Delius P, Dilling H
Department of Psychiatry, Universität Lübeck, Germany.
Hist Psychiatry. 1995 Sep;6(23 Pt 3):267-81. doi: 10.1177/0957154X9500602301.
At a first place the NS-policy of psychiatry is outlined -its global planning as well as its excecution. The picture is supplemented by and contrasted with its local implementation exemplified by the Strecknitz asylum at Lübeck. It becomes clear how much the global concept of the extermination of patients was interwoven with pragmatic plans of local authorities. At Lübeck only the partial identity of these interests led to the deportation of more than 600 patients. They were distributed to several transit camps in Hesse where more than 80% had died by the end of the Second World War. The main causes of death were hunger and infectious diseases - consequences of a deliberate and well-organized neglect. The behaviour and the reactions on the part of the relatives were shaped by supply shortages during the war, by internalized propaganda and by fear. The long-term effects beyond the end of the NS-regime vary a lot. Some of the relatives' coping strategies are portrayed. In some cases the murder of close family members continues to have its effects in the form of family secrets.