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.
首先概述了精神病学的纳粹政策——其全球规划及其实施情况。吕贝克的施特雷尔尼茨精神病院所体现的地方实施情况对这一情况进行了补充,并形成了对比。很明显,消灭患者的全球概念与地方当局的务实计划是如何交织在一起的。在吕贝克,只是这些利益的部分一致性导致了600多名患者被驱逐。他们被送到黑森州的几个中转营地,到第二次世界大战结束时,那里80%以上的人已经死亡。主要死因是饥饿和传染病——这是蓄意和有组织的忽视造成的后果。亲属的行为和反应受到战争期间物资短缺、内化的宣传以及恐惧的影响。纳粹政权结束后的长期影响差异很大。文中描述了一些亲属的应对策略。在某些情况下,近亲被谋杀的事件继续以家庭秘密的形式产生影响。