Stephen Fleck
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Stephen Fleck (September 18, 1912 – December 19, 2002) was a professor in the
psychiatry Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behaviour, cognition, and perceptions. See glossary of psychiatry. Initial psych ...
,
epidemiology Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and determinants of health and disease conditions in a defined population. It is a cornerstone of public health, and shapes policy decisions and evidenc ...
and
public health Public health is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals". Analyzing the det ...
departments at the
Yale University Yale University is a private research university in New Haven, Connecticut. Established in 1701 as the Collegiate School, it is the third-oldest institution of higher education in the United States and among the most prestigious in the wo ...
School of Medicine A medical school is a tertiary educational institution, or part of such an institution, that teaches medicine, and awards a professional degree for physicians. Such medical degrees include the Bachelor of Medicine, Bachelor of Surgery (MBBS, M ...
from 1953 to 1983 and professor emeritus from 1983 until his death. He had an early effect on the direction that American
psychiatry Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behaviour, cognition, and perceptions. See glossary of psychiatry. Initial psych ...
took during the mid- to late-twentieth century. With
Theodore Lidz Theodore Lidz (1 April 1910 – 16 February 2001) was an American psychiatrist best known for his articles and books on the causes of schizophrenia and on psychotherapy with patients with schizophrenia. An advocate of research into environmental ca ...
and Alice Cornelison, he was a co-author of the seminal book ''Schizophrenia and the Family'' (1965), a significant influence on the modern psychiatric thought and practice regarding the origins and treatments of
schizophrenia Schizophrenia is a mental disorder characterized by continuous or relapsing episodes of psychosis. Major symptoms include hallucinations (typically hearing voices), delusions, and disorganized thinking. Other symptoms include social withdra ...
.


Early life

One of four sons and one daughter born in
Frankfurt Frankfurt, officially Frankfurt am Main (; Hessian: , "Frank ford on the Main"), is the most populous city in the German state of Hesse. Its 791,000 inhabitants as of 2022 make it the fifth-most populous city in Germany. Located on its na ...
,
Germany Germany,, officially the Federal Republic of Germany, is a country in Central Europe. It is the second most populous country in Europe after Russia, and the most populous member state of the European Union. Germany is situated betwe ...
, to Georg and Anna Fleck, he was a young medical student in 1933 when a professor warned him and several other
Jewish Jews ( he, יְהוּדִים, , ) or Jewish people are an ethnoreligious group and nation originating from the Israelites Israelite origins and kingdom: "The first act in the long drama of Jewish history is the age of the Israelites""The ...
students that there were
Nazi Nazism ( ; german: Nazismus), the common name in English for National Socialism (german: Nationalsozialismus, ), is the far-right totalitarian political ideology and practices associated with Adolf Hitler and the Nazi Party (NSDAP) in ...
warrants out for their arrests. Fleck and most of his immediate family fled
Hitler Adolf Hitler (; 20 April 188930 April 1945) was an Austrian-born German politician who was dictator of Germany from 1933 until his death in 1945. He rose to power as the leader of the Nazi Party, becoming the chancellor in 1933 and then ...
's
Germany Germany,, officially the Federal Republic of Germany, is a country in Central Europe. It is the second most populous country in Europe after Russia, and the most populous member state of the European Union. Germany is situated betwe ...
, first to
The Netherlands ) , anthem = ( en, "William of Nassau") , image_map = , map_caption = , subdivision_type = Sovereign state , subdivision_name = Kingdom of the Netherlands , established_title = Before independence , established_date = Spanish Netherl ...
and then, in 1935, to
Boston Boston (), officially the City of Boston, is the state capital and most populous city of the Commonwealth of Massachusetts, as well as the cultural and financial center of the New England region of the United States. It is the 24th- mo ...
,
Massachusetts Massachusetts (Massachusett language, Massachusett: ''Muhsachuweesut assachusett writing systems, məhswatʃəwiːsət'' English: , ), officially the Commonwealth of Massachusetts, is the most populous U.S. state, state in the New England ...
, where he became a U.S. citizen. He finished medical school at
Harvard Harvard University is a private Ivy League research university in Cambridge, Massachusetts. Founded in 1636 as Harvard College and named for its first benefactor, the Puritan clergyman John Harvard, it is the oldest institution of higher le ...
, where he was a graduate assistant to John Rock while Rock was performing the preliminary research that led to the invention of the first birth control pill. This helped to spark Fleck's lifelong interest in
contraception Birth control, also known as contraception, anticonception, and fertility control, is the use of methods or devices to prevent unwanted pregnancy. Birth control has been used since ancient times, but effective and safe methods of birth contr ...
and
family planning Family planning is the consideration of the number of children a person wishes to have, including the choice to have no children, and the age at which they wish to have them. Things that may play a role on family planning decisions include marita ...
issues.


Military service

In 1941, Fleck enlisted in the U.S. Army Medical Corps and rose to the rank of captain. He was first stationed as a medical officer at
Camp Aliceville Camp Aliceville was a World War II era prisoner of war (POW) camp in Aliceville, Alabama. Its construction began in August 1942, it received its first prisoners in June 1943, and it shut down in September 1945. It was the largest World War II POW ...
, a U.S. Army Prisoner of War Camp at
Aliceville, Alabama Aliceville is a city in Pickens County, Alabama, United States, located thirty-six miles west of Tuscaloosa. At the 2010 census its population was 2,486, down from 2,567 in 2000. Founded in the first decade of the 20th century and incorporate ...
, where he was involved in treating a
diphtheria Diphtheria is an infection caused by the bacterium '' Corynebacterium diphtheriae''. Most infections are asymptomatic or have a mild clinical course, but in some outbreaks more than 10% of those diagnosed with the disease may die. Signs and s ...
epidemic that spread quickly among the prisoners. Among the Nazi prisoners were a number of Rommel Corps soldiers, some of whom, even while incarcerated in west central Alabama, attempted to
assassinate Assassination is the murder of a prominent or important person, such as a head of state, head of government, politician, world leader, member of a royal family or CEO. The murder of a celebrity, activist, or artist, though they may not have a ...
other Nazis they saw as having been disloyal to the
Third Reich Nazi Germany (lit. "National Socialist State"), ' (lit. "Nazi State") for short; also ' (lit. "National Socialist Germany") (officially known as the German Reich from 1933 until 1943, and the Greater German Reich from 1943 to 1945) was ...
. Since Fleck kept his national origin and fluency in
German German(s) may refer to: * Germany (of or related to) ** Germania (historical use) * Germans, citizens of Germany, people of German ancestry, or native speakers of the German language ** For citizens of Germany, see also German nationality law **Ge ...
secret from the prisoners, he was able to prevent some of these plotted murders. He was subsequently shipped to the
European Theater The European theatre of World War II was one of the two main theatres of combat during World War II. It saw heavy fighting across Europe for almost six years, starting with Germany's invasion of Poland on 1 September 1939 and ending with the ...
, and first posted in England in Army camp hospitals. Just before D-Day, Fleck was posted to
Bournemouth Bournemouth () is a coastal resort town in the Bournemouth, Christchurch and Poole council area of Dorset, England. At the 2011 census, the town had a population of 183,491, making it the largest town in Dorset. It is situated on the Southern ...
,
England England is a country that is part of the United Kingdom. It shares land borders with Wales to its west and Scotland to its north. The Irish Sea lies northwest and the Celtic Sea to the southwest. It is separated from continental Europe b ...
, to await transport over the channel with the medical (ambulance) corps. While in Bournemouth, he met Louise Harlan, an
American Red Cross The American Red Cross (ARC), also known as the American National Red Cross, is a non-profit humanitarian organization that provides emergency assistance, disaster relief, and disaster preparedness education in the United States. It is the desi ...
volunteer. Fleck stayed with ambulance corps attached to the 72nd and 76th Divisions as they moved through
Belgium Belgium, ; french: Belgique ; german: Belgien officially the Kingdom of Belgium, is a country in Northwestern Europe. The country is bordered by the Netherlands to the north, Germany to the east, Luxembourg to the southeast, France to th ...
. He was present at the
Battle of the Bulge The Battle of the Bulge, also known as the Ardennes Offensive, was the last major German offensive (military), offensive military campaign, campaign on the Western Front (World War II), Western Front during World War II. The battle lasted fr ...
and afterward was briefly in charge of the medical needs of some 30,000 captured German soldiers. Subsequently, he was involved in interrogating
POW A prisoner of war (POW) is a person who is held captive by a belligerent power during or immediately after an armed conflict. The earliest recorded usage of the phrase "prisoner of war" dates back to 1610. Belligerents hold prisoners of war ...
s and evacuating and treating
concentration camp Internment is the imprisonment of people, commonly in large groups, without charges or intent to file charges. The term is especially used for the confinement "of enemy citizens in wartime or of terrorism suspects". Thus, while it can simply ...
prisoners; he also traveled to several camps to search for records or other signs of surviving friends and extended family.


Early medical career

Fleck and Harlan were shipped home in August and September 1945; they were married on October 13, 1945. Fleck did his psychiatric residency at
Johns Hopkins Hospital The Johns Hopkins Hospital (JHH) is the teaching hospital and biomedical research facility of the Johns Hopkins School of Medicine, located in Baltimore, Maryland, U.S. It was founded in 1889 using money from a bequest of over $7 million (1873 mo ...
in
Baltimore Baltimore ( , locally: or ) is the List of municipalities in Maryland, most populous city in the U.S. state of Maryland, fourth most populous city in the Mid-Atlantic (United States), Mid-Atlantic, and List of United States cities by popula ...
,
Maryland Maryland ( ) is a state in the Mid-Atlantic region of the United States. It shares borders with Virginia, West Virginia, and the District of Columbia to its south and west; Pennsylvania to its north; and Delaware and the Atlantic Ocean to ...
, where he first met his lifelong colleague
Theodore Lidz Theodore Lidz (1 April 1910 – 16 February 2001) was an American psychiatrist best known for his articles and books on the causes of schizophrenia and on psychotherapy with patients with schizophrenia. An advocate of research into environmental ca ...
. He had a faculty position at the
University of Washington School of Medicine The University of Washington School of Medicine (UWSOM) is a large public medical school in the northwest United States, located in Seattle and affiliated with the University of Washington. According to ''U.S. News & World Report''s 2022 Best Grad ...
from 1949 until 1953, when Lidz invited Fleck to join him at the
Yale School of Medicine The Yale School of Medicine is the graduate medical school at Yale University, a private research university in New Haven, Connecticut. It was founded in 1810 as the Medical Institution of Yale College and formally opened in 1813. The primary te ...
Department of
Psychiatry Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behaviour, cognition, and perceptions. See glossary of psychiatry. Initial psych ...
.


Career at Yale

Fleck and Lidz "worked from the late 1940s on to change the direction of psychiatry from the purely
psychoanalytic PsychoanalysisFrom Greek: + . is a set of theories and therapeutic techniques"What is psychoanalysis? Of course, one is supposed to answer that it is many things — a theory, a research method, a therapy, a body of knowledge. In what might be ...
to a specialty incorporating social-scientific methodology, medical,
behavioral Behavior (American English) or behaviour (British English) is the range of actions and mannerisms made by individuals, organisms, systems or artificial entities in some environment. These systems can include other systems or organisms as well ...
,
neurological Neurology (from el, νεῦρον (neûron), "string, nerve" and the suffix -logia, "study of") is the branch of medicine dealing with the diagnosis and treatment of all categories of conditions and disease involving the brain, the spinal ...
and public-health factors, and especially familial considerations." They focused their long-term research on patients with schizophrenia and their families, culminating in the 1966 publication of the ground-breaking ''Schizophrenia and the Family,'' for which Lidz, Fleck and Cornelison won the 1985 American Family Therapy Academy "Pioneering Contribution to Family Therapy" award. In addition to his research, professorial, and supervisory roles at the school of medicine, Fleck was also chief psychiatrist at both the Yale Psychiatric Institute and the Connecticut Mental Health Center. Fleck officially retired from Yale in 1983 but continued to publish and to consult on colleagues' cases until a few months before his 2002 death. The Stephen Fleck Clinician and Teacher Awar

http://bms.brown.edu/DPHB/faculty/facultypage?id=1100924967

https://query.nytimes.com/gst/fullpage.html?res=9F04E4DA163AF93BA25752C0A96E9C8B63] at the Yale School of Medicine is named in his honor.


Personal life

The Flecks had three children in quick succession: Anna Lou (b. 1947), Stephen Harla

(b. 1948), and Carra Ruth (b. 1949). Together, the Flecks were campaigners for legalized birth control and abortion, participating in the activism that led to the landmark 1965 Supreme Court of the United States, Supreme Court decision ''
Griswold v. Connecticut ''Griswold v. Connecticut'', 381 U.S. 479 (1965), was a landmark decision of the U.S. Supreme Court in which the Court ruled that the Constitution of the United States protects the liberty of married couples to buy and use contraceptives withou ...
''. Louise Fleck had grown up in
Nome, Alaska Nome (; ik, Sitŋasuaq, ) is a city in the Nome Census Area in the Unorganized Borough of Alaska, United States. The city is located on the southern Seward Peninsula coast on Norton Sound of the Bering Sea. It had a population of 3,699 recorded ...
among other places, and had traveled and worked internationally before and after
World War II World War II or the Second World War, often abbreviated as WWII or WW2, was a world war that lasted from 1939 to 1945. It involved the vast majority of the world's countries—including all of the great powers—forming two opposin ...
receiving a BA (honors) in Spanish from the
University of Washington The University of Washington (UW, simply Washington, or informally U-Dub) is a public research university in Seattle, Washington. Founded in 1861, Washington is one of the oldest universities on the West Coast; it was established in Seattle a ...
. In New Haven, she became active in public school issues, and acquired an MAT-Reading. She tutored many illiterate adults, generally without fee. She and Stephen were married for almost 50 years until her death in 1992.


Partial list of published works

* * * * * * * *


See also

*
Theodore Lidz Theodore Lidz (1 April 1910 – 16 February 2001) was an American psychiatrist best known for his articles and books on the causes of schizophrenia and on psychotherapy with patients with schizophrenia. An advocate of research into environmental ca ...


References


External links

*Wall, Randy
"Inside the Wire: Aliceville and the Afrika Korps,"
Alabama Heritage Magazine (Winter 1988, No. 7). Accessed December 3, 2008 *Fleischman, Ronald
Review of ''Schizophrenia and the Family'' by Lidz, Fleck, and Cornelison
''
Psychoanalytic Quarterly ''The Psychoanalytic Quarterly'' is a quarterly academic journal of psychoanalysis established in 1932 and, since 2018, published by Taylor and Francis. The journal describes itself as "the oldest free-standing psychoanalytic journal in America". T ...
,'' 57:440-443 (1988). Accessed April 26, 2007 *Geraki, Stefania Palmyra
"In Memoriam: Psychiatrist Dr. Stephen Fleck"
''Yale Scientific'' (Spring 2003: Issue 76.3, Article 188). Accessed April 26, 2007. *Peart, Karen N
"In Memoriam: Influential Yale Psychiatrist Stephen Fleck, who Worked to Help Legalize Birth Control in the State"
Yale News Release, January 24, 2003. Accessed April 26, 2007. *Robbins, Lewis L
Review of Schizophrenia and the Family by Lidz, Fleck, and Cornelison
''
Psychoanalytic Quarterly ''The Psychoanalytic Quarterly'' is a quarterly academic journal of psychoanalysis established in 1932 and, since 2018, published by Taylor and Francis. The journal describes itself as "the oldest free-standing psychoanalytic journal in America". T ...
,'' 36:604-605 (1967). Accessed April 26, 2007. *Silver, M.D., Ann-Louise S
"Stephen Fleck, 1912-2002"
A Stephen Fleck memorial page at the website for The International Society for the Psychological Treatments of the Schizophrenias and other Psychoses. Accessed April 26, 2007.

''Yale Bulletin & Calendar'' (January 31, 2003: Vol. 31, No. 16). Accessed April 26, 2007. {{DEFAULTSORT:Fleck, Stephen 1912 births 2002 deaths United States Army Medical Corps officers American birth control activists American abortion-rights activists United States Army personnel of World War II American psychiatrists Theorists in psychiatry Jewish emigrants from Nazi Germany to the United States Harvard Medical School alumni Yale School of Medicine faculty Schizophrenia researchers Psychiatry academics People from Aliceville, Alabama