Sullivan, Harry Stack.

Harry Stack Sullivan (1892-1949) has been described as 'the most original figure in American psychiatry'. Challenging Freud's psychosexual theory, Sullivan founded the interpersonal theory of psychiatry, which emphasized the role of interpersonal relations, society and culture as the primary determinants of personality development and psychopathology. This concise and coherent account of Sullivan's work and life invites the modern audience to rediscover the provocative, groundbreaking ideas embodied in Sullivan's interpersonal theory and psychotherapy.

Private Practices examines the relationship between science, sexuality, gender, race, and culture in the making of modern America between 1920 and 1950, when contradictions among liberal intellectuals affected the rise of U.S. conservatism. Naoko Wake focuses on neo-Freudian, gay psychiatrist Harry Stack Sullivan, founder of the interpersonal theory of mental illness. She explores medical and social scientists' conflicted approach to homosexuality, particularly the views of scientists who themselves lived closeted lives. Wake discovers that there was a gap--often dramatic, frequently subtle--between these scientists' "public" understanding of homosexuality (as a "disease") and their personal, private perception (which questioned such a stigmatizing view). This breach revealed a modern culture in which self-awareness and open-mindedness became traits of "mature" gender and sexual identities. Scientists considered individuals of society lacking these traits to be "immature," creating an unequal relationship between practitioners and their subjects. In assessing how these dynamics--the disparity between public and private views of homosexuality and the uneven relationship between scientists and their subjects--worked to shape each other, Private Practices highlights the limits of the scientific approach to subjectivity and illuminates its strange career--sexual subjectivity in particular--in modern U.S. culture.

Sullivan, Harry Stack.

This book informs the public for the first time about the impact of American psychiatry on soldiers during World War II. Breaking Point is the first in-depth history of American psychiatry in World War II. Drawn from unpublished primary documents, oral histories, and the author’s personal interviews and correspondence over years with key psychiatric and military policymakers, it begins with Franklin Roosevelt’s endorsement of a universal Selective Service psychiatric examination followed by Army and Navy pre- and post-induction examinations. Ultimately, 2.5 million men and women were rejected or discharged from military service on neuropsychiatric grounds. Never before or since has the United States engaged in such a program. In designing Selective Service Medical Circular No. 1, psychiatrist Harry Stack Sullivan assumed psychiatrists could predict who might break down or falter in military service or even in civilian life thereafter. While many American and European psychiatrists questioned this belief, and huge numbers of American psychiatric casualties soon raised questions about screening’s validity, psychiatric and military leaders persisted in 1942 and 1943 in endorsing ever tougher screening and little else. Soon, families complained of fathers and teens being drafted instead of being identified as psychiatric 4Fs, and Blacks and Native Americans, among others, complained of bias. A frustrated General George S. Patton famously slapped two “malingering” neuropsychiatric patients in Sicily (a sentiment shared by Marshall and Eisenhower, though they favored a tamer style). Yet psychiatric rejections, evacuations, and discharges mounted. While psychiatrist Roy Grinker and a few others treated soldiers close to the front in Tunisia in early 1943, this was the exception. But as demand for manpower soared and psychiatrists finally went to the field and saw that combat itself, not “predisposition,” precipitated breakdown, leading military psychiatrists switched their emphasis from screening to prevention and treatment. But this switch was too little too late and slowed by a year-long series of Inspector General investigations even while numbers of psychiatric casualties soared. Ironically, despite and even partly because of psychiatrists’ wartime performance, plus the emotional toll of war, postwar America soon witnessed a dramatic growth in numbers, popularity, and influence of the profession, culminating in the National Mental Health Act (1946). But veterans with “PTSD,” not recognized until 1980, were largely neglected.

The Psychiatric Interview is a unique book. It deals with the basic issues in psychiatric assessment-which, without guidance, may be distressingly difficult-and reduces them to easily digestible facts.