Serbsky Center

Psychiatry in Russia and the USSR

The Serbsky State Scientific Center for Social and Forensic Psychiatry (Russian: Госуда́рственный нау́чный центр социа́льной и суде́бной психиатри́и им. В. П. Се́рбского) is a psychiatric hospital and Russia's main center of forensic psychiatry. In the past, the institution was called the Serbsky Institute (Russian: Всесою́зный нау́чно-иссле́довательский институ́т о́бщей и суде́бной психиатри́и и́мени В. П. Се́рбского). The institution garnered negative publicity because many Soviet dissidents were examined there and then sent to psychiatric hospitals.

Institute

A part of the institute building in Moscow

The Institute started in 1921, and was named after Russian psychiatrist Vladimir Serbsky. One of the main stated purposes of the institute was to assist in forensic psychiatry for the criminal courts. Moscow Serbsky Institute conducts more than 2,500 court-ordered evaluations per year.[1]

The Institute also claimed leadership in studying different types of psychosis, brain trauma, alcoholism and drug addiction. One celebrity treated for an addiction was Vladimir Vysotsky.[2] The Serbsky Center is now headed by Zurab Kekelidze (ru), the chief psychiatrist of the Ministry of Health and Social Development of the Russian Federation,[3] whose dissertation was on sluggish schizophrenia.[4] Kekelidze is known to believe that homosexuality in some cases is a mental disorder and has not been excluded from the list of mental disorders.[5]

Instrument of Soviet control

In the Soviet Union, dissidents were often declared mentally ill.[6]:9 In almost all cases, dissidents were officially examined at the Serbsky Central Research Institute,[6]:78 which evaluated individuals accused under political articles.[6]:30 Typically declared mentally ill, indictees were sent for involuntary treatment to special hospitals in the MVD system.[6]:30 In the 1960s and 1970s, the procedure became public and evidence of “psychiatric terror” began to appear.[6]:41 The majority of incarcerations date from the late 1960s to the early 1980s.[6]:30

Alexander Esenin-Volpin, Viktor Nekipelov and Zviad Gamsakhurdia[7] were among the victims. Gen. Pyotr Grigorenko was determined as insane in the Serbsky Institute because he "was unshakably convinced of the rightness of his actions" and held "reformist ideas."[8]

In the 1960s Soviet psychiatry, particularly Serbsky Institute Director Dr. Andrei Snezhnevsky, introduced the concept of "sluggish schizophrenia", a special form of the illness that supposedly affects only social behavior, with no effect on other traits: "most frequently, ideas about a struggle for truth and justice are formed by personalities with a paranoid structure", according to the Serbsky Institute professors.[9][10] Most prisoners, in Viktor Nekipelov’s words, characterized the Serbsky Institute professor Daniil Lunts as "no better than the criminal doctors who performed inhuman experiments on the prisoners in Nazi concentration camps."[9]:549

Post-Soviet era

The Center underwent many changes after the Soviet Union collapsed. Psychiatry is not used as a weapon against dissenters, according to Center Director Tatyana Dmitrieva. The rooms where Soviet dissidents were imprisoned were changed to treat alcohol and drug addicts.[2]

Many psychiatric trials were pursued in order to protect high-ranking officials involved in rapes and murders, such as Yuri Budanov (he was convicted only after more than three years of trials).

However, Yuri Savenko, the head of the Independent Psychiatric Association of Russia, alleged that "practically nothing has changed. They have no shame at the institute about their role with the Communists. They are the same people, and they do not want to apologize for all their actions in the past." Attorney Karen Nersisyan agrees: "Serbsky is not an organ of medicine. It’s an organ of power." Savenko claimed that the institution was not professionally run and thus violated the doctor's main commandment. Spurious diagnoses declared symptom-free individuals to be mentally ill (for example, Budanov or General Pyotr Grigorenko), and the reverse (for example, major D. Evsyukov, actor F. Yalovega and diplomat Platon Obukhov).[11]

In the early 1990s, Serbsky Director Tatyana Dmitrieva apologized for the earlier abuses.[12][13] Her words were widely broadcast abroad but were published only in the St. Petersburg newspaper Chas Pik within the country.[12][13] However, in her 2001 book Aliyans Prava i Milosediya (The Alliance of Law and Mercy), Dmitrieva wrote that there were no psychiatric abuses and certainly no more than in Western countries.[13] Moreover, the book makes the charge that professor Vladimir Serbsky and other intellectuals were wrong not to cooperate with the police department in preventing revolution and bloodsheds and that the current generation is wrong to oppose the regime.[13] In December 2012, Mikhail Vinogradov, an expert of the Serbsky Center, stated "Do you talk about human rights activists? Most of them are just unhealthy people, I talked with them. As for the dissident General Grigorenko, I too saw him, kept him under observation, and noted oddities of his thinking. But he was eventually allowed to go abroad, as you know… Who? Bukovsky? I talked with him, and he is a completely crazy character. But he too was allowed to go abroad! You see, human rights activists are people who, due to their mental pathology, are unable to restrain themselves within the standards of society, and the West encourages their inability to do so."[14]

Instrument of oppression in post-Soviet Russia

From 1994, the use of psychiatry was expanded to control religious dissenters and others. In the Serbsky Center, a special group for “study of the negative influence of religious groups” was created under the leadership of professor Fyodor Kondratyev.[15] Kondratyev’s group started supervising trials all over the country.[13] It came to legal actions practically for sorcery.[13] The Nezavisimiy Psikhiatricheskiy Zhurnal documented the religious trials, demonstrating the emptiness of the charges of “gross harm on mental health”.[15] The Independent Psychiatric Association of Russia repeatedly documented Kondratyev as the author of pseudoscientific theory of "sectomania", making false charges.[15]

Kondratyev's special department “for studying destructive cults,” located in the Serbsky Center, closely collaborated with Alexander Dvorkin. Dvorkin ranks followers of Nikolai Rerikh and the religious communities of Yakov Krotov and Grigori Kochetkov among “totalitarian sects". In Yuri Savenko's words, “when a psychiatrist-academician (Dmitrieva, Sidorov) or an expert-psychologist of the Institute of Psychology of the Russian Academy of Sciences rely on the works by Dvorkin and Hassan, which do not belong to science, it is a symptom of degradation.”[15] In 2014, the experts of the Serbsky Center received the medical documents about the mental health condition of Alexander Dvorkin from a psychoneurological dispensary, studied them and concluded that he needed to be constantly supervised by a psychiatrist and take psychotropic drugs.[16]

Kondratyev not only denied accusations that he was ever personally engaged in Soviet abuses of psychiatry; he stated publicly that the very concept of Soviet-era "punitive psychiatry" was nothing more than: "the fantasy [vymysel] of the very same people who are now defending totalitarian sects. This is slander, which was [previously] used for anti-Soviet ends, but is now being used for anti-Russian ends."[17]:177

The denial by the Serbsky Center of the abuse of psychiatry for political purposes in the 1960–1980s and the open rehabilitation of its leader, director academician Georgi Morozov, are evidence of the restoration of psychiatry as a tool of oppression.[15] In 2004, proponents of mental health reform failed to prevent the effort by the doctors of the Serbsky Institute to roll back reforms in the landmark Russian Mental Health Law.[18] Over five years, from 1998 to 2003, the Serbsky Center made three proposals to amend the Law, but the IPA and general public managed to successfully challenge these amendments, and they were finally abandoned.[19] According to the IPA, these amendments would have impaired patients’ rights.[20]

In 2012, Ukrainian psychiatrist Semyon Gluzman said that the Serbsky Institute still remained a leading service for Russian forensic psychiatric examinations.[21] Serbsky Institute continues to conduct many court-ordered evaluations with hotly disputed results.

Role in post-Soviet forensic examinations

According to Russian psychiatrist Emmanuil Gushansky, the Serbsky Center exercises undue administrative and corporate influence on its young and insufficiently qualified staff. The commission system of forensic psychiatric examinations leads to "collective irresponsibility" in which no individual is accountable for a particular diagnosis or other recommendation. For example, the Serbsky Center declared a killer to be insane and offered a diagnosis of "acute stress". In fact, the killer had maintained communication with his victim, remembered the conflict with his victim. During a drunken household brawl he managed to find a shotgun in his basement, shoot his victim, clean and hide the weapon, removing his fingerprints, and then flee the scene. In accord with the Center's recommendation, he was declared insane and released from confinement.[28]

In 2004, Yuri Savenko stated that the law on state expert activity and the introduction of the profession of forensic expert psychiatrist destroyed adversary-based examinations and that the Serbsky Center had monopolized forensic examination, which it had never done in the Soviet era. Formerly, the court could include any psychiatrist in a commission of experts, but the new law allowed the court only to choose an institution. The head of the institution assigns the experts to a commission for each case. Experts are certified only after working in a state institution for three years. The Director of the Serbsky Center was also the head of the Center's forensic psychiatry department, which is the only one in the country.[15]

According to Savenko, the Serbsky Center has long labored to institutionalize its monopolistic position as the country's main psychiatric institution. These efforts led to a considerable drop in the quality of expert reports. The Serbsky Center further attempted to eliminate the adversarial character of court proceedings and to degrade the role of specialist reviewers.[29] Lyubov Vinogradova claimed that there has been a diminution in patients' rights because independent experts are now excluded from evaluations and court proceedings.[30]

On 28 May 2009, Savenko wrote to the then President of the Russian Federation Dmitry Medvedev an open letter, in which Savenko asked Medvedev to submit to the State Duma a draft law prepared by the IPA to address the sharp drop in the level of forensic psychiatric examinations, which Savenko attributed to the lack of competition within the sector and its increasing nationalization. The letter said that expert reports now often dropped entire sections and failed to substantiate findings, that findings contradicted the descriptive sections, and that many statements are contrary to generally accepted scientific practice. The letter added that courts made no attempt to assess the expert report for coherence and consistency and do not check findings for accuracy, completeness and objectivity. In the spring of 2009, IPA attacked an expert report whose descriptive part was distorted, paving the way for other falsifications; four of the case's six examinations were carried out in the Serbsky Center.[31]

On 15 June 2009, the working group chaired by Tatyana Dmitrieva sent the Supreme Court of Russia a joint proposal to outlaw appeals against state forensic expert reports and prohibit lawsuits that appealed against the reports. The proposal claimed that the appeals were filed “without regard for the scope of the case” and that appeals should be made “only together with the sentence.” Savenko claimed that all professional errors and omissions became unchallengeable because they were the basis of the sentence.[29]

The application was considered in the paper “Current legal issues relevant to forensic-psychiatric expert evaluation” by E.Y. Shchukina and S.N. Shishkov.[32] It attacked the admissibility of appeals against expert reports without regard for the scope of the case. According to lawyer Dmitry Bartenev, while talking about “the reports”, the paper mistakenly conflates the reports with actions of the experts (or the institution) and asserts the impossibility of “parallel” examinations. However, abuse of rights and legitimate interests of citizens, including trial participants, may be a subject for a separate appeal.[29]

In 2010, when the outpatient forensic-psychiatric examination of Yulia Privedyonnaya was carried out in the Sebsky Center, its experts asked her the question “What do you think of Putin?”. Savenko called the question inappropriate, unseemly and indelicate.[33]

Publications

In 1997, the Center established Russian Psychiatric Journal dedicated to the issues of social and forensic psychiatry.[34]

Interesting facts

In fiction

In 1976, Viktor Nekipelov published in samizdat his book Institute of Fools: Notes on the Serbsky Institute[38]:147 documenting his personal experience at Serbsky Psychiatric Hospital.[39]:86 In 1980, the book was translated and published in English.[40][41]:312 Poet and dissident Viktor Nekipelov was arrested in 1973 and sent to Section 4 of the Serbsky Institute. The evaluation lasted from 15 January to 12 March 1974. He was judged sane, tried and sentenced to two years' imprisonment. He described the doctors and other patients; most of the latter were ordinary criminals feigning insanity in order to avoid prison camps.[42] According to IPA President Savenko, Nekipelov’s book accurately describes the era of Soviet punitive psychiatry.[43] The book was published in Russia in 2005.[43][44] After reading the book, Donetsk psychiatrist Pekhterev concluded that allegations against the psychiatrists were self-serving and false.[45] According to Robert van Voren, Pekhterev misses the main point: while living conditions in the Serbsky Institute were not bad compared with living conditions of the Gulag, the Serbsky Institute was the departure point for "patients" who were dispatched to specialized psychiatric hospitals in Chernyakhovsk, Dnepropetrovsk, Kazan and Blagoveshchensk where they experienced forced administration of drugs, beatings and other forms of arbitrary punishment. Some died during the "treatment", including Alexey Nikitin.[46]

In the 1983 novel Firefox Down by Craig Thomas, captured American pilot Mitchell Gant is imprisoned in a KGB psychiatric clinic "associated with the Serbsky Institute", where he is drugged and forced him to reveal the location of the Firefox aircraft, which he has stolen and flown out of Russia.[47]

In the 1998 TV series Seven Days, episode 16 "There's something about Olga", the FSB recruits a female patient of the Serbsky Center (incorrectly located in the city of Minsk, Belarus).

See also

References

  1. Государственный научный центр социальной и судебной психиатрии им. В.П. Сербского (in Russian). Serbsky.ru. 2011-03-14. Retrieved 2014-03-05.
  2. 1 2 Article about the Institute in Newsru (Russian)
  3. Safina, Nailya [Наиля Сафина] (23 December 2011). Нет здоровья без душевного здоровья [There is no health without mental health]. Meditsinskaya Gazeta (in Russian). Archived from the original on December 5, 2013. Retrieved 21 March 2012.
  4. Kekelidze, Zurab [Зураб Кекелидзе] (22 October 2013). Кому выгоден миф о карательной психиатрии? (Пресс-конференция проф. З.И. Кекелидзе в связи с направлением на принудительное лечение оппозиционера Михаила Косенко) [For whom is the myth of punitive psychiatry profitable? (Press conference of prof. Z.I. Kekelidze in connection with sending oppositionist Mikhail Kosenko to compulsory treatment] (in Russian). Independent Psychiatric Association of Russia. Retrieved 9 August 2014.
  5. Kekelidze, Zurab [Зураб Кекелидзе] (26 January 2013). Главный психиатр России: Раньше геев били втихаря, а теперь это обсуждают [The chief psychiatrist of Russia: Gays were previously beaten on the sly, and now their being beaten is discussed] (in Russian). Dozhd. Retrieved 31 January 2014.
  6. 1 2 3 4 5 6 Korotenko, Ada; Alikina, Natalia [Ада Коротенко, Наталия Аликина] (2002). Советская психиатрия: Заблуждения и умысел [Soviet psychiatry: fallacies and wilfulness] (in Russian). Kiev: Издательство «Сфера» [Publishing house "Sphere"]. ISBN 966-7841-36-7.
  7. "Who Killed Zviad Gamsakhurdia". Web.archive.org. Archived from the original on October 27, 2009. Retrieved 2014-03-05.
  8. 1 2 Glasser, Susan (15 December 2002). "Psychiatry's Painful Past Resurfaces in Russian Case; Handling of Chechen Murder Reminds Many of Soviet Political Abuse of Mental Health System". The Washington Post. Translation of the article into Russian: "Болезненное прошлое российской психиатрии вновь всплыло в судебном деле Буданова". inosmi.ru. 2002-12-15. Retrieved 12 July 2011.
  9. 1 2 Applebaum, Anne (2003). Gulag: a history. Doubleday. ISBN 0-7679-0056-1.
  10. Цитатник номера [Quote set of the issue]. Вестник Ассоциации психиатров Украины [The Herald of the Ukrainian Psychiatric Association] (in Russian) (The Ukrainian Psychiatric Association) (5). 2013.
  11. Savenko, Yuri [Юрий Савенко] (2011). К 120-летию Осипа Мандельштама и 90-летию ГНЦ социальной и судебной психиатрии им. В.П.Сербского [On the occasion of 120 years of the birth of Iosif Mandelshtam and 90 years of the establishment of the Serbsky Center]. Nezavisimiy Psikhiatricheskiy Zhurnal (in Russian) (1): 5–7. Retrieved 18 December 2012.
  12. 1 2 Svetova, Zoya [Зоя Светова] (2007). "Злоупотребление психиатрической властью в России – свидетельствует пресса" [The abuse of psychiatric power in Russia, as witnessed by the press]. Nezavisimiy Psikhiatricheskiy Zhurnal [The Independent Psychiatric Journal] (in Russian) (2): 87–89. Retrieved 8 August 2011.
  13. 1 2 3 4 5 6 Savenko, Yuri [Юрий Савенко] (2004). "Тенденции в отношении к правам человека в области психического здоровья" [Trends in the attitude to human rights in the field of mental health]. In Novikova, A. [А. Новикова] (ed.). Права человека и психиатрия в Российской Федерации: Доклад по результатам мониторинга и тематические статьи [Human rights and psychiatry in the Russian Federation: Report on the results of monitoring and subject articles] (in Russian). Moscow: Moscow Helsinki Group. ISBN 5-98440-007-3. External link in |chapter= (help)
  14. Mishina, Irina [Ирина Мишина] (17 December 2012). Раздвоение личностей: Почему преступников считают здоровыми, а общественных деятелей — законченными психами? [Dual personalities: Why are criminals considered healthy, while public figures are considered complete madmen?]. Версия [Versiya] (in Russian). Retrieved 3 March 2014.
  15. 1 2 3 4 5 6 Savenko, Yuri [Юрий Савенко] (2004). Отчетный доклад о деятельности НПА России за 2000–2003 гг [Report on the activities of the IPA of Russia over 2000–2003]. Nezavisimiy Psikhiatricheskiy Zhurnal [The Independent Psychiatric Journal] (in Russian) (2). ISSN 1028-8554. Retrieved 20 July 2011.
  16. Kotova, Ekaterina [Екатерина Котова] (5 August 2014). Минздрав поставил диагноз главному сектоведу [The Ministry of Health gave a diagnosis to the main scholar of sects]. Trud (in Russian) (107).
  17. Fedor, Julie (2011). Russia and the Cult of State Security: The Chekist Tradition, From Lenin to Putin. Routledge. p. 177. ISBN 1136671862.
  18. 1 2 Murphy, Kim (30 May 2006). "Speak Out? Are You Crazy?". Los Angeles Times. Retrieved 7 January 2012.
  19. Savenko, Yuri [Юрий Савенко] (2007). Дело Ларисы Арап или как можно поместить любого в психиатрическую лечебницу [The case of Larisa Arap, or how anyone can be committed to a psychiatric hospital]. Nezavisimiy Psikhiatricheskiy Zhurnal [The Independent Psychiatric Journal] (in Russian) (№ 3): 75–77. Retrieved 18 February 2014.
  20. Vinogradova, Lyubov; Savenko, Yuri [Любовь Виноградова, Юрий Савенко] (2006). Попытка выхолостить очередной демократический закон [An attempt to dilute regular democratic law]. Альманах "Неволя" ["Bondage" Almanac] (in Russian) (№ 6). Retrieved 18 February 2014.
  21. Pavlova, Svetlana; Polyakovskaya, Elena (28 November 2012). Дело Косенко: лечение и возмещение [The case of Kosenko: treatment and compensation] (in Russian). Radio Liberty. Retrieved 12 December 2012.
  22. Finn, Peter (30 September 2006). "In Russia, Psychiatry Is Again a Tool Against Dissent". The Washington Post.
  23. "Psychiatry used as a tool against dissent". Association of American Physicians and Surgeons. Archived from the original on 3 October 2006. Retrieved 5 August 2014.
  24. Litvinovich, Marina [Марина Литвинович] (4 December 2006). Загадочная болезнь [Mysterious disease]. Novaya Gazeta (in Russian).
  25. "What made Chechen schoolchildren ill?". The Jamestown Foundation. 30 March 2006.
  26. Murphy, Kim (19 March 2006). "War-related stress suspected in sick Chechen girls". Los Angeles Times.
  27. Davidoff, Victor (13 October 2013). "Soviet Psychiatry Returns". The Moscow Times. Retrieved 9 January 2014.
  28. Gushansky, Emmanuil [Эммануил Гушанский] (19 November 2009). Психиатр как судебный эксперт – между молотом и наковальней [The psychiatrist as a forensic expert—between hammer and anvil] (in Russian). Polit.ru.
  29. 1 2 3 Savenko, Yuri; Bartenev, Dmitry [Юрий Савенко, Дмитрий Бартенев] (2010). Психиатр и юрист о новой инициативе центра им. Сербского [The psychiatrist and lawyer comment a new initiative of the Serbsky Center]. Nezavisimiy Psikhiatricheskiy Zhurnal [The Independent Psychiatric Journal] (in Russian) (1): 85–86. ISSN 1028-8554. Retrieved 12 July 2011.
  30. Clark, Fiona (11 January 2014). "Is psychiatry being used for political repression in Russia?". The Lancet 383 (9912): 114–115. doi:10.1016/S0140-6736(13)62706-3. PMID 24422214.
  31. Savenko, Yuri [Юрий Савенко] (2009). Открытое письмо Президенту Российской Федерации Д.А. Медведеву [The open letter to the President of the Russian Federation Dmitry Medvedev]. Nezavisimiy Psikhiatricheskiy Zhurnal [The Independent Psychiatric Journal] (in Russian) (2): 5–6. ISSN 1028-8554. Retrieved 12 July 2011.
  32. Shchukina, Elena; Shishkov, Sergei [Елена Щукина, Сергей Шишков] (2009). Актуальные правовые вопросы судебно-психиатрической экспертизы [Relevant legal issues of forensic-psychiatric expert evaluation]. Российский психиатрический журнал (in Russian) (Издательская группа "ГЭОТАР-Медиа" ["GEOTAR-Media publishing group"]) (6): 24–28. ISSN 1560-957X.
  33. Savenko, Yuri [Юрий Савенко] (2010). Как Вы относитесь к Путину? [What do you think of Putin?]. Nezavisimiy Psikhiatricheskiy Zhurnal (in Russian) (№ 1): 93–94. Retrieved 31 July 2011.
  34. Российский психиатрический журнал [Russian Psychiatric Journal] (in Russian). Научная электронная библиотека “Elibrary.ru”. Retrieved 23 May 2012.
  35. Walsh, Michael (21 October 2014). "Russian artist who nailed testicles to ground slices off ear to protest police". New York Daily News.
  36. "Pyotr Pavlensky's sliced ear – and three other painful artworks". The Week. 21 October 2014.
  37. "Russian artist cuts off earlobe in protest at use of forced psychiatry on dissidents". The Guardian. 20 October 2014.
  38. Bloch, Sidney; Reddaway, Peter (1977). Psychiatric terror: how Soviet psychiatry is used to suppress dissent. Basic Books. p. 177. ISBN 0-465-06488-4.
  39. Jena, S.P.K. (2008). Behaviour Therapy: Techniques, Research and Applications. Sage Publications. p. 86. ISBN 0-7619-3624-6.
  40. Nekipelov, Viktor (1980). Institute of fools: notes from the Serbsky. Farrar, Straus, Giroux. ISBN 0-374-17703-1.
  41. Keefer, Janice; Pavlychko, Solomea (1998). Two lands, new visions: stories from Canada and Ukraine. Coteau Books. p. 312. ISBN 1-55050-134-8.
  42. Lader, Malcolm (26 July 1980). "Prisoners of psychiatry". The British Medical Journal 281 (6235): 298–299. PMC 1713856.
  43. 1 2 Savenko, Yuri [Юрий Савенко] (2005). "Институт дураков" Виктора Некипелова [Institute of fools by Viktor Nekipelov]. Nezavisimiy Psikhiatricheskiy Zhurnal [The Independent Psychiatric Journal] (in Russian) (4). ISSN 1028-8554. Retrieved 21 April 2011.
  44. Nekipelov, Viktor [Виктор Некипелов] (2005). Институт дураков [The Institute of Fools] (in Russian). Барнаул [Barnaul]: Изд-во организации «Помощь пострадавшим от психиатров» [Publishing house of the "Help for the Victims of Psychiatry" Organization]. ISBN 5985500225.
  45. Pekhterev, Valentine [Валентин Пехтерев] (2013). Ода Институту Сербского [Ode to the Serbsky Institute]. Новости медицины и фармации [Medicine and Pharmacy News] (in Russian) 14 (465). Retrieved 8 February 2014.
  46. Voren, Robert van [Роберт ван Ворен] (2013). Отзыв на статью об Институте Сербского [The response to an article on the Serbsky Institute]. Вестник Ассоциации психиатров Украины [The Herald of the Ukrainian Psychiatric Association] (in Russian) (The Ukrainian Psychiatric Association) (5).
  47. Thomas, Craig (1983). Firefox Down. New York: Bantam Books. ISBN 0-553-17095-3.

Bibliography

External links

Coordinates: 55°44′26″N 37°35′16″E / 55.74061°N 37.58787°E / 55.74061; 37.58787

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