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Abstract

The inutility of psychoanalysis when it comes to the treatment of serious mental distress has been largely unquestioned for some years, and the relationship between mainstream psychiatry and psychoanalysis similarly estranged. Frederick C. Crews, who admittedly seems to dislike Freud and his ideas more than just about anyone else writing in English, writes that ‘even applying his own indulgent criteria… Freud was unable to document a single unambiguously efficacious treatment’. Crews argues that Freud did not cure the patients that have become famous, indeed, ‘he seems to have been only fleetingly interested in doing so. His goal was rather to reach intellectual closure.’1 The idea that behaviours and beliefs associated with the diagnostic criteria of schizophrenia could be resolved by talking seems incongruous. So too does any association between the contemporary upswing in diagnoses of obsessive compulsive disorder and the elaborate, beautifully layered case history of the ‘Rat Man’. Yet the history of psychoanalysis and the history of psychiatry in Britain are more closely interlinked than their contemporary positions may suggest, and these histories are the focus of this chapter.

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Psychiatry

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© 2003 Kylie Valentine

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Valentine, K. (2003). Psychiatry. In: Psychoanalysis, Psychiatry and Modernist Literature. Palgrave Macmillan, London. https://doi.org/10.1057/9781403919366_3

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