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Abstracts fra Bibliotek for Læger 1/2017

17. sep. 2018
4 min.

Originalartikel: »Mr. Stürup and his camp«

- Landsretssagfører Carl Madsens systemkritiske angreb på retspsykiatrien 1951-1966

Chris Holmsted Larsen

Interessekonflikter

Mr. Stürup and his camp. Attorney Carl Madsen’s war against the Danish forensic 
psychiatry 1951-1966.

Bibl Læger 2017;209:4-31.

In contrast to the general history of the post-war critique of psychiatric practices and methods as a phenomenon that predominantly grew out of the youth rebellion of the late-1960s, this article argues that the critique had earlier and predominantly communist dissident roots. From 1951 to 1966, the Danish lawyer, communist and dissident Carl Madsen spearheaded an attack on Danish forensic psychiatry. His frontal assault on the hitherto psychiatric practices and methods had a substantial effect and was facilitated through personal attacks on the eccentrical police psychiatrist Max Schmidt and Georg Stürup, chief psychiatrist at the psychiatry prison facility in Herstedvester. Under Stürups reformist leadership, this facility had gained international recognition as a progressive role model for psychiatric correction of psychopaths and “deviant” criminals. However, Carl Madsen struck a raw nerve, when he – under full public scrutiny – managed to conjure a sinister picture of the facility as a cesspit of abuse, lawlessness and sexually charged depravation. Behind the critique, loomed a larger systemic attack that originated in the communist ideology. As such, this critique was a “proxy war” in a larger context of the cold war, which redefined the Danish society and its public debates. Carl Madsen’s book “Den gode læge” (“The good doctor”) was a powerful projection of the psychiatry prison facility as a modern version of the Nazi concentration camps. This was merged with a more general communist critique of capitalism as a systemic generator of psychic illness and deviant behavior. Nevertheless, Madsen’s attacks gained a profound impact, when a new critical generation carried on the system critical torch in the wake of 1968, and when most of the psychiatric practices, methods and laws were reformed during the 1970s.

 

Etisk stuegang: Kan tillidsbaseret samtykke beskytte patientens autonomi?

Nana Cecilie Halmsted Kongsholm & Katla He∂insdóttir

Interessekonflikter

Can trust-based consent protect patients’ autonomy?

Bibl Læger 2017;209:32-5.

The practice of informed consent is held to protect the autonomy of patients and research participants. However, it is commonly observed that patients and research participants consent to a given treatment or study based not on the provided information, but rather on the trust they hold in the doctor, researcher or the institutions they represent. This article demonstrates that such trust-based consent may in fact still adequately protect individual autonomy, and argues that this makes a principally sound case for revision of the current standard practice.

 

Kvartalets genstand: Byamungas historie

Morten A. Skydsgaard

 

Originalartikel: Den blege rytter

- De store pestepidemiers rolle i tilblivelsen af det moderne Europa

Klaus Larsen

Interessekonflikter

The pale horseman. Medieval plagues and how they transformed Europe

Bibl Læger 2017;209:38-53.

From the 14th century and onward, Black Death made a deep and lasting mark upon European history. Approximately one third of Europe’s population died, and the effects of this dramatic depopulation are hard to overestimate. The whole society was on the move: The plague brought about a gradual, but dramatic economic and social transformation. The nobility was challenged due to shortage of manpower and – over time – its privileges and power dwindled and the road was paved for new societal forms. Working people improved their living standards. The authority of the Church weakened and its learning monopoly was challenged, as universities insisted on cultivating other sciences than theology. The labor shortage caused by the plague not only resulted in better living conditions for common people, it triggered a technological development which again entailed economic and administrative modernization. Along with trade, craft, banking and industry, an urban bourgeoisie developed. The consequences for society, arts and science were far-reaching.

 

Et billede fra min hverdag: Travlhed i laboratoriet

Tove Christensen

 

Fem skarpe: Digterdoktor Aarestrup

- En samtale med Eva Vikjær, som efter års arbejde har udgivet fire digre bind af digteren og lægen Emil Aarestrups breve

Redaktionen

 

Originalartikel: Degeneration og perversion - Da Krafft-Ebing tænkte om igen

Peter Thielst

Interessekonflikter

Degeneration and perversion. When Krafft-Ebing had second thoughts

Bibl Læger 2017;209:64-79.

The article offers an account of Richard von Krafft-Ebing’s relation to the theory of degeneration, which was introduced by B.A. Morel in 1857. Both Krafft-Ebing’s textbook on psychiatry (1879-1880) and his renowned ”Psychopathia Sexualis” (1886) are indebted to Morel’s teaching, and with neurasthenia and sexual perversions as examples, the article demonstrates how Krafft-Ebing increasingly rejects his own theoretical paradigm – without ever confronting it directly. Closing remarks on Sigmund Freud and Havelock Ellis and their relation to the theory of degeneration are given.