When giving notice of a memorial service for the eminent
psychiatrist Theodore Lidz, the Yale
Bulletin and Calendar (2001) observed that Lidz
had expressed regret in his last years that he did not write just one more book
to show that biology‑based lines of research and training in current
psychiatry are "barking up the wrong tree". Lidz
was professor and chief of clinical services in psychiatry at Yale, having
taken his residency in psychiatry at John Hopkins University, where he studied
with Adolf Meyer. There is no question about his distinguished standing within
mainstream psychiatry. Although he was critical of the biomedical model of
mental illness, this did not mean that his views were labelled and dismissed as
'anti‑psychiatry'.
Lidz's perspective in psychiatry, based in the Meyerian
tradition, emphasised continuities between normal development and
psychopathology. He saw it as essential to focus on the individual's
life history to understand patients in the context of familial, community and
cultural factors that affect personality development. He appreciated the extent
to which mental illness is induced by early experience in troubled families.
This biopsychological approach was developed before
the emergence of anti-psychiatry.
Despite Lidz's orthodoxy, the
affinity between his position and anti‑psychiatry was recognised by Boyers & Orrill (1972) when
they chose to interview him for their edited collection of what they considered
at the time to be most of the serious writing that had been addressed to the
work of R.D. Laing. In the interview, Lidz identified
various excesses in the work of Laing, but he made clear that he did not
consider schizophrenia to be an organic disease and instead viewed it as a
developmental reaction related to personality organisation.
Like Laing, Lidz had been involved
in family studies of schizophrenic patients. Lidz
viewed schizophrenia as an extreme form of social withdrawal, specifically
characterised by efforts to modify reality into a tenable form by distorting
symbolisation of reality, or through extreme limitation of the interpersonal
environment (Lidz et al, 1957). Data was collected
from schizophrenic families over several years using multiple methods involving
weekly interviews with family members; observation of interaction with each
other and staff; projective testing and other techniques. All families were
found to communicate defectively. The essence of the problem was thought to be
the egocentricity of the dominant parent or sometimes both parents that
prevented the parent from understanding and treating the child as a separate
and discrete individual, rather than as part of the parent or as someone whose
essential function is to complete a parent's life or salvage the parents'
marriage. There was either a schismatic conflict in the parents' marriage that
divided the family into two camps and that resulted in each spouse destroying
the worth of the other; or the family was seen as distorted by a skew in the
marital relationship by the passive acceptance of the serious psychopathology
of the dominant spouse by the other, with masking of the serious problems that
arise, creating an aberrant environment that confuses the child.
Lidz (1972) complained that when
Laing discussed mystification in the family that he did not make reference to
his and his colleagues' work that covered similar ground dealing with
irrational patterns of communication in the family. As far as Lidz was concerned, the work by Singer & Wynne (1965)
on communication problems in the family was more influential that Laing's
contribution. Lidz pointed out that Adolf Meyer had
advocated taking experience as a fact in itself, which is close to Laing's
perspective and that very little of what Laing proposed was new.