The history of psychiatry is often portrayed through the metaphor of a pendulum, the profession swinging back and forth between a concern with psyche and soma. Recent work critiquing the pendulum metaphor, however, suggests that it does not account for the complexity of psychiatry.This article explores the metaphor through an analysis of the changing aetiological accounts of personality disorders associated with antisocial behaviour advanced in the American Journal of Psychiatry from 1950 onwards. It is argued that the social, scientific and economic factors which help shape overarching professional trends in psychiatry only partly structure personality disorder discourse. If the pendulum swings, therefore, not all psychiatrists move with it.
All primary references are courtesy of the Office of NIH History, National Institutes of Health (Bethesda, USA), unless otherwise stated.
2.
NAMHC (The National Advisory Mental Health Council) (1988) Report to Congress on the Decade of the Brain, January 1988, ‘Approaching the 21st Century: Opportunities for NIMH Neuroscience Research’, National Institutes of Mental Health, Alcohol, Drug Abuse, and Mental Health Administration, U.S. Department of Health and Human Services Publication Number (ADM) 88-1580.
3.
NAMHC, ‘Setting Priorities for Basic Brain and Behavioral Science at NIMH’, Final Report of the National Advisory Mental Health Council’s Workgroup on Basic Sciences, May 2004. U.S. Department of Health and Human Services and National Institute of Mental Health.
4.
NIMH (National Institute of Mental Health) Oral History Program, History of Medicine Division, National Library of Medicine, Bethesda, MD, includes the following interviews: Busse, Edward, Interview, 29 Nov. 1977. Felix, Robert H, Interview, 18 Mar. 1968. Tarjan, George, Interview, 1978.
5.
Nimh (1992), ‘You Are Not Alone’, Department of Health and Human Services Publication Number (ADM)92-1178.
6.
Public Health Service [PHS]: (1952) Selected Research Accomplishments of the NIH.
7.
(1959) Review of Intramural Research: National Institutes of Health; also 1960, 1961, 1965, 1966.
8.
( 1964) Research for Health: A Report from the National Institutes of HealthPHS Publication No. 1205. Washington, DC: Government Printing Office.
9.
Silver LB ( 1984) Foreword. In: The Neuroscience of Mental Health, National Institutes of Health, Alcohol, Drug Abuse, and Mental Health Administration. U.S. Department of Health and Human Services , Publication Number (ADM) 89-1363, p. iii.
10.
The White House (1965) Biomedical Science and its Administration: A Study of the National Institutes of Health. Report to the President. The White House, Washington, DC February.
11.
Abrams S. ( 1973) The polygraph in a psychiatric setting. American Journal of Psychiatry130 (1): 94-98.
12.
APA (1952) Diagnostic and Statistical Manual of Mental Disorders. Washington, DC : American Psychiatric Association. Also, 2nd edn (1968); 3rd edn (1980).
13.
Arrigo BA and Shipley S. ( 2001) The confusion over psychopathy (I): historical considerations . International Journal of Offender Therapy and Comparative Criminology45 (3): 325-344.
14.
Barondes SH ( 1999) An agenda for psychiatric genetics. Archives of General Psychiatry56 (6): 549-552.
15.
Bennett AE ( 1953) Biological psychiatry. American Journal of Psychiatry110 (4): 244-252.
16.
Bernstein DP, Cohen P., Skodal A., Bezirganian S. and Brook JS ( 1996) Childhood antecedents of adolescent personality disorder . American Journal of Psychiatry153 (7): 907-913.
17.
Berrios GE ( 1993) European views on personality disorders: a conceptual history. Comprehensive Psychiatry34 (1): 14-30.
18.
Berrios GE ( 1996) The History of Mental Symptoms: Descriptive Psychopathology since the Nineteenth Century. Cambridge: Cambridge University Press.
19.
Bowman KM and Rose M. ( 1952) A criticism of current usage of the term "sexual psychopath ". American Journal of Psychiatry109 (3): 177-182.
20.
Braslow JT ( 1997) Mental Ills and Bodily Cures: Psychiatric Treatment in the First Half of the Twentieth Century. Berkeley: University of California Press.
21.
Brown BS ( 1976) The federal mental health program: past, present, and future. Hospital and Community Psychiatry27 (7): 512-514.
22.
Bynum WF, Lock S. and Porter R. ( 1992) Medical Power and Medical Knowledge: Historical Essays . London and New York: Routledge.
23.
Chauncey G., Jr ( 1993) The postwar sex crime panic. In Graebner W (ed.) True Stories from the American Past. New York: McGraw-Hill, 160-178.
24.
Cleckley H. ( 1955) The Mask of Sanity: An Attempt to Clarify Some Issues about the So-Called Psychopathic Personality, 3rd edn. St Louis: The C. V. Mosby Company; first published in 1941.
25.
Coccaro EF, Kavoussi RJ, Cooper TB and Hauger RL ( 1997) Central serotonin activity and aggression: inverse relationship with prolactin response to d-fenfluramine, but not CSF 5-HIAA concentration, in human subjects. American Journal of Psychiatry154 (10): 1430-1435.
26.
Cohen BM, Renshaw PE and Yurgelun-Todd A. ( 1995) Imaging the mind: magnetic resonance spectroscopy and functional brain imaging. American Journal of Psychiatry152 (5): 655-658.
27.
Cole SA ( 2000) From the sexual psychopath statute to "Megan’s Law": psychiatric knowledge in the diagnosis, treatment, and adjudication of sex criminals in New Jersey, 1949-1999. Journal of the History of Medicine and Allied Sciences55 (3): 292-314.
28.
Constantino JN, Morris JA and Murphy DL ( 1997) CSF 5-HIAA and family history of antisocial personality disorder in newborns. American Journal of Psychiatry154 (12): 1771-1773.
29.
Cooper R. ( 2004) What is wrong with the DSM? History of Psychiatry15: 5-25.
30.
Decker HS ( 2007) How Kraepelinian was Kraepelin? How Kraepelinian are the neo-Kraepelinians? - from Emil Kraepelin to the DSM-III. History of Psychiatry18: 337-360.
31.
Doi K. ( 2006) Diagnostic imaging over the last 50 years: research and development in medical imaging science and technology. Physics in Medicine and Biology51 (13): R5-R27.
32.
Engel GL ( 1977) The need for a new medical model: a challenge for biomedicine . Science196 (4286): 129-136.
33.
Engel GL ( 1980) The clinical application of the biopsychosocial model . American Journal of Psychiatry137 (5): 535-544.
34.
Felix RH ( 1973) Lawrence Kolb 1881-1972. American Journal of Psychiatry130 (6): 718-719.
35.
Frances A. ( 1980) The DSM-III personality disorders section: a commentary . American Journal of Psychiatry137 (9): 1050-1054.
36.
Freedman EB ( 1987) "Uncontrolled desires": the response to the sexual psychopath, 1920-1960. Journal of American History74 (1): 83-106.
37.
Freidson E. ( 1988) Profession of Medicine: A Study in the Sociology of Applied Knowledge, 2nd edn. Chicago and London: The University of Chicago Press; first published in 1970.
38.
Gabbard GO ( 1997) Finding the "person" in personality disorders. American Journal of Psychiatry154 (7): 891-893.
39.
Gabbard GO ( 2005) Mind, brain, and personality disorders. American Journal of Psychiatry162 (4): 648-655.
40.
Gerstley L., Alterman AI, McLellan AT and Woody GE ( 1990) Antisocial personality disorder in patients with substance abuse disorders: a problematic diagnosis? American Journal of Psychiatry147 (2): 173-178.
41.
Gerstley L., McLellan AT, Alterman AI, Woody GE, Luborsky L. and Prout M. ( 1989) Ability to form an alliance with the therapist: a possible marker of prognosis for patients with antisocial personality disorder . American Journal of Psychiatry146 (4): 508-512.
42.
Gilbert J. ( 1986) A Cycle of Outrage: America’s Reaction to the Juvenile Delinquent in the 1950s. New York and Oxford: Oxford University Press.
43.
Gough HG ( 1948) A sociological theory of psychopathy. The American Journal of Sociology53 (5): 359-366.
44.
Grob GN ( 1987) The forging of mental health policy in America: World War II to new frontier. Journal of the History of Medicine and Allied Sciences42 (4): 410-446.
45.
Grob GN ( 1991a) Origins of DSM-I: a study in appearance and reality . American Journal of Psychiatry148 (4): 421-431.
46.
Grob GN ( 1991b) From Asylum to Community: Mental Health Policy in Modern America. Princeton: Princeton University Press.
47.
Grob GN ( 1998) Psychiatry’s Holy Grail: the search for the mechanisms of mental diseases. Bulletin of the History of Medicine72 (2): 189-219.
48.
Grob GN ( 2004) Historical foreword. In: Farreras IG, Hannaway C and Harden VA (eds) Mind, Brain, Body, and Behavior: Foundations of Neuroscience and Behavioral Research at the National Institutes of Health. Washington DC: IOS Press, xiii-xvi.
49.
Grob GN ( 2005) Public policy and mental illnesses: Jimmy Carter’s presidential commission on mental health. The Millbank Quarterly83 (3): 425-456.
50.
Hagner M. and Borck C. ( 2001) Mindful practices: on the neurosciences in the twentieth century. Science in Context14 (4): 507-510.
51.
Hale NG, Jr ( 1995) The Rise and Crisis of Psychoanalysis in the United States: Freud and the Americans, 1917-1985. New York and Oxford: Oxford University Press.
52.
Hale NG, Jr ( 2000) American psychoanalysis since World War II. In: Menninger RW and Nemiah JC (eds) American Psychiatry after World War II (1944-1994) . Washington DC and London: American Psychiatric Press, Inc., 77-102.
53.
Halpert HP ( 1958) Activities of the National Institutes of Health which affectAmerican families. Marriage and Family Living20 (3): 261-269.
54.
Hare RD ( 1983) Diagnosis of antisocial personality disorder in two prison populations. American Journal of Psychiatry140 (7): 887-890.
55.
Healy D. ( 2004) Shaping the intimate: influences on the experience of everyday nerves. Social Studies of Science34 (2): 219-245.
56.
Hirshbein L. and Sarvananda S. ( 2008) History, power, and electricity: American popular magazine accounts of electroconvulsive therapy, 1940-2005. Journal of the History of the Behavioral Sciences44 (1): 1-18.
57.
Holzman PS ( 2000) Seymour S. Kety, M.D., 1915-2000. American Journal of Psychiatry157 (7): 1057.
58.
Howells JG ( 1966) The psychopathogenesis of hard-core families. American Journal of Psychiatry122 (10): 1159-1164.
59.
Hume E. ( 1990) The antisocial personality disorder diagnosis. American Journal of Psychiatry147 (9): 1254.
60.
Hyman SE ( 2000) National Institute of Mental Health goals for behavioral science. Experimental and Clinical Psychopharmacology8 (3): 271-272.
61.
Jonas AD ( 1965) Psychopathic personality. American Journal of Psychiatry122 (6): 709-710.
62.
Jones M. ( 1962) Society and the sociopath. American Journal of Psychiatry119 (5): 410-414.
63.
Kelves BH ( 1997) Naked to the Bone: Medical Imaging in the Twentieth Century . New Brunswick, NJ: Rutgers University Press.
64.
Kinzel AF ( 1976) "Sociopathy" and child psychiatry. American Journal of Psychiatry133 (1): 102-103.
65.
Klerman GL ( 1989) Psychiatric diagnostic categories: issues of validity and measurement: an invited comment on Mirowsky and Ross (1989 ). Journal of Health and Social Behavior30 (1): 26-32.
66.
Kolb LC, Frazier SH and Sirovalka P. ( 2000) The National Institute of Mental Health: its influence on psychiatry and the nation’s mental health. In Menninger RW and Nemiah JC (eds) American Psychiatry after World War II (1944-1994) . Washington DC and London: American Psychiatric Press, Inc., 207-231.
67.
Levy E. ( 1990) Psychobiology and the brain-mind relationship. American Journal of Psychiatry147 (4): 537-538.
68.
Lewis B. ( 2006) Moving Beyond Prozac, DSM, and the New Psychiatry: The Birth of Postpsychiatry. Ann Arbor: The University of Michigan Press.
69.
Light D. ( 1980) Becoming Psychiatrists: The Professional Transformation of Self. New York and London: W. W. Norton and Co.
70.
Lion JR ( 1972) The role of depression in the treatment of the aggressive personality disorder. American Journal of Psychiatry129 (3): 347-349.
71.
Lipowski ZJ ( 1989) "Somatization" of psychiatric disorders. Dr Lipowski replies . American Journal of Psychiatry146 (4): 570-571.
72.
Livesley WJ, Jung KL, Jackson DN and Vernon PA ( 1993) Genetic and environmental contributions to dimensions of personality disorder. American Journal of Psychiatry150 (12): 1826-1831.
73.
Livesley WJ, Schroeder ML, Jackson DN and Kerry L. ( 1994) Categorical distinctions in the study of personality disorder: implications for classification. Journal of Abnormal Psychology103 (1): 6-17.
74.
Luhrmann TM ( 2000) Of Two Minds: The Growing Disorder in American Psychiatry . New York: Alfred A. Knopf.
75.
Luntz BK and Widom CS ( 1994) Antisocial personality disorder in abused and neglected children grown up. American Journal of Psychiatry151 (5): 670-674.
76.
Marohn RC, Offer D. and Ostrov E. ( 1971) Juvenile delinquents view their impulsivity. American Journal of Psychiatry128 (4): 418-423.
77.
Martin JB ( 2002) The integration of neurology, psychiatry and neuroscience in the 21st century. American Journal of Psychiatry159 (5): 695-704.
78.
Martin S. ( 2007) Between Kraepelin and Freud: the integrative psychiatry of August Hoch. History of Psychiatry18: 275-299.
79.
Masterson JF, Jr ( 1958) Prognosis in adolescent disorders. American Journal of Psychiatry114 (12): 1097-1103.
80.
Mayes R. and Horwitz AV ( 2005) DSM-III and the revolution in the classification of mental illness. Journal of the History of the Behavioral Sciences41 (3): 249-267.
81.
Metzl J. ( 2003) ‘Mother’s little helper’: the crisis of psychoanalysis and the Miltown resolution. Gender and History15 (2): 228-255.
82.
Micale M. ( 2000) The psychiatric body. In Cooter R and Pickstone J (eds) Medicine in the Twentieth Century. Amsterdam: Harwood Academic Publishers, 323-346.
83.
Moore M. ( 1956) Review of ‘The Mask of Sanity. An Attempt to Clarify Some Issues about the So-Called Psychopathic Personality’ by Hervey Cleckley, M.D. American Journal of Psychiatry113 (1): 92.
84.
Nemeroff CB, Kilts CD and Berns GS ( 1999) Functional brain imaging: twenty-first century phrenology or psychobiological advance for the millennium? American Journal of Psychiatry156 (5): 671-673.
85.
O’Neal P., Robins LN, King LJ and Schafer J. ( 1962) Parental deviance and the genesis of sociopathic personality . American Journal of Psychiatry118 (12): 1114-1124.
86.
Overholser W. and Cody WJT ( 1958) Review of psychiatric progress 1957: forensic psychiatry . American Journal of Psychiatry114 (7): 642-645.
87.
Pickersgill MD(2009a) NICE guidelines, clinical practice and antisocial personality disorder: the ethical implications of ontological uncertainty. Journal of Medical Ethics35 (11): 668-671.
88.
Pickersgill M.(2009b) Between soma and society: neuroscience and the ontology of psychopathy . BioSocieties4 (1): 45-60.
89.
Pickersgill MD (in press) ‘Promising’ therapies: neuroscience, clinical practice and the treatment of psychopathy. Sociology of Health and Illness (forthcoming 2011).
90.
Pincus HA, Henderson B., Blackwood D. and Dial T. ( 1993) Trends in research in two general psychiatric journals in 1969-1990: research on research. American Journal of Psychiatry150 (1): 135-142.
91.
Pollock VE, Briere J., Schneider L., Knop J., Mednick SA and Goodwin DW ( 1990) Childhood antecedents of antisocial behavior: parental alcoholism and physical abuse. American Journal of Psychiatry147 (10): 1290-1293.
92.
Porter R. ( 1997) The Greatest Benefit to Mankind: A Medical History of Humanity from Antiquity to the Present. London: Harper Collins.
93.
Pressman JD ( 1998) Last Resort: Psychosurgery and the Limits of Medicine . Cambridge: Cambridge University Press.
94.
Quay HC ( 1965) Psychopathic personality as pathological stimulation seeking . American Journal of Psychiatry122 (2): 180-183.
95.
Raine A., Venables PH and Williams M. ( 1990) Autonomic orientating responses in 15-year-old male subjects and criminal behavior at age 24. American Journal of Psychiatry147 (7): 933-937.
96.
Rasmussen N. ( 2006) Making the first anti-depressant: amphetamine inAmerican medicine. Journal of the History of Medicine and Allied Sciences61 (3): 288-323.
97.
Robins LN ( 1966) Deviant Children Grown Up: A Sociological and Psychiatric Study of Sociopathic Personality. Baltimore: Williams and Wilkins Co.
98.
Rose N. ( 2007) The Politics of Life Itself: Biomedicine, Power, and Subjectivity in the Twenty-first Century. Princeton and Oxford: Princeton University Press.
99.
Rosenberg CE ( 2007) Our Present Complaint: American Medicine, Then and Now . Baltimore: The Johns Hopkins University Press.
100.
Ryans MM ( 1981) Treating antisocial personalities. American Journal of Psychiatry138 (1): 123.
101.
Sabshin M. ( 1990) Turning points in twentieth-centuryAmerican psychiatry. American Journal of Psychiatry147 (10): 1267-1274.
102.
Sadowsky J. ( 2005) Beyond the metaphor of the pendulum: electroconvulsive therapy, psychoanalysis, and the styles ofAmerican psychiatry. Journal of the History of Medicine and Allied Sciences61 (1): 1-25.
103.
Saß H. and Felthous AR ( 2008) History and conceptual development of psychopathic disorders . In Felthous AR and Saß H (eds) The International Handbook of Psychopathic Disorders and the Law. Chichester: John Wiley and Sons, 9-30.
104.
Schwartz V. ( 1989) "Somatization" of psychiatric disorders. American Journal of Psychiatry146 (4): 570.
105.
Scull A. ( 1994) Somatic treatments and the historiography of psychiatry . History of Psychiatry5: 1-12.
106.
Simon A. ( 1973) Karl Murdock Bowman 1888-1973. American Journal of Psychiatry130 (6): 717-718.
107.
Smith RJ ( 1978) The Psychopath in Society. New York , San Francisco and London: Academic Press, Inc.
108.
Sokoloff L. ( 2000) Seymour S. Kety: August 25, 1915-May 25, 2000. Biographical Memoirs, National Academy of Sciences; retrieved (22 May 2008) from: http://newton.nap.edu/html/biomems/skety.html .
109.
Sutherland EH ( 1950) The diffusion of sexual psychopath laws. American Journal of Sociology56 (2): 142-148.
110.
Swazey J. ( 1974) Chlorpromazine in Psychiatry: A Study of Therapeutic Innovation . Cambridge, MA: MIT Press.
111.
Trunnell TL ( 1967) Sociopathic personality in identical twins in a set of dizygotic triplets. American Journal of Psychiatry124 (1): 43-51.
112.
Werlinder H. ( 1978) Psychopathy: A History of the Concepts. Stockholm: Almqvist and Wiksell International .
113.
White BV ( 1984) Stanley Cobb: A Builder of the Modern Neurosciences . Boston, MA: Francis A. Countway Library of Medicine .
114.
Wilson MW ( 1993) DSM-III and the transformation of American psychiatry: a history. American Journal of Psychiatry150 (3): 399-410.
115.
Young A. ( 1995) The Harmony of Illusions: Inventing Post-Traumatic Stress Disorder. Princeton: Princeton University Press.
