Andrei Snezhnevsky

At the height of his power, Snezhnevsky dominated the whole of Soviet psychiatry. He forced the psychiatric community in the USSR and in many of its Eastern European satellites to adopt the diagnosis of sluggish schizophrenia as dogma. Despite his power and virtual monopolies on textbooks and conferences, some prominent Soviet doctors were unwilling to accept Snezhnevsky's methods, such as Iosif Polishchuk in Kyiv, and Fyodor Detengof in Dushanbe. == Political abuse of psychiatry ==

Snezhnevsky was long attacked in the West as an exemplar of political abuse of psychiatry in the Soviet Union. He was charged with cynically developing a system of diagnosis which could be bent for political purposes Some of Snezhnevsky's employees say that one day in a selected auditorium, when discussing the situation in the country, he also gave the diagnosis of sluggish schizophrenia to Andrei Sakharov in absentia. As Oleh Wolansky noted, professor Snezhnevsky did not hesitate to act against principles of the Hippocratic Oath. On the covert orders of the KGB, thousands of social and political reformers—Soviet "dissidents"—were incarcerated in mental hospitals after being labelled with diagnoses of "sluggish schizophrenia", a disease fabricated by Snezhnevsky and "Moscow school" of psychiatry. The belief that career development depended on loyalty to the Party and that the Party and its interests were cardinal can partly explain why Snezhnevsky, who earnestly defended the rights of his patients at the frontline hospital during the massive destruction of World War II, also employed his scientific regalia and academic title to legitimate the psychiatric confinement of dissenters. However, Alexander Tiganov, a pupil of Snezhnevsky and full member of the Russian Academy of Medical Sciences, believes his teacher was honest in his diagnosing dissenters. In 2011, Tiganov said it was rumored that Snezhnevsky took pity on dissenters and gave them a diagnosis required for placing in a special hospital to save them from a prison, but it was not true, he honestly did his medical duty. == Discredit at the Royal College ==

In 1980, the Special Committee on the Political Abuse of Psychiatry, established by the Royal College of Psychiatrists in 1978, charged Snezhnevsky with involvement in the abuse and recommended that Snezhnevsky, who had been honoured as a Corresponding Fellow of the Royal College of Psychiatrists, be invited to attend the college's Court of Electors to answer criticisms because he was responsible for the compulsory detention of celebrated dissident, Leonid Plyushch. Instead Snezhnevsky chose to resign his Fellowship. Snezhevsky wrote the letter to the president of the Royal College: The college's Committee on Abuse passed the following judgment: == Other contributions to psychiatry ==

In 1968, Snezhnevsky wrote of a distinction between the positive and negative symptoms of schizophrenia, a concept long attributed to Snezhnevky but in fact introduced by John Hughlings Jackson and John Russell Reynolds. The concept came to be increasingly used in schizophrenia research and classification since the 1970s, citing his colleague I.F. Ovchinnikov that the symptoms appear to exist "as if on two levels". The American Psychiatric Association at its annual meeting held in San Francisco in 1970 honored Snezhnevsky by naming him a "distinguished fellow" for his "outstanding contribution to psychiatry and related sciences." Snezhnevsky created his own school in psychiatry. The disciples of his school are Ruben Nadzharov, Taksiarkhis Papadopulos, Gregory Rotstein, Moisey Vrono, Marat Vartanyan, Nikolay Zharikov, Anatoly Anufriev, Nikolay Shumsky, Alexander Tiganov, Irina Shakhmatova-Pavlova, Anatoly Smulevich. Doctors who wished to gain more knowledge were unable to do so, because all textbooks and handbooks on psychiatry described only the views of Snezhnevsky's school. == Estimations ==

According to the psychiatrist Marina Voikhanskaya, Academician Snezhnevsky and his "school" have debased, reduced Russian psychiatry to a semi-amateur level and single doctrine about schizophrenia, in the terms of which alcoholic psychoses and alcoholism are considered schizophrenia; congenial idiocy in the children of alcoholics is considered premature schizophrenia; and dissent is considered schizophrenia with delusions of reform. According to Moscow psychiatrist Alexander Danilin, the so-called "nosological" approach in the Moscow psychiatric school established by Snezhnevsky boiled down to the ability to make a single diagnosis, schizophrenia. Such psychiatry, said Danilin, is not science but a system of opinions to which people by the thousands fell victim. Millions of lives were disabled by virtue of the concept "sluggish schizophrenia" introduced by Snezhnevsky, whom Danilin called a state criminal. However, the founder of the Moscow Helsinki Group Yuri Orlov has the opinion that Snezhnevsky did not willingly participate in the political abuse of psychiatry, and that the real criminal was Georgy Morozov, the director of the Serbsky Institute, who collaborated with the KGB since his students days. St Petersburg academic psychiatrist professor Yuri Nuller notes that the concept of Snezhnevsky's school allowed psychiatrists to consider, for example, schizoid psychopathy and even schizoid character traits as early, delayed in their development, stages of the inevitable progredient process, rather than as personality traits inherent to the individual, the dynamics of which might depend on various external factors. disregarded the findings of the World Psychiatric Association and the later avowal of Soviet psychiatrists themselves and instead claimed that there were no political abuses of psychiatry in the Soviet Union. He asserted that Snezhnevsky was wrongly condemned by critics and argued that it was time for psychiatry in the Western countries to reconsider the accounts of political abuse of psychiatry in the USSR in the hope of discovering that Soviet psychiatrists were more deserving of sympathy than condemnation. Helen Lavretsky supposes that a totalitarian regime, the lack of a democratic tradition in Russia, and oppression and "extermination" of the best psychiatrists during the 1930–50 period prepared the ground for the abuse of psychiatry and Russian-Soviet concept of schizophrenia. == Awards ==

He was honored with the title of a Hero of Socialist Labour, two Orders of Lenin, four Orders of the Red Banner of Labour, and the USSR State Prize. == Death ==

Having learnt of his diagnosis of lung cancer and facing his death within a few years, Snezhnevsky started lamenting over his making a lot of blunders at the Pavlovian session and departed from his indisputable tone as to his own concept. He died on 12 July 1987 in Moscow and was buried in the Kuntsevo Cemetery. == Interesting facts ==

Snezhnesky examined Andriy Slyusarchuk as a child, was kind to him and presented him the book Your Abilities, Man used by Slyusarchuk to be taught in the field. == See also ==