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Message Law & Psychiatry: Present at the Creation: Mental Health Law in Eastern Europe and the Former Soviet Paul S. Appelbaum, M.D.* What would it be like for a mental health system to operate in a legal vacuum? In a country like the United States, where a coherent body of statutory and case law dealing with issues like involuntary commitment and guardianship dates back more than 150 years, such a situation is difficult to imagine (1). Before 1988, however, neither the Soviet Union, nor many of the other communist countries in central or eastern Europe, had any laws on the books governing their mental health systems (2). Devoid of legal control, many of these systems proved susceptible to political manipulation, as psychiatry was enlisted to suppress dissent (3). http://www.antidrug.health.am/news/healthandlaw/posts/2779/
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