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The biography of the Heidelberg Professor of Psychiatry Carl Schneider (1891-1946) represents a combination of a quest for psychiatric reform, pronounced interest in brain research, and commitment to the first systematic extermination of a minority during the Nazi era, the murder of psychiatric patients. Guided by a biological concept that included the individual and his environment and thus interpreting the interactive and social sphere from a purely biological viewpoint, Schneider considered cure and extermination as two sides of the same coin. Psychiatric patients should receive intensive 'biological' therapy, but if they were incurable and could not be integrated into society, they lost their reason for existence also in the biological sense. This can be illustrated by Schneider's research department in Heidelberg (1943/1944) where 52 children and adolescents were subjected to an extensive diagnostic program. Twenty of these children were murdered in the name of research at the Eichberg psychiatric asylum. [ABSTRACT FROM AUTHOR]

The psychiatric patients killed under the disguise of euthanasia during World War II belong to the group of victims which are often forgotten in public remembrance. For German and Austrian psychiatry it is important to include them into the memory of the discipline as well as into European remembrance of the victims of Nazi annihilation policy. The patient files of the victims enable us to reconstruct the criterion of economic usefulness for deciding about life or death. But above all the files are the basis on which the suffering and the life histories of the patients can be told.

During World War II, psychiatric patients hospitalized in asylums in Eastern Prussia became victims of two separate killing programmes: first, by the SS-special command Lange, second by the centrally (in Berlin) organized "euthanasia"-"Aktion T4". By an analysis of the patient files of the victims, the present paper shows that the historical actors responsible for the killings were communicating with each other. It is now also possible to reconstruct the exact dynamic in time and space of the killings. A comparative analysis of the selection criteria within the total population of the asylums documents that in both programs, the responsible historical actors included physicians and provincial administrative personnel; it further shows that under the conditions of war, only patients who were able to contribute to the asylum work and economy, and were behaviourally adapted could survive.

In 1990, previously unknown documents dated from the Nazi era were found in Berlin. They had been preserved in the central archives of the Ministry for State Security (MfS), the secret service of the now former German Democratic Republic (GDR). Nearly 30,000 psychiatric patient files turned out to comprise the smaller part of the records of patients who had been murdered in the 1940/41 "T4 action". More than 70,000 patients of psychiatric asylums were killed by gas in this first campaign of extermination during Nazism, and their files were believed to have been lost. Based on a project to be funded by the German Research Association, this paper offers a brief survey of the developments in historical research about Nazi "euthanasia" and the theories interpreting historical information. The paper will also present a research project dedicated to the memory of the victims of the "T4 action" and to the rediscovered files now conserved in the German Federal Archives in Berlin. The aim is to offer a systematic analysis of 3,000 records in an effort to contribute to the perception of the victims as individuals. The analysis will also include an examination of the selection criteria stipulated by the Nazi psychiatrists (hereditary illness, incurability, and incapacity to work productively) to select patients for extermination. In this way, the decision-making process, criteria, and motives that led to the killing should become more clear. This empirical analysis will help to answer questions concerning the proportion of eugenic and economic motivations and the Nazi rationale behind the extermination campaigns. The project will build upon an earlier preliminary study of a nonrepresentative sample of 185 files. As a preliminary result, it can be said that most of the victims had been hospitalised over long terms and classified as schizophrenic or feeble-minded. A third of the patients killed were considered invalid and not working, and almost 50% were described as working "mechanically". Five per cent of the victims were working "productively".

Ernst Rüdin (1874-1952), director of the Deutsche Forschungsanstalt für Psychiatrie in Munich, was one of the leading psychiatrists in Nazi Germany. Prevailing historical research on Rüdin's relation to the systematic annihilation of psychiatric patients is dominated by the only hitherto available biographical account which suggests that Rüdin privately disapproved of the "euthanasia" program, but did not make this disapproval public. According to this account, neither Rüdin nor any of his co-scientists were in any way actively involved in the systematic killings. In contrast to this image, a general evaluation of the historical sources on the systematic killing of patients clearly shows that due to the fragmentary character of the evidence, any exculpation of particular individuals or institutions is premature to date. Furthermore, the reevaluation of already known archival material and new documents presented here proves that Rüdin had a genuine interest in research which on the one hand made profitable use of the killings, and on the other hand was aimed at formulating scientific criteria for the systematic selection and "euthanasia" of those supposedly unworthy to live. Julius Deussen (1906-1970), since 1939 head of the department for hereditary psychology at the Deutsche Forschungsanstalt, was also a close co-worker of Carl Schneider (1891-1946) at the University of Heidelberg. He coordinated the research on children carried through in the context of the "euthanasia"-programme between 1943 and 1945. This research sought to systematically correlate clinical and laboratory findings with the histopathological data of the victims' brains. From the beginning, it included the killing of the patients. Central elements of the research programme had been formulated by Deussen already in Munich. Rüdin supported the activities of Deussen in Heidelberg and repeatedly pointed out that they were of importance for the health and population policy of the Nazi regime.

The history of German psychiatry is characterized not only by innovative thought in the tradition of Kraepelin and Jaspers, but also by the "euthanasia" program that resulted in the killing of more than 100,000 psychiatric patients and mentally handicapped people. Exemplified by the Psychiatric Department at the University of Heidelberg, the relation between psychiatric research and the systematic killing of patients during the time of National Socialism is analysed. The first part of the paper summarizes the historical background of the general condition of German psychiatry in the 1930s and 1940s. The second part gives an outline of the biography and work of Carl Schneider (1891-1946), head of the Psychiatric Department at Heidelberg until 1945. It can be shown that the call for intensive therapy for those patients who were to be reintegrated into society was connected with the killing of those who were considered to be beyond reach of any active therapeutic approach. This is also the context of C.Schneider's research program concerning mentally handicapped children. The historical reconstruction of research activities, drawing on the patients' files and other documents, reveals that out of 52 children who had been examined, 20 were killed in the asylum of Eichberg in order that their brains might be examined in Heidelberg. The findings are discussed in view of the ongoing historiographical debate on the relationship between the politics of National Socialism and contemporary science.