Mind, Brain, Body, and Behavior

(Nancy Kaufman) #1

10 FARRERAS


institutes. Dyer objected to the training and community services com­
ponents which Felix wanted to bring on board but he finally agreed, in
exchange for the transfer of the Lexington and Fort Worth narcotic farms
to the Division of Hospitals within the Bureau of Medical Services.^39
When the NIMH became one of the institutes of the NIH, the PHS
Division of Mental Hygiene was abolished. Given the lack of knowledge
at the time about the etiology, prevention, and treatment of mental ill­
ness, the NIMH readily decided that it would support and fund research
in any field related to mental illness. Such a broad mission was impor­
tant; the NIMH did not share the prestige of the other NIH institutes
at the time. In Felix’s words:

This wasn’t the most friendly climate....I got nothing but
misunderstanding....We weren’t respectable. Clinical research
in psychiatry wasn’t even research. There wasn’t any basic
research going on. We weren’t doing any physiology, or
chemistry and so forth. All we did was listen to people talk
and then draw hypotheses and say that they were facts. We
were sloppy in the way we did things. You could see the
hostility, and you could see the fear of us. These guys were a
little nervous about these psychiatrists. As one guy told me
one time...“I don’t like to sit in a Directors’ staff meeting
with you because I think all the time you’re trying to psych
me [out], and I’m on my guard from the minute I walk in the
room, until you walk out. I don’t like you around.”^40

Felix and the NMHAC thus decided that mental health research would
never be targeted research. As Felix said, “[W]e would never say, ‘We
want to do research in so and so,’ but rather this would be free research
in order that we could sift and mine the largest amount of dirt, to see
where there was pay.”^41
In addition to research focusing on mental illness, the NIMH was
unique in that it incorporated a social mission–including training and
services in addition to research. It also went beyond basic and clinical
biomedical research to include and support behavioral and social science
research.^42 The NIMH’s operating programs consisted of four principal
branches: a Community Services Branch (consultant services to states);
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