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Social History of Medicine 1994 7(2):213-228; doi:10.1093/shm/7.2.213
© 1994 by Society for the Social History of Medicine
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Articles

Psychiatry, German Society, and the Nazi ‘Euthanasia’ Programme

MICHAEL BURLEIGH*

* Department of International History, The London School of Economics and Political Science. (University of London) Houghton Street, London WC2A 2AE

SUMMARY The paper begins by establishing the position of psychiatry after the First World War, concentrating upon the interplay between economy measures and limited reform during the Weimar Republic. Each therapeutic advance involved the definition of irremediable subgroups within the already socially marginalized psychiatric constituency. Nazi policy towards psychiatric patients during the 1930s involved furthere economy measures, and the introduction of negative eugenic strategies, were similar in kind if not degree, to those pursued in some other countries at that time. The decision to kill the mentally ill and physically disabled was taken by Hitler in order to clear the decks for war, and was justified with the aid of crude utilitarian arguments, as well as what limited evidence there was regarding popular attitudes on these issues. Many health professionals and psychiatrists accommodated themselves to policies which a few years later became one of the components of the ‘Final Solution of the Jewish Question’ i. e. Hitler's vengeance against the Jewish people in circumstances of war he had envisaged much earlier.

Keywords: psychiatry; euthanasia; Germany; holocaust


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