Interview: Liana Glew on psychiatric paperwork

Liana Glew is this year’s co-winner of the History of the Human Sciences Early Career Essay Prize. We spoke to her about her research and her winning essay ‘Documenting insanity: Paperwork and patient narratives in psychiatric history’.

HHS: First of all, congratulations on winning the History of the Human Sciences Early Career Essay Prize for your essay ‘Documenting insanity: Paperwork and patient narratives in psychiatric history’. To begin I wonder if you could briefly introduce and summarise your essay and say a little about what inspired you to write it.

Liana Glew: Thank you for the honour of the prize. The essay examines paperwork from US psychiatric hospitals in the late 19th and early 20th centuries. My purpose in this examination is to develop methods of reading that center patient agency and disability identity. The inspirations for piece were twofold. Firstly, it was inspired by a trip to the Oregon State Archives where they’ve done a really beautiful and careful job archiving this challenging history. That’s where a lot of the the material comes from. Second, it was inspired by a graduate seminar taught by Ebony Coletu, which is where I first started thinking critically about bureaucracy and paperwork.

HHS: Before I ask more about the piece itself I wonder if you could briefly talk about your PhD thesis project and how this article relates to your research more broadly?

LG: The article represents the third chapter of the dissertation, edited to stand on its own. Each chapter covers one genre of text about life inside asylums in the 19th and 20th century. So the first chapter is about fiction, the second about memoir-exposes which is a sort of hybrid genre that I’ve identified to talk about the journalistic and memoir pieces coming out around that time about life in an asylum. This third chapter covers the same paperwork material as this essay, then the fourth chapter is on archival patient writing. I’m taking writing to be a really big category, so it includes different types of artistic expression, house organs, personal journals, letters, and more.

HHS: Your essay discusses medical paperwork –what is distinctive about this kind of medical text? Does it make sense to talk about paperwork in terms of genre?

I think it does, yes. I think we’re used to looking through paperwork to get to the content of it and we don’t see the form itself. And so, by framing paperwork as a type of narrative just like other types of narratives, by placing it alongside these other genres, I think we are able to see some of the mechanisms of power at work inside these bureaucracies in a way that would be almost invisible if we weren’t taking the time to stop and look at the writing of paperwork as a genre of writing.

HHS: To rephrase a question you ask in your introduction, how did you go about reading these kinds of documents ‘while centering patients’ agency’? In what ways does paperwork repress  agency?

LG: To start, I think I would define that term patient agency as a person’s power to make decisions about their treatment and to control the stories told about them during the course of their treatment and after. I specifically chose the word agency, rather than something like independence, taking a cue from disability scholars. Sometimes decision-making happens in conversation or in groups, but I wanted to honour the person’s desires and political drives and needs, etc. The type of paperwork I’m looking at often frames a person’s narrative as evidence of ‘madness’ – madness or insanity are the terms they would use – rather than as a valid representation of what they were experiencing. When a patient spoke, the only time their words would end up in that paperwork was often to prove that they were mad. So as a narrative tool, paperwork really subsumes patient agency within its grasp.

HHS: In discussion of mediation and agency in relation to these documents where or how do you position yourself as a historian?

LG: I’m doing my PhD in English Department—even though this project is historically situated, narrative is my primary lens. As I’m developing these methods for reading, I try to be very aware of my own positionality and follow scholars like Gail Hornstein by leaving room for a diversity of madness narratives. I’m constantly checking myself to make sure that I’m not, for example, just replacing a pro-psychiatry narrative with an anti-psychiatry narrative. I’m trying to create these methods for reading that can encompass a really broad array of lived experience and while I’m doing this, I’m also noticing the roles of narratives, stigma, disability, etc, in how we understand history.

HHS: Why were you particularly interested in hospitals built according to Thomas Story Kirkbride’s architectural plans for psychiatric institutions?

On the surface level, they had a more unified and formalized record keeping practice so it was easier to find some of these archives. Although they were still not especially easy to find, as many of them have been destroyed, lost, or taken up by private collectors. On a more theoretical level, I’m interested in how Kirkbride’s vision for architectural design parallels the way that administrators fashion their own role within this bureaucracy. Kirkbride saw very little distinction between architectural design and therapeutic practice so he thought about how each design element would reflect or influence the humane treatment that he hoped patients would receive. Once the construction of the hospitals were set in motion by the Kirkbride Plan, they were set in the context of eugenic America and became sites of overcrowding and abuse. I believe that administrators’ bureaucratic moves demonstrated and reflected the sort of underlying punitive or eugenic ideology of the hospital, just as Kirkbride’s design reflected his underlying utopian vision of the hospital. I think there’s some some parallel work happening there.

HHS: What was the value of Ann Laura Stoler’s injunction to read ‘along the archive grain’ for your project?

LG: Stoler’s work for me was a really good starting place for working with this material because it teaches us to see and notice how groups and power constructed narrative, as well as the real life effects that those narratives can have on the people experiencing life in the hospital. Stoler provides a starting point, the first place that I go before developing the argument and methods further. Put altogether I think the methods more readily reflect

Marisa J. Fuentes’s approach of reading along the bias grain. Not to overcomplicate the metaphors here, but just as Stoler moves along the archival grain which involves following wood grain, Fuentes talks about cutting fabric on the bias, which makes it stretch. My examination of paperwork shows where these narratives stretch—what’s missing, where patients push back against the institutional narrative, etc. Stoler’s work is a good starting point, but then I move out towards this more elastic understanding of the archive.

You describe finding some empty forms in the archive that struck you as significant for identifying the ‘archival grain’ – how so?

LG: That’s an anecdote I go to because it was one of the first times I started realizing how we’re trained to think about paperwork. I was working on a really tight schedule in an archive and I had this really thick folder of paperwork that I had brought to the desk. I worked with this really wonderful, helpful archivist who scanned the documents for me; I came back a few hours later and I realized she had only scanned about half of the papers. She said she didn’t scan the others because they were “blank.” And this led to such a generative conversation between the two of us in realizing that we are trained to see forms as blank, even when they contain plenty of text. It was this moment where it clicked for me that this is something that’s really worth looking at and something that we’re so trained to see as invisible.

HHS: What key historical shifts in psychiatry were evident from studying these documents?

LG: I’m hesitant to make broad claims about psychiatry as a whole, because my access to archives has been limited to the US and limited to really two or three hospitals. But I have noticed within that scope a shift more towards family history, so in the late 19th century, a lot of these forms were more about the person’s individual history: when they started exhibiting behaviours that were non-normative, etc. And then the paperwork that I’m looking at around the 1920s starts moving towards asking more questions about family history. The other thing that I noticed was a shift in where authority was located in the intake process, the process of a patient being admitted into the hospital. Around the 19th century, so many of these forms just reference the fact that a physician has done an exam on this patient behind closed doors, that the physician declares this patient is insane and that they should be hospitalized, and so the reader of the form is supposed to just trust the doctors’ authority. In the 20th century, these intake forms went from being about three pages to about ten pages. A community member or a friend (whoever brought the patient to the hospital that day) was expected to fill out the form and provide a detailed family history. The authority started residing in the bureaucratic process itself rather than in the individual physician.

How does this essay bring together approaches from disability studies and medical humanties?

I think they work together. In this essay in particular I’m interested in some questions borrowed from medical humanities, such as how medical practices operate, how decisions are made at the top, how power flows, how power operates in doctor-patient encounters etc. But as someone who has come to this from the perspective of disability studies, I feel that we can’t answer those questions without also answering questions about how one self identifies with disability or doesn’t, how stigma and ableism operate in these hospitals and how we can centre the lived experiences of disabled people. These questions, for me, are are part and parcel, they really can’t be separated. We can’t answer the questions about how bureaucracy operates without answering questions about the effects on people’s lived experiences.

HHS: How do you go about disentangling different ‘layers of voices’ in these documents?

It’s often a really complicated process. I tried to be transparent about the ambiguity, about the impossibilities of disentangling some of those voices when I’m writing about the documents.

I work with one document, for example, that’s just called ‘Case notes continued’. It’s typed up but it’s completely unclear to me as a 21st century reader whether this was dictated by a physician to another worker to type up after interviewing a patient, if some other worker in the hospital read the patient’s file and then summarized it in this type of document, or something else. I don’t know how this document came to be or what the process behind it was. I don’t know whose voice is leading it, but it’s written in this almost omniscient scientific voice. I think that the ambiguity builds that scientific authority so that it reads not as the voice of an individual, but as the voice of the hospital or the voice of science. The patient’s voice is buried really, really deep in there. In this particular document, they say that the patient claims that her husband is abusive, just as she claims to hear the voice of God; these claims are immediately followed by a diagnosis of paranoia. So, as I said before, her voice just becomes evidence of her madness. This is significant because her voice is completely subsumed by this medical narrative. I think noticing those ambiguities and the work of those ambiguities is important.

HHS: Could you say more about Mrs H’s story and what seemed significant or intriguing about it?

LG: This is a true story. It is both the heart of the essay and the thing that I was most hesitant to include. The case file that I was just referencing is actually hers—her husband brought her to the Oregon State Hospital. The first forms that we see are filled out by the husband and by the doctor, and they declare that she’s heard the voice of God, that she has religious insanity etc. And then, in that case notes file we get this little glimmer where she says, ‘no my husband is abusive I shouldn’t be here’. But then that becomes evidence of her paranoia. She was there for about a month or two before the hospital received a petition signed by 150 of her friends, church members, community members, etc. These signatures attested to her sanity and to the fact that her husband is an awful abusive man.

What I can glean from the case file – there are a few carbon copies of letters that the doctor sent after receiving this petition to the judge, to the husband, and to the friends of this patient – is that the doctor came to believe her story. He sent her home into the care of friends and he told her husband he should have nothing to do with her anymore. It’s a really moving story.  It’s triumphant, it’s this example of community power, of people coming together and achieving this thing. But it also is in no way representative of most of these files, and so I was hesitant to include it because it’s so spectacular and I didn’t want it to be distracting. I think that’s the limit of case studies, but I think it’s also important to untangle some of the narrative voices in a story like this. It’s intriguing, it’s captivating, it’s triumphant and it’s also a little bit distracting from the patients who came to the hospital but whose voices don’t seem to bubble up in their paperwork nearly as much as Mrs H’s. Her story is important and it’s also challenging because I want to be very careful not to let it represent the whole of people’s experiences in these hospitals.

HHS: How do you define ‘archival excess’?

Archival access is the third mode of reading that I get to at the very end. Other people have used this phrase before but not quite in this context. I’m using it to reference how material spills out over these prescribed bureaucratic boxes. One example is marginalia. I have another example in the essay of a discharge notice that’s written on an edge of a piece of paper, it seems a doctor ripped it off and said, ‘if this woman’s fit to go home then send her home, if not keep her here’. That’s all it says, and that was her discharge notice. This sort of haphazard ephemera I think of as archival access. It could also be something like a patient’s answer to a question that the form didn’t ask, but the patient thought was important information to convey at the bottom of the form. I think archival access is one of those windows into seeing the form as a genre and as a piece of writing. It helps show the limitations of the form, what story that hospital is trying to tell and what story the patient felt was important to tell back. I find it a useful tool for reading.

HHS: Is there something specific about working with the archives of psychiatric institutions that might provide insights into working in archives more generally?

LG: I went back and forth between wanting to make a claim about disability and archives generally, and these very specific archives. US psychiatric archives tend to have vanished or gone into private collections or been shredded or something else, but there are places like the Oregon State Archive that have have really stewarded this history. But those places are few and far between and I think there’s something to how closely guarded so many of these archives are. I also came up against some challenging ethical questions regarding anonymity; I chose to make all of these forms anonymous in my own writing. That was a choice I made with some hesitation because I’ve seen some really excellent work on the history of disability that deanonymizes these stories to tell stories with names and faces to them. I think that’s important work, but the patients whose stories I’m looking at—stories that have been heavily mediated by paperwork and institutional narratives—never had the option to say if they wanted to be part of this project of destigmatizing mental illness, for example, and so I try to honor that and by making all of these stories anonymous.

But a choice like that is a choice that’s really specific to the archive, and it’s really specific to the history that I’m trying to tell. Psychiatric archives open up a set of questions that are relevant to archiving more generally, but I don’t want to claim any of these these choices, like my choice to anonymize my sources, are a prescription for how all archiving and all archival research should work.

HHS: Your essay explores the ‘structural relationship between bureaucratic institutions and disabled people’ – could this relationship be linked to the distinction you make in your conclusion between ‘spectacular, unsettling, disturbing’ narratives and ‘mundane, undisturbed, and undisturbing’ paperwork?

LG: Absolutely. The sort of spectacular stories, like Mrs H’s triumphant story of getting out of the hospital, are few and far between. More frequently we get stories of institutional violence that are made to seem really mundane and so at the end of the essay I start talking about paperwork that represents the forced sterilization of people who are in these institutions. This paperwork refers to violent murderous eugenic history and practice but the paperwork makes it seem so mundane and so unchallenged. It’s yet another reason to look really closely at this paperwork to see what stories are being told, to see what stories are not being told, and to centre the lived experiences of disabled people when we’re talking about this kind of medical history and practice, because the stakes of the issue can be obscured if we were just reading the story that that paperwork wanted to tell us.

Liana Kathleen Glew is a PhD candidate in English at Penn State University where she teaches writing and an Introduction to Disability Studies course. Her dissertation, “Ravings: Reading, Writing, and Psychiatry in the American Asylum” examines four genres of texts by and about psychiatric patients in the US between 1860 and 1940: fiction, memoir-exposés, paperwork, and archival patient writing. Her work can also be found in J19: The Journal of Nineteenth-Century Americanists and the C19 Podcast.

Interview conducted by Hannah Proctor

Interview: What do we want? Simon Torracinta on Edward Tolman’s drive theory of wants

Simon Torracinta, PhD candidate in the History of Science and Medicine at Yale, is this year’s co-winner of the History of the Human Sciences Early Career Essay Prize. We spoke to him about his research and his winning essay ‘Maps of desire: Edward Tolman’s Drive Theory of Wants’.

HHS: To begin I wonder if you could briefly introduce Edward Tolman and say a little about what inspired you to write about him?  

ST: Edward Tolman was an American psychologist who worked mostly in the 1920s to 1950s, and spent most of his career at the University of Berkeley (their psychology building was named ‘Tolman Hall’ in his honour until it was demolished in 2019). He was a member of the so-called ‘neo-behaviourist’ generation, the cohort of psychologists, with figures like Clark Hull and B.F. Skinner, who took up the banner of behaviourism in the middle of the 20th century. They developed it into a robust research framework and succeeded in making it the dominant experimental paradigm – especially in the United States –  for several decades.

I was initially drawn to Tolman’s work because of his particularly explicit theorization of drives. But I was surprised to find that, although he was one of the most influential psychologists of his day and he’s still cited in neuroscience research today, he has mostly been neglected by historians, besides the excellent biography by psychologist David Carroll. But as I hope readers of the article will see, much of his work speaks to core concerns in the history of the human sciences. Although Tolman was sincerely committed to behaviourism as an epistemological framework, he was consistently drawn to phenomena – cognition, purpose, desire – that pushed against the limits of that framework, which produces some really fascinating tensions.

HHS: Before I ask more about the article itself, I wonder if you could briefly talk about your PhD thesis project and how this article relates to your research more broadly?

ST: My broader dissertation is about wants and desires as objects of the human sciences in the late 19th through the mid-20th century, particularly in disciplines like economics and psychology.

Historically in the early modern human and moral sciences there was a lively discussion around the springs of action, so to speak, in which economic, psychological, and anthropological concerns all spoke to each other. For Adam Smith, to take a classic example, the Wealth of Nations and the Theory of Moral Sentiments were hardly a separate enterprise. And scientific writing on the passions, appetites, and desires continued late into the 19th century.

But my contention is that, as the professional disciplines emerged and introspection retreated as an epistemologically valid form of investigation, it was replaced by methods that looked to behaviour, whether found in experiments or prices or anything else, as the primary evidence base for explaining motivation. This led to what we might call an ‘emptying out’ of interiority, with wants defined along increasingly tautological or teleological lines, and a growing emphasis on calculative rationality above all else. I try to trace these developments across several fields through the decline of faculty psychology, the marginal revolution, and the emergence of behaviourism, neoclassicism, and eventually rational choice – and to some extent through dissidents like the neo-Freudians. So Tolman’s work is at the midpoint of these trends.

HHS: How did Tolman define ‘wants’? Are wants distinct from desires or needs, for example?

ST: Tolman had a very expansive definition of wants, which he understood to include all motives of behaviour, including basic drives like hunger and thirst, for instance, but also more ‘sophisticated’ forms of motivation that we might call ‘desires’ in ordinary language. But that was part of his aim to unite all human and animal motivation in a single theoretical model, in which rat experiments could be understood to say something important about human behaviour.

Of course, this was an idiosyncratic definition, and throughout the dissertation I show how other scientists tried to bound and delineate these concepts. The way the terms are defined and set in relation to each other can tell you a lot about a project, and certainly the boundary drawn between ‘basic’ needs and more subjective ‘wants’ is always a political one. Many 19th-century psychologists, for instance, delineated categories of higher ‘desires’ or ‘sentiments’ that supposedly distinguished civilized humans from lower animals (or races). Economists, meanwhile, moved from an explicit discussion of pleasure to more neutral, object-oriented terms like utility and want, and eventually dropped that vocabulary altogether in the turn to ‘revealed preference.’

HHS: How, according to Tolman, are human wants expressed through behaviour?

ST: Since Tolman was operating under a behaviourist paradigm that prohibited appeals to ‘unverifiable’ mental states, his theory of wants couldn’t begin by considering the experience of desire, for example. On his account that would be based on unreliable and subjective testimony. So instead, wants have to be explained through a stimulus-response model, or input from the world and output in behaviour. He tried to devise experiments that would help elucidate the mechanisms connecting a given situation – prototypically, a rat in a maze – to the behaviour it produced. That led him to list of basic drives that, he thought, motivated all behaviour, rat and human – or, as he put it, to his theory of wants. A fairly complex set of mechanisms linked distinctive and specific motivations – wanting to be a military officer, for example – to a set of underlying, basic drives.

HHS: Why were experiments with rats so central to his insights into human behaviour?

ST: Rats were really important to Tolman – he even dedicated one his books to Mus norvegicus albinus – the albino lab rat! Rat experiments exploded in popularity in the early 20th century, as Rebecca Lemov and others have shown, because they promised a kind of assembly line for attacking the major problems in psychology. This was especially compelling within a behaviourist structure of explanation that tended to think about all organisms in the same way. Rats were and are relatively cheap to breed and keep, and they are mostly powerless to resist being subjected to an endless battery of tests!

The maze in particular became very important by the 1930s, because it was a uniquely adaptable tool for manipulating and observing rat behaviour. But whether you were trying to research perception or learning or anything else, you almost always needed some kind of food or other reward to motivate the rat to traverse the maze in the first place – which is what got Tolman so interested in wants. I should add that, for Tolman, it was a good thing that a rat couldn’t introspect – that it couldn’t give you a subjective account of its own experience, unlike a human being. For him that meant its behaviour was less open to misinterpretation, and you had to construct a theory of wants from outward evidence alone.

HHS: Why did Tolman have faith in behaviourism as a ‘tool of emancipation’? In what ways do his political beliefs challenge conventional assumptions about behaviourism?

ST: This was one of the real surprises in my research. Typically when we think of behaviourism and its applications today, it has a somewhat sinister resonance, and its promises of behaviour modification seem to license authoritarian forms of ‘mind control.’ I mean, just look at the controversy over algorithms and behaviour manipulation on social media platforms today. The big fear there is that artificial platform environments are producing ‘unnatural’ behaviour or affect – which echoes a lot of mid-century popular reactions to behaviourist ideas.

As Danielle Carr [the previous winner of the History of the Human Sciences essay prize] has suggested, Cold War liberal intellectuals often felt behaviourism was a dehumanizing, totalitarian approach, which helped fuel the ‘cognitivist’ reaction in the 1960s. To some extent, these tropes have been reproduced in the scholarship on the history of behaviourism – though of course, certain behaviourists did fit the stereotype.

But Tolman is a particularly interesting character. He was a quiet radical, raised in a Quaker family and a lifelong pacifist. Although he didn’t serve, he had a nervous breakdown during World War I, and spoke of a consistent horror and aversion at the idea of war itself. He was actively involved in attempts to connect psychology to social issues in the Depression, and took a principled stance on loyalty oaths in the 1950s that briefly got him fired from Berkeley. For him, behaviourism held out the promise of altering the environmental determinants of behaviour in order to produce a more healthy and peaceful society. Now, some of this may sound like the disquieting ‘utopia’ of B.F. Skinner’s Walden Two, but what’s intriguing is that Tolman was more interested in satisfying basic drives at a larger scale through education and redistribution, and even hinted his vision looked something like socialism.

HHS: Where do studies of aggression fit into this history? How do theories of aggression relate to understandings of drives?

I take this from the work of Gregg Mitman and others, but aggression became a key object of study across many disciplines, from psychology to anthropology to animal ethology, in the 1940s, as scientists sought to make sense of World War II. Psychologists at the time, Tolman included, were particularly taken by the so-called Dollard-Miller or ‘frustration-aggression’ hypothesis, which created an input-output model out of Freudian ideas by suggesting that aggression could be explained by frustration. This really became ubiquitous in the postwar period, with social scientists explaining workplace problems or teenage delinquency or anything else by appeal to frustration-aggression.

But the idea was particularly important to Tolman because it allowed him to link his interest in wants to the problem of war as he saw it. If aggression was explained by frustration, then frustration was explained by misdirected drives, or ‘bad’ wants. His book Drives Toward War, published in 1942, ended up suggesting that the basic drives could be satisfied or redirected to avoid the frustrations that culminated in war.

HHS: What is the significance of the mechanical metaphor from which the term ‘drive’ derives?

ST: ‘Drive’ has a complex genealogy within psychology, since it can be traced both to the German idea of Trieb – suggesting an urge or impulse – and to the ‘drive system’ of a motor. But American psychologists fairly consistently used the latter analogy, which I think is telling in itself. The metaphor suggested that human action could be explained much like a motor, with a drive system channelling energy into particular types of motion.

Of course, using machine analogies for the human body goes back to Descartes at least, but what is significant is how the metaphor shifts as the machine of reference changes. As Canguilhem suggests, early modern thinkers like Descartes and La Mettrie were thinking of regular mechanical devices like clocks, but the motor is really something quite different. The motor created a distinctively thermodynamic model of human behaviour, so to speak. This was what made the frustration-aggression so compelling: the drives were steady conduits of energy that required constant satisfaction, and their frustration necessitated the discharge of that energy elsewhere – that is, through aggressive behaviour.

I should add that even the concept of ‘motivation’ itself comes out of the interest in ‘motive power’ produced by the development of steam engines. Add to that that behaviourism first emerged at the peak of the Second Industrial Revolution alongside bodies of thought like scientific management, and we really see how significant the social and technological context was.

HHS: To stay on the question of metaphors, you quote Tolman as saying that a brain is ‘far more like a map control room than it is like an old-fashioned telephone exchange’ – what did he mean by that and how did it relate to his theorisation of cognitive maps? Were the metaphors he employed also reflected in his ‘striking visual iconography’?

ST: Right, yes, again the metaphors are so important here! The telephone exchange is intended to invoke the stimulus-response model embraced by Tolman’s behaviourist colleagues: line goes in, line goes out. To the extent there is a mental structure, it’s simply akin to the wires connecting incoming to outgoing connections. Tolman became increasingly dissatisfied with the narrowness of this model, which he felt couldn’t explain forms of ‘spatial’ and ‘latent’ learning by rats that took place in the absence of any obvious reward. His metaphor of the map control room suggests that a mental representation of the world is built up in the brain over time: this is his famous theory of the cognitive map, which is still influential in neuroscience today.

But in the article I play with the metaphor a bit further to suggest that, if the motor had become the model of behaviour, then then Tolman’s theory of wants was intended to trace the ‘roadmaps’ through which a rat or human navigated the world. Successful or failed attempts at satisfying the drives altered the structure of wants over time – a phenomenon Tolman tried to capture in his fairly maze-like ‘maps’ of the mechanisms of want.

I don’t get into this at length in the article, but it’s also interesting to note the unexpected ways in which the concept of cognitive maps travelled since it was coined by Tolman in 1948. It gets picked up almost immediately as a key metaphor in economist Friedrich Hayek’s foray into psychology, The Sensory Order in 1952, it provides the general framework for urban planner Kevin Lynch’s classic The Image of the City in 1960, and the Marxist literary scholar Fredric Jameson even adopts it as a tool for critical theory in 1988, with wide uptake in the humanities after that. But by this point its origins with the albino rat have vanished.

HHS: You liken Tolman’s understanding of humans’ hidden motivations to a psychoanalytic understanding of the unconscious – and he also used terms like ‘libido’ and ‘cathexis’ – but how was his understanding of mental processes distinct from a Freudian one?   

ST: Freud was crucial to Tolman in ways that I hadn’t anticipated at the outset. Tolman’s archives show he was regularly teaching American neo-Freudians like Karen Horney and Abram Kardiner, and of course his technical vocabulary was filled with psychoanalytic concepts. Now some of this was part of the general trend of behaviourism at mid-century, which mined Freud’s work for ideas to insert, in a rather mechanical fashion, into its framework. But Tolman’s engagement with Freud is especially interesting because of his research interests in want and desire – and with motivations Freud would have attributed to the unconscious.

In a way, we might say Tolman tried to create a systematic model of Freud’s theory of unconscious drives that specified (and literally mapped out) each link in the causal chain. But as I argue this had a quixotic character to it, which we can see Tolman’s totally weird and complex illustrations. There’s really a paradox in the way Tolman engaged with Freud: he was clearly drawn to the insights of psychoanalysis into unconscious motivation, but the behaviourist ban on introspection meant that subjective testimony gathered together by the analyst in a ‘case’ was totally out of bounds – which was of course at the core of Freud’s method. Once you throw that out there’s not a lot left.

HHS: What were the therapeutic implications of Tolman’s theories and how did he see the role of psychologists in fostering world peace?

ST: Tolman thought that his theory of wants had implications for psychotherapy. If frustration was the outcome of misdirected drives, or a bad roadmap, so to speak, then a therapeutic intervention might hope to ‘correct’ this roadmap. I was struck by the connections between this idea and the dominant approach of cognitive-behavioural therapy today, which similarly aims to address what one CBT pioneer, Aaron Beck, called ‘maladaptive ideations.’ And of course as the name itself suggests, behaviourism was an important tributary into the development of CBT.

More broadly, Tolman thought that his theory of wants could be applied at a much larger scale to promote the healthy satisfaction of drives – thereby holding out the possibility of constructing a more lasting peace. His famous ‘Cognitive Maps’ paper even finishes with a little-cited plea to the ‘child-trainers and the world-planners of the future’ to heed his advice. Looking back, the idea of or even the phrase ‘world peace’ strikes us as rather quaint, but it was certainly an understandable concern in the 1940s. But I think this single leap from the mental to the global shows up the limitations of the thin universality of behaviourist models – which could be applied to practically any situation, but ultimately without much concreteness or a great deal of insight.

HHS: There are various baffling-looking diagrams from Tolman’s books reproduced in the article and you suggest that something about his ‘abstruse and byzantine representations’ gestures towards the difficulty or absurdity of rendering elusive things like human wants in scientific terms. It made me think of how Freud often dismisses his own diagrams as insufficient or inaccurate because they can’t capture the weirdness of the unconscious. But is there something in that impossibility, in the strangeness and convolution of the attempts to create a topography of the mind, that’s revealing in its own right?

ST: Absolutely! I wanted to include several of Tolman’s illustrations because words really do not capture the strangeness – and I hope readers will experience that for themselves.

Sometimes I joke that I embarked on this dissertation because of my own occasional difficulty in sorting out my personal motivations, in figuring out exactly what or why I want. So I find the strangeness in Tolman’s attempts revealing and maybe even comforting in that regard. On the other hand, abandoning want and desire as scientific objects altogether had heavy costs: just look at the incapacity of much of the social sciences today, whose models of rationality falter in accounting for the upsurge of feelings of ressentiment or alienation that are wreaking havoc across the globe.

Your question also makes me think of William James, a hero of Tolman’s and also part of the dissertation, who famously presented a quasi-determinist account of the will in his Principles of Psychology, but then seemed to revel in the sheer contingency of unconscious motivations in his Varieties of Religious Experience ten years later – a work tellingly influenced by his own experiences. As James would have been the first to admit, the strange and the unexpected are also part of the story.

Finally I want to suggest that despite its failures, Tolman’s work might still have lessons for us. I agree with affect theorists that there’s something politically useful about recognizing the embeddedness of desire within the infrastructure of our lives – and Tolman recognized this too. Today, one of the perpetual injunctions of our culture is simply to ‘be yourself’ – as if that had some obvious, stable content. Setting to one side whatever one thinks of their project overall, the behaviourists would have laughed that idea out of the room.

Interview conducted by Hannah Proctor.

Review: Reproduction

Reproduction: Antiquity to the present day, edited by Nick Hopwood, Rebecca Flemming and Lauren Kassell (New York: Cambridge University Press, 2018) pp. 730. $125.00.

Caroline Rusterholz, Wellcome Trust Research Fellow, Faculty of History, University of Cambridge

Reproduction Antiquity to the present day is a massive, interdisciplinary and highly ambitious publication featuring 44 chapters, 40 exhibits – each consisting of a short essay focused on an image and artefact – and about 70 authors from different fields including history, demography, sociology, history of art, philosophy and theology, among others. Edited by Professor of History of Science and Medicine Nick Hopwood, Senior Lecturer in Ancient History Rebecca Flemming and Professor of History of Science and Medicine Lauren Kassel, all based at Cambridge University, this impressive collaboration reassesses the history of reproduction from Graeco-Roman antiquity to the twenty-first century from a Western perspective. The volume results from the work of Cambridge’s Generation to Reproduction Group, an interdisciplinary project led by Cambridge historians of medicine and biology, funded by the Wellcome Trust, which started in 2004. This group of researchers have organised a wide range of seminars, reading groups and workshops, and one of these workshops provided the impetus for this ground-breaking volume. The collection is beautifully illustrated and highly accessible.

The coherence of the volume lies in its sustained focus on a set of key questions: when and where did ‘generation’ and ‘reproduction’ begin and end, what did people mean when they talked in these terms, and how and why were their beliefs and actions like or unlike those that went before and came after? (17) This volume traces the transition from generation to reproduction and focuses on the Mediterranean, Western Europe, North America and their empires. It dates this change in terminology to the mid-eighteenth century.  Generation, a ‘looser framework for discussing procreation and descent’ (4), appeared in written productions when authors drew on different ancient discourses in philosophy, medicine and agriculture to try to make sense of the issue of ‘coming to be’. In so doing, they paid attention not only to human beings and their souls but also to plants, animals, stones and minerals. Reproduction progressively replaced generation in the mid-eighteenth century and signified, in contrast, how things were re-produced. This new meaning centred mainly on living organisms and the process of perpetuating species. This gave rise to a focus on population, its quality and quantity.

The volume is divided into five parts. As a historian of the modern period, my review will concentrate on parts IV and V. Part IV, ‘Modern Reproduction’, traces the meaning of reproduction in the industrialised world of the nineteenth century up until the Second World War, while Part V, ‘Reproduction Centre Stage’, shows how reproduction became paramount on the national and international levels after the war and how it was always contested. Since then, two somewhat contrasting phases of change have occurred: an acceleration of the medicalisation of reproduction, which gave rise to a challenge to this medicalisation by feminism and social movements from the 1960s onwards. In the context of fertility decline in Western countries from 1870, with the exception of France whose fertility decline was already in train by 1800, and fears about degeneration, nation-states became worried about the quality, namely the ‘fitness’ of the population, and quantity of their population and the prospect of depopulation in their colonial possessions. In this context, procreation became a battleground. In addition, population became an international and global problem over the twentieth century; fears around population growth fuelled the creation of international organisations and philanthropic foundations aimed at curbing this increase, where population experts such as demographers, geographers, birth control campaigners, economists and ecologists shared knowledge and devised international family planning campaigns (Alison Bashford). These family planning campaigns prescribed the new technologies of contraception and abortion that had developed from the second quarter of the twentieth century onwards (Jesse Olzynko-Gryn and Nick Hopwood); some of the campaigns relied on coerced contraception. However, as the century advanced, reproductive rights as human rights became the key motto of international organisations, which emphasised ‘reproductive health’ and choice under pressure from feminist activists.

In these two rich parts of the book, we learn that the breeding of animals inspired eugenic thinking and that artificial insemination saw fertility specialists join forces with animal physiologists (Sarah Wilmot). Reproduction and sex became separate due to campaigning movements that included neo-Malthusians, eugenicists and radical sex reformers (Lesley Hall). Despite strong opposition from the medical profession, governments and the Catholic Church, birth control campaigners advocated the use of contraception and thus made the concept of limiting births a possibility. In so doing, they paved the way for the provision of contraception that would become acceptable in the interwar years. While the dissemination of information on birth control, partly carried out by birth control campaigners, increased dramatically in the first half of the twentieth century, ignorance was still the dominant frame for understanding how individuals acquired knowledge about sex and reproduction and who produced information on these subjects, especially in Britain (Kate Fisher).

Simon Szreter and Christina Benninghaus touch upon the issue of infertility; Szreter does so via new estimates of the prevalence of venereal diseases as potential contributors to the fertility decline in Britain, while Benninghaus argues that infertility took a modern meaning in the years around 1900. She reveals that while the female body became the object of increasingly invasive intervention, national differences existed with regard to the male body. In Germany, sperm testing was first practised in the 1880s, whereas the practice was rare in Britain. Female sterility was perceived to be connected to gonorrhoea transmitted to an ‘innocent wife by a promiscuous husband’ (462). Over the years, new medical technologies such as artificial insemination, glandular extracts and later hormones and transuterine tubal insufflation became routine medical practice for treating ‘sterile’ couples. These developments and the new faith in scientific medicine boosted patients’ expectations and accounted for the increasing number of patients seeking fertility treatments. Sterile couples looked to medicine to overcome their condition before IVF, but IVF did represent a watershed moment in that it gave birth to a private flourishing new industry (Nick Hopwood).  

In the colonies, reproduction also had a prominent place in the political agenda of imperial powers, and women became the sustained targets of state intervention (Philippa Levine). Low fertility was at once perceived as an asset for settlers who considered locals a nuisance to be eliminated or relocated, and as a problem in colonies that relied on local labour. Maternal mortality was deplored, and childbirth became increasingly medicalised in the colonies and in the metropole. In continental Europe, hospital births became common practice by the 1960s. However, as Salim Al-Gailani argues, the medicalisation of birth was not imposed on passive women patients by all-powerful male obstetricians. Demand for it shaped the provision of maternity care, even when the maternal mortality rate was higher in hospital than at home. With hospital births gaining prominence, antenatal care expanded, and prenatal diagnosis and screening for defects became routine practice in the last quarter of the twentieth century, generating new stress for mothers-to-be (Ilana Löwy).

This volume shows the necessity to consider the history of reproduction from an interdisciplinary perspective. It is a must-read for students and scholars interested in the issue of reproduction.

Review: Chimpanzee Culture Wars

Nicolas Langlitz, Chimpanzee Culture Wars: Rethinking Human Nature Alongside Japanese, European, and American Cultural Primatologists. Princeton: University Press, 2020; 352pp; Paperback: £22.00. ISBN: 9780691204284

Alfred Freeborn, Humboldt University

The founding figures of science studies told us that we have never been modern (Latour, 1993), that we have never really been cultural agents independent from the natural world but have moved in a web of nature-culture hybrids. Nor indeed have we ever been human (Haraway, 2008), but exist on a continuum with our animal kin. How then are we to understand the exceptional destruction of biodiversity and climatic change that humans alone seem to be causing? This is one of the central questions Nicolas Langlitz poses in his journey alongside people who study chimps in order to understand why it ended up that we are interested in them. Chimpanzee Culture Wars asks what is at stake in understanding the limits of the “anthropo” in the Anthropocene and uses the disciplinary matrices of primatology, anthropology, psychology and science studies to explore this question.

So far, the book has only been reviewed by primatologists, one of whom is a central protagonist in the book: these reviews look at the book as a commentary on primatology (Nakamura, 2020; McGrew, 2021). This review, in contrast, will show the reviewer looking at Langlitz looking at primatologists looking at chimps. I met Langlitz at the Institute for Advanced Study in Princeton while he was completing this book. We had met because of a shared interest in the work of German sociologist Niklas Luhmann (1927-1998). I was on a research trip to the States and he had kindly invited me to lunch at the Institute. Langlitz originally studied medicine in Berlin before shape-shifting into a medical anthropologist in California, writing a book about neuroscientists studying psychedelics (Langlitz, 2012) and becoming associate professor of anthropology at the New School for Social Research in New York. After lunch he suggested we walk a woodland path through the empty waterlogged grounds of the Institute. 

As we walked, he told me that Bruno Latour had developed actor-network theory after studying baboons with the primatologist Shirley Strum in the late 1970s. Langlitz explained that while Latour’s designs for a ‘primatology of science’ understood human culture not as the result of a cognitive difference to apes but a quantitative proliferation of technical objects, which the apes did not have, subsequent primatology had left Latour behind. In the 1980s primatologists increasingly observed apes using objects. The question of what set human cultures apart from ape cultures remained fiercely debated and paralleled in many ways the debates over pseudoscience in the science wars. All this controversy had resulted in an impasse whereby communication between people interested in human cultures and those interested in primate cultures broke down. While Langlitz’s colleagues in cultural anthropology had followed Donna Haraway’s Primate Visions (Haraway, 1989) in dismissing the epistemic goals of primatology as a morally dubious political project of ranking humans and chimps, he could not help but sympathize with the desire of many primatologists to demoralize the study of apes and their behaviours. In this sense, Langlitz understood the debates over how to study chimp culture as a site from which to reflect on his own epistemic culture. I was surprised by this unfamiliar perspective on the intellectual origins of science studies and struggled to focus on our conversation while navigating the wet path on which my shoes quickly became sodden and caked in mud. 

As part of his virtuoso ‘experiment in reflexivity’, Langlitz walks with ease across disciplinary boundaries and alongside many different observers. The book operates across three levels: it is primarily ethnographic in that it follows Langlitz’s fieldwork from the mid-2010s with cultural primatologists and comparative psychologists across West Africa, Japan and Germany. At a second level, its analysis involves a comparative epistemology of laboratory work and field work including a comparison of national research traditions. Finally, as a historical work, its chronological arc begins with the origins of cultural primatology in 1950s Japan, through to the so-called North-American chimpanzee culture wars that began in the 1970s and up to the transformations in methods and professional politics that mark contemporary primatology. After two opening historical chapters, the book moves across the different sites where Langlitz was able to observe scientists observing chimps: the shrinking forests of Guinea and the Ivory Coast, a psychological laboratory attached to the zoo in Leipzig and the large chimp enclosures of a primate research institute in Inuyama, Japan. While the author’s determination to keep ideas in situ may overwhelm the reader lacking any prior knowledge of primatology – I strongly recommend watching one of the many documentaries about chimp intelligence before reading – it is nonetheless a book for historians of the human sciences.

Langlitz anchors his wide-ranging observations to the eighteenth-century project of philosophical anthropology, showing both how the last representatives of this European tradition (such as Jürgen Habermas and the Frankfurt School) have celebrated the idea of a strong distinction between humans and chimps, as well as how contemporary disciplinary differentiation continues to frustrate unifying visions of a science of primates. Langlitz’s own contribution to this project is to position the ability to observe observers, to conduct what Niklas Luhmann called ‘second-order observations’, as the distinguishing ability of humans against their primate cousins. In an entirely refreshing manner, the book relocates tired debates of positivism versus the humanities in what will be to many readers an entirely foreign landscape. To accompany Langlitz on such a journey is demanding, but it comes with its own rewards. I remember leaving Princeton on the Megabus back to New York relieved not to have lost my footing and with much to think about. 

To summarize my observations: there is no single consensus over the limits of chimp culture as an object of scientific study nor over what has made homo sapiens such a successful primate. The point of Chimpanzee Culture Wars, as the title suggests, is that culture as a concept must be understood as a term of conflict, born out of asymmetric comparisons, by which certain things are compared and certain things excluded from comparison. The essence of Langlitz’s (anti-)polemical argument is that the scientific study of culture, chimp or human, in the field or in the laboratory, need not be conducted in moral terms and that the reluctance of cultural anthropologists and science studies scholars to engage with the question of human distinctiveness blocks our ability to understand our current period of natural history (e.g. the Anthropocene). In a final epilogue, Langlitz suggests that we should by all means be more human about nature, preserving biodiversity and slowing climate change, but that we should also try to be more chimp about culture: sometimes, in between energetic bouts of working to control our environment, all we can do is move with the powerful forces around us. 

Bio: Alfred Freeborn (@Alfred_Freeborn) is a doctoral candidate in the History of Science at Humboldt University, Berlin. His research focuses on the history of biological psychiatry in postwar Britain, North America and Germany, with a special focus on the changing field of schizophrenia research – and he has published on the history of the Mind and Brain Sciences in HHS. He will join the Practices of Validation in Biomedical Sciences Research Group at the Max Planck Institute for the History of Science in July (link: https://www.mpiwg-berlin.mpg.de/research/departments/max-planck-research-group-biomedical-sciences

References 

Haraway, Donna. Primate Visions: Gender, Race, and Nature in the World of Modern Science. Routledge, 1989.

Haraway, Donna. When Species Meet. Minneapolis: University of Minnesota Press, 2008. 

Langlitz, Nicolas. Neuropsychedelia: The Revival of Hallucinogen Research since the Decade of the Brain. University of California Press, Berkeley, 2012. 

Latour, Bruno. We Have Never Been Modern. trans Catherine Porter. Cambridge, Mass: Harvard University Press, 1993.

McGrew, William C. “Chimpanzee Culture Wars: Rethinking Human Nature alongside Japanese, European, and American Cultural Primatologists, by Nicolas Langlitz.” Primates 62, no. 2 (March 1, 2021): 443–44.