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Alfred Adler's first book linked health to social conditions

In 1898 Alfred Adler published a health book for tailors arguing that their illnesses must be treated in light of their social and economic conditions.

Alfred Adler
Alfred Adler · 1870–1937
Person
Alfred Adler
Lived
1870–1937
Field
Individual psychology
From
Austrian

The story

Alfred Adler grew up in and around Vienna in a family whose fortunes swung between relative wealth and near-poverty, and he played with children from all walks of life, including working-class Christian families at a playground near his home. He later said these early observations of social and economic difference shaped his thinking.

He earned his medical degree from the University of Vienna in 1895. During his student years he joined a circle of socialist students, where he met Raissa Epstein, a young activist from Russia studying in Vienna; they married in 1897. Like her, he hoped to contribute to change in the world, though through medicine rather than politics. He first practised as an eye doctor before turning to general practice in a less affluent part of the city.

In 1898, the year the first of the couple's four children was born, Adler published the Health Book for the Tailoring Trade. Going far beyond a narrow medical perspective, Adler argued that the diseases common to tailors had to be treated holistically, taking into account the social, economic and psychological factors that contributed to their physical symptoms. A few years later he developed the same holistic view in articles for the medical journal Ärztliche Standeszeitung.

The historian Paul Stepansky, who made one of the first balanced studies of Adler's life, called these early writings a remarkable preliminary statement of Adlerian psychology. They show that Adler's central ideas, about the whole person living in a social setting, were already forming before he ever met Sigmund Freud. In the autumn of 1902 Freud invited him to join his Wednesday evening discussion group.

The same outlook ran through Adler's later work: his insistence that the social realm matters to psychology as much as inner drives, his free child guidance clinics in Vienna after the First World War, and his argument that doctors, teachers and social workers share responsibility for preventing illness. He has been called the first to carry psychiatry into the community.

Adler's tailoring book anticipated the modern recognition that working and living conditions shape health as surely as biology does, an idea now central to occupational and public health.

Why it matters

Adler's early work anticipated the modern understanding that health depends on working and living conditions as well as biology, a principle at the heart of public health today.

About Alfred Adler

Viennese physician who broke with Freud to found individual psychology, coined the “inferiority complex” and opened the world’s first child guidance clinics.

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Alfred Adler
1870–1937 · Individual psychology
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Sources

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