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International Relations in Psychiatry: Britain, Germany, and the
United States to World War II addresses a crucial period in the
history of psychiatry by examining the transfer of conceptual,
institutional, and financial resources and the migration of
psychiatrists between Britain, the United States, and Germany. The
decades around 1900 were crucial in the evolution of modern medical
and social sciences, and in the formation of various national
health services systems. The modern fields of psychiatry and mental
health care are located at the intersection of these spheres. There
emerged concepts, practices, and institutions that marked responses
to challenges posed by urbanization, industrialization, and the
formation of the nation-state. These psychiatric responseswere
locally distinctive, and yet at the same time established
influential models with an international impact. In spite of rising
nationalism in Europe, the intellectual, institutional and material
resources that emerged in thevarious local and national contexts
were rapidly observed to have had an impact beyond any national
boundaries. In numerous ways, innovations were adopted and
refashioned for the needs and purposes of new national and local
systems. International Relations in Psychiatry: Britain, Germany,
and the United States to World War II brings together hitherto
separate approaches from the social, political, and cultural
history of medicine and health care and argues that modern
psychiatry developed in a constant, though not always continuous,
transfer of ideas, perceptions, and experts across national
borders. Contributors: John C. Burnham, Eric J. Engstrom, Rhodri
Hayward, Mark Jackson, Pamela Michael, Hans Pols, Volker Roelcke,
Heinz-Peter Schmiedebach, Mathew Thomson, Paul J. Weindling, Louise
Westwood Volker Roelcke is Professor and Director at the Institute
for the History of Medicine, Giessen University, Germany. Paul J.
Weindling is Professor in the History of Medicine, Oxford Brookes
University, UK. Louise Westwood is Honorary Research Reader,
University of Sussex, UK.
The psychiatric profession in Germany changed radically from the
mid-nineteenth century to the beginning of World War I. In a book
that demonstrates his extensive archival knowledge and an
impressive command of the primary literature, Eric J. Engstrom
investigates the history of university psychiatric clinics in
Imperial Germany from 1867 to 1914, emphasizing the clinical
practices and professional debates surrounding the development of
these institutions and their impact on the course of German
psychiatry.The rise of university psychiatric clinics reflects,
Engstrom tells us, a shift not only in asylum culture, but also in
the ways in which social, political, and economic issues deeply
influenced the practice of psychiatry. Equally convincing is
Engstrom's argument that psychiatrists were responding to and
working to shape the rapidly changing perceptions of madness in
Imperial Germany. In a series of case studies, the book focuses on
a number of important clinical spaces such as the laboratory, the
ward, the lecture hall, and the polyclinic. Engstrom argues that
within these spaces clinics developed their own disciplinary
economies and that their emergence was inseparably intertwined with
jurisdictional contests between competing scientific,
administrative, didactic, and sociopolitical agendas.
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