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					 | Dr Robert Jay Lifton | THE NAZI DOCTORS: Medical
						Killing and
						the
 Psychology
						of Genocide ©
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				427 |   
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					 | Doubling: The Faustian
						Bargain |   
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					 | she must dissect, often enough on the first day of medical
						school. One feels it necessary to develop a medical self, which
						enables one not only to be relatively inured to death but to function
						reasonably efficiently in relation to the many-sided demands of the work. The
						ideal doctor, to be sure, remains warm and humane by keeping that doubling to a
						minimum. But few doctors meet that ideal standard. Since studies have suggested
						that a psychological motivation for entering the medical profession can be the
						overcoming of an unusually great fear of death, it is possible that this fear
						in doctors propels them in the direction of doubling when encountering deadly
						environments. Doctors drawn to the Nazi movement in general, and to SS or
						concentration-camp medicine in particular, were likely to be those with the
						greatest previous medical doubling. But even doctors without outstanding Nazi
						sympathies could well have had a certain experience with doubling and a
						proclivity for its further manifestations. 
 Certainly the tendency
						toward doubling was particularly strong among Nazi doctors. Given the
						heroic vision held out to them  as cultivators of the genes and as
						physicians to the Volk, and as militarized healers combining the
						life-death power of shaman and general  any cruelty they might perpetrate
						was all too readily drowned in hubris. And their medical hubris was furthered
						by their role in the sterilization and euthanasia projects within a
						vision of curing the ills of the Nordic race and the German people.
 
 Doctors who ended up undergoing the extreme doubling necessitated by
						the euthanasia killing centers and the death camps were probably
						unusually susceptible to doubling. There was, of course, an element of chance
						in where one was sent, but doctors assigned either to the killing centers or to
						the death camps tended to be strongly committed to Nazi ideology. They may well
						have also had greater schizoid tendencies, or been particularly prone to
						numbing and omnipotence-sadism, all of which also enhance doubling. Since, even
						under extreme conditions, people have a way of finding and staying in
						situations they connect with psychologically, we can suspect a certain degree
						of self-selection there too. In these ways, previous psychological
						characteristics of a doctors self had considerable significance 
						but a significance in respect to tendency or susceptibility, and no more.
						Considerable doubling occurred in people of the most varied psychological
						characteristics.
 
 We thus find ourselves returning to the recognition
						that most of what Nazi doctors did would be within the potential capability
						 at least under certain conditions  of most doctors and of most
						people. But once embarked on doubling in Auschwitz, a Nazi doctor did indeed
						separate himself from other physicians and from other human beings. Doubling
						was the mechanism by which a doctor, in his actions, moved from the ordinary to
						the demonic. (I discuss the factors in this process in chapter 20.)
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			 | THE NAZI DOCTORS: Medical Killing and the
 Psychology of
				Genocide
 Robert J. Lifton
 ISBN 0-465-09094
 ©
				1986
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