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In the Soviet Union, a systematic political abuse of psychiatry took place〔; ; ; ; ; ; ; ; ; ; ; 〕 and was based on the interpretation of political dissent as a psychiatric problem.〔; 〕 It was called "psychopathological mechanisms" of dissent. During the leadership of General Secretary Leonid Brezhnev, psychiatry was used as a tool to eliminate political opponents ("dissidents") who openly expressed beliefs that contradicted official dogma. The term "philosophical intoxication" was widely used to diagnose mental disorders in cases where people disagreed with leaders and made them the target of criticism that used the writings by Karl Marx, Friedrich Engels, and Vladimir Lenin. Article 58-10 of the Stalin Criminal Code—which as Article 70 had been shifted into the RSFSR Criminal Code of 1962—and Article 190-1 of the RSFSR Criminal Code along with the system of diagnosing mental illness, developed by academician Andrei Snezhnevsky, created the very preconditions under which non-standard beliefs could easily be transformed into a criminal case, and it, in its turn, into a psychiatric diagnosis. Anti-Soviet political behavior, in particular, being outspoken in opposition to the authorities, demonstrating for reform, writing books were defined in some persons as being simultaneously a criminal act (e.g., violation of Articles 70 or 190-1), a symptom (e.g., "delusion of reformism"), and a diagnosis (e.g., "sluggish schizophrenia").〔; 〕 Within the boundaries of the diagnostic category, the symptoms of pessimism, poor social adaptation and conflict with authorities were themselves sufficient for a formal diagnosis of "sluggish schizophrenia." The process of psychiatric incarceration was instigated by attempts to emigrate; distribution or possession of prohibited documents or books; participation in civil rights actions and demonstrations, and involvement in forbidden religious activity. The religious faith of prisoners, including well-educated former atheists who adopted a religion, was determined to be a form of mental illness that needed to be cured. The KGB routinely sent dissenters to psychiatrists for diagnosing to avoid embarrassing publiс trials and to discredit dissidence as the product of ill minds. Formerly highly classified government documents published after the dissolution of the Soviet Union demonstrate that the authorities used psychiatry as a tool to suppress dissent.〔; ; ; see some documents in ; 〕 According to the ''Commentary on the Russian Federation Law on Psychiatric Care'', persons who were subjected to repressions in the form of commitment for compulsory treatment to psychiatric medical institutions and were rehabilitated in accordance with the established procedure receive compensation. The Russian Federation acknowledged that psychiatry was used for political purposes and took responsibility for the victims of "political psychiatry."〔; 〕 Political abuse of psychiatry in Russia continues after the fall of the Soviet Union〔; 〕 and threatens human rights activists with a psychiatric diagnosis. == Background == Political abuse of psychiatry is the misuse of psychiatric diagnosis, detention and treatment for the purposes of obstructing the fundamental human rights of certain groups and individuals in a society.〔; 〕 It entails the exculpation and committal of citizens to psychiatric facilities based upon political rather than mental health-based criteria. Many authors, including psychiatrists, also use the terms "Soviet political psychiatry"〔; ; ; ; ; ; ; ; ; ; 〕 or "punitive psychiatry" to refer to this phenomenon.〔; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; 〕 In the book ''Punitive Medicine'' by Alexander Podrabinek, the term "punitive medicine", which is identified with "punitive psychiatry," is defined as "a tool in the struggle against dissidents who cannot be punished by legal means." Punitive psychiatry is neither a discrete subject nor a psychiatric specialty but, rather, it is an emergency arising within many applied sciences in totalitarian countries where members of a profession may feel themselves compelled to service the diktats of power. Psychiatric confinement of sane people is uniformly considered a particularly pernicious form of repression〔; ; 〕 and Soviet punitive psychiatry was one of the key weapons of both illegal and legal repression.〔; ; 〕 As Vladimir Bukovsky and Semyon Gluzman wrote in their joint ''A Manual on Psychiatry for Dissenters'', "the Soviet use of psychiatry as a punitive means is based upon the deliberate interpretation of dissent… as a psychiatric problem." Psychiatry possesses an inherent capacity for abuse that is greater than in other areas of medicine. The diagnosis of mental disease can give the state license to detain persons against their will and insist upon therapy both in the interest of the detainee and in the broader interests of society. In addition, receiving a psychiatric diagnosis can in itself be regarded as oppressive. In a monolithic state, psychiatry can be used to bypass standard legal procedures for establishing guilt or innocence and allow political incarceration without the ordinary odium attaching to such political trials. In the period from the 1960-s to 1986, the abuse of psychiatry for political purposes was reported to have been systematic in the Soviet Union and episodic in other Eastern European countries such as Romania, Hungary, Czechoslovakia, and Yugoslavia. The practice of incarceration of political dissidents in mental hospitals in Eastern Europe and the former USSR damaged the credibility of psychiatric practice in these states and entailed strong condemnation from the international community. Psychiatrists have been involved in human rights abuses in states across the world when the definitions of mental disease were expanded to include political disobedience. As scholars have long argued, governmental and medical institutions have at times coded threats to authority as mental disease during periods of political disturbance and instability. Nowadays, in many countries, political prisoners are still sometimes confined and abused in mental institutions. In the Soviet Union dissidents were often confined in the so-called ''psikhushka'', or psychiatric wards. ''Psikhushka'' is the Russian ironic diminutive for "mental hospital". One of the first ''psikhushkas'' was the Psychiatric Prison Hospital in the city of Kazan. In 1939 it was transferred to the control of the NKVD, the secret police and the precursor organization to the KGB, under the order of Lavrentiy Beria, who was the head of the NKVD. International human rights defenders such as Walter Reich have long recorded the methods by which Soviet psychiatrists in ''Psikhushka'' hospitals diagnosed schizophrenia in political dissenters. Western scholars examined no aspect of Soviet psychiatry as thoroughly as its involvement in the social control of political dissenters. 抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)』 ■ウィキペディアで「Cases of political abuse of psychiatry in the Soviet Union」の詳細全文を読む スポンサード リンク
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