david and junichi 2001 320Junichi Suzuki and David Clark at David Clark's home in Cambridge, August 2001.
Photograph by Craig Fees.

 

 

The late Dr. David H. Clark is internationally known as an enthusiastic and effective pioneer in social psychiatry. He was the Physician Superintendant of Fulbourn Hospital in Cambridge who led its opening up of therapeutic community wards, as described in his 1996 book, The Story of a Mental Hospital: Fulbourn 1858-1983. He was a founding member and first Chair of the Association of Therapeutic Communities, author of the influential books Administrative Therapy (1962), and Social Therapy in Psychiatry (1974), and an inspirational teacher and colleague.

In Japan he is also known as the author of The Clark Report, a critical survey and review of Japanese hospital psychiatry carried out on behalf of the World Health Organization during a four month visit from November 1967 to March 1968. He was concerned then that Japan was on the road to making the mistakes Western hospital psychiatry had made in the 19th century, with relentlessly growing numbers of inpatients, uneven standards, and few resources and little support for patients outside the hospital setting.

He wrote later that "the Clark Report caused considerable discussion in Japan in the early 1970s but that not much action was taken", and indeed, that by the 1980s Japan had pursued the course he had warned against, and had acquired "the melancholy distinction of the highest mental hospitalization rate in the world", with the attendant scandals and ill-treatments.

One of the exceptional young psychiatrists David Clark met in 1967 was Dr. Junichi Suzuki, who subsequently travelled to Britain, where he worked with Maxwell Jones at Dingleton Hospital in Scotland, and joined David Clark at Fulbourn as "a keen young Senior Registrar." Although he later returned to Japan, Dr. Suzuki regularly visited David in Cambridge, and in 2001 recorded this interview about "The Clark Report". It is a fascinating 59 minutes and 46 seconds, between two leading psychiatrists, and two very long-standing friends and colleagues.

Circulated in Japan after it was recorded, Dr. Suzuki sent a copy to the Archive earlier this year (2017), and is shared with Dr. Suzuki's permission.