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11 Yale J. Int'l L. 297 (1985-1986)
Law, Theory, and Politics: The Dilemma of Soviet Psychiatry

handle is hein.journals/yjil11 and id is 303 raw text is: THE YALE JOURNAL OF INTERNATIONAL LAW Volume 11, Number 2, Spring 1986 Articles Law, Theory, and Politics: The Dilemma of Soviet Psychiatry M. Gregg Bloche TABLE OF CONTENTS PAGE INTRODUCTION .......................................................... 298 I. DETERMINISM AND RESPONSIBILITY: SOME PRELIMINARY ETHICAL CONSIDERATIONS ........................................................ 301 A. Early Uses of Medicine to Repress Dissent ............................. 301 B. The Political Context of Therapy ..................................... 304 II. THE HISTORICAL AND THEORETICAL ROOTS OF MODERN SOVIET PSYCHIATRY .............................................................. 306 A. Historical Roots ................................................... 306 B. Theoretical Roots .................................................. 307 III. THE LEGAL FRAMEWORK FOR PSYCHIATRIC INTERNMENT OF SOVIET DISSIDENTS .............................................................. 312 A. Krushchevian Reform .............................................. 312 B. Criminal Commitment ............................................. 316 C. Civil Commitment ................................................. 327 IV. DISSENT AS DISEASE: THE EVOLUTION OF PYSCHIATRIC THEORY IN THE SOVIET UNION ........................................................... 333 A. A Genetic Theory Emerges: The Snezhnevsky System ................... 334 B. An Older Diagnostic Construct: Paranoid Psychopathy ................... 346 C. Forensic Diagnosis and Value Premises ................................ 349 V. IMPLICATIONS FOR INTERNATIONAL HUMAN RIGHTS ACTIVISM ............. 353 A. The Current Style of Activism: Confrontation and Castigation ............ 353 B. Towards a New Activism ............................................ 358 297

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