Meyer, Adolf

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{{epname|Meyer, Adolf}}
  
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'''Adolf Meyer''' (September 13, 1866 – March 17, 1950) was a [[Switzerland|Swiss]]-born [[United States|American]] [[psychiatry|psychiatrist]] who became one of the most influential figures in American psychiatry in the first half of the twentieth century. He rose to prominence as the president of the [[American Psychiatric Association]].
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Meyer pioneered the application of [[Sigmund Freud|Freudian]] ideas in American psychiatry, suggesting that [[mental illness]] should be understood as a disorder of the [[personality]] rather than [[brain]] pathology. Meyer emphasized the need of collecting detailed case histories on patients, recognizing the role of the social environment in the development of mental disorders. His work, and that of his wife in visiting and [[interview]]ing the families of his patients, was the beginning of psychiatric [[social work]]. Although Meyer's efforts to introduce new terminology, with the exception of the term "mental hygiene," were not successful, many of his ideas remain and guide the field. In particular, his view that the patient be viewed as a whole person, physical and mental, both in diagnosis and treatment is foundational to the success of holistic approaches in mental health.
  
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==Life==
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Meyer was born in Niederwenigen, near [[Zürich]], [[Switzerland]], the son of a [[Ulrich Zwingli|Zwingli]]an minister. Meyer was trained in [[neurobiology]] and [[neurophysiology]] at the [[University of Zürich]]. He received his M.D. in 1892, after studying [[psychiatry]] with [[Auguste-Henri Forel]] at the [[Burghölzli Mental Hospital]]. He also studied in [[England]] with [[Hughlings Jackson]] and in [[Paris]] with [[Jean-Martin Charcot]]. Meyer subsequently began his professional career as a [[neuropathology|neuropathologist]].
  
'''Adolf Meyer, M.D., LL.D.''' (September 13 1866 - March 17 1950) was a Swiss [[psychiatrist]] who rose to prominence as the president of the [[American Psychiatric Association]] and was one of the most influential figures in psychiatry in the first half of the twentieth century.  His focus on collecting detailed case histories on patients is the most prominent of his contributions; along with his insistence that patients could best be understood through consideration of their life situations.
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Mayer hoped to obtain a teaching position at the University of Zürich, but unsuccessful, he emigrated to the [[United States]] in 1892. He first practiced [[neurology]] and taught at the [[University of Chicago]], where he was exposed to the ideas of the Chicago [[functionalism|functionalists]]. From 1893 to 1895 he served as pathologist at the newly founded Illinois Eastern Hospital for the Insane at Kankakee, [[Illinois]]. He then worked at the state hospital at Worcester, [[Massachusetts]] (1895–1902), all the while publishing papers in neurology, neuropathology, and [[psychiatry]].  
  
Meyer was born in [[Niederwenigen]], near [[Zurich, Switzerland]]. He received his MD from the University of Zürich after studying psychiatry with [[Forel]] and neuropathology with [[Constantin von Monakow]], and subsequently began his professional career as a neuropathologist.
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In 1902, Meyer became director of the Pathological Institute of the [[New York State]] Hospital system (shortly afterwards given the name The Psychiatric Institute). In the next few years he shaped much of American psychiatry by emphasizing the importance of keeping detailed patient records and by introducing [[Emil Kraepelin]]'s classificatory system. While in the New York State Hospital system Meyer also adopted Freud's ideas about the importance both of [[human sexuality|sexuality]] and of the formative influence of early childhood experiences on the adult [[personality]].  
  
Unable to secure an appointment with the university, he emigrated to the [[United States|U.S.]] in 1892, at first practicing neurology and teaching at the University of Chicago, where he was exposed to the ideas of the Chicago functionalists. From 1893 to 1895 he served as pathologist at the new mental hospital at Kankakee, Illinois, after which he worked at the state hospital at Worcester, Massachusetts, all the while publishing papers prolifically in neurology, neuropathology, and psychiatry. In 1902 he became director of the ''Pathological Institute'' of the New York State Hospital system (shortly afterwards given its present name, ''The Psychiatric Institute''), where in the next few years he shaped much of American psychiatry by emphasizing the importance of keeping detailed patient records and by introducing both [[Emil Kraepelin]]'s classificatory system and [[Sigmund Freud]]'s ideas. While in the New York State Hospital system Meyer adopted Freud's ideas about the importance both of sexuality and of the formative influence of early rearing on the adult personality. Meyer was Professor of [[Psychiatry]] first at [[Cornell University]] from 1904 to 1909 and from 1910 to 1941 at [[Johns Hopkins University]], where he was also Director of the [[Henry Phipps]] Psychiatric Clinic from its inception in 1913.
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Meyer became professor of psychiatry at [[Cornell University]] in 1904, where he stayed until 1909. From 1909 to 1941 he was professor of psychiatry at [[Johns Hopkins University]] School of Medicine where he also served as director of the [[Henry Phipps]] Psychiatric Clinic from its inception in 1913. Under his leadership the clinic became an internationally renowned training center for psychiatrists.  
  
His principal contributions were through his ideas of [[psychobiology]] (or alternatively, ergasiology, a term he coined from the Greek words for working and doing), by which Meyer designated an approach to psychiatric patients that embraced researching and noting all biological, psychological, and social factors relevant to a case — thus his emphasis on collecting detailed case histories for patients, paying particular attention to the social and environmental background to a patient's upbringing. Meyer believed that mental illness results from personality dysfunction, rather than brain pathology. His later teachings resisted some of the ideas of Sigmund Freud, which Meyer thought placed too much emphasis on factors that were tangential to the functional needs of patients in their everyday lives. Though Meyer's own system of nomenclature never caught on, his ideas, especially those emphasizing the importance of social factors,  and his insistence on understanding the life of the patient through careful interviewing, did exert some influence but perhaps remain largely unappreciated in the history of American psychiatry.
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Meyer died on March 17, 1950, in Baltimore, [[Maryland]].
  
It was Meyer who suggested the term '[[mental hygiene]]' to [[Clifford Beers]], after which Beers founded, with the support of Meyer and [[William James]], the ''Connecticut Society for Mental Hygiene'' (1908) and the ''National Committee for Mental Hygiene'' (1909).
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==Work==
  
Meyer wrote no books; his pervasive influence on American psychiatry stemmed instead from his numerous published papers, his prestige, and his students, both at Manhattan State and, especially, at Johns Hopkins. Many of his students went on to make significant contributions to American psychiatry or psychoanalysis, though not necessarily as Meyerians. Always eclectic and willing to absorb ideas from whatever sources he found relevant, Meyer never formed his own discrete school of thought with disciples. Most of the founders of the New York Psychoanalytic Society had worked under Meyer at Manhattan State Hospital, including its chief architect [[Abraham Arden Brill]]. Though Meyer found Freud's ideas interesting, he never practiced psychoanalysis and increasingly distanced himself from it as the years went on. As he wrote in his presidential address to the 84th Annual Meeting of the [[American Psychiatric Association]]: "Those who imagine that all psychiatry and psychopathology and therapy have to resolve themselves into a smattering of claims and hypotheses of psychoanalysis and that they stand or fall with one's feelings about psychoanalysis, are equally misguided" [page 18 in the ''Collected Papers'', volume II, originally published in the ''American Journal of Psychiatry'', LXXXV, 1928, 1-31]. This address, "Thirty-Five Years of Psychiatry in the United States and Our Present Outlook" gives Meyer's own account of American psychiatry during the time when he himself was important in helping to shape it.
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Meyer never adhered to any particular school of [[psychiatry]]. He approach was eclectic, greatly influenced by [[Charles Peirce]], [[William James]], and [[John Dewey]], and combining together the contributions of [[biology]], [[physiology]], [[psychology]], and [[neurology]] into one practical approach to [[mental health]] science.  
  
Meyer was a strong believer in the importance of empiricism, and advocated repeatedly for a scientific approach to understanding mental illness.  Meyer introduced the possibility of infections (then viewed as the cutting edge concept of scientific medicine) being a biological cause of behavioral abnormalities, in contrast to eugenic theories that emphasized heredity and to Freud's theories of childhood traumas. Meyer's work was greatly influenced by [[Charles Peirce]], [[William James]], and [[John Dewey]].  
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He called his approach "psychobiology," with the goal of integrating the psychological and biological studies of [[human being]]s. To stress the dynamic nature of mental disorders, he invented a new system of classification, "ergasiology," based on the [[Greek language|Greek]] root ''erg'' (from ''ergon'', work). Typical terms in this system were "ergasiatry" (psychiatry), "oligergasia" (idiocy), and "merergasia" (hysteria).  
  
For Meyer's writings see ''The Collected Papers of Adolf Meyer'', edited by Eunice E. Winters. Baltimore: The Johns Hopkins University Press, 1950-1952. 4 vols. Volume I covers neurology; volume II psychiatry; volume III medical teaching; volume 4 mental hygiene. The introductions to each volume provide biographical background for the volume's subject area.  
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To make an accurate diagnosis of the problems his patients experienced, Meyer tried to take into account all relevant biological, psychological, and social factors. He thus emphasized collecting detailed case histories for patients, paying particular attention to the social and environmental background of the patient's upbringing. He looked into the patient's physical condition, past history, family life, work situation, and other facts that were relevant to treatment. Meyer believed that mental illness resulted from [[personality]] dysfunction, rather than [[brain]] pathology. He introduced some of the ideas of [[Sigmund Freud]], such as the role of childhood sexuality in the development of [[mental disorder]]s in adulthood.  
  
A good selection of Meyer's published work can be found in ''The Commonsense Psychiatry of Dr. Adolf Meyer: Fifty-two Selected Papers'', edited by Alfred A. Lief. New York: McGraw-Hill, 1948.
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Meyer’s wife, Mary Potter Brooks, participated in the work of her husband. She was the one who collected data about the patients. She visited them in their homes to observe their everyday life, talked to their families, and worked up detailed case records. In this manner Meyers pioneered the path of psychiatric social work, an essential part of a psychiatric treatment today.  
  
Probably the best exposition of Meyer's psychobiology is to be found in ''Psychobiology: a Science of Man'', compiled and edited by Eunice E. Winters and Anna Mae Bowers. Springfield, IL: Charles C Thomas, (1957). This posthumous book was based on the first Thomas W. Salmon Lectures, which Meyer gave in 1931.
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Meyer was a strong believer in the importance of [[empiricism]], and advocated repeatedly for a scientific approach to understanding mental illness. He introduced the possibility of [[infection]]s (then viewed as the cutting edge concept of scientific medicine) being a biological cause of behavioral abnormalities, in contrast to [[eugenics|eugenic]] theories that emphasized [[heredity]] and to [[Freud]]'s theories of childhood traumas.  
  
George Kirby's ''Guides for History Taking and Clinical Examination of Psychiatric Cases'' (Utica: State Hospitals Press 1921) is essentially the form Meyer created and used at Manhattan State Hospital in 1905-1906. It provides an excellent view of Meyer's early approach to taking case histories.
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It was Meyer who suggested the term "[[mental hygiene]]" to [[Clifford Beers]], who himself had recovered from manic-depressive disorder. Beers later founded, with the support of Meyer and William James, the Connecticut Society for Mental Hygiene (1908) and the National Committee for Mental Hygiene (1909). The mental hygiene movement sought to improve the quality of care for the mentally ill, to prevent mental illness if at all possible, and to educate the public concerning mental health.
  
Meyer's paper "The Nature and Conception of Dementia Praecox," originally published in the ''Journal of Abnormal Psychology'', was one of three papers collected in ''Dementia Praecox: a Monograph'' (Boston: Richard G. Badger, 1911). This was the first book authored by Americans on schizophrenia. The other two papers were by [[Smith Ely Jelliffe]] and Meyer's colleague in New York, August Hoch. All three papers were originally read at a symposium on dementia praecox during the annual meeting of the American Neurological Association in 1910.
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==Legacy==
  
Meyer's influence on American psychology can be explored in ''Defining American Psychology: the Correspondence Between Adolf Meyer and Edward Bradford Titchener'', edited by Ruth Leys and Rand B. Evans. Baltimore/London: The Johns Hopkins University Press, (1990).
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Meyer wrote no books; his pervasive influence on [[United States|American]] [[psychiatry]] stemmed instead from his numerous published papers, his prestige, and his students, both at [[Manhattan]] State Hospital and, especially, at [[Johns Hopkins University]]. Many of his students went on to make significant contributions to American psychiatry or [[psychoanalysis]], though not necessarily as Meyerians. Most of the founders of the New York Psychoanalytic Society had worked under Meyer at Manhattan State Hospital, including its chief architect [[Abraham Arden Brill]].  
  
Though there is no biography of Meyer, his work and significance for American [[psychoanalysis]] are discussed in John C. Burnham's ''Psychoanalysis and American Medicine, 1894-1917: Medicine, Science, and Culture''. New York: International Universities Press, 1967. Meyer's importance to the development of American psychoanalysis is also extensively discussed and interpreted in John Gach's "Culture & Complex: On the Early History of Psychoanalysis in America," pages 135-160 in ''Essays in the History of Psychiatry'', edited by Edwin R. Wallace IV and Lucius Pressley. Columbia, SC: William S. Hall Psychiatric Institute, 1980. Brief but salient is John Burnham's entry on Meyer, pages 215-216 in volume seven of the ''International Encyclopedia of Psychiatry, Psychology, Psychoanalysis, & Neurology'', edited by Benjamin B. Wolman. New York: Van Nostrand Reinhold Company for Aesculapius Publishers, (1977).  See also Theodore Lidz, "Adolf Meyer and the Development of American Psychiatry." The American Journal of Psychiatry, 123(3), pp 320-332.
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Always eclectic and willing to absorb ideas from whatever sources he found relevant, Meyer never formed his own discrete school of thought with disciples. Though Meyer's own system of nomenclature never caught on, his ideas, especially those emphasizing the importance of social factors, and his insistence on understanding the life of the patient through careful [[interview]]ing, exerted considerable influence in psychiatry in America and other countries.  
  
[http://www.medicalarchives.jhmi.edu/sgml/amg-d.htm]
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==Publications==
Guide to the personal papers collection of Adolf Meyer at The Alan Mason Chesney Medical Archives of the Johns Hopkins Medical Institutions
 
  
[
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*Meyer, Adolf. 1948. ''The Commonsense Psychiatry of Dr. Adolf Meyer: Fifty-two Selected Papers''. Ayer Co. Publishers. ISBN 0405052162
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*Meyer, Adolf. [1950] 1952. ''The Collected Papers of Adolf Meyer''. Baltimore, MD: The Johns Hopkins University Press.
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*Meyer, Adolf. 1957. ''Psychobiology: A Science of Man''. Springfield, IL: Charles C Thomas.
  
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==References==
  
{{Credits|Adolf_Meyer_%28psychiatrist%29|122158133|}}
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*Burnham, John C. 1967. ''Psychoanalysis and American Medicine, 1894-1917: Medicine, Science, and Culture''. New York: International Universities Press.
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*Burnham, John C. 1977. "Adolf Meyer" in ''International Encyclopedia of Psychiatry, Psychology, Psychoanalysis, & Neurology'', pp. 215-216. New York: Van Nostrand Reinhold Company for Aesculapius Publishers. ISBN 9992998830
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*Gach, John. 1980. "Culture & Complex: On the Early History of Psychoanalysis in America" in ''Essays in the History of Psychiatry'', pp. 135-160. Columbia, SC: William S. Hall Psychiatric Institute.
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*Leys, Ruth and Rand B. Evans. 1990. ''Defining American Psychology: The Correspondence between Adolf Meyer and Edward Bradford Titchener''. Baltimore, MD: The Johns Hopkins University Press. ISBN 0801838657
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*Lidz, Theodore. 1966. "Adolf Meyer and the Development of American Psychiatry." ''The American Journal of Psychiatry'' 123(3): 320-332.
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==External links==
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All links retrieved June 15, 2023.
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* [http://www.critpsynet.freeuk.com/Meyermyth.htm “Adolf Meyer and the Myth/Reality of Mental Illness: Implications for Current Understanding”] by D. B. Double
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{{Credits|Adolf_Meyer_(psychiatrist)|122158133|}}

Latest revision as of 06:03, 15 June 2023


Adolf Meyer (September 13, 1866 – March 17, 1950) was a Swiss-born American psychiatrist who became one of the most influential figures in American psychiatry in the first half of the twentieth century. He rose to prominence as the president of the American Psychiatric Association.

Meyer pioneered the application of Freudian ideas in American psychiatry, suggesting that mental illness should be understood as a disorder of the personality rather than brain pathology. Meyer emphasized the need of collecting detailed case histories on patients, recognizing the role of the social environment in the development of mental disorders. His work, and that of his wife in visiting and interviewing the families of his patients, was the beginning of psychiatric social work. Although Meyer's efforts to introduce new terminology, with the exception of the term "mental hygiene," were not successful, many of his ideas remain and guide the field. In particular, his view that the patient be viewed as a whole person, physical and mental, both in diagnosis and treatment is foundational to the success of holistic approaches in mental health.

Life

Meyer was born in Niederwenigen, near Zürich, Switzerland, the son of a Zwinglian minister. Meyer was trained in neurobiology and neurophysiology at the University of Zürich. He received his M.D. in 1892, after studying psychiatry with Auguste-Henri Forel at the Burghölzli Mental Hospital. He also studied in England with Hughlings Jackson and in Paris with Jean-Martin Charcot. Meyer subsequently began his professional career as a neuropathologist.

Mayer hoped to obtain a teaching position at the University of Zürich, but unsuccessful, he emigrated to the United States in 1892. He first practiced neurology and taught at the University of Chicago, where he was exposed to the ideas of the Chicago functionalists. From 1893 to 1895 he served as pathologist at the newly founded Illinois Eastern Hospital for the Insane at Kankakee, Illinois. He then worked at the state hospital at Worcester, Massachusetts (1895–1902), all the while publishing papers in neurology, neuropathology, and psychiatry.

In 1902, Meyer became director of the Pathological Institute of the New York State Hospital system (shortly afterwards given the name The Psychiatric Institute). In the next few years he shaped much of American psychiatry by emphasizing the importance of keeping detailed patient records and by introducing Emil Kraepelin's classificatory system. While in the New York State Hospital system Meyer also adopted Freud's ideas about the importance both of sexuality and of the formative influence of early childhood experiences on the adult personality.

Meyer became professor of psychiatry at Cornell University in 1904, where he stayed until 1909. From 1909 to 1941 he was professor of psychiatry at Johns Hopkins University School of Medicine where he also served as director of the Henry Phipps Psychiatric Clinic from its inception in 1913. Under his leadership the clinic became an internationally renowned training center for psychiatrists.

Meyer died on March 17, 1950, in Baltimore, Maryland.

Work

Meyer never adhered to any particular school of psychiatry. He approach was eclectic, greatly influenced by Charles Peirce, William James, and John Dewey, and combining together the contributions of biology, physiology, psychology, and neurology into one practical approach to mental health science.

He called his approach "psychobiology," with the goal of integrating the psychological and biological studies of human beings. To stress the dynamic nature of mental disorders, he invented a new system of classification, "ergasiology," based on the Greek root erg (from ergon, work). Typical terms in this system were "ergasiatry" (psychiatry), "oligergasia" (idiocy), and "merergasia" (hysteria).

To make an accurate diagnosis of the problems his patients experienced, Meyer tried to take into account all relevant biological, psychological, and social factors. He thus emphasized collecting detailed case histories for patients, paying particular attention to the social and environmental background of the patient's upbringing. He looked into the patient's physical condition, past history, family life, work situation, and other facts that were relevant to treatment. Meyer believed that mental illness resulted from personality dysfunction, rather than brain pathology. He introduced some of the ideas of Sigmund Freud, such as the role of childhood sexuality in the development of mental disorders in adulthood.

Meyer’s wife, Mary Potter Brooks, participated in the work of her husband. She was the one who collected data about the patients. She visited them in their homes to observe their everyday life, talked to their families, and worked up detailed case records. In this manner Meyers pioneered the path of psychiatric social work, an essential part of a psychiatric treatment today.

Meyer was a strong believer in the importance of empiricism, and advocated repeatedly for a scientific approach to understanding mental illness. He introduced the possibility of infections (then viewed as the cutting edge concept of scientific medicine) being a biological cause of behavioral abnormalities, in contrast to eugenic theories that emphasized heredity and to Freud's theories of childhood traumas.

It was Meyer who suggested the term "mental hygiene" to Clifford Beers, who himself had recovered from manic-depressive disorder. Beers later founded, with the support of Meyer and William James, the Connecticut Society for Mental Hygiene (1908) and the National Committee for Mental Hygiene (1909). The mental hygiene movement sought to improve the quality of care for the mentally ill, to prevent mental illness if at all possible, and to educate the public concerning mental health.

Legacy

Meyer wrote no books; his pervasive influence on American psychiatry stemmed instead from his numerous published papers, his prestige, and his students, both at Manhattan State Hospital and, especially, at Johns Hopkins University. Many of his students went on to make significant contributions to American psychiatry or psychoanalysis, though not necessarily as Meyerians. Most of the founders of the New York Psychoanalytic Society had worked under Meyer at Manhattan State Hospital, including its chief architect Abraham Arden Brill.

Always eclectic and willing to absorb ideas from whatever sources he found relevant, Meyer never formed his own discrete school of thought with disciples. Though Meyer's own system of nomenclature never caught on, his ideas, especially those emphasizing the importance of social factors, and his insistence on understanding the life of the patient through careful interviewing, exerted considerable influence in psychiatry in America and other countries.

Publications

  • Meyer, Adolf. 1948. The Commonsense Psychiatry of Dr. Adolf Meyer: Fifty-two Selected Papers. Ayer Co. Publishers. ISBN 0405052162
  • Meyer, Adolf. [1950] 1952. The Collected Papers of Adolf Meyer. Baltimore, MD: The Johns Hopkins University Press.
  • Meyer, Adolf. 1957. Psychobiology: A Science of Man. Springfield, IL: Charles C Thomas.

References
ISBN links support NWE through referral fees

  • Burnham, John C. 1967. Psychoanalysis and American Medicine, 1894-1917: Medicine, Science, and Culture. New York: International Universities Press.
  • Burnham, John C. 1977. "Adolf Meyer" in International Encyclopedia of Psychiatry, Psychology, Psychoanalysis, & Neurology, pp. 215-216. New York: Van Nostrand Reinhold Company for Aesculapius Publishers. ISBN 9992998830
  • Gach, John. 1980. "Culture & Complex: On the Early History of Psychoanalysis in America" in Essays in the History of Psychiatry, pp. 135-160. Columbia, SC: William S. Hall Psychiatric Institute.
  • Leys, Ruth and Rand B. Evans. 1990. Defining American Psychology: The Correspondence between Adolf Meyer and Edward Bradford Titchener. Baltimore, MD: The Johns Hopkins University Press. ISBN 0801838657
  • Lidz, Theodore. 1966. "Adolf Meyer and the Development of American Psychiatry." The American Journal of Psychiatry 123(3): 320-332.

External links

All links retrieved June 15, 2023.


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