In his new book, No More Normal, psychiatrist Alastair Santhouse recalls an experience from the 1980s when he was a university student in the UK helping deliver supplies to “refuseniks” – Soviet citizens who were denied permission to leave the USSR. These people often faced harsh treatment, losing their jobs and becoming targets of harassment. Some were even diagnosed with a psychiatric condition called “sluggish schizophrenia”.
By the time Santhouse encountered this diagnostic category, sluggish schizophrenia had been kicking around psychiatry in the Soviet Union for some time. It first entered the diagnostic lexicon in the 1930s, coined to describe cases in which adults diagnosed with schizophrenia had displayed no symptoms of the disorder in childhood.
This notion of a symptomless disorder gave it tremendous value to Soviet officials in the 1970s and 80s, who wielded it ruthlessly against those who suddenly suffered from delusions of wanting a better society or hallucinatory desires to emigrate.
