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480 pages, Paperback
First published January 1, 1997
The author, Richard Pollak, became interested in Bruno Bettelheim, because Richard’s younger brother Stephen spent five years at the Orthogenic School for emotionally disturbed children. Stephen later died in a childhood accident. When Pollak interviewed Bettelheim to learn more about his brother, Bettelheim blamed their parents for the brother’s emotional problems. Pollak decided to investigate further.
Bruno Bettelheim was born in 1903 in Vienna. He was raised in a secular Jewish family. In later years, Bruno complained that his mother had turned him over to a wet nurse, but in general he had good relations with his mother. He inherited the family sawmill and furniture business. He obtained a doctorate in philosophical aesthetics from the University of Vienna. Bruno and his wife Gina took Patricia Lyne, a seven-year-old girl with emotional problems, into their home in Vienna for seven years. Most of the caregiving came from Gina. Patricia’s therapist was Editha Sterba. Bettelheim later used Patricia as evidence that he had experience caring for autistic children, although Patricia was never formally diagnosed with autism, autism not having being defined at the time.
After the 1938 Anschluss, Bettelheim was arrested by the Nazis and spent 11 months in Dachau and Buchenwald concentration camps. Friends with money and connections obtained his release, and he moved to the United States. Bettelheim used his concentration camp experience to present himself an authority on the psychology of the prisoners of the camps.
Ralph W. Tyler, chairman of the department of education at the University of Chicago, haired Bruno Bettelheim to work on a study of education called the Eight-Year Study. It compared John Dewey’s new progressive education with traditional education.
In 1944, Bettelheim became the director of the Orthogenic School, a position he held until 1973. He also taught classes at the University of Chicago. The young patients at the Orthogenic School suffered from a variety of maladies, including schizophrenia and autism. Bettelheim’s Viennese origin made him a charismatic figure. Bettelheim hired young women without previous training or experience so that he could mold them more easily. Bettelheim prohibited black children from attending the Orthogenic School, but did allow blacks to be hired for cooking and cleaning positions. The Orthogenic School suffered from a lack of privacy for the children, including the teenagers. Bettelheim also often slapped misbehaving children, although publicly he opposed corporal punishment. Bettelheim claimed that his autistic patients improved greatly with his treatment, but his claim was supported by only anecdotal evidence and the children’s paintings, which Bettelheim psychoanalyzed. Bettelheim had no formal psychoanalytic training, but he had studied Freud’s work on his own. Bettelheim’s employer, the University of Chicago, and the source of much of his research funding, the Ford Foundation, both exercised only a loose oversight over his research. Bettelheim was reluctant to share his raw data with other scientists, claiming that he was protecting patient privacy. Bettelheim discouraged visits into the Orthogenic School by parents, journalists, psychologists and other scientists.
In the March 1959 Scientific American Bettelheim published an article called “Joey: A ‘Mechanical Boy’”. In 1967 Bettelheim published a book on autistic children called The Empty Fortress. Bettelheim suggested that autism was caused by mothers who neglected or rejected their children. Parents of autistic children read this book, hoping to find suggestions for helping their child, but received only blame.
Even though Bettelheim did not speak Hebrew, he thought he had learned enough during a five-week visit at an Israeli kibbutz to write a book about their childrearing practices, The Children of the Dream (1969). Israeli’s familiar with Kibbutzim were not impressed by the book.
Bettelheim was a charismatic teacher, and had a talent for telling anecdotes. However, his anecdotes usually referred to individuals anonymously, which made it difficult to check the veracity of his stories. Bettelheim received a lot of positive press coverage and book reviews. He made TV appearances on Today and Dick Cavett. Bettelheim wrote a column for Ladies’ Home Journal answering questions from mothers regarding child rearing. Bettelheim was more highly regarded by the press and the public than he was by Freudian psychoanalysts, psychologists or psychiatrists.
During the 1960s the bad-parenting explanation for autism began to be challenged. The most effective challenger, Bernard Rimland, had a doctorate in experimental psychology and an autistic son. In 1964 Rimland published Infantile Autism, which promoted a biological basis for autism. One of the main problems with the bad-parenting model was that usually all the siblings of the autistic child were normal. Leo Kanner wrote a foreword to Rimland’s book. Back in 1943, Leo Kanner had been the first person to give clear diagnostic criteria for autism. At that time, he was humble enough to admit that he did not know what the cause of autism was. In 1965 Bernard Rimland founded the Autism Society of America. In 1969 Eric Schopler published an article called “Parents of Psychotic Children as Scapegoat”. In 1971 Schopler founded Treatment and Education of Autistic and Related Communication Handicapped Children (TEACCH) at the University of North Carolina at Chapel Hill. During the last several decades, the majority of scientific opinion has turned against the bad-parenting explanation and towards a biological basis for autism.