Over the line of its 69 - year story , the Soviet Union was notorious for its heavy - handed stifling of political dissent — most infamously through its habit of the Siberian gulag . But it was during the 1960s and seventies that the Communist Party took their intolerance for ideological aberrancy to extremes by diagnose and institutionalizing so - called counterrevolutionaries with mental illness . It was a frightening installment in Soviet account in which perfectly healthy citizens could be view as psychotic simply on account of their political views .

And indeed , what better direction to deal with activists and naysayers than to name them as being mentally unsound . dissenter , who were often seen as both a burden and a threat to the scheme , could be easy discredited and detained .

Moreover , it serve as a hefty and disturbing way to win over the masses that they needed to cohere to the political party line — and that any deviant thinking was certainly a sign of genial instability . As Nikita Khrushchev noted in 1959 , it should be unimaginable for citizenry in a communist bon ton to have an anti - communist cognisance , and “ Of those who might get down calling for opposition to Communism on this footing , we can say that clear their mental state is not normal . ”

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Consequently , it was around this time that Soviet definitions of mental disease were expand to let in political noncompliance . But in the end , all it ever amounted to was a form of political abuse and repression . Anti - Soviet activist were not mentally ill — but rather the victims of politically inspired pseudoscience and the abuse of psychiatric diagnosis .

“ Politically defined madness ”

The Second Advent of Soviet psychoprisons coincided with the rise in index and influence of the KGB , the infamous secret service backstage of the Communist Party . They started to take an interest in medication as a potential instrument of control as ahead of time as 1948 under the Stalin regime . The employment of GULAGs was starting to fall out of favor , so it was around this meter that the high - ranking KGB officer Andrey Vyshinsky ordered the use of psychiatry as a way to both quash protest and still post a subject matter to any would - be activist .

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Indeed , psychiatry had neat potential as a control mechanics — more so than other area of medicine . The Communist Party was eager to take advantage . They get it on that a diagnosing of genial illness could confabulate them broad powers by appropriate them to detain persons against their will carry therapy — all while proclaiming it to be within the stake of the “ patient ” and the spacious interests of lodge .

Called psikhushkas , Soviet psychiatric wards were a berth where dissenters could be both confine and treated for their perceive conditions . Psikhushkas soon became an intact part of the larger psychiatric system , in which literal psychiatric science worked in parallel with the politically imposed variant . To a grade , it became part of a two - tiered system in which psychiatry was used as a form of political repression ( primarily operate out of the Moscow Institute for Forensic Psychiatry ) and a more echt psychopathology ( as practiced in the Leningrad Psychoneurological Institute ) . Once in full swing , the new system became integrate in one C of hospitals across the Soviet Union .

The campaign embrace a great sensation of deputation during the recent 1960s when loose dissention set about to become more threadbare , most notably through the agitation of such thinkers and activist as Alexander Solzhenitsyn and Andrei Sakharov . KBG chairwoman Yuri Andropov , who fit on to become Premier , call in for a renewed struggle against “ dissidents and their imperialist Edgar Lee Masters . ” To that end he outlined and implement a plan that decease into force in 1969 . count to wipe out political dissent in the Soviet Union once and for all , Andropov made certain that psychiatry would continue to be used as a creature in the battle .

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Specifically , he issued a decree on “ measure for preventing dangerous conduct ( turn ) on the part of mentally inauspicious persons . ” Consequently , psychiatrists were both empowered and expected to name and limit anyone who outfit the verbal description of a political agitator . Doctor of the Church were even told to “ haul ” or “ entrap ” suspected dissenters , thus making them not only de facto nab military officer , but interrogators as well . Psychiatrists were compelled to come - up with diagnoses , allowing the police and the state to forego inconvenience such as due summons and tribunal judgments ( such that they were at the clock time ) .

Sluggish schizophrenic psychosis

That said , Soviet doctors did use formal procedures to name their patients . The United States Department of State , with the help of some fanatical psychiatrists , was considerate enough to provide a list of symptom that could be used to make a diagnosis .

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The most plebeian of these was a condition call “ torpid schizophrenia , ” a psychological disorder that was developed by Andrei Snezhnevsky at the Moscow School of Psychiatry . Snezhnevsky agreed with the Communist Party ’s sentiment that citizens who opposed the Soviet regime must be mentally unwell since there could be no other logical principle why anyone would match the world ’s great sociopolitical system .

accordingly , he come up with a form of schizophrenia that not only characterize political deviance as a loser to properly grasp reality , but one that could very well be use to anyone exhibiting contrarian tendencies . Specifically , they described it as “ a continuous type [ of schizophrenic psychosis ] that is define as unremitting , go forward with either a speedy ( “ malignant ” ) or a dim ( “ sluggish ” ) progression and has a piteous prognosis in both instances . ”

In other words , it was a pervasive , subtle , and pernicious kind of schizophrenic psychosis that could n’t be cured . Moreover , psychotic symptoms were not required for the diagnosis . Psychiatrists were told to look for other underlying shape , such as psychopathy , hypochondria , and anxiety . But they were also on the spotter for such socially reprehensible traits like pessimism , pitiable societal adaptation , dispute with authorities , “ reform delusions , ” persistency , and “ struggles for truth and justice ” — traits that could , on their own , be sufficient for a diagnosis .

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According to Snezhnevsky , patients with sluggish schizophrenic psychosis could go unnoticed by the untrained centre and pass for regular kinfolk — that they were “ quasi - sane . ” It was only through a right diagnosing by a aim master that they could be distinguish .

In reality , it was a tool to isolate and imprison hundreds or thousands of political captive from the repose of order , discredit their ideas , and break them physically and mentally . It was nothing less than straining .

The imprisoned

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The human toll inflict by Soviet psychoprisons is one that ’s mostly lost in history , but significant nonetheless . Some survivor , such as Viktor Nekipelov , have gone on to suggest that the those involved were “ no better than the condemnable doctors who performed inhuman experiment on the prisoners in Nazi concentration bivouac . ”

Other outstanding objector included celebrated Soviet physicist Andrei Sakharov , poet Joseph Brodsky , Pyotr Grigorenko , Valery Tarsis , and Natalya Gorbanevskaya .

As for the exact scale of measurement of the practice , it is difficult to discern the numbers — but as work by historian continues a movie is embark on to emerge .

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According to the archive of the International Association on the Political Use of Psychiatry , no less than 20,000 citizen were hospitalize for political reasons — a issue that most historians accord is likely low on account of unreleased documentation ( there are a lot of mass active today who could be badly implicated by this information ) .

What is know is that , with the rise of Mikhail Gorbachev in the 1980s , the practice was ( mostly ) discontinued , leading to the release of many political prisoners . The year 1986 view the release of 19 prisoners , followed by 64 in 1987 . In 1988 , it was foretell that , of the 5.5 million Soviets listed on the psychiatric register , over 30 % would be taken off the listing . A twelvemonth later the number was retool and prove to be close to 10.2 million people register at “ psychoneurological dispensary ” — along with a whopping 335,200 infirmary beds specify away .

And sadly , the practice has not go completely out of favor in today ’s Russia , with some concerned that punitory psychopathology ismakingacomeback .

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commove installment for all of psychological medicine

While it might be easygoing to fire this chapter of Soviet story as an interesting consequence of totalitarian and authoritarian politics , it also serve as a disturbing monitor of the normative nature of psychiatry and the judgment of psychiatrical disorder . genial health is a culturally sanctioned affair . Our definitions of mental wellness change over sentence reckon on the value and morality of the society in question .

Today , our concerns are with those people who pose a menace to themselves and enforce a burden on smart set , and in turn we ’ve come to pathologize such things as gaming , depressive disorder , anxiety , and overeating . seem to the future , it ’s not cockeyed to believe we might do the same for shyness , uttermost spiritual beliefs , or racial bigotry . But given the multifariousness of human polish and individual experience , could we ever in all fairness agree upon and impose a singular vision of what ’s mentally normal ?

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