Profile

Photo of Marianne Springer-Kremser

Marianne Springer-Kremser

Birth:

1940

Death:

2023

Training Location(s):

Dr., Medical University of Vienna

Cert., Cornell University, New York

Cert., International Psychoanalytical Association, London

Primary Affiliation(s):

Institute for Depth Psychology and Psychotherapy (since 1973)

Assumption of the position of director of the institute (1987)

University Hospital for Women’s Health

  • Founder and director of the Psychosomatic Women’s Outpatient Clinic (1974)

Member of the Vienna Psychoanalytical Association and the International Psychoanalytical Association (since 1980)

  • Teaching analyst (since 1985)

Habilitation and Venia Docendi for Psychiatry, Psychotherapy and Psychosomatics (1982)

Head of the Department of Psychoanalyisis and Psychotherapy at the Medical University of Vienna (1987-2009)

Head of the Coordination Office for Austrian Therapy Research (1995-2002)

Appointment as full professor of psychiatry with special emphasis on psychotherapy and psychosomatics, Medical University of Vienna (2003-2009)

Member of the Ethics Committee of the Medical University of Vienna (2003-2009)

Women's representative of the Vienna General Hospital (AKH)

Independent practice for psychoanalysis

University and postgraduate teaching

Governing Council of the International Planned Parenthood Federation (IPPF)

Founding member of the Austrian Society for Psychosomatics in Gynecology and Obstetrics (1982)

Member of the Women Professors' Club of the Medical University of Vienna (since 2005)

Honorary Senator of the Medical University of Vienna (since 2009)

Career Focus:

Psychiatrist, depth Psychology, psychosomatics of women, psychoanalyst (WPV/IPA), women's health and women's health care, psychotherapy, teaching and training, women's specific medicine

Biography

Marianne Springer-Kremser was an influential Austrian psychiatrist, psychoanalyst and professor of depth Psychology and psychotherapy at the Medical University of Vienna. Called Austria's "grande dame of psychoanalysis" in earlier newspaper articles, Springer-Kremser was crucial in establishing and shaping psychiatric and psychosomatic healthcare for women. In Vienna's post-war healthcare system, which was heavily influenced by the aftermath of National Socialism, she tirelessly fought for the fair treatment of female patients and a confrontation with the past of her own discipline.

Growing up with a younger brother and having a close relationship of trust with her family (she learned how to deal with finances from her grandmother), she experienced early on how important encouragement and appreciation are when dealing with one another. Like many women in the family before her, Springer-Kremser attended the "special" grammar school on Rahlgasse in Vienna, where the left-leaning and headmistress Dr. Maria Jacot and her professor of history, Trude Glaser, left a lasting impression on Springer-Kremser early on. Based on previous family experience and a strong personal interest, Springer-Kremser decided to study medicine in Vienna with the aim of later becoming a psychiatrist.

As Springer-Kremser did not immediately get a job "in the clinic" [Vienna General Medical Hospital, then headed by Professor Dr. Hans Hoff] after completing her medical studies, she applied to the Baumgartner Höhe Psychiatric Hospital in Vienna and was immediately hired there. However, after just six months of service, Springer-Kremser was called to Prof. Dr. Wilhelm Graf Solms zu Rödelheim, the then director of Baumgartner Höhe, who informed her that Prof. Arnold, the first senior physician at the psychiatric clinic, had made Springer-Kremser a personal job offer after all. Even though Solms-Rödelheim did not want Springer-Kremser to leave and made several offers to persuade her to stay, it was immediately clear to Springer-Kremser that she would answer the call. What followed was an hour-long mentoring session in which Solms-Rödelheim gave Springer-Kremser "rules of conduct for the clinic": "And then Solms-Rödelheim, the feared and famous one, really gave me an hour's worth of rules of conduct for the clinic. It was amazing, among other things he said 'Never make a coffee for even the nicest colleague'. - Yes, he was absolutely right."

After a brief professional stopover in the Department of Internal Medicine (Waidhofen an der Ybbs Hospital) and the men's psychiatry ward at Vienna General Medical Hospital (AKH Vienna), Springer-Kremser was offered a position in women's psychiatry: "[I] got a job immediately afterwards because, bizarrely, there wasn't a single female psychiatrist in women's psychiatry at the time. Well, coincidences like that always help, don't they?" At the AKH, Springer-Kremser describes a targeted collaboration with selected colleagues, such as Dr. Ilse Riedmatten, whom she held in high esteem, and nurses to ensure the best possible treatment for female patients: "And there was this one colleague who we tried to get as a consultant, only this one again and again, because he really treated women decently, and that was a rarity." The head of women's psychiatry at the time was regarded as rigid and very determined by his Catholic convictions, and it was also known that some of the nurses were still in service with National Socialist convictions. Her colleague Renate von Leeuwen, who had survived a concentration camp, already briefed Springer-Kremser on "who you can talk to in this house and [who] you should keep your hands off." But Springer-Kremser found ways and tricks to "ease the difficult situation of women in psychiatric wards in some areas" and to protect female patients from some of the staff and the health service at the time.

At the beginning of the 1970s, after her lecture on female psychosexuality, Springer-Kremser was invited by gynecology Professor Hugo Husslein to found a psychosomatic women's outpatient clinic at the 2nd Women's Clinic of the General Medical Hospital. Women's psychosomatics thus developed early on into a special focus of Springer-Kremser's work, also in view of the establishment of the "time phase solution" [E.R. note: impunity of abortions] in Austria. The outpatient clinic still exists today and Springer-Kremser describes its importance as follows: "And it's a very important facility for many women, because it's low-threshold. Because they don't go to a psychiatric facility, they go to the women's clinic. [...] And we are not obliged to inform anyone about these women, they simply have an outpatient stamp and that's it."

While working in women's psychiatry in 1973, Springer-Kremser was recruited by social worker Elfriede Montag for the "Strotzka Clinic", meaning the University Clinic for Depth Psychology and Psychotherapy founded by Hans Strotzka at the Medical University of Vienna in 1971. Springer-Kremser immediately accepted and negotiated that she would continue to run the psychosomatic women's outpatient clinic in the Second Women's Clinic at the same time. Springer-Kremser and Montag thus became the first women to work under Professor Strotzka, who allowed his staff a great deal of freedom with regard to their own research activities and international contacts. At this time, Springer-Kremser traveled to New York City to see Otto Kernberg and began to learn from him: "I was at Kernberg's clinic in New York, for example. And later others were too, but some complained (MSK laughs) 'Why a woman first? But you weren't allowed to say that to Strotzka [...]. That was very important for me, because you really learn an incredible amount and make new contacts. And the contact is still there. He [Kernberg] was also here in the apartment [MSK's private apartment] and was very thrilled and said 'this is like Berggasse 19!"

At the same time, Springer-Kremser continued to establish herself as an expert on women's issues and became part of the Senate of the General Medical Hospital. In this role, Springer-Kremser attended all Senate meetings, which gave her a "good overview of which of the other colleagues in the hospital employed female staff at all and in what way - which is not uninteresting - and how they were then dealt with".

Springer-Kremser gained professorship in 1982, having habilitated in psychiatry, psychotherapy and psychosomatics and was awarded the "Venia Docendi" [note E.R.: authority to teach]. As part of university teaching, Springer-Kremser took over Strotzka's famous Saturday lecture "Introduction to Depth Psychology" at the Department of Psychology at the University of Vienna. Strotzka had previously taken over the compulsory lecture for students from Psychology professor Bayr-Klimpfinger, who had been subjected to denazification proceedings as a former member of the NSDAP. Nevertheless, depth Psychology was rather tolerated at the Institute of Psychology and Springer-Kremser had to constantly weigh up how far she could venture with her teaching content, because "we had such a shady reputation anyway. The reputation was 'they're all so left-wing and so pro-women' and that was the reputation. - Yes, right on." As part of the course, Springer-Kremser dedicated a lecture to the “Role of psychiatry in the Nazi state. Mass murder of the mentally ill", about which she published in 1988 together with her husband Prof. Dr. Alfred Springer in the Mitteilungen der Ärztekammer (Announcements from the Medical Association). Springer-Kremser was particularly interested in educating students about the medical crimes of the Nazi era - especially as the Chief of Criminal Investigation of Vienna was a regular visitor to her Saturday lectures at this time. For decades, she taught seminars on "Psychosomatics of Women" at the Medical University of Vienna, in which she always emphasized the importance of relationships and contact with patients. Students were allowed to accompany Springer-Kremser to her Wednesday appointment at the psychosomatic women's outpatient clinic and, under strictly agreed rules of conduct, attend the anamnesis interviews, which they in turn had to present and discuss in the seminar. In her seminar on "Focused Counseling", Springer-Kremser also taught not only the core competencies of counseling practice, but also values that were important to her, such as discretion, consideration and the right of patients to remain silent about their experiences.

Springer-Kremser recalled that she had few role models of her own, but rather "un-role models", such as a bossy superior at an early stage of her career. During this time, she learned that women can also exploit their power as superiors and do not have to treat patients humanely. But Springer-Kremser is not without reason known for her assertiveness and clear position: "but with me she had no luck and I just did what I had to do and that was it." However, according to her, discrimination at an institutional level also plays a role and it makes a big difference how balanced an institution is in this respect. In the past, structures were often intransparent and those in leadership positions were extremely powerful, which made the formation of targeted alliances with like-minded colleagues all the more important. Springer-Kremser therefore recommended that future career starters take a close look at their institutions and unwaveringly pursue their own "heart's pieces". The unannounced Saturday lecture on National Socialist medical crimes may have caused her "some trouble" in retrospect, but it is also one of the achievements of which she was particularly proud.

In 2007, Springer-Kremser was awarded the City of Vienna Prize for Medical Sciences and Public Education, followed by her emeritus status and appointment as Honorary Senator of the Medical University of Vienna in 2009. However, Springer-Kremser's professional successes were not the only things that were important to her. Of particular importance to her was her own family, her marriage and their daughter. At the time of the interview, Springer-Kremser was 81 years old, still working in private practice as a psychoanalyst and still in good contact with many of her former colleagues and companions.

By Emelie Rack (2023)

To cite this article, see Credits

Selected Works

Selected Works

By Marianne Springer-Kremser

Springer-Kremser, M. (1983). Psychosexualität und Gynäkologie. Deuticke.

Springer-Kremser, M., & Springer, A. (1988). Rolle der Psychiatrie im NS-Staat. Massenmord an Geisteskranken. Mitteilungen der Ärztekammer für Wien, 40(7/8), 23–25.

Springer-Kremser, M. (1989). Rosa Mayreder und die Psychoanalyse. In R. Witzmann (Hsg.), Aufbruch in das Jahrhundert der Frau? Rosa Mayreder und der Feminismus in Wien um 1900 (S. 84-89). Self-published by the Museums of the City of Vienna.

Springer-Kremser, M. (1991/2001). Patient Frau: Psychosomatik im weiblichen Lebenszyklus. Springer.

Springer-Kremser, M. (1996). Die Funktion individueller und institutioneller Gewalt bei der Entstehung und Aufrechterhaltung von Krankheit. In: E. Fröschl, S. Löw, R. Logar (Eds.)., Gegen Gewalt handeln. Fortbildungskonzept für medizinische Berufe. Bundesministerin für Frauenangelegenheiten Wien.

Springer-Kremser, M.; Leithner, K., & Fischer, M. (2002). Zum Verhältnis von Psychosomatik und Psychotherapie in Theorie und Praxis. Wiener Medizinische Wochenschrift, 152(19-20), 503–506.

Springer-Kremser, M., Fischer-Kern, M., & Leithner-Dziubas, K. (2006). Treatment of depression: what do women need? Zeitschrift für Psychsomatische Medizin und Psychotherapie, 52(2), 161–171.

Springer-Kremser, M., & Thierry, N. (n.D.). Das Spannungsfeld zwischen psychotherapeutischer Technik und sozialem Engagement. Written version of the conference contribution by M. Springer-Kremser. Available at: https://www.sozialleistungen.at/api/v1/spid/articles/9_6/pdf

Springer-Kremser, M., & Naderer, A. (2007). Sexualität und chronische Krankheit. Journal für Fertilität und Reproduktion, 17(4), 7–12.

Springer-Kremser, M., & Springer, A. (2013). Die Depressionsfalle. Braumüller Verlag.

Springer-Kremser, M. (2016). Die Neukonstituierung der Psychotherapeutischen Schulen und der Beginn der Akademisierung der Psychotherapie. In E. Gabriel, E. Dietrich-Daum, E. Lobenwein & C. Watzka (Eds.), Virus. Beiträge zur Sozialgeschichte der Medizin, Schwerpunkt: Gesellschaft und Psychiatrie in Österreich 1945 bis ca. 1970 (p. 191-206).

Springer-Kremser, M. (2019). Der weibliche Körper im kulturellen Spannungsfeld. In A. Assmann, J. Assmann & O. Rathkolb (Eds.), Geschichte und Gerechtigkeit (p. 275- 281), LIT.

By and about Marianne Springer-Kremser

Springer-Kremser, M. (2021, 12. August). Interview by E. Rack [Audio Recording].

Lehne, J., Husslein, P., & Kohlberger, P. (2019). Die Frauenheilkunde in Wien von ihren Anfängen bis in die Jetztzeit. Speculum – Zeitschrift für Gynäkologie und Geburtshilfe, 37(3) (Edition for Austria), 3–23.

Hausbichler, B. (2020, 20. April). Psychonanalytikerin: „Trauer wird schnell mit ‚Du bist depressiv‘ kommentiert.“ Diagnose und Geschlecht. DerStandard.at. Retrieved from: https://www.derstandard.at/story/2000116977523/psychoanalytikerin-trauer-wird- schnell-mit-du-bist-depressiv-kommentiert

Doering, S. (2023). Zum Tod von o. Univ.-Prof. Dr. med. Marianne Springer-Kremser (11.11.1940–26.02.2023). Neuropsychiatrie.

Kaindlstorfer, G. (2013, 02. May). Im Gespräch mit Marianne Springer-Kremser, „Mit Burnout als Diagnose kann ich nichts anfangen.“ Oe1.orf.at. Retrieved from: https://oe1.orf.at/programm/20...

Universitätsklinik für Psychoanalyse und Psychotherapie. (o.J.). Zum Gedenken an die ehemalige Klinikleiterin, o. Univ.-Prof. Dr. med. Marianne Springer-Kremser. Retrieved from: https://www.meduniwien.ac.at/hp/psychoanalyse/news/singleview/?tx_ttnews[tt_n ews]=6313&cHash=330f75fd582aad6e0eeca8b06dceea4c

Schütz, W. (2023, 28. February). MedUni Wien trauert um Marianne Springer-Kremser. Medizinische Universität Wien, News im Februar 2023. Retrieved from: https://www.meduniwien.ac.at/web/ueber-uns/news/2023/default- 0f8cff33a1/meduni- wien-trauert-um-marianne-springer-kremser/