History of Eugenics in Otorhinolaryngology: Ernst Rüdin and the International Eugenics Network.

Introduction The early geneticist and psychiatrist Ernst Rüdin (1874-1952) became one of the key figures in the eugenics movement and in the German health system of the Nazi era. His connections in the international eugenics network have played an important role in the history of eugenics. Objective To discuss the connections between Ernst Rüdin's scientific group in Munich and Otmar von Verschuer's group in Frankfurt during the Nazi era. Methods Otorhinolaryngological materials from Ernst Rüdin's former private library are presented, and they show Rüdin's deep involvement in the international eugenics network. These materials provide insights into early medical genetics in otorhinolaryngology. Results One result of the present study is that eugenics groups from Munich, Frankfurt, and New York certainly influenced one another in the field of otorhinolaryngology. Karlheinz Idelberger and Josef Mengele were two scientists who performed hereditary research on orofacial clefts. Later, Mengele became deeply involved in Nazi medical crimes. His former work on orofacial clefts clearly had, to some extent, an influence on subsequent studies. Conclusion An international eugenics network already existed before 1933. However, it becomes clear that the weaknesses of many early genetic studies did not enable its authors to draw firm scientific conclusions, suggesting that scientists lacked an accurate concept of the genetic causes of most illnesses.

["No discussions about discharge of semen!" : The wild life of the urologist Felix Schlagintweit (1868-1950)]. / "Man lasse sich ja nicht auf Diskussionen über 'Samenverluste' ein" : Das wilde Leben des Urologen Felix Schlagintweit (1868­1950).

Felix Schlagintweit worked in a medical clinic, was co-owner of a sanatorium, had a private practice and wrote fictional books. He massively improved diagnostic methods (e.g., cystoscope) and was interested in psychoanalysis. He rejected the effectiveness of surgical treatment alone and also sole use of psychosomatics. In his view, conservative treatment options were often at least as effective. Because Schlagintweit refused to take part in national socialism, he was purged from professional discourse after 1933 and was only later were his contributions to the history of urology rediscovered.

History of Eugenics in Otorhinolaryngology: Ernst Rüdin and the International Eugenics Network

Abstract Introduction The early geneticist and psychiatrist Ernst Rüdin (1874-1952) became one of the key figures in the eugenics movement and in the German health system of the Nazi era. His connections in the international eugenics network have played an important role in the history of eugenics. Objective To discuss the connections between Ernst Rüdin's scientific group in Munich and Otmar von Verschuer's group in Frankfurt during the Nazi era. Methods Otorhinolaryngological materials from Ernst Rüdin's former private library are presented, and they show Rüdin's deep involvement in the international eugenics network. These materials provide insights into early medical genetics in otorhinolaryngology. Results One result of the present study is that eugenics groups from Munich, Frankfurt, and New York certainly influenced one another in the field of otorhinolaryngology. Karlheinz Idelberger and Josef Mengele were two scientists who performed hereditary research on orofacial clefts. Later, Mengele became deeply involved in Nazi medical crimes. His former work on orofacial clefts clearly had, to some extent, an influence on subsequent studies. Conclusion An international eugenics network already existed before 1933. However, it becomes clear that the weaknesses of many early genetic studies did not enable its authors to draw firm scientific conclusions, suggesting that scientists lacked an accurate concept of the genetic causes of most illnesses.

In the face of horror - secondary traumatisation and mental distress in employees and volunteers at national socialism related memorial sites.

Background: Employees and volunteers at national socialism related memorial sites in Germany (MemoS) are confronted with severely aversive documents of German history on a regular basis.Objective: Enhance knowledge on mental health in MemoS.Method: In an online study, mental distress, secondary traumatisation as well as potential risk and protective factors were assessed in MemoS and a control group.Results: 40.9% of MemoS reported at least one kind of secondary traumatic event experienced in the context of their work. Depression and general mental distress were higher in the MemoS than in controls, and symptoms of secondary traumatisation were significantly more common.Conclusions: Our results give clear evidence for mental distress and symptoms of secondary traumatisation in the MemoS group. This finding shows secondary traumatisation symptoms based on documents of atrocities that happened more than 70 years ago. Further, the high mental burden in the MemoS suggests the necessity of supervision for people dedicating their work life to assuring remembrance of the crimes of the Nazi era.

first systematic examination of mental health and trauma in employees and volunteers at national socialism related memorial sites in Germany.mental distress and secondary traumatisation symptom load significantly higher in people working at the memorial sites than in controls.findings indicate a need for support of the people working at the memorial sites.

Nazi persecutee and opponent of racial hygiene: The extraordinary life of the "ethnopathologist" Max Kuczynski (1890-1967).

The pathologist Max Kuczynski (1890-1967) gained recognition for his bacteriological research but is also considered the founder of the so-called ethnopathology. As a "non-Aryan," Kuczynski emigrated from Nazi Germany to Peru, where his elder son was later even to become president. However, the circumstances surrounding the end of Kuczynski's career in Germany are hardly known. This article takes this research gap as an opportunity to reconstruct his life, the circumstances of his emigration, and his work in South America. Numerous archival documents serve as sources. In the mid-1920s, Kuczynski developed "ethnic pathology," a new interdisciplinary approach that offered a counter-concept to the increasingly popular racial hygiene in Germany. But his career in Germany ended even before the Nazis came to power in 1933. He was dismissed from the Charité Pathological Institute in October 1932 at the instigation of its new director, Robert Rössle (1876-1956). Personal and financial reasons played a role, but Kuczynski's rejection of racial hygiene may also have been a decisive factor: Rössle himself turned increasingly to questions of racial hygiene in the Third Reich and used the corpses of Nazi victims for his research. It can be shown that the circumstances of Kuczynski's dismissal were already catalyzed by anti-Semitic and eugenic tendencies, which were to unleash themselves radically in Germany only a few months later - and even caught up with him in Peruvian exile.

"There is No Reliable Evidence to Pass Moral Judgment on Frauwallner." : Erich Frauwallner, Jakob Stuchlik, Walter Slaje, and the Whitewashing of Austrian Indology During the Time of National Socialism.

This paper engages with a little-known controversy between Jakob Stuchlik and Walter Slaje on the involvement of Erich Frauwallner, the renowned scholar of Indian philosophy (1898-1974), with NS institutions. It sheds new light on this controversy and highlights the Aryan-supremacist ideology that is reflected in Frauwallner's division of the history of Indian philosophy into an Aryan and non-Aryan period. On the whole, the paper sides with Stuchlik and exposes Slaje's attempt to whitewash Frauwallner and certain aspects of his work, despite his adoption of NS ideology and involvement with NS institutions such as the Gestapo and SA. Moreover, the paper dwells on Frauwallner's adherence to antisemitism and Aryan-supremacist ideology even after the WWII and as late as the 1960s.

Manoeuvring Across Academia in National Socialist Germany: The Life and Work of Devendra Nath Bannerjea.

The article investigates the possibilities and limits for the academic Devendra Nath Bannerjea to find employment in National Socialist Germany by producing-what he imagined to be-useful knowledge for the state. Bannerjea, who came from the Punjab in northwestern India via London, Geneva and Rome to Berlin, defies neat categorization. He was neither a National Socialist scholar, nor can he be solely understood as an Indian anticolonial nationalist. In the more than four decades he spent in Europe, Bannerjea appeared in many different roles-as an anticolonial rebel, false diplomat, researcher, and endeavouring professor. Despite his employment in different educational institutions, his publications, and his political and academic networks, he remained a second row intellectual and political activist. His activities led to repeated conflicts, first with British and later Nazi authorities, because of his radical ideas and claims to intellectual egalitarianism on the one hand, and, even more often, because of his 'creative' efforts to improve his precarious living conditions on the other.The article explores the relationship between knowledge production and National Socialist state politics through the lens of Bannerjea's life, focussing on the exchange of resources between Bannerjea and the National Socialist apparatus. Against the backdrop of the social circumstances of his livelihood, it investigates the knowledge produced by Bannerjea and the rewards he received from the National Socialist regime in return.

The Social Politics of Karl Escherich's 1933 Inaugural Presidential Lecture.

The essay offers a close reading of the inaugural address Termite Craze by the entomologist Karl Escherich, the first German university president to be appointed by the Nazis. Faced with a divided audience and under pressure to politically align the university, Escherich, a former member of the NSDAP, discusses how and to what extent the new regime can recreate the egalitarian perfection and sacrificial predisposition of a termite colony. The paper pays particular attention to the ways in which Escherich tries to appease the various factions in his audience (faculty, students and the Nazi party); in doing so, it also discusses how Escherich depicts his address in the altered versions of his later memoirs.

Escaping Nazi Germany: Jewish refugee dentists and their post-emigration careers in the United States of America.

This study is the first to examine the collective of dental lecturers and scientists who emigrated from Nazi Germany to the United States of America. We pay special attention to the socio-demographic characteristics, emigration journeys, and further professional development of these individuals in the country of immigration. The paper is based on primary sources from various German, Austrian, and United States archives and a systematic evaluation of the secondary literature on the persons concerned. We identified a total of eighteen male emigrants. The majority of these dentists left the "Greater" German Reich between 1938 and 1941. Thirteen of the eighteen lecturers were able to find a position in American academia, mainly as full professors. Two-thirds of them settled in New York and Illinois. The study concludes that most of the emigrated dentists studied here succeeded in continuing or even expanding their academic careers in the USA, although they usually had to retake their final dental examinations. No other destination country for immigration offered similarly favorable conditions. Not a single dentist decided to remigrate after 1945.

From Germany to Venezuela: The two careers of the Jewish-born pathologist Rudolf Jaffé (1885-1975).

The pathologist Rudolf Jaffé (1885-1975) is considered one of the most important specialists of his time - even though he had to flee from the Nazis and attempt a professional restart in South America. The article examines the concrete background of his emigration to South America and the factors that enabled Jaffé to establish pathology as a scientific discipline in Venezuela. Various archival documents and materials from the private archives of Jaffé's descendants serve as sources. These documents are supplemented by relevant secondary literature. Jaffé's career can be divided into four phases: (1) Jaffé's broad education, which qualified him for his later work in Venezuela. (2) Jaffé's professional activity at the Senckenberg Institute of Pathology in Frankfurt. (3) His career peak in Germany as head of the Institute of Pathology in Berlin-Moabit, and finally (4) his forced emigration to Venezuela, where he became the doyen of the field of pathology. It can be shown that Jaffé's great scientific success, even after his emigration, was based on three factors: his exceptional personality, his broad, multifaceted training, and the special conditions in Venezuela.

Nazi functionary or oppositionist in disguise? The complex life of the anatomist Enno Freerksen (1910-2001).

Enno Freerksen (1910-2001) is one of the most prominent German anatomists of his time, as evidenced by numerous international awards. His political role in the Third Reich, however, remains controversial. While some authors describe him an avowed National Socialist, Karl-Werner Ratschko recently speculated about a late turn of Freerksen towards political resistance. The present work takes these contradictions as an occasion for a comprehensive source-based analysis of Freerksen's activities in the Third Reich. For the first time, a synoptic evaluation of primary sources from eight different archives is undertaken. The study is supplemented by a systematic re-analysis of all available research contributions on Freerksen. The study demonstrates that Freerksen not only joined numerous Nazi organizations - partly even before Hitler came to power -, but also took on several important functions in the Nazi apparatus and worked on National Socialist research topics (e.g. racial hygiene). It can also be shown that his steep scientific career was closely linked to his political activities. The thesis that Freerksen opposed Nazi ideology towards the end of the war, on the other hand, must be clearly rejected. On the contrary: The sources show Freerksen as a National Socialist polyfunctionary, who did not self-critically reflect on his role in the Third Reich even after 1945.

An assessment of what Hans Asperger knew about child euthanasia in Vienna during the Nazi occupation.

AIM: Hans Asperger is probably best known for Asperger syndrome. However, he has been accused of knowingly and willingly participating in the National Socialist Child Euthanasia programme by referring patients to the Am Spiegelgrund children's home in Vienna. This later became notorious for euthanising disabled children. We investigated those allegations. METHODS: Clinicians and historians examined original documents and transcripts related to Asperger's referrals from the Viennese Therapeutic Pedagogy Unit, and corresponding Am Spiegelgrund admissions, up to 25 March 1943, when he was drafted. RESULTS: Asperger referred 13 children to Am Spiegelgrund. Eleven survived and apparently received adequate care that allowed them to achieve positive developments, but two girls died. Asperger referred these two girls during June and October 1941, before most of the deaths at Am Spiegelgrund occurred and before its euthanasia programme became public knowledge. Our detailed investigation of the medical records, Unit referral practices and Am Spiegelgrund provided no evidence that Asperger knew about the euthanasia programme at the time of the referrals. One death was probably due to euthanasia, but the other was less clear. CONCLUSION: There was no evidence that Asperger knew about the euthanasia programme when he referred two patients who died at Am Spiegelgrund.

[Franz Büchner's wartime hypoxia research and the Nobel Prize]. / Franz Büchners Hypoxieforschung aus der Kriegszeit und der Nobelpreis.

BACKGROUND: Between 1901 and 1953, a total of 5110 persons were nominated for the Nobel Prize in Physiology or Medicine. This time period spans both world wars and touches on the question of how the Nobel Committees dealt with German prize candidates. PURPOSE: The nominations of the German pathologist Franz Büchner for the Nobel Prize will be used to examine the extent to which it played a role in the awarding of the prize if some of the research results to be honoured were obtained during the National Socialist era. The article also presents an overview of all pathologists from Germany who were nominated for the Nobel Prize during the first half of the 20th century. MATERIALS AND METHODS: Data from the nomination archive in Stockholm as well as nomination letters and expert opinions of the Nobel Committee (Nobel Archive) were analysed. Franz Büchner's nomination is examined in more detail as an example, because the nominators justified their proposal with Büchner's publications traced here, that in part originated from the National Socialist era. RESULTS AND DISCUSSION: Franz Büchner was nominated by three German professors in 1963. Both areas for which he was to be awarded concerned his research on the influence of oxygen deficiency on the function and development of the human organism. In the end, Büchner's achievements were deemed not worthy of the Nobel Prize. His role as a military researcher during National Socialism and the knowledge of hypoxia acquired during this period do not seem to have had a negative impact on the Nobel Prize evaluation.

Psychoanalysis and Psychodynamic Psychiatry in Germany.

The authors relate the complex and eventful history of psychoanalysis and psychodynamic psychiatry in Germany. After highlighting Wilhelm Griesinger's pioneering efforts, they describe the founding of the first psychoanalytic associations and their evolution under National Socialism and during the post-World War II period. They discuss the contributions of Günter Ammon, the state of psychoanalysis and psychodynamic psychiatry in Germany, current trends, and future directions.

[Persecution, expulsion, annihilation. Neurologists in the NS era-For active remembrance]. / Verfolgung, Vertreibung, Vernichtung. Neurologinnen und Neurologen in der NS-Zeit ­ Für ein aktives Erinnern.

The German Neurological Society (DGN) has commissioned historical research related to the expulsion and murder of German-speaking neurologists during the National Socialism era (NS). Intended as an introduction to the following background essays and biographies in this special issue of Der Nervenarzt, this article summarizes the results and perspectives of medical historical research addressing the persecution of German physicians. Additionally, it shows how the current project of the DGN fits into the context of an interdisciplinary culture of commemoration by a confrontation with National Socialism. Of particular importance for the DGN is that it was founded as the successor to the Society of German Neurologists (GDN), which was dissolved in 1935. In the early stages of the NS era, the GDN was the professional home of numerous Jewish specialists and those labeled "Jewish" by NS law, who were expelled from Germany and (after the "Anschluss" of 1938) from Austria, deported to concentration camps or driven to suicide. With this in mind, "persecution", "expulsion", and "extermination" raise not only questions of collegiality, decency, and morality. Investigating and remembering this era also affects today's public image of the neurological specialist society and constitutes an important part of its culture of remembrance and its history politics.

[Legalized deprivation of rights: on the legal construction of dismissal and expulsion under National Socialism]. / Legalisierte Entrechtung: zur juristischen Konstruktion von Entlassung und Vertreibung im Nationalsozialismus.

In order to provide a deeper understanding of the mechanisms and background leading to the persecution and expulsion, particularly of physicians labelled as "Jewish" in Nazi Germany, this article outlines their gradual disenfranchisement, through laws and decrees in the years 1933-1939. As the publicly visible terror immediately after the Nazi takeover was rejected in large parts of society, the regime resorted early on to supposedly legal forms of exclusion. With the Law for the Restoration of the Professional Civil Service of 7 April 1933, "non-Aryan" (§â€¯3) and politically unreliable (§â€¯4) persons could be removed from office, if necessary, even without any further comment (§â€¯6). However, regulations for long-standing civil servants as well as the "front-line fighter privilege" reduced the desired effect, e.g. in university medicine in a way that was not intended by those in power. The Reich Citizenship Law of 1935, as part of the so-called Nuremberg Laws introduced the criterion of "German blood". This resulted in a second large wave of dismissals. Outside the universities, a plethora of further defamatory legal norms, from the regulation on the approval of physicians for activities with the health insurances and the Law on Honorary Appointments (both in 1933), the so-called Flag Decree (1937) and withdrawal of the approbation (1938), aimed at the gradual "elimination" of Jewish physicians, which for many of them ended in extermination in the Holocaust. This practice implemented over years was based on a jurisdiction devised especially for that purpose and in hindsight it has been perfectly defined as "legal injustice".

[The exclusion of "non-Aryan" scientists: universities, clinics and professional organizations]. / Der Ausschluss "nichtarischer" Wissenschaftler: Universitäten, Kliniken, Standesorganisationen.

With the implementation of the Law for the Restoration of the Professional Civil Service (1933), including the Third Implementation Decree (1934), the Regulation for Obtaining a Teaching License (1934) and the Law for the Dismissal and Transfer of University Teachers (1935), the National Socialist (NS) government created legislative instruments to ban university staff (from lecturers to full professors) labelled as Jewish or considered politically unwanted from teaching and research. Whereas around 20% of the staff at the universities were affected by these measures after 1933, at various medical faculties the figures reached 30-40% and at neurological departments and institutes sometimes up to 90%. Student Nazi activists played a significant role in expelling faculty members from office. As beneficiaries of the expulsions, young doctors often improved their career prospects and established professors remained silent out of political conviction, opportunism or fear. A (self) coordination (Gleichschaltung) with immediate or gradual exclusion of "non-Aryan" members and boards is documented for numerous medical organizations and associations (e.g. Deutscher Ärztevereinsbund, Hartmannbund, German Medical Women's Association, Association of Statutory Health Insurance Physicians) as well as for scientific academies (e.g. Leopoldina) and research societies (Kaiser Wilhelm Institutes, German Research Foundation). The NS-loyal Society of German Neurologists and Psychiatrists, which had been founded in 1935, tolerated "Jewish" members until 1938. As a whole, the picture that emerged from everyday medical (and neurological) practice is one of drastic changes that massively affected not only the lives of many doctors but also the moral standards in terms of patient care, teaching, research and collegiality.

[Context of the emigration of Jewish neurologists (1933-1939)]. / Rahmenbedingungen der Emigration jüdischer Neurologinnen und Neurologen (1933­1939).

This article focuses on the historical context of the emigration of "Jewish" doctors during the "Third Reich". The approximately 9000 Jewish physicians, who were still able to emigrate, represented 17% of the German medical profession in 1933. Around three quarters of them left the German Reich by 1939, mainly for the USA, Palestine and Great Britain. Initially, Jewish organizations fueled hopes of a temporary exile; however, in the wake of the events of 1938 ("Anschluss" of Austria, failure of the Evian Conference, establishment of the Central Office for Jewish Emigration headed by Adolf Eichmann in Vienna, maximization of economic plundering etc.) emigration via the intermediate step of forced emigration had turned into a life-saving flight. Scientists could appeal to special aid organizations for support. Among the best known are the Emergency Community of German Scientists Abroad initiated in Zurich, the Academic Assistance Council founded in England, from which originated the Society for the Protection of Science and Learning as well as the Emergency Committee in Aid of Displaced German Scholars created in New York. Their help was often subject to criteria, such as publication performance, scientific reputation and age. Promising researchers who were awarded a scholarship before 1933 could rely on a commitment from the Rockefeller Foundation. The historical analysis of options and motivations but also of restrictions and impediments affecting the decision-making process to emigrate, provides the basis for a retrospective approach to individual hardships and fates.

[Late forced emigration without perspectives: Alfred Hauptmann and Adolf Wallenberg]. / Späte Zwangsemigration ohne Perspektive: Alfred Hauptmann und Adolf Wallenberg.

Archival documents and further biographical testimonies reveal that dismissal and expulsion on racist grounds also affected neurologists in leading clinical positions and at an advanced age. Alfred Hauptmann (1881-1948), full professor for neurology and psychiatry in Halle/Saale, member of the Leopoldina and discoverer of phenobarbitone treatment for epilepsy, emigrated first to Switzerland and then to the USA after the anti-Jewish pogroms in November 1938 and a subsequent "protective custody" imposed on him at the age of 58 years. Adolf Wallenberg (1862-1949), a self-made neurologist, described the syndrome later named after him in 1895. As a clinician he carried out research in the field of neuroanatomy until the National Socialists ousted him from his workplace in Danzig. At the age of 77 years, he emigrated to the USA via Great Britain, but did not manage to settle down again in his profession. For both physicians, neurology was their purpose in life, they felt patriotically attached to their home country and saw no future for themselves after their late forced emigration. Hauptmann is today commemorated by an award for experimental and clinical research on epilepsy, Wallenberg by the German Neurological Society award for outstanding achievements in the fields of cerebrovascular diseases, brain circulation and brain metabolism.