Hans Gerhard Creutzfeldt (1885–1964) in the Third Reich

Hans Gerhard Creutzfeldt (1885–1964) is an internationally known Professor of Psychiatry and Neurology. During the time of National Socialism (1933–1945), he worked in the Charite University Hospital Berlin and moved to Kiel University as Head of the Department for Psychiatry and Neurology in 1938. Until the turn of the millennium, Creutzfeldt was considered to be of moral integrity and an opponent of the Nazi regime and its eugenics measures. Publications of the last years came to the conclusion that this depiction does not hold up. They questioned his relations to the ideas and structures of the National Socialist system, his role as a consultant in the National Socialist's forced sterilization program, a possible involvement in the Nazi euthanasia measures, and his position as a psychiatric consultant for the German navy. The article considers 2 aspects concerning the National Socialist racial hygiene in greater detail by using newly found source material. It is shown that Creutzfeldt, although he did not actively resist, was not acting in the interest of the Nazi regime, but rather was trying to save as much patients as possible by changing their diagnoses and prevent them from being killed in the euthanasia program.

GERMAN HISTORIOGRAPHY OF THE NAZI EUTHANASIA PROGRAM AND THE TIDAL WAVE OF HISTORICAL MEMORY IN THE FEDERAL REPUBLIC OF GERMANY

В статье рассматривается проблема германской историографии о нацистской программе эвтаназии. Доказывается, что публикации историков и специалистов в области психиатрии появлялись в печати в связи с периодами развития темы исторической памяти о постыдном прошлом немецкого общества, связанного с преступлениями в психиатрии при национал-социалистическом режиме. На основе исследования работ по указанной проблематике обосновывается тезис о том, что появление в печати, а также содержание научной литературы соответствует трем периодам проработки прошлого. Раскрывается, что в период послевоенного забвения количество публикаций по теме исключительно мало и происходило по частной инициативе авторов. Проводимая государством политика памяти, или мемориальная политика, не способствовала признанию медицинских преступлений и прав жертв эвтаназии на достойную память. Было выяснено, что ряд публикаций имел особое значение в процессе изменения общественного сознания в отношении к национал-социалистическому прошлому. К концу века процесс сохранения памяти о конкретных жертвах приобрел локальное значение. В статье делается вывод о том, что проблема признания жертв эвтаназии имеет долгую историю и связана с трансформацией осознания проблемы об-щественностью и с официальным дискурсом в немецком обществе. The article focuses on the way German historiography treats the Nazi euthanasia program. It maintains that historical and psychiatric research is instigated by the tidal wave of historical memory of the German past marred by appalling crimes against psychiatric patients committed under the National Socialist reign. The analysis of works related to the aforementioned topic enables the author of the article to conclude that the appearance and the content of research papers conform to one of the three periods of historical investigation. In the post-war period when the heinous practices were hushed up, the number of publications related to the topic was exceedingly small, all publications were initiated by individual researchers. The state-controlled memory policy didn’t instigate the recognition of psychiatrists’ criminal actions nor did it grant the victims of euthanasia killings a right to be commemorated. The article shows that some research papers initiated changes in social attitudes to the National Socialist past. At the end of the 20th century the commemoration of victims of euthanasia killings was an issue of local significance. The article maintains that the problem of recognizing the victims of euthanasia killings has a long history and is associated with the transformation of social awareness, social problems and official discourse in German society.

Neuroscience becomes “Aryanized” at the Kaiser Wilhelm Institutes in Germany

The Kaiser Wilhelm Institutes (KWI) in Germany were supposed to be bastions of internationally renowned science, but were just as easily “coordinated” under National Socialism in Germany as the universities and public hospitals and clinics. The KWIs for brain research in Berlin and Munich, even partially founded by a Jew in the case of the latter, became primary sites for research related to the Nazi “euthanasia” programs. The transition from physiologic to pathologic research at each institute, facilitated by replacement of dissident neuroscientists with more loyal and ethically pliable neuroscientists, such as Spatz and Scholz, helped to set the stage for euthanasia research. Illustrated in this chapter is the fact that at least seven replacements of non-Aryans or dissidents at various levels significantly facilitated the coordination of the KWIs. One of these, Marthe Vogt, was not actually a dismissal, but a voluntary emigration from Germany in rejection of the Nazis.

The ‘Poitrot Report’, 1945: the first public document on Nazi euthanasia

The aim of this paper is to shed light on the so-called ‘Poitrot Report’, submitted to the French Military Government in Baden-Baden, Germany, in December 1945 and published in a reduced German version in 1946. Its author was the French-Moroccan psychiatrist Robert Poitrot, who had been put in charge of the public mental asylums in Südwürttemberg after World War II. Poitrot took responsibility for restoring psychiatric care during the occupation, and was also eager to document Nazi ‘euthanasia’ and to start investigating the role of staff in mental hospitals during National Socialism. Focusing on the ‘Poitrot Report’, this paper also reflects on life in Württemberg mental hospitals and the interaction between French representatives such as Poitrot and regional German medical staff.

A Hallervorden–Spatz-eponímától a molekuláris nevezéktanig

Introduction and aim: A combination of Niemann-Pick- and Hallervorden-Spatz diseases led to the death of a 17-year-old boy in 1994. Genetic counseling necessitated further investigations in 2017. Meanwhile, the nomenclature of Hallervorden-Spatz disease has been abandoned. The author analyze the reasons for this change. Method: Professional activities of Hallervorden and Spatz during and after the Nazi euthanasia program are presented. Also, the scientific efforts that led to the discovery of the genetic background of the disease and ultimately to its new name are highlighted. Results: In nazi Germany, a large number of mentally disabled were killed. The majority of pediatric-brains were transferred to the “Kaiser Wilhelm Institut für Hirnforschung”, led by Hugo Spatz, and was included in the “Hallervorden collection”. Investigations exploring the connections between eponyms and nazi-activites started in the mid-1980s. This process was accelerated by the discovery of genetic alterations underlying disease entities, including neurodegeneration with brain iron accumulation (NBIA). NBIA has several subtypes, with the first being the disease described by Hallervorden and Spatz, and recently renamed to pantothenate kinase-associated neurodegeneration (PKAN). The case examined by the authors belongs to the third subtype, to the mitochondrial protein-associated neurodegeneration (MPAN). Conclusion: The works of the two noted neuropathologists strongly conflict with current ethical principles of human research studies. The buried “Hallervorden collection” in the Munich Waldfriedhof cemetery, and the memorial column erected there will remain a sad reminder of a time when a political system profoundly distorted the judgement of even academic physicians. Orv Hetil. 2017; 158(43): 1723–1727.