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Although I am a psychiatrist, it seems to me that social work, along with counseling, embodies my own values as much as any of the mental health professions. Yet, I've noticed in recent times that social workers have increasingly come under the influence of the traditional psychiatric biological model rather than under the influence of their own psychosocial model of democratization, social change, and empowerment of the client. If I can accomplish one thing today, and I hope this in no way sounds paternalistic, I would like to reempower you as social workers so that you can empower your clients in one of the traditions of the social work profession. I became involved in psychiatry by what can be called a social worker case aide route. I was a Harvard undergraduate in my freshman year when a friend came by and said to me, "Get off your rear end. Let's go out and volunteer at the state mental hospital." His brother had just started the Harvard-Radcliff Mental Hospital Volunteer Program. It was 1954. If we date my reform work to that day, I've been doing reform work for more than 46 years. When I stepped onto the state hospital wards, the scene evoked images from my Uncle Dutch's description of liberating a concentration camp, an extermination camp in Nazi Germany. The patients—the inmates—were humiliated, beaten down, living in rags, malnourished, and often subjected to horrendous physical and emotional abuse. They were lobotomized, they were electroshocked, and they were given overdoses of insulin to put them into comas. Medical experiments were carried on without any concept of the need for patients to give informed, voluntary consent. The Nuremberg code, which had evolved following the atrocities in World War II Nazi extermination camps, had not permeated Metropolitan State, or probably any of the state mental hospitals in the United States at the time. The hospital was truly a snake pit. The year, remember, was 1954, when neuroleptic drugs, the so-called antipsychotics, arrived in North America. They reached Metropolitan State within a year or so after I did.

Lectures: Empowering Social Work in the Era of Biological Psychology