{"title":"Whose experts? How federalism shaped psychiatry in the late Habsburg monarchy.","authors":"Clemens Ableidinger","doi":"10.1177/0957154X231224651","DOIUrl":null,"url":null,"abstract":"<p><p>The late Habsburg period (1867-1918) created a constitutional dual monarchy of Austria-Hungary. This paper discusses the role of psychiatry in Cisleithania, both as a developing profession and as a distinct 'policy field'. Tension between psychiatry's academic professionalisation and the creation of public institutions as signature projects by individual crownlands created complex relationships between psychiatry and politics. In federalist Cisleithania, psychiatrists became very 'political': whether employed by the state or a crownland influenced their position on policy, despite claiming that their expert knowledge was 'scientific' and 'objective'. The conflicts between asylum-based and academic psychiatrists mirrored those between the central state and the crownlands. This led to intractable delays in mental health law reform, eventually resolved by Imperial decree in 1916.</p>","PeriodicalId":45965,"journal":{"name":"History of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.3000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"History of Psychiatry","FirstCategoryId":"98","ListUrlMain":"https://doi.org/10.1177/0957154X231224651","RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/2/25 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"HISTORY OF SOCIAL SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
The late Habsburg period (1867-1918) created a constitutional dual monarchy of Austria-Hungary. This paper discusses the role of psychiatry in Cisleithania, both as a developing profession and as a distinct 'policy field'. Tension between psychiatry's academic professionalisation and the creation of public institutions as signature projects by individual crownlands created complex relationships between psychiatry and politics. In federalist Cisleithania, psychiatrists became very 'political': whether employed by the state or a crownland influenced their position on policy, despite claiming that their expert knowledge was 'scientific' and 'objective'. The conflicts between asylum-based and academic psychiatrists mirrored those between the central state and the crownlands. This led to intractable delays in mental health law reform, eventually resolved by Imperial decree in 1916.
期刊介绍:
History of Psychiatry publishes research articles, analysis and information across the entire field of the history of mental illness and the forms of medicine, psychiatry, cultural response and social policy which have evolved to understand and treat it. It covers all periods of history up to the present day, and all nations and cultures.