Kemp, Annandale VA
Adler was born in Vienna, Austria on September 24, 1901, the second of
four children born to Alfred Adler–the founder of individual psychology–and his
Russian wife, Raissa Timofeyevna Epstein, who was a daughter of a Jewish
merchant. Alexandra’s brother Kurt was born in 1905 and her sister Cornelia in
1909. Alexandra was baptized on October 17, 1904 with her father and her older
sister Valentine (b. 1898) in the Protestant Church of the Dorotheergasse,
although it is unclear what Alfred’s “conversion” really meant: one biographer
claims Alfred rejected Judaism because it was a religion for only one ethnic
group and he wanted to “share a common deity with the universal faith of man”
(Bottome, 1939, p. 65). However, Kurt Adler insisted in 1995 that “we are all atheists,” and Alexandra’s
niece Margot also described her aunt as an atheist.1
Raissa Epstein Adler, a radical socialist,
influenced her husband’s views on women and served as a feminist model for her
daughters and son, having come to Zurich to study zoology, biology, and
microscopy because women were not allowed to study at the Russian universities.
Alfred provided both humor and a gift for music, and he played four-handed
piano with Alexandra. One of the family’s adventures included a 1914 vacation
in Russia shortly after
the outbreak of World War I: Raissa Adler and her children were caught in Russia and released
only after she convinced the Czar that she had been forced to marry Alfred.
Alfred’s war-time duties separated him from the family a great deal, and the
entire family suffered the typical deprivations of post-war Vienna. Alexandra no
doubt also witnessed some of the strong conflicts between Alfred and Raissa:
Alfred came from the working class, Raissa from the intelligentsia; he devoted
his energy to the promotion of individual psychology and education, she devoted
hers to radical politics; during the war, their sympathies went to their home
countries, which were at war with each other.
her father’s footsteps, Alexandra received her medical degree in 1926 from the University of Vienna, then specialized in psychiatry, completing her internship
and residency at the University of Vienna Neuropsychiatric Hospital where she
later directed the neurological department for women. She was one of the first
women to practice neurology both in her native Austria and later in America. In 1934 she
was in charge of a child guidance center in Vienna until it was
closed by the fascist Austrian Chancellor Dollfuss. Alexandra’s 1935 move to America appears to
have been multiply determined. According to Ellenberger (1970), Alfred Adler
had already foreseen the potential consequences of the Nazi regime, and sought
to ensure the future of individual psychology by bringing it to the United States. He started by
founding the Journal of Individual Psychology, which first appeared in
1935. Alfred settled in the United States in the early
1930s, and when he was thought to be dying Raissa and Alexandra came from Vienna to nurse him.
After his recovery, they stayed in America. Kurt Adler reports that the family
emigrated because his mother was arrested in 1935 for her work with the
"Red Help," a communist aid organization, and Alfred Adler had to
promise to take his wife out of Austria. Whatever the reasons
for the move, when they arrived in the fall of 1935 Alexandra was
immediately offered a position as a neurology instructor at the Harvard Medical School. Because no
women were given regular faculty posts, she was added to the research staff
with automatically renewable annual appointments. She served there and at Massachusetts
General Hospital through 1944.
She was a visiting professor of psychiatry at Duke University in 1944, and
had a private practice in North Carolina until 1946,
when she joined New York University College of Medicine’s department of
psychiatry, where she became a full professor in 1969. She was a member of the
staff at Gracie Square Hospital and at Bellevue Hospital, and worked
for 20 years with female offenders at the New York City Department of
Corrections, eventually publishing her observations on 1,000 patients (Adler,
psychotherapist, Alexandra was one of the leading systematizers and
interpreters of her father’s work, which she expounded first in the Zeitschrift
für Individual-Psychologie with a 1929 article on “the technique of giving
advice in child training” and a 1935 article “concerning the border zone
between neurosis and psychosis.” She provided a systematic overview in
Guiding Human Misfits (Adler, 1938),
a book printed in both the United States and England, with a second edition in
1948, reprint editions in the 1970s and 1980s, and a German edition in 1990.
She further clarified the tenets of individual psychology in book chapters
(e.g., Adler, 1947a, 1959), booklets (Adler, 1973), and various dictionaries
and encyclopedias (e.g., Adler, 1947b), emphasizing the concepts of organ
inferiority, psychic compensation, the neurotic’s fictitious goal or life
style, and the influence of family position or birth order. She also wrote
numerous articles for the (American) Journal of Individual Psychology,
focusing on Adlerian practices for the treatment of schizophrenia, neuroses,
and personality disorders; the use of modern drug treatments in psychotherapy
in the 1950s; the concepts of compensation and over-compensation; the practice
of group therapy; and the emergence of existentialist and religious
psychotherapies in the 1960s. After her father’s death in 1937, Alexandra
edited the 1937 volume of the Journal of Individual Psychology and
served as the president of the International Association of Individual
Psychology. In 1948 she became medical director of the newly founded Alfred
Adler Mental Hygiene Clinic in Manhattan, and became
actively involved with the new Alfred Adler Institute. Later she served as the
president of the American Society of Adlerian Psychology.
Adler was one
of the first to provide detailed accounts of what is now known as post-traumatic
stress disorder in 500+ survivors of the famous Coconut Grove nightclub fire
that occurred in Boston on November 28, 1942, claiming 492
lives. While Erich Lindemann (1944) worked with the families of victims to
develop a theory of grieving and the concept of “grief work,” Adler (1943)
studied survivors and found that they experienced unresolved grief with
personality changes involving guilt, rage, demoralization, and diminished elan
vital. Adler found that a year after the disaster 50% of the survivors still
experienced sleep disturbances, increased nervousness and anxiety, guilt over
survival, and fears related to the fire. Adler (1944, 1950) also reported at
length on the disintegration and restoration of vision in one of the fire
survivors who suffered from visual agnosia, most likely due to a lesion of the
brain caused by carbon monoxide fumes. The 22-year-old patient added part by
part until she recognized a whole; often she recognized parts and guessed the
nature of the whole. In essence, she recognized objects “by tracing the
contours, by adding the parts and making conclusions from all she had
perceived” (quoted in Arieti, 1974, p. 282). Adler’s work contributed to
demonstrating that this patient’s inability to perceive wholes was not due to a
defective visual field. Adler and others argued that “in certain pathological
conditions wholes cannot be perceived, only parts. A tendency exists, however,
to reconstruct wholes, at times inappropriate ones, only loosely related to the
original” (quoted in Arieti, 1974, p. 282). Arieti (1974) gave Adler’s studies
a central place in his argument regarding perception in schizophrenics, who
apparently manifest “an automatic fragmentation of perceptual wholes followed
by an instantaneous
reintegration according to primary process, rather than secondary
process [or] principles of cognition” (p. 281).
contributed to the understanding of the neurological basis of multiple
sclerosis. Adler and the Harvard neurosurgeon Tracy Jackson Putnam (Putnam
& Adler, 1937) conducted a post-mortem study of the brain of a woman
diagnosed with multiple sclerosis, demonstrating that cerebral plaques
characteristically spread in a rather odd, specific relationship to large
epiventricular veins and bizarrely altered the affluents of these veins.
Illustrations from this article are routinely reproduced in the medical
literature on multiple sclerosis.
Alexandra married Halfdan Gregersen, a former dean and professor of romance
languages at Williams College. Gregersen died
in 1980. Adler died January 1,
2001, in the New York University hospital where
she had worked, of various complications of aging. Her Jewish friends honored
her life by observing shloshim. Prior to her death she was honored with the
1977 Goldenes Ehrenzeichen der Stadt Wien (a gold
decoration from the city of Vienna) and she was included as a case study in a book on Jewish Women in
New York Exile (Hartenstein, 1999).
In addition to the references that follow, I relied
on a “meditation on death” delivered in January 2001 by National Public Radio
correspondent Margot Adler who was responsible for the end-of-life decisions
prior to Alexandra’s death, and on the following internet sources visited
January 8, 2003: an interview with Kurt Adler
Alfons Schelling’s website on multiple sclerosis (http://www.multiple‑sclerosis‑abc.org/evo/msmanu/844.3A1D141718604);
obituaries of Alexandra Adler in The Washington Post and The New York
Times (both at http://www.alfredadler.edu/news.htm)and the Harvard
and a posting in the PNAI-OR-RABBI Digest 1698 (at
Adler, A. (1938). Guiding human
misfits; A practical application of individual
(1943). Neuropsychiatric complications in victims of Boston's Coconut
Grove disaster. Journal of the American Medical Association,
(1944). Disintegration and restoration of optic recognition
in visual agnosia. Archives of Neurology and Psychiatry, 51,
(1947a). Alfred Adler’s viewpoint on child guidance. In E. Harms (Ed.). Handbook of child guidance (pp.
707-722). Oxford, England: Child Care
(1947b). Individual psychology. Adlerian
school. In P. L. Harriman (Ed.), Encyclopedia of
psychology (pp. 262-269). New York: McGraw-Hill.
(1950). Course and outcome of visual agnosia. Journal
of Nervous and Mental Disease, 111, 41-51.
(1955). Some psychiatric aspects of female offenders in the
Women’s House of Detention. Journal of Social Therapy, 1,
(1959). Individualpsychologie (Alfred Adler). In V. E. Frankl,
V. E. von Gebsattel, & J. H. Schultz (Eds.). Handbuch
der Neurosenlehre und Psychotherapie. Bd. 3.
Spezielle Psychotherapy I (221-268). Munich: Urban &
(1973). Alfred Adler’s individual psychology. Nutley, NJ: Roche Laboratories.
(1974). Interpretation of schizophrenia (2nd ed.
rev.). New York: Basic Books.
(1939). Alfred Adler: Apostle of freedom. London: Faber &
(1970). The discovery of the unconscious: The history and evolution of
dynamic psychiatry. New York: Basic Books.
(1999). Jüdische Frauen im New Yorker Exil: 10 Begegnungen [Jewish
women in New York exile: Ten
examples]. Dortmund: Edition
(1944). Symptomatology and management of acute grief. American
Journal of Psychiatry, 101, 141-148.
Putnam, T. J.,
& Adler, A. (1937). Vascular architecture of the
lesions of multiple sclerosis. Archives of
Neurology and Psychiatry, 38, paging not known.
* An abridged version of this article was
originally published in The Feminist Psychologist, Newsletter of the Society
for the Psychology of Women, Division 35 of the American Psychological
Association, Volume 30, Number 2, Spring, 2003. Appearing with permission of the author.