Beyond ideological platitudes: socialism and psychiatry in Eastern Europe

For both contemporaneous commentators and historians, psychiatry within what was Communist Europe has largely been discussed through the prism of politics and ideology. Recently, scholars have begun to debate the extent to which psychiatric practices within post-WWII Eastern Europe were beholden to the ideological aspirations of the political elite. This paper enters into these debates by suggesting the need for more nuance in how historians analyse the relationship between ideology and psychiatry in this context. Specifically, it argues that there is a need to differentiate between psychiatric practices that were socialist by design—where professional knowledge was theoretically guided by ideological considerations—and those that were socialist by default—where practices were shaped by the socialist context without being meaningfully inspired by ideology. In order to demonstrate these distinctions, this paper reflects upon psychiatric developments within Communist Yugoslavia (1945–1991). By drawing a clearer distinction between “socialist by design” and “socialism by default”, it becomes easier to reconnect Eastern Europe to the broader historiography of twentieth century psychiatry, while simultaneously providing new insights into the experience of state-sponsored Communism.