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: It is noterrorthy that s ubole dumber of dental patients roho left the USSR, and who prior to toet, in the Jest bad been pronounced mentally tealthy people, bad received treatment ead oves at the present time, periodically receive treatment Lo psychiatric hospitals. Such locis aro belag bushed up, which 1s an obvious ladication of the 111-Intentioned suture of this whole coxpaisa.

-- The Zysten of voting the FPA is discrieinatory wod . undemocratic, iaco the number of votes alloted to members countades depends on the number of peychiatrists, and first . of all, on tin ducunt ct dues. riiic bas enabled a cali proup ct count::es to Lapla..t their des cices os no rest of the PA neavors, 1282329d .crcccst, ce chc developing countries.

We would lists recel! to your mettrailon that tois Wscriminatory sechanism was employei' la socolulu egriast . Sories poycoiatry when a clasderous resolution was pushed through with 13 countries roticg against it, and oaly 19 for

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It ie 1.30 necessary to exphasize that the coopera.on o the 'PA vrith the Psychiatric association of the racist regime in the SAR 18 sonrisation of Ito undesocratic priac pies.

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of sl paschiatrists tovarcs resolving the professional tasks a tandley before 1t, donerer, the real activities of the TFA bave been 6e696d to another direction. The leade ship of the TEA, Lastead o? takire the scad to uni-lag psychiatsists, bar embarked upon the path of splitting thea, end bes turned it: in obedient tool la tho bands of the forces which aze using poyoblatsy for their oro political goals, aimed at fanning ap contradictions and enmity among psychiatrists of dietores countries. ..

Consequently, it is quite apparent that the A loade: shdp bos slloved itself to becozo 19Tolved in outaghat pelstic! sotérity end bos supportod the slatdos ososast the Sürdet iraun.. Er hec ne écust: rise tegerea that ita SPA los dership, bytosotirtöf, La decent Locpozable basse te tis Cronos interesis: e$ corld psychiatry and to the wity of pogcaietaists FOC QLfosant sutries of the world. .

In ecasection with thes, the 11-osios Scientific Socksty of Neusopethologists and Psychiatrists so longer considers 1t paselble :: reari e Ramber of the Wed., and boredy officially not12ios the leadership of its departure rom tho 12.

At the same time, the all-Onion Scica:11. Socio:y e? Rocrofibologists and Psy eie tagts Las gote ed all the Gational Psychiatria Societies of the reasons for 1:8 deporte ?:02 the FPA.

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Mr. YATRON. Thank you, Dr. Visotsky, for your statement.

Now, Dr. Reich, would you like to begin sir? I understand that you have some slides that you want to show. So at that time, we will turn out the lights so that we can better view your slides. STATEMENT OF DR. WALTER REICH, RESEARCH PSYCHIATRIST

AND PROGRAM DIRECTOR, THE STAFF COLLEGE OF THE NATIONAL INSTITUTE OF MENTAL HEALTH, MEMBER, THE AMERICAN PSYCHIATRIC ASSOCIATION'S TASK FORCE ON HUMAN RIGHTS, AND FORMER FELLOW OF THE KENNAN INSTITUTE FOR ADVANCED RUSSIAN STUDIES OF THE WOODROW WILSON INTERNATIONAL CENTER FOR SCHOLARS

Dr. REICH. Before doing that, I should like to note that, though I am an employee of the National Institute of Mental Health, I am speaking here as a private citizen. I wish to indicate that the opinions I will express here are my own and not necessarily those of the NIMH.

I did prepare a statement which I distributed, but I thought that it might be useful to show some slides, two of which are also included in the prepared statement, in order to give a human dimension to the phenomenon we are discussing, and perhaps also to explain some facets of it that may be better explained by the use of audio/visual materials.

Mr. YATRON. Without objection, your entire statement will be made part of the record.

Dr. REICH. Thank you.
First slide, please.

This is Dr. Andrei Snezhnevsky who is, in effect the chief Soviet psychiatrist, though there is no such formal title. The photograph was taken by me in Moscow last year when I visited him and interviewed both him and other members of the staff of his Institute of Psychiatry of the U.S.S.R. Academy of Medical Sciences. A report of that experience was published in the New York Times Magazine, which I have submitted to the committee for the record.1

Dr. Snezhnevsky is important because he is the author the concepts of psychiatry, specifically the approach to the diagnosis of schizophrenia that are the concepts that are most frequently used in Soviet psychiatry and that in fact have been most frequently used in the diagnoses of dissidents. He is an extremely influential figure in Soviet psychiatry. He is now near retirement. His age, I believe, is 79.

He is important and influential not only because he has headed, for 21 years the main psychiatric research institute in the Soviet Union, the Institute of Psychiatry of the U.S.S.R. Academy of Medical Sciences, but also because he is the editor of the only psychiatric periodical, the Korsakov Journal of Psychiatry and Neuropathology, and was a very important and influential teacher for many years in the Central Post-Graduate Medical Institute's Department of Psychiatry, of which he was chairman before moving to the Institute of Psychiatry. As you can see, on the slide, Snezhnevsky has

See app. 1.

a large photo of Ernest Hemingway on his office wall; Hemingway is, Snezhnevsky has told me, his favorite writer.

May I have the next slide please.

Another important figure with whom I met, and who will probably be Dr. Snezhnevsky's successor, was Dr. Marat Vartanyan. Vartanyan who has himself never been involved, to my knowledge, in any way with the cases of dissidents. In many respects, he has been the diplomat of Soviet psychiatry and has represented his profession in the West. He is a very urbane figure, who insists that though he was trained as a psychiatrist, he is primarily a scientist. For many years he has headed the scientific laboratories of the Institute of Psychiatry.

May I have the next slide please.

Dr. Ruben Nadzharov is a close colleague of Dr. Snezhnevsky's, and was also present at the meeting; together with Dr. Snezhnevsky, he developed the theories that I will describe this morning.

Next slide please.

This is a photo of the Serbsky Institute, which figures prominently in the reports of Soviet psychiatric abuse. It is the central forensic psychiatric institute of the Soviet Union; and it is the place to which many of the dissidents have been sent. It is not set up just to deal with dissidents. Rather, it is set up as a forensic psychiatric institute, and persons accused of all kinds of crimes-murder, rape, and other crimes-are sent here for evaluation if there is some doubt as to their mental health. But also sent here are persons accused of crimes related to dissents.

Next slide please.

This is a side view of the Serbsky institute. The gentleman in the foreground at the time that I was there was gesticulating to a patient inside the institute. When I raised my camera, he stopped gesticulating, not knowing who I was. This gives you a sense of the enclosed nature of this institution, which is in fact a kind of prison/hospital. Next slide please.

This is Dr. Snezhnevsky in 1977, in Honolulu, at the Sixth World Congress of Psychiatry, the one that preceded the one that occurred last July in Vienna; the 1977 Congress was the one at which the Soviets were condemned for their abuse of psychiatry, and it was at the congress that I first met Snezhevsky. I interviewed him in his hotel room. This photograph was taken just before the meeting at which the Soviets were condemned. Next slide please.

Just after I interviewed Snezhnevsky the Soviets held a press conference. I show this photograph of the press conference in order to identify not only Dr. Snezhnevsky, but also Dr. Georgi Morozov, the head of the Serbsky Institute; as it happens, Marozov is now also the head of the All Union Society of Neuropathologists and Psychiatrists of the Soviet Union. It is Marozov who, more than any other Soviet psychiatrist, has been identified with the practice of diagnosing dissidents as mentally ill. Next slide please.

This is Dr. Eduard Babayan, another Soviet psychiatrist, who is pointing an accusing finger at the American delegate during the voting session of the 1977 Psychiatric Congress at which the Sovi

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