Laura Jung
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Who is vulnerable, the worker or the state? Psychiatric debates on trauma and welfare in Germany, 1871–1914
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This chapter traces psychiatric debates on the relationship between vulnerability, work and welfare in Germany in the late nineteenth and early twentieth centuries. After post-traumatic conditions became actionable conditions under social insurance legislation passed in the 1880s, the psychiatric community was divided. Many psychiatrists treating survivors of industrial accidents for trauma did not see their patients as vulnerable, but the state: they argued that their patients’ symptoms were not caused by a distressing event but by their desire for a pension pay-out. This, they claimed, made the state vulnerable to unjustified, and in part fraudulent, pension claims. This chapter tracks this diagnostic debate, analysing key psychiatric publications on welfare and trauma. It will be argued that the object of security in these discourses of vulnerability was both highly contested and contentious – the question of who was vulnerable and who required protection from injury split the psychiatric community into hostile camps. The chapter draws out how psychiatry increasingly became drawn into a project of state defence by recognising the provision of welfare itself as pathogenic, casting it as a driver of work-avoidant psychic conditions among the working classes. The analysis thereby tracks how discourses of vulnerability and security unfolded in the context of the early welfare state in Germany and considers how these were mobilised in social and security politics.

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Vulnerability

Governing the social through security politics

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