Charting the trans-Atlantic movement of ‘dynamic’ psychiatry from The Henry Phipps Psychiatric Clinic, Baltimore, to Gartnavel Mental Hospital, Glasgow, this thesis throws light upon the resultant ‘dynamic’ case note records, produced in Gartnavel during the 1920s. By undertaking an in-depth, qualitative analysis of Gartnavel’s case note records and corresponding archival materials, I explore the polemical question, posed, amongst others, by Foucault, of how psychiatry achieves its distinct status as a science of the individual. Foucault, most notably in Discipline and Power, ascribes to the psychiatric profession the power to fashion individual patient histories into cases, cases which simultaneously emphasise the individuality of a patient, while condensing, i.e. ‘fixing’ their identities that they may be constituted ‘an object for a branch of knowledge and a hold for a branch of power’. This thesis, while recognising the validity of this argument, explores how the clinical practices and philosophical outlook of dynamic psychiatry in the early twentieth century enabled both patient and psychiatrist to negotiate the construction of the psychiatric case note record, and consequently of patients’ individual identities. D. K. Henderson, physician superintendent of Gartnavel between 1921 and 1932, was one of the first, if not the first psychiatrist fully to incorporate dynamic principles into the working practices of a British mental hospital. Initiating methods of case note taking and staff meeting consultation (now integral components of modern day psychiatric practice) he transported the teachings of his mentor, the Swiss émigré psychiatrist Adolf Meyer, to the everyday clinical practices of Gartnavel. The dissemination of dynamic psychiatry through Henderson’s published works and medical teachings is recognised as having integrally shaped the practices of Scottish psychiatry in the twentieth century. However, the significance of the unpublished case note records, produced under his superintendence of Gartnavel during the 1920s, as sources of historical enquiry has gone largely unrecognised. A near-unique archive of ‘dynamic’ case note records is used in this thesis to reveal, what Roy Porter termed, a ‘history from below’ of clinical practices and examinatory processes. For as Henderson employed stenographers and clinical clerks to record verbatim and semi verbatim the dialogues that passed between patients and psychiatrists within staff meetings and mental examinations, I, as Porter himself aspired to, take as the focus of my research a history of the ‘two-way encounters between doctors and patients’. By employing an interdisciplinary research method, one that incorporates Foucauldian, literary, critical medical humanities, as well as more traditional forms of medical history scholarship, I establish a history of dynamic psychiatry set within clinical encounters. Engaging with current debate, evolving primarily within the interdisciplinary sphere of the medical humanities, I argue these records reveal a history of medical humanism, one in which both patients and psychiatrists actively shaped the history of twentieth century Scottish psychiatry.

This study is concerned with the sexual abuse of enslaved women and girls by white men in the antebellum South. Interviews conducted by the Federal Writers’ Project in the 1930s are studied alongside nineteenth-century narratives of the formerly enslaved in order to make calculations of the scale of abuse in the South, but also to discover which conditions, social spaces and situations were, and possibly still are, most conducive to the sexual abuse of women and girls. This thesis is separated into two parts. Part One establishes a methodology for working with testimony of the formerly enslaved and determines the scale of sexual abuse using all available 1930s interviews with people who had lived in Louisiana and Texas under slavery. This systematic quantitative analysis is a key foundation from which to interpret the testimony of abuse that is explored according to different forms of sexual violence in Part Two. It is argued that abuse was endemic in the South, and occurred on a scale that was much higher than has been argued in previous studies. Enslaved people could experience a range of white male sexually abusive behaviours: rape, sexual slavery and forced breeding receive particular attention in this study due to the frequency with which they were mentioned by the formerly enslaved. These abuses are conceptualised as existing on a continuum of sexual violence that, alongside other less frequently mentioned practices, pervaded the lives of all enslaved people. Common features existed along the continuum. Abuse was intergenerational in nature for both the abusers and the abused. Light-skinned enslaved children born of rape were far more likely to become victims of abuse themselves and young enslaved girls were prematurely sexualised. Sexual abuse was brought into the white domestic space through the institution of sexual slavery, white children were thus unconsciously schooled in the abusive sexual mores of southern society from an early age. Abuse was quite open among white male family members. Other institutions existed that normalised and legitimised abuse, such as the fancy-girl trade and sexual interference through forced breeding practices that included eugenic manipulation and the use of ‘studs’. Despite this, enslaved women showed remarkable levels of emotional survival and initial reflections are made on the ways in which women could resist and cope with sexual abuse. Testimony suggests that abuse was discussed amongst the black community, support was rarely denied to victims, and there was no stigma was attached to children born of rape. With recent revelations on the scale of the institutionalised sexual abuse of women and children, as well as vast modern sex-trafficking networks, there are special opportunities presented through the current cultural climate in order to understand the southern experience. The South is reframed as a ‘culture of abuse’ where sexual violence against enslaved people was naturalised and culturally reproduced.

In the last 30 years many changes have taken place within the Cowlitz Indian Tribe. These changes involve the tribe’s sovereignty and have greatly impacted the emic identity of the tribe. Previous identity research with the Cowlitz predates these changes and no longer accurately describe the Cowlitz. The question for this research was how have these changes affected the emic identity of the Cowlitz today as seen in their community and interactions? And how does their identity now compare with their identity in the times of pre-contact and initial contact with whites? This research uses Manuel DeLanda’s assemblage theory to assess and compare the emic identity of the contemporary and historical tribe in terms of sovereignty, identity, and cultural rejuvenation. When the structure, relationships, activities, and purposes of the tribe and groups within the contemporary tribe were analyzed, there was a striking resemblance to the community system described in early settler journals and histories of the Cowlitz. The research was cross-sectional, including ethnographic study, interviews of tribal members, document analysis, and historical analysis. In an attempt to allow the Cowlitz people to speak for themselves rather than project ideas onto the tribe, each section of the research first allows tribal members to voice their opinions and then relies on Cowlitz voices to confirm the analysis. The final dissertation was then submitted to the tribe for comment.