"An oedipal conflict on an epileptic basis": the diagnosing and treatment of behavioural problems in a Dutch child psychiatric clinic (1952–1962).

This article discusses the diagnosing and treatment of behavioural problems in a pioneering Dutch child psychiatric clinic in the 1950s. This was headed by Theo Hart de Ruyter, the first Dutch professor of child psychiatry and a psychoanalyst. It is generally assumed that during postwar years child...

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Published in:Paedagogica Historica Vol. 56; no. 3; pp. 341 - 360
Main Authors: Bakker, Nelleke, Smit, Milou
Format: Article
Published: Taylor & Francis Ltd Jun2020
Subjects:
Online Access:View this record in EBSCOhost
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        10.1080/00309230.2019.1616782
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        atl: "An oedipal conflict on an epileptic basis": the diagnosing and treatment of behavioural problems in a Dutch child psychiatric clinic (1952–1962).
      aug:
        au:
          Bakker, Nelleke
          Smit, Milou
        affil: Department of Education, University of Groningen, Groningen, Netherlands
      su:
        History of the Netherlands
        Behavior disorders in children
        Child psychiatry
        Diagnosis
        Therapeutics
        Structural model of the psyche
        Children
      sug:
        subj:
          History of the Netherlands
          Behavior disorders in children
          Child psychiatry
          Diagnosis
          Therapeutics
          Structural model of the psyche
          Children
      keyword:
        behavioural problems
        child psychiatry
        diagnosis
        Freudianism
        treatment
      ab: This article discusses the diagnosing and treatment of behavioural problems in a pioneering Dutch child psychiatric clinic in the 1950s. This was headed by Theo Hart de Ruyter, the first Dutch professor of child psychiatry and a psychoanalyst. It is generally assumed that during postwar years child psychiatry was primarily influenced by Freudianism with its focus on a nurture-related aetiology of children's behavioural problems. This assumption has, however, not been tested for the clinical practice. Did nature-bound explanations – referring to a child's neurological constitution, hereditary predisposition or brain dysfunction – disappear from the consulting room and was treatment with psychotropic drugs anathema to Freudians, in the way it has been suggested? We compare Hart de Ruyter's theoretical work with the contemporary expert discourse and with the way he and his team diagnosed and treated children, using clinical records. It turns out that both theory and practice and both aetiology and treatment mixed up nature and nurture. The use of an electro-encephalogram to rule out organic causes and of medication to speed up improvement of a child's behaviour does, however, not undo the predominant adherence of the clinic's staff to updated versions of Freudianism. It also demonstrates the semi-improvisational nature of early academic child psychiatry.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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