
was punished with psychiatric evaluations that labeled him as "mentally unbalanced" after persisting in his investigations of potentially illegal spying activity at the NSA. As another example, an NYPD veteran who alleged falsified crime statistics in his department was forcibly committed to a mental institution.
See also
- Political abuse of psychiatry in the Soviet Union
- The Protest Psychosis: How Schizophrenia Became a Black DiseaseThe Protest Psychosis: How Schizophrenia Became a Black DiseaseThe Protest Psychosis: How Schizophrenia Became a Black Disease is 2010 book written by psychiatrist Jonathan Metzl , and published by Beacon Press, covering the history of the 1960s Ionia State Hospital—located in Ionia, Michigan and now converted to a prison...