Helmchen Hanfried
Klinik für Psychiatrie und Psychotherapie, CBF, Charité - Universitätsmedizin Berlin, Hindenburgdamm 30, 12200, Berlin, Deutschland.
Nervenarzt. 2022 Nov;93(11):1170-1175. doi: 10.1007/s00115-022-01269-3. Epub 2022 Feb 21.
As early as in the 1930s the psychiatrist Ewen Cameron laid the organisational fundamentals for the reform of psychiatric hospitals, introduced the open-door system, and founded the worldwide first psychiatric day-hospital in 1946. He also developed an automated psychotherapy, called "psychic driving"; furthermore, he bundled the somatic treatments of his time (scientific context) to a new form of treatment that he called "depatterning". His public image initially was determined by his charismatic personality, which received important honors; e.g. in 1961 he became the founding president of the World Psychiatric Association (WPA). Ten years after his death in 1967, when it became known that one of his research projects was covertly cofinanced by the CIA, he was stylized as the incarnation of brainwashing. The public concern with "brain-washing" and the mind control techniques of the CIA embedded in the societal atmosphere of the "cold war" with its conspiracy conjectures (societal context) changed fundamentally the posthumous image of Cameron. In a critical look back the fact remains that Cameron could have realized his research concepts in a clinical context that tolerated his research against the disease and emphasized this as opposed to the immediate suffering of the individual patient and, at the same time did not completely internalize the clear ethical regulations of the year 1948: the Nuremberg Codex, the World Medical Association's- Declaration of Geneva as well as the UN-Declaration of Human Rights. Furthermore, in his socially technical phantasies Cameron was in danger of leaving the socially oriented psychiatric care of mentally ill patients and of slipping down into a totalitarian ideology.
早在20世纪30年代,精神病学家尤恩·卡梅伦就奠定了精神病医院改革的组织基础,引入了开放式管理制度,并于1946年创立了世界上第一家精神病日间医院。他还开发了一种名为“精神驱动”的自动化心理疗法;此外,他将当时的躯体治疗方法(科学背景)整合为一种新的治疗形式,他称之为“去模式化”。他的公众形象最初由其超凡魅力的个性所决定,他因此获得了重要荣誉;例如,1961年他成为世界精神病学协会(WPA)的创始主席。1967年他去世十年后,当人们得知他的一个研究项目曾秘密获得中央情报局的资助时,他被塑造成洗脑的化身。在“冷战”社会氛围及其阴谋猜测(社会背景)中,公众对“洗脑”和中央情报局精神控制技术的关注从根本上改变了卡梅伦的身后形象。批判性地回顾历史,事实仍然是,卡梅伦本可以在一个容忍他对抗疾病研究的临床环境中实现他的研究理念,并强调这一点,而不是关注个体患者的直接痛苦,同时他也没有完全内化1948年明确的伦理规范:《纽伦堡法典》、世界医学协会的《日内瓦宣言》以及联合国《人权宣言》。此外,在他的社会技术幻想中,卡梅伦有可能背离对精神病患者的社会导向性精神护理,滑向极权主义意识形态。