"Psychic driving is a potent procedure - it
invariably produces responses in the patient, and often intense
responses" (Cameron, 1956, p. 508)
With
these words, Dr.
Ewen Cameron began the summary to
Psychic Driving,
the paper that introduced his treatment of the same name to the world. Cameron’s
remark was a drastic understatement; for the psychiatric patients at the Allan
Memorial Psychiatric Institute, whom he treated with psychic driving and its
adjuncts, had their lives were changed forever. This paper will provide
background about went on at the Allan Memorial Institute in the 1950s and 1960s,
as Dr. Cameron performed brainwashing experiments that were funded by the
American CIA. I will examine Cameron’s use of electroconvulsive therapy (ECT)
along with psychic driving, in a historical context, in an attempt to understand
why he went to the extremes that he did. Finally, I will look at attitudes
toward mental patients - lest they be forgotten among all this - and how these
attitudes have changed in the last 30 to 40 years. In doing so, I will examine
the thin line between research and experimentation.
As an aside, on the surface it may not appear that this topic relates to the
history of psychology in Canada. Dr. Cameron was a psychiatrist, and the Allan
Memorial was a psychiatric institution. Cameron, himself, was not even a
Canadian; he was born in Scotland and later immigrated to the United States.
Despite working for 28 years in Canada, he never became Canadian and even
maintained his residence south of the border in Lake Placid, New York (Collins,
1988). However, this topic bears on the discussion of the history of psychology
in Canada because it looks at how modes of treatment have changed, how attitudes
toward patients have changed, and, most importantly, because it was Canadians
who were affected by what went on at the Allan Memorial.
Psychic Driving, Ewen Cameron, and the Allan Memorial
Psychiatric Institute
Dr.
Ewen Cameron was a very well known psychiatrist who worked for 21 years at the
Allan Memorial
Psychiatric Institute in Montreal, Quebec. He was highly esteemed among his
colleagues and his peers; Gillmor (1987) suggests that Cameron was, when he died
in 1967, "one of the most respected psychiatrists in the world" (p.1). At
different times, he was head of the Quebec, Canadian, and American Psychiatric
Associations, and he was a co-founder and the first president of the World
Psychiatric Association (Gillmor, 1987). He became the head of the Allan
Memorial upon its opening in 1944, and made it famous for his stance that "no
doors in the Allan would be locked . . . [for] even if one ward was locked,
society would judge the institution by that ward" (Gillmor, 1987, p. 1). He
believed that "madness" - his own term - was something that needed to be treated
rather than feared, and that patients could not be locked up if they were to
realize that they still belonged to society (Collins, 1988). Cameron, then, was
very humane in his treatment of patients - at least early on - and, as we shall
see later, very progressive in his views regarding the mentally ill, both when
compared to other members of society and other health professionals.
Cameron was an ambitious man. As Collins (1988) points out, he saw what was
going on with the soldiers who were returning from the Second World War, and he
wanted to be able to ease the stress and anxiety from which they were suffering.
A loftier goal of Cameron’s was to conquer the process of aging. In time, he set
up different research programs at the Allan Memorial. Of special interest to
Cameron was the idea of sleep teaching. He had been in correspondence with Max
Sherover, an American who had conquered his patients nail-biting habits by
continuously playing a tape recording to them while they slept (Collins, 1988).
Cameron began to experiment with the idea himself. He would, during a normal
therapy session, record what he thought was a key statement that one of his
patients had made (Gillmor, 1987). Later, Cameron would replay the statement
repeatedly to the patient, in an attempt to break down the patient’s defense
mechanisms and reach deeper material. Over time, Cameron developed this
technique into a therapy that he called psychic driving. He introduced his form
of therapy in a paper published in the American Journal of Psychiatry in
January, 1956. As he explained it, psychic driving allowed for "the penetration
of defenses, the elicitation of hitherto inaccessible material, and setting up
of a dynamic implant" (Cameron, 1956, p. 503) or recurring thought that
influenced the patient’s behaviour even after playback of the key statement had
been stopped for some time. Cameron also reported that at times, the patient
resisted listening to the repetition of the statement; this was handled by
administering sodium amytal, a disinhibitant or "truth drug" (Collins, 1988), or
by exposing the patient to the repetition during a period of prolonged sleep
(Cameron, 1956). In his article, Cameron also admits to using stimulant drugs
and LSD - without the patients’ consent - to disorganize the patient and thus
allow the driving technique full access to the patient’s psyche. Collins (1988)
explains that Cameron, keeping with the climate of the day, referred to his
treatment as brainwashing; this term was en vogue in the 1950s, with the
Cold War and Korean War fresh in everyone’s minds.
The term "brainwashing" caught the eye of members of the American Central
Intelligence Agency (CIA). During the Korean War, 70% of the 7,190 American
prisoners of war "either made confessions or signed petitions calling for an end
to the American presence in Asia" (Gillmor,