Scientific Disciplines and Anthroposophy

GA 73a — 26 March 1920, Dornach

3. Questions and Answers on “Psychiatry”

after the lecture by Friedrich Husemann on “Nervousness, Worldview and Anthroposophy”

Preliminary note: Nothing is known about Friedrich Husemann's lecture because no notes were taken. However, it may be assumed that some of his remarks were also addressed in his lectures on “Questions of Contemporary Psychiatry from the Point of View of Anthroposophy”, which he gave at the first Anthroposophical College in September 1920. A summary of these lectures was published in the collection “Aenigmatisches aus Kunst und Wissenschaft”, volume I, Stuttgart 1922.

After Dr. Husemann's lecture, a question was asked about the possibilities of studying psychiatry in the future.

Rudolf Steiner: It is of course impossible to speak about this subject today, which would require an exhaustive treatment if one wanted to go into it at all, in any other way than with a few hints at most, because the study of psychiatry, especially in our time, certainly requires the most far-reaching reforms. If we consider how it is actually impossible today to formulate the questions that must be asked in psychiatry, we will realize how necessary

70 such a reform of the study of psychiatry is. However, such a reform will not be able to take place – this seemed clear to me from Dr. Husemann's lecture itself – if the individual specialist subjects are not first truly fertilized by spiritual science. For the development that Dr. Husemann has so beautifully described today, which began around the time of Galileo and culminated in the 19th century, has actually driven the whole of human thought life apart into two sharply opposing currents of thought. On the one hand, there are the ideas we have about material things and their processes; on the other hand, there is the life of thought itself, which has increasingly taken on a purely abstract character, so that – since abstractions cannot be forces in the world , and thus cannot be a force in man either that can bring about something - so there is no possibility for man either to understand the material, the physical, from the soul, to build some kind of bridge from the psychic to the material.

Today, at most, man has an idea of a sum of abstractions or even of abstract feelings and the like when he speaks of the soul. This sum of abstractions cannot, of course, set an organism in motion, cannot somehow build a bridge to the organism. Therefore, on the one hand, one cannot speak of being able to influence the external physical, real organism by acting on the soul life, which is, after all, only a sum of abstractions. On the other hand, there is what has been gained through science about the physical organism, because it has been invented that soul phenomena are only parallel phenomena or even effects of the physical organism. What is formed in the way of concrete ideas about this physical organism is not conducive to squeezing anything out of these ideas about the psychic. And so today, regardless of whether one is more or less of a materialist, there coexist an outlook on the soul life that only looks at abstractions, and an outlook on the material life, including the organic life, from which nothing spiritual can be extracted.

It is therefore quite understandable that it is not easy to find a method that can be used for psychiatry. That is why, in recent times, people have stopped talking about the connection between the physical and organic in humans and the psychological, which takes place as a process in consciousness. And since one is in reality constantly in danger of falling on one's face between these two stools, between the physical-material and the abstract-psychological, it is necessary to invent a quite unconscious world, a strange and unconscious world. And that has now been amply done in psychoanalysis, in analytical psychology, a scientific object that is actually extremely interesting. For once there has been a reform of psychiatry, so that we will again have a proper psychiatry, then this scientific object will have to be properly examined from this new psychiatric point of view, because it is actually [itself] an object for psychiatry.

So they tried to imagine an unconscious world so that they would not be completely cut off from the ground between these two chairs. Of course I am not saying anything against the unconscious world, but it must be investigated, it must be really recognized through that which spiritual science introduces as vision; it cannot be fantasized in the way that the Freudians or similar people fantasize it.

Spiritual science will bring about a reform of psychiatry in that it will lead from mere abstract concepts, which have no inner life, to concepts that are in line with reality, to concepts that already live in the world as concepts, that have been gained by immersing oneself in reality with their methods. Then, when one ascends to such spiritual methods, which in turn provide realistic concepts, one will find the transition from such concepts, which are mere abstractions, to that which is now not mere abstraction but reality. That means that it will be possible to build a bridge between the psychic and the physical in man. The psychic and the physical must appear differently in our minds if we seriously desire to have a psychiatry.

The sum of abstractions today, including those that comprise the abstract laws of nature – these laws are becoming more and more filtered – is not capable of being immersed in a real process. Just imagine how, with the abstractions that figure in science today, one could find something like the two important facts — for they are facts — that I mentioned in the first lecture of this series: the spiritual-scientific heart teaching and the spiritual-scientific teaching of the reverse biogenetic law for the historical course of earthly events. From such examples you can see that spiritual scientific methods are capable of finding the way out of the inner life of the soul and into the world of facts, of building a bridge between the so-called spiritual and the so-called physical.

Above all, this is necessary for psychiatry, because only when we are able to properly observe the corresponding facts will we make headway. And the facts of psychiatry are fundamentally even more difficult to observe – because they require greater impartiality – than the facts of the laws of physics. Because in human life, as soon as one moves from the so-called healthy, from the relatively healthy to the relatively sick, there is actually almost no possibility of observing the person in complete isolation. The human being certainly develops into a complete individuality, into an isolated life; he does this precisely through his psyche. But what deviates in the psyche from a linear development, from a linear, so-called normal development, cannot be observed in isolation. I can only hint at this, of course; otherwise one would have to make lengthy explanations if one wanted to prove it in detail. Man is much more of a social being, even in the deeper sense, than is usually thought, and in particular, mental illnesses can actually only rarely be assessed on the basis of the biography of the individual, the isolated individual. That is almost completely impossible.

I would rather use a hypothetical example than theories to suggest what I actually mean. You see, it is possible, for example, that in any community, be it a family or any other community, two people live side by side. After some time, one of them has the misfortune to have an attack, which means that they are transferred to a psychiatric institution. Of course, this person can be treated in isolation. But if you do that, especially if you form an opinion based on an isolated examination of this person, then in many cases you will actually only fall prey to a thought pattern. For the case may be, and in many cases is, that another person, who lives with the person who has become ill, or who has become mentally ill, in a family or in some other community, actually has within himself, let us say, a complex of forces that has led to the mental illness of his fellow human being. So we start with these two people: one person, A, has the attack, from a psychiatric point of view; person B has a complex of forces within him, of a psychically organic nature, which, if you were to look at it in this way, perhaps shows to a much greater extent what is called the cause of the illness in individual A. That is to say, B, who is not mentally ill at all, actually has this cause of mental illness within him to a much greater extent than A, who had to be taken to a sanatorium.

This is something that lies entirely within the realm of reality, not merely of possibility. For it rests on the fact that man A, apart from the complex of forces which is designated as the cause of his mental illness, has a weak constitution and therefore cannot bear this complex of forces. The other, B, who also has the complex of forces within him, perhaps even more strongly, has - apart from this complex of forces - a considerably stronger constitution than the other; it does not harm him. B can bear it, A cannot. But A would not have contracted the disease at all if he had not been continually psychically influenced by B, the person living next to him – an influence that can be extraordinarily significant in this case because B is more robust than A.

There you have an example that is quite common in reality, from which you can see how important the psychiatric approach is if it seriously wants to be based on reality, if it does not play games as it often is in this field today. The point is really not to look at the person in isolation, but to look at them in their entire social environment. Of course, what I mean here will have to be put on a fairly broad basis. After all, it is also the case for the rest of the disease that it makes a big difference whether a weak individual is affected by some complex or a strong, robust individual. Let us assume that two people live next to each other from a certain age onwards and have dealings with each other. One of them still has a robust, rural nature from his youth and background, while the other has been descended from city dwellers for three generations. The person who has a healthy, rural nature and can tolerate some internal damage may carry a much stronger complex, but he can tolerate it and does not become ill. The other, who actually only has it through a psychic infection, through an imitation, through whatever is present from person to person, he does not tolerate the effect.

Here you can see what comes into consideration when you want to talk about psychiatry not from theories and programs, but from reality; you see how, in fact, today one is already turning to the serious that arises from the insight that, basically, especially since the time of Galileo, our scientists have become so one-sided, and you see how necessary it is to take in new ideas in a fruitful way in all fields. Otherwise, human knowledge, especially in those fields that are supposed to lead into practice, into the practice of life, must come to complete decadence. I could say: basically, the same applies to psychiatry as we say about the art of education when we talk about Waldorf schools, namely that one should not just come up with some new formulations of a theoretical nature, but that one should bring the living spiritual science itself into this field. What we have to say about education also applies to psychiatry. We can never approach the matter one-sidedly by saying that this or that can be improved in the field of psychiatry, but we must familiarize ourselves with the idea that Either one accepts the spiritual-scientific basis in the field of knowledge in general, then this spiritual-scientific basis will already transform psychiatry, then it will make something out of psychiatry in particular, which is actually longed for by numerous people today, but which cannot be there at all through the latest natural scientific methods, which have of course been sufficiently explained to you yesterday and today, or... [gap in the transcript].

You see, what must come out of the popularization of spiritual science, to use a trivial word, is that, above all, people will have a much, much better knowledge of human nature than they have today. People today are so out of touch with each other that there can be no question of any knowledge of human nature. People pass each other by, each living only in himself. Spiritual science will open people up to each other. And then, above all, much of what is perhaps still believed today to lie in the field of psychic pathology will be carried over into the field of psychic hygiene. For it is absolutely the case that, I would say, straight lines can be drawn from the symptom complexes of disturbed psychic life to the ideas that are currently widespread in public life and which are not at all considered pathological, but which are generally accepted. And if one were to follow up some of the very generally accepted concepts, one would find that, although more slowly, the same path is taken after all that can be seen in the pursuit of a psychologically abnormal symptom complex, which, however, happens quickly in the case of someone who is found to be mentally abnormal today.

All these things show that ultimately all the talk about details in the reforms of the individual sciences does not lead to much, but that if one decides – although today souls, many souls, are too sleepy – to look for a fertilization of scientific life in the sense of spiritual science, then the most diverse fields of science, but especially that field of science that deals with the various deviations from normal psychic life, psychiatric medicine, will undergo a necessary, I would say self-evident, reform as a result. Even if these cases go as far as the most extreme rebellion, such as raving madness, or feeble-mindedness, and so on – only then will it be found what these psychic aberrations actually mean for normal life in the whole of normal development. And in many respects we shall find that the more and more healthy our world view becomes, the more that will be healed which shines out from public error into the pathological aberrations of the mentally ill.

For it is indeed quite remarkable how difficult it is to draw a correct line between so-called normal life and mentally abnormal life. For example, it is difficult to say whether a person is mentally normal in the case of, say, an event that occurred not too long ago in Basel, not far from here, in which a man left a large sum of money in his will for someone to lock themselves away in complete solitude until such time as they had succeeded in truly proving the immortality of the soul. That is what a man in Basel did in his will, and I don't know what happened to it after that. I believe the heirs objected and tried to decide, not psychiatrically but legally, to what extent it was related to psychiatry or not. But if you now really set out, each and every one of you, to examine whether it should be assessed psychiatrically or whether it is a mental illness or whether it is really an oversized religiosity or whatever, you will hardly be able to manage with complete accuracy.

The point is that our concepts have gradually become weak in the face of reality; they must become strong again. But they will only become strong through spiritual science. And among many other things, psychiatry in particular will feel the effects of this.