Centre for the Philosophy of Natural and Social Science Contingency and Dissent in Science Technical Report 08/09 The Nazi Cosmetic: Nazi Aesthetics in Action and the Practice of Medicine in Nazi Germany Sophia Efstathiou Series Editor: Damien Fennell The support of The Arts and Humanities Research Council (AHRC) is gratefully acknowledged. The work was part of the programme of the AHRC Contingency and Dissent in Science. Published by the Contingency And Dissent in Science Project Centre for Philosophy of Natural and Social Science The London School of Economics and Political Science Houghton Street London WC2A 2AE Copyright © Sophia Efstathiou 2009 ISSN 1750-7952 (Print) ISSN 1750-7960 (Online) All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of the publisher, nor be issued to the public or circulated in any form of binding or cover other than that in which it is published. 1 The Nazi Cosmetic: Nazi Aesthetics in Action and the Practice of Medicine in Nazi Germany By Sophia Efstathiou Editor's Note In this paper Efstathiou examines the role played by aesthetic ideals in Nazi medicine. Specifically, she investigates how ideals of beauty and health were tied to ideals of goodness and justice to serve ideological purposes. She also investigates the role of biological holism, arguing against the thesis that such holism necessitated a Nazi-like ideology. By presenting a historical analysis of these important aspects of Nazi medicine, Efstathiou draws our critical attention to crucial contingencies in this important episode in the history of medicine. Abstract This paper examines the conflation of vital and aesthetic norms in the practice of Nazi medicine, and eugenic practices. It argues that biological holism, though it served as the vehicle of Nazi ideology historically, did so contingently. The anti-totalitarian thinking of biological holist Kurt Goldstein speaks against the irrevocable use of biological holism to promote Nazi ideologies. Introduction Paradoxically, the ‘Final Solution’, as a result of its apparent historical exceptionality could well be inaccessible to all attempts at a significant representation and interpretation. Thus, notwithstanding all efforts at the creation of meaning it could remain fundamentally irrelevant for the history of humanity and the understanding of the ‘human condition’. Saul Friedlander, “The Final Solution”, in Levi and Rothberg (2003), 54 The extermination of Jews in Nazi concentration camps has been called “unthinkable”, “incomprehensible” and “irrational”. In the face of such “paralysis of comprehension”1 some historians have set aside this bleak episode in human history as essentially ‘inhuman’ and hence irrelevant. This paper begs to differ. This episode in the history of 1 Levi and Rothberg (2003), 71 2 science is definitely not one to neglect. It demonstrates the importance of cultural, in this case aesthetic norms, in shaping science –medical– policy. It is not a “rationalization” of the horrors of fascism that is offered here –that is, not a rationalization in the ordinary sense of the term. Dan Diner convincingly criticizes historians who assert the irrationality of Nazi extermination policies and yet keep searching their analytical toolboxes for some rational interpretation. Diner claims that the description of Nazism requires a “negative historical cognition” in the sense that the cancellation of basic principles of rationality must be accepted before any attempt is made to describe Nazi practices.2 This account heeds Diner’s admonitions. Its guiding thesis is that Nazi practices can be understood more fully once the aesthetic –and traditionally speaking “non-rational” – standards at the heart of Nazi ideology are appreciated. This is not to say that no pragmatic purposes were served by Nazi policies. The function of concentration camps as labour camps served concrete economic goals. But this rational economic function was an accident of the creation of camps, not the reason for it. As Giorgio Agamben notes, camps are political “spaces of exception”,3 spaces that open up when the political exception of some civilian population becomes a stable arrangement within a society.4 The political exception of Jews, among other civilian populations, was just a means to 2 Ibid. 80 Levi and Rothberg (2003), 253 4 According to Agamben (1998), camps articulate political exception by providing the physical spaces where the law is suspended. In this sense, San Francisco’s Angel Island Immigration and Quarantine Stations at the turn of the century, as Nayan Shah (2001) describes them, or the detention spaces for foreigners requesting refugee status in modern airports, as Agamben notes, are examples of camps. 3 3 end: the end itself being the vision of a Healthy [Pure and Beautiful] German Race, where ‘health’ was understood within a particular aesthetic-ideological frame5. Nazi aesthetics took shape in the collective actions of the Nazi party and gave shape to multiple domains of German life. This paper focuses on the articulation of Nazi aesthetics in the theory and practice of the life sciences in Nazi Germany. What were norms for the good health of a race, who were the race doctors who could cure it and how would racial health be manifested when achieved? A deeper understanding of Nazi ‘eugenics’ can be obtained by examining the nature of the ‘eu’ [good] in it. It is argued that the life sciences and holistic biology in particular served as “vehicles of transport” of Nazi totalitarian ideology. An attempt is made to identify the ways in which biological concepts are particularly well-suited proxies for aesthetic ideals. Was the use of holistic biology in promoting Nazi ideals inevitable? The example of Kurt Goldstein who promoted a holistic and yet anti-totalitarian vision of biology suggests otherwise. Goldstein’s conception of human, organismic health bears explicit marks of his anti-totalitarian thinking. I conclude with a question of Robert Proctor (1999): How could Nazi medicine achieve genuine advances in treating cancer and actively promote healthier lifestyles and at the same time engineer novel technologies for mass extermination? As Nikolas Rose and Robert Proctor have suggested, the Enhancement of the German Race implied that, both ‘positive’ eugenic measures had to be taken to strengthen the quality of the “germplasm” and ‘negative’ eugenic measures to eliminate the procreation of ‘unfit’ individuals. The conflation of vital norms of physical health with aesthetic norms taken to 5 Capitalization is used to convey that these are particular articulations of the concepts of ‘pure’ and ‘beautiful’. 4 exemplify racial purity and used to legitimize Nazi hegemony by recruiting more than reason to its aid seems to exemplify an attitude present if not prevalent in contemporary biopolitics. Perhaps the unit on which health is defined is nowadays the individual as opposed to the race. But it seems the duty to be healthy is still a respected and enforceable one, and arguably, still managed by cultural (aesthetic) means. 1. Nazi Culture The 1991 film of Peter Cohen, The Architecture of Doom, does an excellent job of highlighting the ties between National Socialism and the arts. As Cohen notes, almost half of the Nazi government were professional, or aspiring, artists. Propaganda Minister Joseph Goebbels was a novelist and poet, Alfred Rosenberg, founder of the first Nazi Society for Culture, was a painter and novelist and Adolph Hitler failed his entrance exams to study architecture in Vienna. Despite this setback in Hitler’s career as an architect, it could be argued that Hitler’s personal artistic inclinations did ultimately find expression in the ‘staging’ of the Nazi drama. It has been argued that culture can have a dual function within collective actions. On the one hand, culture can be produced by social collective action and on the other hand, it can be used to fashion collective action. Sociologist Maren Klawiter introduces the concept of a ‘culture of action’ to describe the emergence of “systems of embodied meaning”6 from the action of social collectives: this is culture produced –as embodied, so as painted or marching or tied up, etc bodies– within social action events. Ann Swindler, on the 6 Klawiter (1999), 106 [emphasis added]. 5 other hand, points out that culture can function as a tool-kit for shaping action repertoires, introducing the notion of a ‘culture in action’. The political movement of National Socialism presents us with an arguably quite distinctive culture of action. Think of what makes parodies of Hitleric actions so recognizable: the trademarked walk, look or music. Further, as the Nazi movement was organized according to the ‘Fuhrerprinzip’, the recognition of one Fuhrer as leading all party members and officials, Nazi collective action and propaganda used cultural resources in accordance to the Fuhrer’s aesthetic fixations. So one could say that National Socialist public actions were distal outcomes of Hitler’s culture in action. Hitler points to the first time he saw the performance of Wagner’s opera ‘Rienzi’ as the hour when “it all began”. This opera sings the tale of Rienzi, a popular Roman leader, who leads the Romans to re-unite and re-instate the Roman Empire but who, due to a malicious conspiracy, suffers a tragic -but glorious- death before the wrecks of ancient Rome. The figure of the heroic popular leader, the historical setting in antiquity, as well as the nationalism and anti-Semitism of Wagner himself, inspired Hitler and were partly reflected in the Nazi culture of action. Hitler designed the party standard in 1923 to closely resemble ancient Roman standards and borrowed the symbol of the swastika from ancient Minoan art7. Images of National Socialist mass rallies depict precise arrangements of disciplined, masculine bodies in synchronic motion, taking their positions around the Fuhrer. Their faces are shaved, their 7 See [A], film material. 6 hair is cut, their uniforms are clean; only the bent cross of the swastika set against a red background hints at their impassioned purpose. These episodes of collective action feature the Hitler as director and leading actor. The ‘body’ of the ‘new’ German Volk, clean, disciplined and masculine orients itself in attention to its ‘guiding principle’ –the Fuhrer. The monumental scale of these actions, the emblazoning of ancient symbols on young bodies, and the centering of it all around the Fuhrer publicly produced and performed the culture of National Socialism: the nostalgia for the ancient and pure, the reverence for the masculine and monumental and the vision of a united German Volk marching towards the realization of its higher Purpose. And yet, it might be argued that these actions say more than their intended propaganda message. The ‘Body’ of the German Volk is staged and inherently un-natural instead of Whole. The uniformity in the motions and the looks of the Nazis are mere artifacts of scale. The individual thoughts of these men and the private rumblings of their organs cannot be negated by their lock step. The insincerity that comes with the pre-production of demonstrations of this scale mocks the oneness of their presumed Purpose. Admittedly, the notion of a ‘culture of action’ seems to be a dynamic one, varying according to the sensibilities of the action’s audience: we may think differently of these episodes than their contemporary audiences. Still, one must remember that these public demonstrations took place in a specific point in space and time. It is in reference to their specific historical moment that they should be interpreted. 7 The aesthetic standards of Nazi culture were ‘performed’ in more ways than one. First of all, art itself was made to conform to Nazi standards of beauty. Museum collections were actively ‘purged’ of avant-garde pieces, which, supposedly, bore the marks of a ‘cultural Bolshevism’ instigated by the Jews. Cohen’s film features footage from public exhibitions of ‘decadent’ art, which took place in major German cities. Echoing Agamben’s discussion of political camps8 one could say that these exhibitions functioned as cultural camps; that is, as spaces of cultural exception wherein ‘unfit’ art was crammed, hung over doors and next to windows and left as the designated fodder for public disgust. In juxtaposition to degenerate modern art, the annual Great German Art Exhibit (Grosse Deutsche Kunstausstellung), which started in 1937, presented the art pieces that captured the aesthetic of Nazism. The great museum halls holding pieces from the Bismarck era, alpine landscapes and images of strong German bodies at work constituted Nazi culture in action. Sculpture was to become the state art form. Using the preferred art medium of the ancient Greeks and Romans, Nazi sculptors like Thorak and Brecker carved rock into muscular male bodies, erecting the vision of the new German man. Hitler’s inaugural speech for the Great German Art Exhibit of 1939 testifies to the importance of Beauty for the fascist program. In celebration of the acquisition of the ancient Greek statue of the Discus Thrower by Menon, Hitler urges his audience: Let us perceive how splendid Man’s physical beauty once was and how we may only speak of progress when we have not only achieved such beauty, but even surpassed it. May we find here a measure of the tasks 8 Agamben (1998). 8 which confront us in our time! May we strive as one for beauty and elevation such that both our race and our art will withstand the judgment of the millennia. Presented in [A] -emphasis added. Hitler’s words are stunning to modern ears! Could the achievement of physical beauty be this politician’s idea of progress? Is the beautification of the German race and German art the way to make history? Surely, the achievement of “physical beauty” cannot be a political end… It is crucial to realize that the standards of beauty that Nazi culture produced and imposed were taken to capture the real essence of racial health. Socially emergent aesthetic standards were assumed to actually reflect vital, biological essences. As Hitler exclaimed “Our first principle of beauty is health!”9 Nazi propaganda consistently blurred the lines between the ‘beautiful’ and the ‘good’ - or the ‘healthy’ in the context of medicine. In this way, the achievement of physical beauty appeared as an end in itself and Nazi politics became a politics of culture. A stark example of this practice of conceptual conflation is found in a slide show created by the Nazi art theoretician Paul Schultze Naumburg10. In January 1931 Schultze Naumburg toured Germany with what he claimed was a demonstration of how modern art showed signs of mental illness. The slide show consisted of modern art portraits placed side by side with photos of mentally ill or physically deformed patients. The 9 Cited in [A], and reviewed in Barron (1991). Reproduced in [A], also see Barron (1991). 10 9 similarities between the paired images were supposed evidence of a link between “physical degeneration and artistic perversion”11. Art had to be rid of the so-called Jewish, Bolshevist degeneracy in its midst, and did so by excluding modern art pieces from its public spaces of art appreciation, by exhibiting them in ‘art camps’ and eventually by destroying such pieces. In the words of Naumberg: In the World of German art, a struggle to the death rages not unlike the struggle in politics and it must be fought with the same gravity and singleness of mind. [A] (emphasis added) The example of Nazi aesthetics in action, the rhetoric and practice of ‘art hygiene’, mirrors the racial purges that were to occur upon the Nazis’ seizure of power. Given the orienting task of Nazism to ‘achieve’ the Beautiful and the conflation of the Beautiful with the Healthy, the parallels between art hygiene on the one hand and racial hygiene on the other are not too surprising. Still, one cannot but wonder about the biological conceptions of health and race that legitimized such depictions of healthy German bodies. How could Hitler point to the statue of the Discus Thrower and assume that the physical beauty of the athlete was due to his racial purity, rather than the long hours spent in ‘discus practice’? The next section examines how Nazi culture’s aesthetic norms were articulated within the life sciences and Nazi medical practice. I argue that the identification of aesthetic norms with vital norms was enabled by the rhetoric of racial hygiene and biological holism. 11 Ibid. 10 2. Nazi Cosmetics National Socialism is politically applied biology. -Hans Schemm One could identify two biological theories that functioned as, what Mehrtens calls “vehicles of transport” of Nazi ideology12: eugenic theories of ‘racial hygiene’ (Rassenhygiene), and holism. According to historian Robert Proctor13, one can trace the intellectual origins of Nazi racial hygiene to the theory of Social Darwinism developed in the late nineteenth century. Social Darwinists took the theory of natural selection introduced by The Origin of Species in 1859 to apply within human societies. In 1895, in what has come to be considered the founding document of racial hygiene, or eugenics, Alfred Ploetz warned of the degeneration of the German race. Providing medical care to the ‘weak’ was “counterselecting” the ‘unfit’ elements in the race and was thus causing the weak to multiply at faster rates than the talented and the gifted14. Other mechanisms of counterselection included wars and revolutions, which resulted in the death or injury of the young and able-bodied, while the provision of welfare to the misfits and the poor further impoverished the genetic stock of the race. What was the solution? Racial hygiene (Rassenhygiene), a term coined by Ploetz, put forth the health of the Race as more important than that of the individual. It was suggested that “intelligent racial 12 See Harrington (1996), 193. See Proctor (1988). 14 Proctor (1988), 15. 13 11 hygiene might eliminate the need for a struggle for existence altogether”15. The program of racial hygiene was sympathetic to socialism but objected to socialist medicine’s promotion of the procreation of the ‘weak’. Unlike Malthusians, racial hygienists did not propose birth control for all the members of a population but suggested that we promote the procreation of the ‘fit’ while refraining from ‘counter-selecting’ the ‘unfit’. At the heart of racial hygiene was social Darwinists’ assumption that societies function like natural environments and that social forces act like natural forces in the formation of the objective categories of ‘fit’ and ‘unfit’ individuals. The fact that an individual was ‘weak’, say an alcoholic or a criminal, reflected a biologically real trait that would be eliminated by natural selection and hence should be eliminated by social selection –or at least should not be privileged by social protectionism. Genetics were supposed to differ at the level of individuals, races and race mixtures and genetic traits were considered fixed and inherited rather than learnt, or environmentally influenced. It should be noted that distinct political programmes have been historically associated with what are commonly distinguished as ‘Darwinist’ and ‘Lamarckian’ theories of selection16. Darwinism moved genetic heritage out of the realm of the social and into the realm of the private. It was not a particular environment that shaped the acquisition of genetic traits through the demands it placed on the organism but rather chance genetic mutations that caused traits to be expressed. Organisms were thus born fit or unfit, as a 15 Ibid. These two schools of thought should perhaps not be tagged by these authors’ names as their work is not distinct from each other in these traditionally supposed and clear but crude ways. But I am assuming Proctor’s discussion here for consistency. 16 12 matter of chance, and did not all start off on the same footing in their struggle for survival. Exporting these notions into human societies made Darwinism sympathetic to more liberal politics whereas Lamarckianism was associated with socialist notions of the importance of environmental influences on health. In 1905, Alfred Ploetz together with psychiatrist Ernst Rudin, lawyer Anastasius Nordenholz and anthropologist Richard Thurnwald founded the Society for Racial Hygiene to further promote the hygiene of the human race. It should be noted that the aim of this programme was not stated in racist terms. Racial hygiene, or eugenics, aimed to improve the human race in general –or at least western Kulturrassen. In 1895 Ploetz called anti-Semitism a “useless ploy”, maintained that there are no pure races and that racial mixing between races that were not “too far apart”17 was a mechanism that would increase fitness. One of the first members of the society for racial hygiene, Wilhelm Schallmeyer, explicitly distinguished between what he called Nordic superiority “race propaganda”18 and the value-free, objective goals of racial science. However, as Robert Proctor remarks, the line between the Nordic movement and Racial Hygiene became increasingly thinner. In the early 1920s the Society for Racial Hygiene contained a Nordic division organized by Ploetz. It now denounced anti-Semitism on the basis that Jews were not “really” Semitic anymore: racial intermarriage meant that Jews were mostly Aryan by now. Even starting in 1907, Ploetz, Fritz Lenz and F. Wollny had established a secret Nordic Ring which cultivated German racial character through 17 18 Quoted in Proctor (1988), 21. Quoted in Proctor (1988), 21. 13 training and sports and popularized de Gobineau’s vision of “the German Volk, last bastion of the Nordic race”.19 In the 1920s racial hygiene became identified with the Nordic movement. Ploetz was appointed honorary professor of racial hygiene at Munich and won the Goethe medallion in 1936. Ploetz was also awarded the Nobel Peace Prize in 1936 for his pacifist ideas: he claimed that war was bad for the race as it went against the selection of the fittest. Hitler himself agreed. He maintained that the Nazis were “profoundly and philosophically committed to peace”.20 In 1937 Ploetz joined the Nazi party. Racial hygiene provided National Socialism with the conceptual tools it needed to articulate the urgency and importance of ridding the German ‘germ plasm’ of degenerate elements. Images of a Beautiful, old race found in the art of the ancients, were those of pure-blood Nordic people as they once had looked, before succumbing to the racial intermarrying and racial degeneration that corroded their genetic stock. Racial hygiene legitimated the aims of the genetic doctor to improve the health of the whole race, at the cost of individuals’ health. The need for a new kind of doctor to take care of the Race presupposed that the health of a race was of a different quality than individual health. It was not the simple sum of individual ‘healths’ that determined the health of a race but rather something about the individuals, their genetic heritage, that added to the health of the race. A trait which was not correlated with health on an individual level emerged as a critical measure of health on the level of the race. 19 20 Quoted in Proctor (1988), 25. Quoted in Proctor (1988), 29. 14 Schultze Naumberg’s slide show and the Nazis’ ways of purging their art from ‘Jewish Bolshevist degeneracy’ foreshadowed the fate of the mentally ill and physically deformed patients as well as that of communists and Jews. The ‘perverse’ elements that Nazi racial hygiene focused on ridding the German race from included so-called mental and sexual ‘degenerates’, as well as Jews. The method adopted was ‘racial’ exclusion by means of controlled reproduction and eventually extermination. Nazi policy on racial hygiene progressed from the sterilization of supposed “homozygous” carriers of genetic diseases (Sterilization Law -July 14 1933) and the Nuremberg Laws of 1935 preventing so called ‘inter-racial’ marriage between Jews and non-Jews, to the extermination of mentally ill patients starting in August 1939 (Operation T4), two weeks before the Polish invasion, and the ‘Final Solution’ to exterminate all Jews at the start of 1941. (Operation 14 f 13 to destroy all concentration camp inmates not willing or able to work) At the same time as ridding the ‘unfit’, German social medicine made some truly progressive steps towards benefitting the fit. Nazi propaganda movies stressed the importance of diet for health, promoting the consumption of “whole” grain bread, and ‘natural’ foods, speaking against additives and preservatives and even making contemporary connections between diet and cancer. (Hitler himself was a vegetarian and he abstained from alcohol use, as did many Nazi officials.) The Nazis launched the first most vigilant anti-tobacco campaigns and a Nazi researcher was the first to publish 15 statistical results linking smoking to lung-cancer and mouth and lip cancer.21 Nazis were the first to talk of environmental health hazards and link asbestos to carcinogenesis, they were progressive in protecting the health of mothers and the fetus, speaking against smoking and drinking while pregnant. What enabled the Nazi rhetoric about the Body of the German Volk and suggested both a return to Nature and the importance of environmental causes of health outcomes was holism. “Holistic” science had a long history in Germany emerging in opposition to what was thought to be the “mechanistic” (and British) science of Newton. As Anne Harrington discusses in Re-enchanted Science (Harington 1996) holistic thinking can be traced back to the early nineteenth century to the Naturphilosophie of scientists and philosophers influenced by the Romantic impulse of their times. What these thinkers felt was that Newton “had been born into a universe of color, quality, and spontaneity and had proceeded ruthlessly to transform it into a cold, quality-less and impersonal realm of homogenous and three dimensional space, where particles of matter danced like marionettes to mathematically calculable laws.”22 Instead of this atomized and fragmented view of nature, natural philosophers like Fichte, Hegel, Schiller and Schelling argued for a sense of wholeness and synthesis in the realms of mind and nature. These so-called neo-Kantian philosophers found a great resource in Kant’s argument in the Critique of Judgment that although our innate categories of 21 22 See Proctor (1999), 183-186. Harrington (1996), 4. 16 reasoning of mechanistic causality were sufficient to explain and analyze non-living reality, for the purpose of explaining living phenomena, an extra principle of teleological causality had to be introduced: “natural purpose” [Naturzweck]. This principle was meant to capture the sense of “purposiveness” that organismic processes seemed to possess for the organism as a whole. More suggestive, with respect to this case, is the parallel Kant drew between “teleological judgment” and what he called “aesthetic judgment”. Kant suggested that similar forms of reasoning were involved in understanding the nature of living phenomena as were involved in grasping the nature of the beautiful or sublime. In a move implicitly endorsing this Kantian thesis, a propaganda of aesthetics –films, exhibitions and rallies of beautiful bodies juxtaposed to degenerate ones– was used by the Nazis to argue about Life. The Nazi spectacle aimed to recruit German “aesthetic judgment” on the side of Nazi rhetoric regarding the “phenomenon” of the (living) German race. The Beauty inherent in the biological Purity of the German race was first sensed –seen in paintings, heard in operas, tasted in whole-wheat bread, was felt to be the case –and thus presented as a goal: an ideal that could be sought by means of racial purification. The Nazis’ rhetoric found a vehicle in the ideas of a long tradition of German philosophical thinking and the practices of German cultural life. 17 One of the intellectuals most revered by the Nazis was Johann Wolfgann von Goethe who found in Kant an inspiration for his aesthetic-teleological vision of living nature. Observing and comparing many different plants and processes of growth or metamorphosis in nature Goethe concluded that the apparent chaos in the multiplicity of natural forms could in fact be classed under fewer fundamental forms or Gestalten. Much like Platonic forms could be accessed by our intuition, one could deduce the fundamental Gestalten from their observed expressions by using the pure judgment of mind to classify and abstract from one’s observations. In Goethe’s own words: In every living being, we find that those things which we call parts are inseparable from the Whole to such an extent, that they can only be conceived in and with the latter; and the parts can neither be the measure of the Whole, nor the Whole be the measure of the parts. So [in turn] a circumscribed living being [an organismic Whole] takes part in the Infinite [the all encompassing Whole]; it has something of infinity within itself.23 Soon after the Nazi seizure of power in 1933, Karl Zimmerman, who would later be appointed Reich representative for racial education, asserts: All in all, the National Socialistic conception of state and culture is that of an organic whole. As an organic whole, the volkisch state is more than the sum of its parts, and indeed because these parts, called individuals, are fitted together to make a higher unity, within which they in turn become capable of a higher level of life achievement, while also enjoying an enhanced sense of security. The individual is bound to this sort of freedom through the fulfillment of his duty in the service of the whole.24 The new “holistic” way of approaching biology did not apply one theory uniformly across cases but rather emerged in opposition to mechanistic or atomistic thinking and characterized a family of different biological theories. Still, what all holistic approaches had in common was “[T]he need to do justice to organismic purposiveness or teleological 23 24 Quoted in Harrington (1996), 5. Quoted in Harrington (1996), 176 (emphasis added). 18 functioning –to questions of ‘what for?’ and not merely ‘how?’”.25 Among the different kinds of holism, some were concerned with finding ways to describe organismic processes in terms of their role for the whole organism, some were concerned with an integrated theory of the function of the mind and body of humans [and was the origin of modern psychosomatics] and some attempted to make sense of individual organisms as part of a greater “whole”, whether on the level of their immediate environment or the cosmic evolutionary process. Another kind of holism was what Harrington calls “clinical holism” which attempted to integrate naturopathic and traditional forms of medicine with modern biomedical medicine26. The crucial function of holism within Nazi propaganda was to legitimate the hierarchical and centralized organization of the Party. Metaphors like the one cited above by Zimmerman, of the Body of the German Volk being led by its ‘brain’, its Fuhrer seemed to suggest Nazism as a/the natural form of governance. Just like organisms functioned according to their Naturzweck, organizing their part processes to satisfy the realization of their natural purpose, so should the German people organize according to the Fuhrerprinzip in order to realize their higher purpose. This example of the usurpation of the power of biological talk by a political ideology makes one wonder about the elements of biological theories in general that could allow for such abuse. It seems that the very subject of the life sciences includes and addresses 25 Harrington (1996), xvii. This form of holism was also popular in the early pre-war years of Nazism. There was a law passed to allow natural healers to practice –and have them register their occupation- while the Ministry of the Interior formed in 1933 a Healers’ League of Germany. Proctor (1988), 228-229. 26 19 humans in a much more direct way than say physics. The language of the life sciences has available a vocabulary of body, of feeling, of function that talks of humans at a most intuitive or primary level. Metaphors made between humans and biological organisms or life processes are much more appealing and compelling at a basic level than, say, comparisons with mechanical or information systems. In particular, medicine seems to be valued and action-inducing. It talks of the health and disease of organisms distinguishing the ‘bad’ from the ‘good’. What is to be qualified as healthy or unhealthy comes with a definite value and suggests a definite action – it is something to be pursued or avoided. Further, medicine articulates a method to achieve the aim of health. A disease can be conceived in different ways and approached in different manners. As Georges Canguilhem (1989 [1966]) notes, in the history of medicine there have been ontological conceptions of disease, where the disease is seen as caused by a foreign agent, a “germ” that invades the body, or there have been dynamic conceptions of disease, where disease is seen as a state of disequilibrium, a loss of harmony between the organism and its environment and in particular, as an attempt of nature to establish a new equilibrium in the organism. Both conceptions of disease, Canguilhem calls “optimistic”: in the first case, the cause of disease is seen as something ontologically real that could hence be physically isolated and destroyed and the second, although not relying on the ability of human agents to intervene and overcome nature, assumes that ‘the way of nature’ and medical techniques that reinforce or imitate natural therapeutic reactions could restore the organism’s health. 20 In the case of the Nazis, the metaphor of the Body of the Volk, given in holistic terms, allowed an ontological definition of disease to be put to use. Disease was thought to be caused by some “germ”: the Jew, the insane, the homosexual, the Gypsy. This ‘optimistic’ conception of disease meant that human Nazi agents could get rid of the ‘parasites’ that had invaded the body of the Volk. Indeed Zyklon B, the poisonous gas used for the mass exterminations of Jews in the final most “efficient” stages of 14 f 13 was a pesticide. Unsurprisingly there was a movie made by the Nazis, in 1938, to promote the use of this gas. The theme of the movie was ‘pest control’, the images shown, were of vermin, rats and insects chewing away on the pristine sacks of flour and drilling holes in wooden statues of classic male bodies. Parallel that to another propaganda movie, “The Eternal Jew” premiered on November 28th 1940 in one of Berlin’s largest cinemas. Images of the Jewish ghetto in Warsaw likened Jews to vermin, pictured them eating from the trash cans, and aimed to show Jews “as they really are”: The civilized Jews that we know in Germany give us only an incomplete picture of their racial character. This is how Jews really look before they conceal themselves behind the masks of civilized Europeans. [A] Once more, Nazi culture horribly hints at the method in which Nazi goals would be articulated. In the words of Himmler addressing the SS in the April of 1943: Anti-Semitism is like getting de-loused. Getting rid of lice is hardly a philosophical issue; it is a matter of cleanliness. (…) We shall soon be deloused. There are now only 20,000 left. They will soon be extinct in all of Germany. [A] 21 Although the central ideas in racial hygiene were epistemically flawed –the idea of genetic races to start with – , holism nevertheless seems to have had in store the tools to articulate explicitly anti-authoritarian perceptions of the organism. Quite a few advocates of holistic biology were explicitly opposed to Nazi politics, even some with anti-Semitic feelings.27 For the sake of completeness, but also for the sake of witnessing one more example of politically suggestive biological language, it is interesting to see how the concept of organismic freedom was articulated by holistic neuropsychiatrist Kurt Goldstein. Goldstein was a Jew who had published a monograph on race hygiene in 1913 and was prosecuted by the Nazis for being Jewish and a member of the Democratic Socialist Party [SPD]. After losing his job on April 1st 1933, along with all Jewish doctors, and his position at the University of Berlin, being imprisoned and tortured, he succeeded in escaping to Amsterdam where he worked for a year at a temporary position in the local university. He eventually immigrated to the United States in 1935 whereupon he published the book he had dictated to his secretary while in exile in Amsterdam.28 The book was based on his studies on patients that had suffered brain-injuries during WWI. 27 Consider the example of Hans Driesch, a vitalist embryologist and philosopher (Harrington 1996, 189), whose work was of interest to the Nazis but who was himself opposed to Nazi politics and one of the first non-Jewish professors retired by the Nazis in 1933, or that of behavioural biologist Jacob Johann von Uexcull who had stark anti-Semitic feelings and corresponded in private with English race-theorist Houston Stewart Chamberlain, but criticized Alfred Rosenberg as an ideologue who distorted Chamberlain’s basic message (Harrington 1996, 68). Harrington’s Reenchanted Science (1996) chapters six and two are dedicated to the relation of Driesch and von Uexcull’s work to Nazism respectively. 28 Harrington dedicates chapter five of Reenchanted Science to a discussion of Goldstein: Harrington (1996), 140-174. 22 3. Holism in Exile -The Case of Kurt Goldstein Kurt Goldstein’s book The Organism hoped to demonstrate how a ‘holistic’ way of seeing biological organisms offers an understanding of living beings that is more complete and useful than that attained through atomistic, natural science based methods. In place of the fragmentation and alienation that atomistic science seemed to promote, “holistic science” went in search of the “natural purpose” that Kant saw as needed to grasp the nature of living beings; this purpose could only be glimpsed at by holding the whole organism, within its environment, in perspective. Given that Goldstein wrote his book [dictated it rather] while in Nazi-imposed exile, while holism was being ‘nazified’ at home, it is interesting to examine the function that the idea of ‘organismic freedom’ has within Kurt Goldstein’s book. I argue that there are two levels on which the concept of freedom functions in Goldstein’s book. First, on a factual level, “personal freedom” and individuality are used to capture what Goldstein repeatedly calls an “essential” characteristic of human nature. Second, on a [political] theoretical level, granting the individual personal freedom and stressing its essence for actualizing his or her potential distinguishes Goldstein’s theory from the holist metaphors that resonate with fascist ideology. Though Goldstein explicitly draws from disciplines like psychology and philosophy to justify the use of his theory, political theory is not one of the disciplines “concerned with the nature of man” that Goldstein applies his holistic method to. Still the meta-aim of his 23 book is to show that the holistic method might be “useful for the solution of various problems which (…) seem to be divergent and which have, until now, been treated as unrelated to each other.”29 And it would be an omission, by Goldstein’s own holistic method, not to appreciate his work within its spatiotemporal ‘milieu’ and not to acknowledge the functional significance of personal freedom within a broader political project. A first hint of how important the concept of freedom was for Goldstein is found in his methodological suggestions. Central to Goldstein’s argument for a holistic view is the idea that the organism exists within a “milieu”, an environment that the organism can select and modify. When dissecting organismic processes from their milieu, an incomplete and often incorrect view of the organism is what is left. Goldstein insists that our attention encompass the phenomenon that the whole organism presents whether in a pathological or a normal state. He requires symptoms to be ranked without any preference to what seemed more central or outlying with respect to the pathology and prefers a detailed, qualitative description of the phenomenon at hand over multiple concurring descriptions of some partial organismic process. In seeking knowledge of “the essence” of the organism, and seeking such knowledge through a “naturalistic” observation of the organism within its milieu, Goldstein presupposes that the organism actually has such an individuating character and further, strives to “realize” this character under “normal” conditions –that is once left unimpeded by the experimenter, once free. Further, it is assumed that the individual always 29 Goldstein (1963), vi 24 withholds the capacity to change its own milieu, even if the change occurrs unconsciously. So far, Goldstein’s conception of the organism seems to resonate with a liberal politics of non-intervention. Still, individual case studies are seen as an adequate evidence base for arriving at some general principles guiding organismic behaviour. By privileging complete accounts of individual cases over partial accounts of many cases, Goldstein is assuming that the organism’s “essence” is discernible through the study of just a few [or even one] organism thoroughly. In other words, Goldstein is assuming that all organisms will behave in a similar “lawful” manner in exhibiting and realizing their essence. In fact, Goldstein lists specific rules, which he claims determine organismic life30. For example, Goldstein distinguishes between two classes of total behaviour: ordered behaviour and disordered or catastrophic behaviour. According to Goldstein, ordered behaviour is made up of responses that are characterized as constant, correct and adequate with respect to the organism’s individual character, its membership in a particular species and its place within particular circumstances. Catastrophic behaviour, on the other hand, is observed when the organism is in shock and includes inconstant, inconsistent responses and embedded anxiety. Goldstein makes the normative claim that the organism tends to return to and/or preserve ordered behaviour. This is achieved by a modification of the organism’s milieu, so-called milieu “shrinkage”, produced by the organism itself, consciously or most often 30 Goldstein (1995), 48-67 25 unconsciously. In some cases the organism avoids catastrophic situations by substituting affected performances and by, most often, lacking a self-perception of the defect. In other cases the organism exhibits a tendency to an undisturbed state by constantly engaging in activities that it could pull off and which, at the same time, served to isolate it from any outside disturbances. At first sight, it looks as if there is a tension between the idea of personal freedom and the existence of all these rules governing organismic behaviour. However, these rules delimited organismic behaviour in a negative rather than a positive way: they say more about what the normal organism cannot do than about what it could do. This is because Goldstein’s preliminary discussion aims to express the regularities found across organismic behaviour by citing rules derived from the observation of pathological cases. As Goldstein himself stresses, starting with the study of the pathological inheres the danger of neglecting the positive characteristics making up an ordered, healthy state. Goldstein stresses the importance of the first performances to be lost in a pathological case such as that of a brain damaged patient: We might venture to say that the most complicated performances, those first to be impaired, are probably the ones most essential and most vital to the existence of the organism, and further, with respect to the nature of the organism, they have the highest functional significance. Through the deterioration of those performances the organism loses its most characteristic properties. Goldstein (1963), 46 (emphasis added) What are those first performances to be lost? They are not those “automatic” performances that ensure the organism’s mere existence: 26 (…) [T]he normal organism is characterized as a “Being” in a temporal succession of definite form. For the realization of this “Being”, the existence, the “mere being alive”, plays of course a prominent but by no means the essential role. (…) Preservation of material existence becomes “essential” only after defect sets in, and possibly in certain emergencies. In the latter case, the body achieves the position of supreme importance, since all the other possibilities of self-realization are bound to it. Goldstein (1963), 47. What happens to the brain-injured patient is a loss of freedom: [Or] we might point to the patient’s inability to emancipate and withhold himself from the world, the shrinkage of his freedom, and his greater bondage to the demands of environment. The most general formula to which the change can be reduced is probably that the patient has lost the capacity to deal with that which is not real –with the possible. Goldstein (1963), 44 (Emphasis added). Goldstein calls this capacity to ‘deal with the possible’ the abstract attitude. What is essential for a human organism is, then, this capacity to engage in “abstract behaviour”, her ability to free herself from the actual -her physical or social environmentand entertain the “possible”. Abstract behaviour is essential to the human organism in one more significant way. Abstract behaviour is what, according to Goldstein, enables us to shift from the point of view of the subject to that of the object and what enables, eventually, our ability to experience the “sphere of immediacy”. When we are in this sphere, subject-object experiences remain more or less in the background and the feeling of unity comprising ourselves and the world in all respects and particularly in our relation to other human beings is dominant. This I term the ‘sphere of immediacy’. Goldstein (1963), 20 (Emphasis added). 27 This experience of immediacy is not a subjective or “an irrational assumption”31 but rather is governed by specific laws, which Goldstein differentiates from so-called logical reasoning. Goldstein calls the sphere of immediacy “not easy to describe” and says that “it has to be experienced in definite situations.”32 Specifically: The experience of immediacy cannot be reached by the discursive procedure or by any kind of synthesis. It may be achieved only by surrendering ourselves to the world with which we come in contact without fearing to lose our relation to the ordered world. Goldstein (1995), 21. Again, Goldstein hints at a generalized framework of ‘lawful’ behaviours, but one which, instead of limiting organismic behaviour, institutionalizes the special character of its “freedom”: it renders essential to humans both a capacity for holding an “unbound” abstract attitude and at the same time a capacity for surrendering to the world and experiencing the “bound” unity of all existence, especially all human existence. It is the mark of ultimate freedom for Goldstein to be capable of ‘opening up’ your individual attitude so that nothing impinges on it --nor it on anything. As essential as the abstract attitude and what we could call the “immediate attitude” are for Goldstein, Goldstein refrains from providing a universal norm for ‘health’. A single norm of Aryan health could not have been articulated in terms of Beautiful bodies if handicapped or injured patients could also have been perceived as healthy. Rather, in accordance with a broader understanding of health, Goldstein determines the ‘normal’ on 31 32 Goldstein (1995), 20 Ibid. 28 an individual organismic basis by examining whether the organism can ‘adequately’ respond to its milieu or not: An organism that actualizes its essential peculiarities, or –what really means the same thing- meets its adequate milieu and the tasks arising from it, is ‘normal’. Goldstein (1963), 325 (emphasis added). When the organism has to adapt to a new, shrunken milieu as a result of injury or disease, recovery can be obtained. The reconciliation of preserved and disturbed performances enable the organism’s responsiveness to its environment. Being well means to be capable of ordered behaviour that may prevail in spite of the impossibility of certain performances that were formerly possible. Goldstein (1963), 331. Goldstein points out that although adaptation occurs, defects will always still exist. The defective organism will exhibit its limitations in the absence of medical care. Thus the goal of medical practice is twofold: 1) to eradicate the damage, 2) to rearrange the milieu of the organism to an environment adequate to the new condition, if the damage cannot be eradicated. Ways of milieu rearrangement included medication, hospitalization, diet, renouncing/entering certain human relations. It is most important to this case that Goldstein values the organism’s individual freedom in the context of medical care. He articulates principles that the Nazis’ experimentation on human prisoners and patients would most certainly have violated. Goldstein points out that medical action “requires an encroachment on the freedom”33 of the patient. A choice between a greater loss of freedom or greater suffering has to be made. Once a patient’s milieu is limited, suffering from catastrophic reactions towards an inadequate 33 Goldstein (1963), 341 29 milieu can be reduced but so will the patient’s capacity to actualize her essential – uninhibited – nature. Further, Goldstein sees that recovery needs to be embedded in the community of fellow man, where an appropriate milieu can be sought for the anomalous without trespassing on their “essence of being”: Freedom. His commitments lead Goldstein to explicitly dismiss the possibility of eugenic breeding, which was so prominent within Nazi science. According to Goldstein, freedom and identity cannot not be curbed without limit. Just as technological interventions face a limit in their ability to overpower Nature, there was a bearable limit to the force one can apply on living beings without completely negating their Nature. If one were to breed pure lines of humans with respect to their most essential –hence dominant– characteristic that would have been a line of free humans. 4. The Relevance of this Story Historian Robert Proctor has written two books on the subject of Nazi medicine34. His earliest book is a rather finger-pointing account of how doctors were actively and voluntarily involved in the Nazis’ extermination of ‘unfit’ individuals. His later book however describes the pioneering work that Nazi doctors did in cancer research and treatment and how the Nazi government promoted health awareness. In the very last paragraph of his later book Proctor says: “(…) we need to better understand how the routine practice of science can so easily coexist with the routine exercise of cruelty.”35 34 35 See Proctor (1988) and Proctor (1999). Proctor (1999) (emphasis added). 30 There is a common assumption – or maybe a case of wishful thinking – that this statement exemplifies. The practice of science is assumed to contrast with the practice of cruelty, or at least be, in principle, distinct from immoral practices. Proctor belongs to a line of scholars who have successfully demonstrated that science is not value-free. And yet the values that science carries are still hoped to be ‘good’ ones. The cruelty of Nazi medicine is at least as shocking for its content, as for the fact that it was doctors who were so cruel. Indeed, the practice of medicine has been perceived, since antiquity, as performing – or at least aspiring to perform – a positive service to humanity. Plato describes medicine as a craft carried out, not for its own sake, but rather for the purpose of healing. The ancient Greek word for medicine, iatrike comes from the verb iatreuo which means ‘to cure’. Now, presumably, healing involves establishing or preserving the health of the patient and getting rid of disease. Therefore, the practice of healing is necessarily oriented by a prior understanding of what constitutes health, what constitutes disease and what technologies can effectively mediate between the two. Nazi medicine can be called medicine because it did orient itself towards the establishment of health and the curing of disease. However, the notions of health and disease that Nazi doctors worked with as well as their notion of a Body reflected the cultural standards of Nazi ideology rather than biologically real, vital norms. The conflation of social-aesthetic norms of beauty with biological norms of health was a most 31 powerful propaganda tool for the ‘naturalization’ and ‘beautification’ of a political regime that was most unjust – and certainly now seen as ugly – at heart. Why is this a case still worth our attention? The vision of the enhancement of a degenerate race could arguably present us one of the first examples of the blurring line between the concepts of ‘treatment’ and ‘enhancement’. Such distictions are already (more visibly) blurred by certain cosmetic medical procedures but they are arguably a topic for further philosophical and historical investigation. Imagined genetic, or other, human enhancement technologies bank on exactly such a notion of healing: not of healing as getting rid of an ill, but rather as increasing a good, often by externally modifying an organism to address its (hoped to be expanded) milieu.36 Further, the conflation of vital norms of physical health with aesthetic norms of racial purity, which served to legitimize Nazi hegemony, seems to exemplify a contemporary attitude in biopolitics. The power of aesthetic norms to orient vital practices horribly demonstrated by the use of Nazi propaganda facilitates conflating “the healthy” and “the better”, “treatment and enhancement” – is a future that Nikolas Rose sees in the horizon of molecular politics.37 Nikolas Rose seems right to distinguish between modern biopolitics as managing ‘somatic individuals’ from the biopolitics of old, which he describes as being aimed at 36 See Hacking (2006) for a discussion of Rabinow’s notion of biosociality. Hacking there hints at the social and philosophical impacts of the emergence of new social groupings on the basis of new, and imagined as enhanced, biological ones by reference to a personal anecdote: giving a lecture in front of an audience not at all opposed to the idea of a biotechnologically enhanced trans-humanity. 37 Rose (2001), 16 32 the ‘body politic’ en masse. He is right to point out that the emergence of a new molecular politics owes a lot to the shift in the truth regime of modern biology. But Rose’s description de-emphasizes the similarities still in place across these paradigms, and focuses on an effect on the level of form not content. It is important to ask how much of the difference is due to a historical shift from centralized to more liberal forms of governance and so exemplifies a restructuring of the loci of biopower rather than a radical change in its dictates. Although ‘somatic individuals’ are now to be healthy for their own sake rather than for the sake of the race, the message transmitted to them is still a “duty to be Healthy”. How is this Health to be understood? Is it still in terms of ‘Beauty’? Why should or should this not be the case and when? Finally, it is important to situate the influence of ‘cultures in action’ and ‘cultures of action’ on the practice of biomedical science. Norms of health and beauty are still implicitly conflated via pictorial representations that embody certain cultures in action. The mechanisms of power may not cast away pariahs as ‘parasites’ menacing the body of the Volk, but are they not still managed within (new) spaces of exception like “fat farms” or “emergency rooms”? In these ways it seems that the case of the Nazis is more contemporary than we might like. 33 Conclusion In Euthyphro, Plato has Socrates point out that our conceptions of the good, the just and the beautiful are what form the source of moral disputes: Socrates: (…) the just and the unjust, the beautiful and the ugly, the good and the bad. Are these not the subjects of difference about which, when we are unable to come to a satisfactory decision, you and I and other men become hostile to each other whenever we do? Euthyphro, par. 7d, lines 2-538 What the Nazis accomplished was a culture that identified its ideas of beauty and goodness –or health- in the form of the ancient Nordic Race and thereby qualified the means of achieving such Health and Beauty as Just. By appealing to the inherent value of health while conflating the concept itself with a social-aesthetic norm of “German-ness” the Nazis succeeded in what Emanuel Todd calls the only successful revolution of the twentieth century. Is the answer to avoiding another Holocaust to ration culture? Separate it from science? I think the answer lies not in censorship –what would constitute milieu “shrinkage” by Goldstein’s standards– but rather in developing ways to address and accommodate ever evolving and expanding milieux where science is made and that science affects –acting in what Goldstein would call ‘freedom’. This means developing ways to distinguish, appraise and choose from all kinds of tools, and keeping in mind all kinds of effects, whether prima facie aesthetic or prima facie epistemic, that may shape science practice and –even in irrational ways– end up ratifying science policy. Life is not lived in 38 Cooper, John M. ed. (1997), 7 34 disciplines. And human productions falling under the purview of traditionally distinct disciplinary boundaries cannot be held apart by force of a system of inquiry. References Film material [A] The Architecture of Doom, directed by O. Kamm, research of Peter Cohen, POJ Filmproduktion AB, Filminstitutet 1991 Published material Agamben, Giorgio (1998), Homo sacer: sovereign power and bare life, trans. Danile Heller-Roazen, Stanford University Press Barron, Stephanie ed. (1991), 'Degenerate Art:' The Fate of the Avant-Garde in Nazi Germany, New York: Harry N. Abrams, Inc. 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