"I cannot see a peaceful life here in the future."1 The Emigration of the Budapest School and the Emergency Committee on Relief and Immigration 2 by Judit Mészáros, Ph.D. Unlike the emigration of analysts from Berlin and Vienna, it was Hungary’s politicoeconomic changes in the late 1910s and early 1920s and their attendant anti-Semitism that first launched the emigration of the Budapest School of Psychoanalysis – not the spread of Hitler’s fascism in the 1930s. In order to understand the losses to Hungary’s psychoanalytic movement brought about by two waves of emigration – the first between 1919-1924, the second between 1938-1941 – and, indeed, to understand the gains in the development of modern psychoanalysis tied to the later work of the émigrés from Hungary we must look back to the results achieved by Ferenczi as well as by members of the Budapest School prior to their emigration. “Budapest is well on its way to becoming the centre of our movement.” (Freud, 1918) In a letter to Karl Abraham in August 1918, Freud said he believed that “Budapest is well on its way to becoming the centre of our movement” (Letter from Freud to Karl Abraham, [1918] 2002). How is it that, a mere decade after Freud and Ferenczi first met in 1908, Budapest would be suited to such a role? One of the main characteristics of the Budapest School can be connected to the figure of Ferenczi, but beyond him it also stems from the interdisciplinarity of psychoanalysis : how it became interlinked with the processes of modernisation in early 20th-century Hungary through figures in literature, the arts and the social sciences. Another distinctive feature was also shaped by Ferenczi’s innovative and liberal personality: a great many creative people from a variety of scholarly fields became closely linked to psychoanalysis and they were all free to work in their fields of speciality in such areas as ethnography, pedagogy and even economics. The catalyst: Ferenczi was a catalyst for the development of psychoanalysis in Hungary. Thanks to Ferenczi’s tireless work in teaching and public speaking, the “new human view”, as Ignotus, a contemporary literary figure, called it (Ignotus, [1933] 2000, 39), was soon embraced by receptive modernist intellectuals. The role of the media: Hungary saw both the creation of the Free University for the Social Sciences, the medical weekly (Therapy), and the founding of journals literary criticism (West) and sociology (Twentieth Century), all with the goal of passing on the new intellectual currents. Similarly, a forum was launched by medical students (the Galilei Group). And all of these were eager to 1 Sandor Lorand. Interview by L. C. Kolb (1963) Manuscript, Brill Archive, The New York Psychoanalytic Institute 2 Panel talk at the 21rst Annual Conference of the EPF, Vienna, March 2008 spread the ideas of psychoanalysis. In other words, both university students and the young avant-garde intelligentsia had the opportunity not only to follow, but also to play a part in the development of the field. I wish to stress that these various channels through which psychoanalysis was spread in tandem – or, indeed, in the parlance of our day, the role of the media – played an essential role in the fact that ten years after the first Freud-Ferenczi meeting (1908) psychoanalysis in Budapest was far more than a new method for treating patients with neuroses. Ignotus described early psychoanalysis as spread by Ferenczi in this way: “the next day we were already thinking differently than we had been the day before” (Ignotus, [1933], 2000, 38). Psychoanalysis could be found in the conversations in the cafés of Budapest, in jokes, and in the open-mindedness of internists and neurologists. Freud’s key writings had been published in Hungarian Indeed, a study by Freud, “A Difficulty in the Path of Psycho-analysis” (1917), had first been published in the literary journal West in 1917. Ferenczi published prolifically and regularly gave lectures at the Free University for the Social Sciences as well as to medical students. All of this proved a sound intellectual investment. His appointment as full professor in Budapest in 1919 and the concurrent establishment of the first department of psychoanalysis within a medical university (Erős, Kapás and Kiss, 1987) represented the fulfilment of these students’ efforts. The position of Budapest was further strengthened by the fact that it was there that the 5th International Psychoanalytical Congress was held in 1918.3 During the congress, Antal Freund of Tószeg the first patron of the psychoanalytic movement, pledged what would be the equivalent today of half a million dollars to establish an international psychoanalytic publishing house and library in Budapest. At the same time, Freund planned to back the setting up of a psychoanalytic outpatient clinic and the teaching of psychoanalysis as part of the university curriculum. Thus, the growth of a strong, diverse system had begun, one which included plans to expand psychoanalytic publishing, psychoanalytic training and opportunities for low-fee healing. Freud gauged the situation accurately, therefore, when he observed that, unlike “the hostile indifference of the learned and educated […] in Vienna” (Freud, 1914, 40), Budapest offered tempting prospects for the entire psychoanalytic movement. The first wave of emigration – Vienna and Berlin The end of World War I brought with it the collapse of vast empires – among them the Austro-Hungarian one. Being on the losing side, Hungary lost two-thirds of its territory in the peace treaty that followed. Other dramatic changes also took place between 1918 and 1920. In fact, in the space of only a year and a half, the monarchy crumbled and " Aster Revolution" – based on the liberal, radical oppositions of the First World War4– brought about the creation of a short-lived, first republic, which was unable to steady itself amid both the domestic and international political power struggles surrounding it. It thus gave way to a Soviet Republic 3 The congress was held between 28-29 September 1918. Tibor Hajdú and Zsuzsa L. Nagy, "Revolution, Counterrevolution, Consolidation," in: Peter F. Sugar, Péter Hanák, Tibor Frank, eds., A History of Hungary (Bloomington and Indianapolis: Indiana University Press, 1994), pp. 295-309. 4 2 that lasted for several months, which was, in turn, followed by a backlash of rightist White Terror. Against changes and disturbances of such proportions, the potential for Budapest playing a central role in the psychoanalytic movement was utterly lost. The numerous retaliatory measures taken in 1919 and 1920 led to the following losses compared to the advantageous situation of the previous year and a half: 1. Ferenczi was dismissed from his post as department head, and, at the same time, 2. Psychoanalysis lost its position within the university curriculum. 3. As a result of pressure put on Freud by Jones (Letter from Jones to Freud, [12 October 1919] Freud-Jones, 1993, 357), Ferenczi resigned as president of the International Psychoanalytical Association before his term was over, citing slow and difficult communications from Hungary. In the interim (1919-1920), Jones took over the post. 4. Due to inflation, a portion of Freund’s donation had to be taken to Vienna and it was thus Vienna – and not Budapest – where the psychoanalytic publishing house and library were established in 1919. The White Terror period in the early twenties the attendant anti-Semitism and the 6% restriction on Jewish students permitted at universities, or numerus clausus, all sparked the wave of emigration to which the leftist, Jewish or anti-despotic portion of Hungary’s intelligentsia felt compelled. Outstanding scientists, philosophers and artists left the country then,5 and the majority of them immigrated to Berlin. As a consequence of the wave of Central Eastern European emigration that followed World War I, Berlin became fertile ground for modern culture and evolved into a city that fully embraced the talented émigré intelligentsia (Frank, 1999). It was then that Budapest lost a portion of its analysts for the first time. One quarter of the 18member Hungarian Psychoanalytical Society left the country. Members who emigrated included Sándor Radó (secretary of the society),6 Jenő Hárnik, Jenő Varga,7 Sándor Lóránd and Melanie Klein.8 Hungarian psychoanalysis was thus forced to resign itself to the loss of its promising young people, some of whom – Michael Balint, Alice Balint and Edit Gyömrői – would actually return to Budapest in the consolidation period of the 1920s only to be forced to leave not long afterward and then to emigrate permanently in the second wave (1938-41). 5 Theodore von Kármán, Michael Polányi, Leó Szilárd, Edward Teller, Arnold Hauser, George Lukács and Karl Mannheim, to mention only a few. 6 Sándor Radó took an active role in Hungary’s Soviet government. We know from a letter from Ferenczi to Freud that Radó also had a hand in Ferenczi’s professorial appointment. Ferenczi wrote that he had “ whipped the matter through the education section” (Ferenczi 812, Freud–Ferenczi, 2003, 353). Having been a part of Béla Kun’s government as the people’s commissar for finance and then for social production as well as chairman of the People’s Economic Council, Jenő Varga was sentenced to death after the fall of the Soviet Republic. He fled to Austria and took part in sessions of the Vienna Psychoanalytic Society for a short period between February and June of 1920. Afterward, he travelled to Moscow to the 2 nd congress of the Communist Internationale and settled in Soviet Russia where he worked with Lenin and was the director between 1927 and 1947 of the Institute of World Economics and Politics of the Soviet Academy of Sciences (Toegel, 2001). 7 8 Melanie Klein became a member of the Hungarian Psychoanalytic Society in 1919 with her paper entitled “A child’s development”. She left the country in 1921 due to anti-Semitism. 3 The first wave of emigration – 1919-1926 Vienna Jenő Varga Margaret Mahler Edit Gyömrői (1919) René Spitz Berlin Leipzig Paris Members of the Hungarian Psychoanalytical Society Jenő Hárnik Melanie Klein Sándor Radó Future analysts Michael Balint Therese George Alice Balint Benedek Devereux, alias Franz Alexander György Dobó Georg Gerő Edit Gyömrői (1923) New York City Sándor Lóránd The face of Europe had changed. Budapest fell into decline, Berlin began to flourish. Berlin was the stronghold of the émigré Central and Eastern European intelligentsia and became the hub of European culture. Thus, both Vienna and Berlin grew in significance. The first Psychoanalytic Institute was founded in Berlin in 1920; it would establish the basic structure for training in the field. This effort was based in part on the experience of one-time Hungarian analyst Sándor Radó. A decade later, it was through Radó that the Berlin training model moved to the United States, where the groundwork for the American training system was laid in the early 1930s at the New York Psychoanalytic Institute under Radó’s leadership. Owing to its limited opportunities in the late 1920s, Budapest would only see its first training institute established in 1926 and then, in 1931, a polyclinic which provided low-fee psychoanalytic outpatient therapy, but managed to revive extremely active and creative development in psychoanalytic research and training (Haynal and Mészáros, 2004). A decade of Berlin flourishing was put to an end with Hitler’s rise to power in 1933. This sealed the fate of psychoanalysts in Berlin (Friedrich, Hermanns, Kaminer and Juelich, 1985). Then, with the spread of fascism and the annexation of Austria, the best and brightest of the Viennese intelligentsia found itself dispossessed (Stadler and Weibel, 1995) – including Freud and the Viennese psychoanalytic community (Molnar, 1992). “Your Committee” – The Emergency Committee on Relief and Immigration On 13 March 1938, a day after the Anschluss, the American Psychoanalytic Association (APA) established The Emergency Committee on Relief and Immigration (Mészáros, 1998). Lawrence S. Kubie became chairman. Committee members represented psychoanalytic 4 associations and institutes operating throughout the US.9 Among its members were Sándor Radó and Franz Alexander were both originally from Budapest. The committee set the objective of aiding in the escape and immigration of all its European colleagues by all means possible. This proved to be an even more difficult task since US immigration policy had the opposite aim. What follows is a list of factors that illustrate both the rationale behind this restrictive immigration policy and the forces pitted against the Emergency Committee, which was no more than a volunteer organisation. These were forces intensified by the Great Depression as well as by growing anti-Semitism and the fear of the spread of Bolshevism and anarchism known as the “Red Scare”: 1. Annual immigration quotas for Europe had remained unchanged as of the 1920s. In fact, they never exceeded 54% of the upper limit of 143,774 (Breitman and Kraut, 1987, 10). 2. In the 11 years between 1933-1944, no more than 120,000 German and Austrian citizens immigrated to the US. For Germany, this total works out to less than half of the annual quota for that country of 25,957 immigrants (Breitman and Kraut, 1987, 10). 3. US public opinion was extremely resistant to immigration. According to a survey taken in January 1939, 83% opposed it. 4. By the end of March 1940, over 100 xenophobic proposals and bills had been put before Congress. 5. The State Department was fiercely opposed to immigration, whereas liberal Secretary of Labour Frances Perkins supported it. Between 1933-39, Washington quaked in the resulting battles between these two government departments. 6. Many saw the émigré intelligentsia as a serious threat. Although he saw what was happening to Jewish citizens of the Third Reich, the U.S. Consul General in Berlin (Messersmith, 1930-34) wrote the following in a letter to W.J. Carr, director of the U.S. Consular Service: "We cannot fill our own universities with foreign professors who are alien to our thought [...] The average Jew, for example, who desires to emigrate to the United States, will be very glad to be […] able to make a home for himself in our country [...] but these professors who feel that they have a mission in life, may potentially be a danger to us..." (Letter from Messersmith to Carr, 5 July 1933, cited by Breitman and Kraunt, 1987, 44-45). It is clear why it would have been difficult for Roosevelt to take the political risk that would necessarily have accompanied any humanitarian measures. This is why he and his liberal supporters began to hammer out potential measures that took into account the latest considerations to help refugees but that would not contravene the restrictive laws. How did the Emergency Committee work? 9 From Boston: Dr. Helene Deutsch, Dr. Henry Murray and Dr. Ralph Kaufman; from Chicago: Dr. Franz Alexander and Dr. Thomas French; from New York: Dr. Bertram Lewin, Dr. Sandor Rado, Dr. Adolf Meyer, Dr. George Daniels and Dr. Lawrence Kubie; and from Washington-Baltimore: Dr. Lewis Hill. 5 The Emergency Committee put out a call for donations among the US psychoanalysts for the following objectives: 1. To aid their colleagues in escaping from the occupied territories. Money that had been deposited in foreign accounts could be used to travel and to cross the border. 2. For immigration to the US. US immigration policy demanded enormous sums of money from those who intended to offer assistance. Sponsors who were not close relatives had to submit a statement of sponsorship, which was an affidavit to the effect that, in the case of a family of four, 5000 dollars had been placed on deposit in a bank account.10 3. For the settlement of immigrants. Financial assistance did not represent a donation, but rather a long-term, interest-free loan, which had to be repaid after a few years once a person had established himself. Beyond the financial principle there was an important psychological side-effect to this procedure that cannot be denied: it boosted the self-esteem of those who had recently arrived and prevented the inevitable subordination that accompanied a feeling of gratitude. The committee put out the Bulletin, which contained all necessary information on the requirements for immigration and settlement: the requirement to take the medical board examination in order to earn the right to practice medicine and criteria for filling teaching posts for lay analysts. It also made it clear that if someone requests the aid of the committee he must expect to start his US career in whichever town and state the committee sends him. The committee’s president and “member for foreign affairs”, Lawrence Kubie, made contact with the State Department and the consular affairs service. Kubie was in direct contact with the president of both the International Psychoanalytical Association and the British PsychoAnalytical Society, Ernest Jones. It was through the co-operation of these two men that the main strategy for the emigration of the European psychoanalysts took shape. It was the responsibility of the co-chair of the Emergency Committee, Bettina Warburg, to stay on top of the fate of the émigrés from setting up official interviews to addressing individual concerns (Jeffrey, 1989). It is a true reflection of the American ethos that committee correspondence regularly referred to the Emergency Committee as “Your Committee”, expressing the notion that the organisation was established through the wishes of US analysts. For example, the Emergency Committee agreed with the US Consulate in Vienna in March 1938 that all the affidavits and other necessary documents should be sent to the consulate where it would use them as it deemed necessary. “Your Committee” managed to provide affidavits for a “large number of psychoanalytic colleagues in Austria” (Kubie, 31 March 1938, cited in Kurtzweil, 1992, 344). By June 1938, 10,000 dollars had been deposited in the committee’s account and 2000 of that had been transferred to Jones (Kubie, 1937-1938, 68). 10 In 1938, this sum came to double the annual salary of a young physician, and was likewise double the annual pay of the administrator of the Chicago Institute for Psychoanalysis. 6 Conflicts within the movement Meanwhile, leaders of the psychoanalytic movement were facing conflicts within the movement. Conflict festered between the International Psychoanalytical Association and the American Psychoanalytic Association. The Americans felt that the IPA were towering over them, curtailing their efforts at autonomy, and failing to acknowledge that the US psychoanalytic movement had gone a different route from that of the Europeans. The pointed conflicts had reached a point where in the winter of 1938-39 Ernest Jones, president of the IPA, and Edward Glover, IPA secretary, had indicated to the APA that they planned to discuss them during a visit to the US. The escalation of the war, however, put a halt to the planned visit (9 May 1939), but it did not stop plans to reach a possible compromise. In a letter to Kubie, Glover passed on Jones’ recommendations and made it clear that […] whatever organization is built up, it should have the courage of its main convictions. If there is to be any international organization it must be in a position to do all it can to further the interests of psychoanalysis and of psychoanalysts in all countries. And it seems to me that for this reason alone, it is very desirable that whatever can be, should be done to solve the perplexing problem of ‘migration’ of analysts […]” (Glover, [31 Aug. 1939] 1940, 30). Jones’ recommendations include the “modern” organisational structure still in place today: that the international field should be divided into two independent bodies, an American and a European one. Thus, Jones practically confirmed the situation as it had stood up till then.33 At the same time, he also remarked that the two federations should remain unified and that they should function within the framework of the IPA under the same conditions and maintaining the rules of the international body. The presence of European psychoanalysts in the US created additional difficulties. Some of them had been invited by the Americans themselves in the early 1930s – for example, Radó and Alexander – but at that time they could not have known that there would be mass emigration from Hitler’s Germany within a few years and that by admitting the Viennese analysts the number of European analysts at US institutes would rise so dramatically. As representatives of an authentic psychoanalysis, the émigrés behaved with a sense of European superiority, while their US colleagues not only looked down on these lay analysts who had become so familiar in Europe, but they also stopped them through laws from carrying on their psychoanalytic practices. The European criticism of this restriction was that US psychoanalysis had become medicalized and that this trend was in principle a divergence from Freud’s original intentions. In 1938-39, therefore, during the wave of immigration from Vienna, passionate infighting was already raging, for example, at the New York Psychoanalytic Society and at the Institute as well. Among those who sparked these conflicts was Karen Horney. She had been invited by Alexander to work with him in Chicago, then moved to New York in 1934 and worked at the New York Psychoanalytic Institute. Horney rejected the priority of Freud’s instinct theory 33 After the recommendation had been approved, the European Psychoanalytic Federation was established within the international society. 7 and stressed the power of environmental and cultural effects in shaping one’s personality. Horney found followers, including many Ferenczi sympathizers, such as Harry Stack Sullivan and Clara M. Thompson. At the same time, among those who were strongly opposed was an analyst originally from Hungary: Sándor Radó (Kurzweil, 1992). Kubie, therefore, not only had the refugee issue to deal with, but he also needed to strike a balance between the differences in approach created by the émigrés. A letter he wrote to Glover in November 1939 clearly illustrates the situation of his time: “[…] not only among the Society members, but among the students: a group of students who were under exclusive Horney influence – another group under exclusive Radó influence – another group under Kardiner’s influence – and a group that had more general classical training. Each group was more or less hermetically sealed from the others, and you can imagine how much confusion, lopsided and inadequate training, and mutual distrust and hostility all of this generated. This curriculum was designed in order to insure some kind of reasonable orderliness in the sequence of the students’ studies – and to make it certain that every student would have to be exposed to all possible influences” (Kubie, cited in Kurtzweil, 1992, 348-349). It is in this context that the request for assistance came from Hungary’s analysts. Hungary: The second wave of emigration – 1938-1941 In the weeks following the Anschluss, the Hungarian Parliament passed its first anti-Jewish Act (1938), in which it restricted to 20% the proportion of Jews obtaining work in key areas of culture and the private sector (Braham, 1981). This represented a serious warning, a portent of things to come, borne out by the passing of the second anti-Jewish Act in 1939. That law was grounded in the racial distinctions of the Nuremberg Acts and expanded earlier restrictive measures on the private sector – now Jews could no longer be civil servants either. This affected almost 200,000 people. István Hollós, president of the Hungarian Psychoanalytic Society, turned to Kubie in a letter dated 9 January 1939 to request help for Hungary’s psychoanalysts (Mészáros, 1998). This letter opened the way for the second wave of emigration. “Dear Kubie, During the Paris meeting in August, 1939, I communicated to our colleagues that our Hungarian members had decided to stay under every possible circumstances in their country, and so continue their work here, as far as that is possible […] Though our recent situation is not yet so difficult, but its turn to the worst can be expected in a very short time [emphasis added]. I made the same statement to Dr. Jones as well and he gave me the advice in his very encouraging and detailed letter, to let also you know the present condition. […] to consider our difficult situation […] and ask you to inform us about the possibilities, difficulties and the means 8 ways we should try. A list of about 15 persons will be too sent to you for your disposition. Believe me sincerely Yours Dr. Hollós”11 Kubie responded to Hollós’s letter ten days later with great circumspection, covering all possible details and anticipated problems. Nor did he spare Hollós the distressing fact “that the quota is over-applied-for already for a matter of ten or more years. This eliminates any possibility of entering the country as a permanent immigrant on the regular quota”.12 Special visas, therefore, represented their only option. Thus, Kubie inspired Hollós with hope when he wrote: “I can assure you that we will do all we can to secure affidavits of that nature for all of our colleagues who want ultimately to come here.” 13 Visa applicants eventually took one of two paths: one had those who wished to remain in Europe turning to Ernest Jones; the other saw those who undertook to immigrate to the US sooner or later coming into contact with Kubie and the Emergency Committee. As has become clear from contemporary documents, Jones was not supportive of the Hungarians’ settling in London. Certainly, the internal tensions within the British Society – we need only consider the opposition between Anna Freud and Melanie Klein – did not favour the admittance of additional refugees, but in the case of the Hungarians Jones also had personal motives. On no account did Jones wish to fill the society of which he was the president with Ferenczi’s followers. These included Géza Róheim, Michael Balint and Alice Balint, who had not only had training analysis with Ferenczi, but also embraced Ferenczi’s theoretical and therapeutic approaches. Róheim wished to settle in London, but he could not count on Jones’ support. When the Balints immigrated to England, they were given effective assistance primarily by John Rickman, when they settled – as Balint mentioned – in the “provincial” Manchester (Swerdloff, 2002, 394). At the same time, Jones put an amazing amount of effort into aiding European, and indeed Hungarian, colleagues in getting situated – outside of Britain. For example, Edit Gyömrői’s left-wing political affiliations were generally known, and she was thus under particular threat – both as a Jew and as a communist. In a letter to Kubie dated 27 April 1938, Jones puts great emphasis on the Budapest group and on Gyömrői’s dire situation in particular: “The courage of the Budapest Group in facing what seems to me to be an inevitable and frightful fate commands one’s highest admiration” (Steiner, 2000, 188). He adds that Gyömrői had to escape Berlin immediately after the Nazis took power and since the same could happen in Hungary – and since it is common knowledge that “the Gestapo never forgets” – Gyömrői 11 This is the original letter (without corrections) from István Hollós to Lawrence S. Kubie, 9 January 1939, Archives of the British Psycho-Analytical Society G07/BJ/F01 12 Letter from Lawrence S. Kubie to István Hollós, 19 January 1939, Archives of the British Psycho-Analytical Society G07/BJ/F01/25. 13 Ibid 9 must leave the country as soon as possible.14 And so, with the support of the Emergency Committee’s fund to assist European colleagues, Gyömrői did manage to leave Hungary and then immigrate to Ceylon (Sri Lanka) with her husband.15 According to documents preserved in the British Psycho-Analytical Society Archives, by 1939, the following Hungarian analysts had submitted their applications to emigrate: Edith Gyömrői-Újvári, Lilly Hajdu Gimes, Dr. Imre Hermann, Dr. István Hollós, Dr. Elisabeth Kardos, Dr. Klára Lázár-Gerő, Dr. Andrew Pető, Géza Róheim and Dr. Stephen Schönberger. Hermann was bound for the Netherlands, whereas Hollós had several options available. Schönberger, it was recommended, ought to go to Australia because his ties to the communist movement ruled out the possibility of immigration to the US. Lázár-Gerő, Kardos and Gyömrői-Újvári indicated New Zealand as their destination.16 Several names can be found in the documents of people who had already left Hungary during the first wave of emigration. For example, in 1939, Dr. Georg Gerő moved on from Denmark and René Spitz left Paris. Ferenczi’s untimely death in 1933 was not the breaking point for the Budapest School. After all, he had others who could take on the mantle: the first and second generation of analysts – including István Hollós, Zsigmond Pfeifer, Imre Hermann, Michael Balint, Vilma Kovács and Alice Balint – had already passed decades of the accumulated theoretical and therapeutic knowledge of the Budapest School onto the next generations. For example, in Budapest they had already worked with countertransference in the 1920s and 1930s (Ferenczi, [1919] 1980; M and A. Balint, 1939; Hann-Kende, [1933] 1993). They had devoted serious attention to pre-Oedipal development, having recognised the personalityshaping power of early mother-child object relations (see the theory of primary love) (Ferenczi, M. Balint and A. Balint). Ferenczi’s thinking on aspects of the interpersonal dynamic of trauma was familiar to the Budapest analysts just as psychoanalytic psychosomatics had become a part of contemporary modern internal medicine through the work of Lévy (Lévy, 1933). Ferenczi and Michael Balint had cleared the way for practising physicians to acquire knowledge of psychoanalysis. Furthermore, psychoanalysis had found its place in approaching the pathological processes in psychiatry primarily through István Hollós, Lili Hajdu and, later, Róbert Bak. With the emigration of Michael Balint and his wife Alice Balint in January 1939, the opportunity to build on these gains was lost. The second wave of emigration had begun, and this represented the start of an irreversible process with regard to the fate of Hungarian psychoanalysis. It was possible to come home from the Weimar Republic after the first wave. However, there could be no return leg in the journey from a Europe in the grip of fascism. A continental shift 14 Letter from Ernest Jones to Lawrence S. Kubie, 27 April 1938, Archives of the British Psycho-Analytical Society G07/BJ/F01/29 15 Her second husband, László Újvári, was a journalist who died in Ceylon (Sri Lanka) in 1940. 16 List of analysts wishing to go to Australia, Archives of the British Psycho-Analytical Society G03/BJ/F01/09G 10 According to the documents of the British Psycho-Analytical Society, there was an option available for a small group to immigrate to Australia. This is how the Lázár-Gerő couple and their children as well as the Kardos-Pető couple managed to obtain their Australian visas. Emergency Committee documents show that the committee also made serious efforts on behalf of their Hungarian colleagues. In 1941, the following information was made available regarding Hungarian analysts and analyst candidates (Mészáros, 1998, 211-212).17 The Emergency Committee has already provided affidavits for Dr. Géza Dukes, Dr. Erzsébet Kardos, Dr. Endre Pető Eligible for non-quota visas: 5 Dr. Imre Hermann and his wife, Dr. Alice Hermann Dr. István Hollós Dr. Zsigmond Pfeifer Dr. László Révész Dr. Lillian Kertész-Rotter Requiring affidavits: 12 Amar, René, Dr. Dubovitz, Margit, Dr. Farkasházi, Menyhért, Dr. Gimes, Miklós, Dr. Gimes-Hajdu, Lilly, Dr. Kapos, Vilmos, Dr. [sent by relatives] Major, Imre, Mrs. Lévy, Kata Ormos, Margit, Dr. Perl-Balla, Lilly Farber Rubin, Zelma, Mrs. Schönberger, István, Dr. Szűts, Gyula, Dr. Bak, Róbert, Dr. Of those on this last list, however, only Róbert Bak’s name can be found later as having arrived in Manhattan on 7 June 1941 (Mészáros, 1999). Other applications were submitted by Margit Hirsch, Mrs. Lucy Liebermann Pátzay, Mrs. Zsuzsa Dric [sic!] [Déri], Dr. János Kerényi and Wolf Fish, Ph.D. Many of those who could have left the country chose, for various reasons, to remain as long as they could, and many lost their lives in the Holocaust, including Dr. Zsigmond Pfeifer, Dr. László Révész, Dr. Géza Dukes, Dr. Miklós Gimes and Dr. Erzsébet Kardos. 17 (Cable received, April 29, 1941, Payne Whitney/Cornell Archives, New York Academy of Medicine, Box 13 O. P.). 11 Émigrés from Hungary between 1938-1941 by country of settlement United States Australia United Kingdom Ceylon (Sri Lanka) Tibor Ágoston Róbert Bak Susan Déri Sándor Feldman Fanny Hann-Kende David Rapaport Géza Róheim Klára Lázár-Gerő Alice Balint Michael Balint Edit Gyömrői Hungarians at US psychoanalytic institutions 1925-1942 The New York Psychoanalytic Society Sándor Loránd Sándor Radó Géza Róheim Sándor Feldman Fanny Hann-Kende Róbert Bak Tibor Ágoston Andrew Pető – 1956 The Chicago Institute for Psychoanalysis The Topeka Institute for Psychoanalysis Franz Alexander Therese Benedek David Rapaport Georg Gerő Exemplary among the heroic efforts of the Emergency Committee is the fact that it wrote over 200 letters in attempting to place David Rapaport – until a spot was found for him at Karl Menninger’s clinic in Topeka, Kansas. The Menninger Clinic was considered a liberal institution in this conservative Midwestern state. It was practically the only place in the region where European analyst refugees could hope for help. Difficulties with the analyst refugees This passage from a letter which Jones wrote to Karl Menninger in Spring 1943 illustrates problems that those who wished to help encountered with the European emigration.18 18 Menninger was then president of the American Psychoanalytic Association. 12 “To be frank, I have been a little disappointed by the relatively small contact it has been possible to maintain between British and American psychoanalysts since the war began. This feeling relates particularly, it is true, to the refugee analysts who, after reaching America, seem to have forgotten all about this side of the water and all that we did for them then here.” (Letter from Ernest Jones to Karl Menninger, 13 May 1943, Faulkner and Pruitt, 1988, 383).19 In a later letter Menninger expresses his own disappointment: “I fully agree with you that the psychology of the refugee analysts has sometimes been disappointing. […] I think I could add that […] they have forgotten all we have done for them here; this applies to some of them, not to all of them. […] In the first place, some of them came over with a very authoritative, eloquent attitude as if they were about to instruct the benighted American savages in the highlights of European science. […] What distresses me is a more fundamental problem, and that is the fact that the great lure of making money has destroyed the incentive of so many of the older analysts to do teaching” (ibid, 390-391). With patients, Menninger writes, they can earn 15-20 thousand dollars, or perhaps even more. “[…] why should they want to give it up and go back to a job of teaching psychoanalysis?” (ibid, 391-392). The following Hungarian analysts received financial support from the Emergency Committee: Dr. Tibor Ágoston, Dr. Robert C. Bak, Dr. Sándor Feldman, Dr. Georg Gerő, David Rapaport, PhD, Dr. Fanny von Hann-Kende and Géza Róheim, PhD. According to my research, Hungarians received financial support of between 200 and 7,900 dollars, which every member of the Hungarian diaspora repaid.20 The Emergency Committee aided 150 European analysts – along with their families if necessary – in escaping. The majority were assisted within a span of three years until the US entered the war in 1941. We are witnesses to an exceptional example of solidarity within the psychoanalytic movement. The Emergency Committee provided assistance in the escape of European psychoanalyst colleagues and their families, in their immigration to the US, in the resolution of innumerable difficulties tied to settling them, and in their integration into the US analyst community. This last effort was rendered difficult by differences between European and US laws which affected the right to practise and restricted opportunities for lay analysts – i.e. those without medical degrees – in finding work. The Emergency Committee supported psychoanalysts by virtue of their profession; it was sufficient merely to be a member of the international community of psychoanalysts. The committee’s decisions were not influenced by professional achievements, and they rose above conflicts based on professional rivalries. 19 KAM Corres/Jones, Ernest Jones file, Archive of the Menninger Clinic) Summary of Individual Services Rendered by the Emergency Committee (1938-1948) – Payne Whiney/Cornell Archive, New York Academy of Medicine, Box 13. 20 13 What was the significance of the interwar emigration of the Hungarian analysts in the development of modern psychoanalysis? There are two areas in which the impact of this can be clearly demonstrated: theoretical and therapeutic methods, on the one hand, and training regimes and training institutes, on the other. Given the length limitations of this paper, I will provide only an indication of their impact below and cover only the most striking innovations: I. Theoretical and therapeutic methods I wish merely to indicate here the innovations whose origins can be traced back to Budapest. “Hungarians were aware that psychoanalysis was a two-way street.” 21 (Paul Roazen, 2001) 1. Countertransference – relational psychoanalysis, reflective self-functioning From the early twenties in Hungary, psychoanalysis became a system of multi-directional processes of interpersonal and intersubjective elements. – Developing confidence between analyst and analysand was now an indispensable means of approaching traumatic experiences. Authentic communication on the part of the therapist became a fundamental requirement (Hoffer, 1996) as false statements result in dissociation and repeat the dynamic of previous pathological relations. As we would phrase it today, false reflections result in false self-objects. Ferenczi’s quite early psychoanalytic study, “Psychoanalysis and pedagogy”, discusses the pathogenic effect on children of the behaviour of adults who invest themselves with the myth of infallibility as well as its frequent occurrence in a wider context of superordinate-subordinate social relations (Ferenczi [1908] 1955). In terms of theoretical and therapeutic approaches, Ferenczi’s positive thinking as of 1919 on the phenomenon of countertransference represented a fundamental shift in viewpoint (Ferenczi [1919] 1980, [1928] 1997, Haynal, 1988, Martín Cabré, 1998) This paved the way for psychoanalysis to become a system of interactive communication, a “relationship-based” (Haynal, 2002, xi) process or, as Paul Roazen so aptly put it, “a two-way street” (Mészáros, 2004a). Psychoanalysis presupposes the simultaneous existence of interpersonal, intersubjective and intrapsychic processes. The analyst and analysand enter into a mutually reflective relationship, and move in unison along its surfaces of transference–countertransference. Both countertransference and authentic communication were incorporated into the working method of the majority of the Budapest analysts. Michael Balint and Alice Balint (Balint and Balint, 1939), Hann Kende Fanny (Hann-Kende, [1933] 1933) and Therese Benedek, who was also close to Ferenczi, were all guided by this conviction from the early 1930s, and it had a strong impact on the development of psychoanalysis after they emigrated (Gedo, 1993). Through Clara M. Thompson, who was analysed by Ferenczi, and Harry Stack Sullivan, another American sympathizer, some of his ideas became part the thinking of Sullivan’s interpersonal school, founded in the US. 21 Film on Sándor Ferenczi, Hungarian Television, 2001. 14 2. Early object relations theories – Ferenczi, Michael Balint, Alice Balint, Imre Hermann, Melanie Klein, Margaret Mahler, Therese Benedek, René Spitz…Winnicott Ferenczi sensed the significance of the early mother-infant relationship early on. It was this he was referring to in his Clinical Diary when he wrote: during analysis we must probe deep „right down ’to the mothers’” (Ferenczi, [1932], 1988, 74). Ferenczi had an impact on two key figures of the model of psychoanalytic development. These were Melanie Klein and Margaret Mahler, both of whom had their roots in Budapest. Ferenczi was Klein’s first analyst, and it was Ferenczi who inspired her to deal with children. Ferenczi’s encouragement was well received. Klein became a member of the Hungarian Psychoanalytic Society with her paper “A child’s development” in 1919. The first conceptualized object relations theory is associated with Klein’s name. Among the Budapest analysts there were several who did not agree with Klein’s ideas on an infant’s inborn primary narcissism, sadism and aggressive urges. Citing Imre Hermann, Alice Balint and indeed his own research and experience, Balint ([1937] 1949) said that in Budapest they had arrived at the conclusion that the earliest phase of the life of a psyche is not narcissistic. It is directed at objects, and these early object relations are passive. The goal is acquired love because that is its due as a person: „to be loved and satisfied, without being any without being under any obligation to give anything in return.” (Balint ibid, 269) – this is passive love/primary love, an archaic relationship between the mother and child this is the early harmonious experience of the infant with the mother. If it is frustrated the child has to learn how he/she is able to satisfy her or himself. In this sense, narcissism is a reaction. Balint’s concept is analogous to Kohut’s archaic mirroring or idealizing self-object relationship (Bacal and Newman, 1990). It is surely no coincidence that analyst and analysand represent a line of descent in the theoretical development of these ideas. Balint completed his psychoanalytic training with Ferenczi. Winnicott was an analysand of Balint’s. An intense working relationship developed both between Ferenczi and Balint and between Balint and Winnicott. Primary love, or Winnicott’s maternal holding function, was thought to be like food in that it was “equivalent to nutrition”. In The Unwelcome Child and His Death Instinct Ferenczi wrote that rejection, or a lack of love as a consequence of subconscious acts of self-destruction, can lead to a lifethreatening condition (Ferenczi, [1929] 1980, 103). Similar ideas were being expressed by another Hungarian, René Spitz, in the phenomena known collectively as hospitalization syndrome (Spitz, 1945), as well as in Winnicott’s work: “A baby can be fed without love, but lovelessness or impersonal management cannot succeed in producing a new autonomous human child” (Winnicott, 1971, 127). Michael Balint regards the loss of basic trust as one of the early traumas, which has to be restored during the healing process (Balint [1933] 1965). Based on her first observations of infants in the early 1920s, Therese Benedek described similar symptoms among mothers and their infants as she explored mother-child communication (Mészáros, 2004b). Like Balint, Benedek uses the term “primary object love”, as well as “passive object love”, but her idea is to use the phenomenological term “confidence” as the basis for the development of a positive object relationship between the 15 mother and child (Benedek, [1938] 1973). Using the language of current bonding theory, an infant reflects his mother’s manifestations: According to the biosocial theories that govern emotional development, a mother and child create a system of affective communication from the beginning of life, one in which interactions with the mother play a fundamental role in the modulation of the infant’s affective condition. (Gergely and Watson, 1994; Fonagy and Target, 2003). “Not more than necessary”, “Optimal”, “Good enough” Ferenczi’s earliest writings dealt with the significance of repression of the “not more than necessary” type in a child’s development (Ferenczi, [1908] 1955). Margaret Mahler, who was close to Ferenczi, used the word “optimal” in describing a solution to the individualizationseparation process, and used the expression “optimal symbiosis” as the cradle of the individualization present. And it was Winnicott who very aptly expressed the notion of optimality as a condition for a positive background for psychic development when he coined the wonderful phrase “a good enough mother”. 3. Trauma theory Ferenczi’s paradigm shift in trauma theory is a process which began in the 1920s. Essential elements of it can be discerned in several of his studies; however, his most important findings are to be found in his Confusion of Tongues between Adults and the Child (Ferenczi [1933] 1955), as well as in his Clinical Diary (Ferenczi [1932] 1988). He asserted that trauma is founded on real events and that its occurrence is built on the interpersonal and intersubjective dynamic of object relations. In the traumatic situation the victim and the persecutor/aggressor operate differing ego defence mechanisms. Ferenczi was the first to describe the ego defence mechanism of identification with the aggressor. He also focused on denial and splitting. (Vikár, 1999). He stressed the significance of the presence or lack of a trusted person in the post-traumatic situation (Mészáros, 2002). Anna Freud generalised the use of this term to describe identification with the aggressor within the framework of ego defence mechanisms (Anna Freud [1936] 1994). Anna Freud understood it as an ego defence mechanism for so-called lesser aggression or fantasised aggression (Dupont 1998), but Ferenczi clearly described it as a mechanism/capacity of the ego. Among the American pyschoanalysts, the Balints and Clara M. Thompson thought along the same lines. 4. Psychoanalytic psychosomatics Ferenczi, Lajos Lévy, who was, among other things, the Freuds’ family physician, and, later, Michael Balint, all incorporated psychoanalytic ideas into the practice of internal medicine from the earliest years onward. For example, Ferenczi held an introductory course in 1923 for the Košice Medical Association in today’s Slovakia. 16 Michael Balint’s activity is well known in the field of psychosomatic treatment, research and training. In the 1950s, he set up case study groups for family doctors, the so-called “Research cum training seminars”, or, more popularly, the “Balint-groups” (Balint, 1968). Franz Alexander became an emblematic figure in psychoanalytic psychosomatics. He differed from Ferenczi’s point of view in that he no longer saw the body as a carrier of symbols. He saw it as a reactive system, which may react with symbols but may also express itself through a vegetative nervous system, which does not correspond directly to symbols. 5. Psychoanalytic research The introduction of clinical research and the integration of personality tests into the clinical work of psychologists and psychiatrists are both attributed to David Rapaport. He started this at the Menninger Clinic in Topeka, Kansas. He was the one who practically established the clinical work of the psychologist in the current sense at psychiatric clinics and psychotherapy departments of the US. (Gill, 1967) II. Psychoanalytic training and institutional systems Hungarian analysts had a great deal of experience in developing both a structure for psychoanalytic training and institutional systems, outstanding examples among them being Ferenczi, Vilma Kovács, Michael Balint, Sándor Radó, Franz Alexander and David Rapaport. This is extremely significant because the student team in systematic training represents the link between the passers-on of information and the next generation. Those who run institutes bring their intellectual orientation into the culture of the institute. (1) Ferenczi recommended forming the International Psychoanalytical Association (1911). (2) Ferenczi was first to consider it necessary for analysts to do their own training because he felt didactic analysis was lacking and thus work often came to a halt (Ferenczi, [1932] 1988). (3) Vilma Kovács’s training analysis construction (Kovács, [1933] 1993) emerged as the “Hungarian model”. According to this, a young analyst candidate’s first session is done with his own analyst so that obstructions that stem from his own personality but are not yet revealed would be able to come to the surface as soon as possible. (4) Psychoanalytic training first became part of the medical curriculum through Ferenczi (1919). (5) As of 1922, Sándor Radó contributed a great deal to developing the training system at the Berlin Psychoanalytic Institute. (6) Radó took the Berlin training model to New York (1930), thus establishing the US system of training. (7) Alexander established the Chicago Institute for Psychoanalysis (1931). (8) In Melbourne, Klára Lázár established the Australian Psychoanalytic Society (1940). 17 (9) In 1945, following the example he had set in Budapest a quarter century earlier, Radó introduced psychoanalytic training in New York at the Columbia University Medical School, establishing the Psychoanalytic Clinic for Training and Research which is still in operation today. All the analysts who had emigrated from Budapest later became training analysts and thus had an impact on the work of several generations. They managed to win over members of the psychoanalytic community in considerable numbers. Presidents of the New York Psychoanalytic Society included Sándor Lóránd (1947-48), Róbert C. Bak (1957-59), Margaret Mahler (1971-73) and Andrew Pető (1975-77). Michael Balint was the chair of the medical section of the British Psychoanalytical Society and from 1968 to his death in 1970 was its president. Summary In sum, this paper outlines the origins and results of the interwar waves of emigration of Hungary’s psychoanalysts. The first in 1919-20 kept the émigrés within Europe, while the second, sparked by Hungary’s anti-Jewish laws, swept them across the ocean for the most part and away from a Europe trapped in the stranglehold of fascism. They thus threw in their lot with the analysts of Berlin and Vienna. Exceptional solidarity was inspired in the psychoanalytic movement by the Emergency Committee, which was founded by analysts in the US. Flying in the face of the US’s antiimmigration policy and laying aside personal and professional rivalries, this professional association, in co-operation with the International Psychoanalytical Association, helped 150 European colleagues escape to America from a likely death. Through research findings on the emigration of the Hungarian analysts, the paper demonstrates the work of the committee and outlines theoretical areas whose roots can be traced back to Budapest. The Emergency Committee not only saved individuals, but also preserved for posterity the spirit of European psychoanalysis, which assured the rapid emergence of modern psychoanalysis in the US. Acknowledgements This paper is based on research funded by the Woodrow Wilson International Centre for Scholars (Washington, D.C.), by the Research Support Scheme of the Soros Foundation and by the Research Commmittee of the International Psychoanalytical Association. I wish to express my thanks to Nellie L. Thompson, PhD (The Abraham A. Brill Library of the New York Psychoanalytic Institute), to Ms Jill Duncan and especially to Ms Linda CarterJackson for her valuable help in my research on the Hungary-related documents (The Archives of The British Psycho-Analytical Society). 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