History of Education Review
Emerald Article: "Help for wayward children": child guidance in 1930s
Australia
Katie Wright
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Katie Wright, (2012),""Help for wayward children": child guidance in 1930s Australia", History of Education Review, Vol. 41 Iss:
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41,1
“Help for wayward children”: child
guidance in 1930s Australia
Katie Wright
4
Melbourne Graduate School of Education, The University of Melbourne,
Melbourne, Australia
Abstract
Purpose – Historical studies of the expert management of childhood in Australia often make passing
reference to the establishment of child guidance clinics. Yet beyond acknowledgement of their
founding during the interwar years, there has been little explication of the dynamics of their
institutional development. The purpose of this article is to examine the introduction of child guidance
in Australia against the backdrop of the international influences that shaped local developments.
Design/methodology/approach – The article investigates the establishment of child guidance
clinics in Melbourne and Sydney in the 1930s. In doing so, it explores the influence of American
philanthropy, the promise of prevention that inspired the mental hygiene movement, and some of the
difficulties faced in putting its child guidance ideals into practice in Australia.
Findings – American philanthropy played an important role in the transnational carriage of ideas
about mental hygiene and child guidance into Australia. However, it was state support of child
guidance activities that proved critical to its establishment. In addition to institutional developments,
what also emerges as important in the 1930s is the traction gained in the broader realm of ideas about
“adjustment” and mental health, particularly in relation to the efficacy of early intervention and
multidisciplinary approaches to treating problems of childhood.
Originality/value – In tracing its early development, the article argues for the importance of
understanding child guidance not only in terms of its administrative successes and failures, but also
more broadly in terms of how early intervention as an influential mode of thought and practice took
root internationally.
Keywords Child guidance, Mental hygiene, Psychiatry, Psychology, Australia, Commonwealth fund,
Carnegie Corporation
Paper type Research paper
In 1932, Kenneth Cunningham, founding director of the Australian Council for
Educational Research (ACER) and a member of the Victorian Council for Mental
Hygiene (VCMH), reported the results of an investigation into “Problem children in
Melbourne schools” (Cunningham, 1932). The study, undertaken at the instigation of
the VCMH and funded by ACER, sought to ascertain “the number of children who, in
their mental disabilities, in their educational attainments, in their behaviour, or in their
personal make-up, presented problems calling for expert examination and guidance”
(ACER, 1931, p. 29). Gauging the number of so-called problem children was an
important exercise for the newly formed Mental Hygiene Council, as one of its
History of Education Review
Vol. 41 No. 1, 2012
pp. 4-19
r Emerald Group Publishing Limited
0819-8691
DOI 10.1108/08198691211235545
Katie Wright is the recipient of an Australian Research Council Postdoctoral Fellowship
(DP0987299: “Educating the adolescent: an historical study of curriculum, counselling and
citizenship, 1930s-70s”). Research for this article undertaken in the USA was also supported by
an Australian Academy of the Humanities Travelling Fellowship (2008). An earlier version of
this paper was presented at the Academy of Social Sciences in Australia Workshop,
“Philanthropy and public culture: the influence and legacies of the Carnegie Corporation of
New York in Australia” (2010). For helpful comments and feedback, the author wishes to thank
David Goodman, Barbara Kamler and Julie McLeod.
founding objectives had been to oversee the establishment of a child guidance clinic in
Victoria. The results of the study overseen by Cunningham supported the view of those
associated with the mental hygiene movement in Australia that there was significant
need and scope for such a venture. It was estimated that around 14 per cent, or some
22,000 children in the Melbourne metropolitan region, could be considered “problem”
cases, that is, children who were suffering from “defects of personality, conduct
disorders, mental retardation, educational defects, physical defects, and bad habits”
(Cunningham, 1932, p. 85).
Cunningham’s report was not the first to underscore the need for a child guidance
clinic in Melbourne, organised along the lines of those developed in the USA in the
1920s for the diagnosis and treatment of mild behaviour and emotional problems in
school-aged children[1]. Richard Berry, Professor of Anatomy and Dean of Medicine at
the University of Melbourne, had furnished a report in 1929 that made a similar call
(Berry, 1929). Berry (1929) was an enthusiastic promoter of mental hygiene and argued
that the establishment of such a clinic was “urgently wanted” and “long overdue”
(p. 30). Reflecting a somewhat broader vision than Cunningham’s later focus on
problem children, it was Berry’s view that the chief function of such a clinic should be
directed towards investigating the phenomena of child development in both normal
and abnormal children, and that this work should be supplemented with the treatment
of physical and mental problems using “the best of available medical, educational, and
psychological knowledge” (Berry, 1929, p. 31). That child guidance might offer parents
some expert advice in a period of rapid social change was another important
aspect. For it was Berry’s view that the changing attitudes of the young towards
religion, morality, sex, discipline and the like, had left parents “somewhat bewildered”
(Berry, 1929, p. 30).
Like others associated with the mental hygiene movement, Berry’s enthusiasm for
child guidance was underpinned by a belief in the utility of scientific expertise,
particularly that of the human sciences. In making his case for the importance of the
scientific study of the child and the value of early intervention in problem cases, Berry
declared that “the children of to-day are the real wealth of the nation”. He went on to
ask, somewhat rhetorically: “Is, then, their future to depend on the unverified opinions
of an amateur, superficial, and bungling decade, or is it to be the product of scientific
research and knowledge?” (Berry, 1929, p. 31; see also, The Argus, 1929). Studying
children, and identifying and treating psychological and behavioural problems early,
promised significant benefits for a modernising Australia. The preclusion of juvenile
delinquency and the prevention of personal and social “maladjustment” was one
dimension. Another involved not just drawing on the best available scientific
knowledge from other parts of the world, but importantly, contributing to its
production. By foregrounding the place of child study, and broadly disseminating
research findings, Berry envisaged the work of child guidance in Melbourne as
extending across Australia and influencing the world beyond.
To date, the historiography of child guidance has focused predominantly on its
development in the USA and on the role of the American philanthropic foundation,
the Commonwealth Fund, as its major sponsor (Horn, 1989; Jones, 1999; Richardson,
1989). A small but growing body of scholarly work also documents its history in
northern Europe, notably in Britain, where the Commonwealth Fund extended its
sphere of influence beyond America through the funding of child guidance activities
in England (Sampson, 1980; Stewart, 2009; Thom, 1992). This paper builds on and
extends this literature by considering the origins of child guidance in Australia.
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Further illuminating the transnational nature of the child guidance movement, it
examines developments beyond the northern epicentre of the movement, and in doing
so contributes to Australian historical studies of childhood and its expert management.
Indeed, a key dimension of the history of child guidance in Australia as elsewhere, is
that it was a movement marked by the transnational circulation of emerging ideas
about preventative mental health, in the context of increasing anxieties about problems
of childhood maladjustment. Transatlantic exchanges have been well documented,
yet little attention has thus far been paid to the “traffic in ideas” that extended to more
remote regions of the world, like Australia (McLeod and Wright, 2009).
A related concern is the influence of American philanthropy, specifically its role in
the development of child guidance outside the USA. A number of studies have shown
how Commonwealth Fund activities shaped developments in Britain, drawing
attention to the internationalist agenda of American foundations and also considering
their interplay with local social reform efforts in the area of child mental health
(Stewart, 2004, 2006b; Thom, 1992; Thomson, 1995). An examination of attempts to
institutionalise child guidance in Australia offers another vantage point from which to
assess the complex and far-reaching effects of American philanthropy. I argue that
while the Commonwealth Fund’s influence in the antipodes was significant, it was
largely indirect – insofar as it provided models to be emulated but not the resources to
do so. Other American philanthropic foundations, however, played a more direct role.
In the Australian context the Carnegie Corporation of New York provided important
support for a range of key players and agencies associated with the fledgling child
guidance movement. Although modest compared with the Commonwealth Fund’s
support of child guidance elsewhere, I argue that Carnegie philanthropy was
instrumental in the carriage into Australia of American models of mental hygiene
for children, notably those associated with prevention and early intervention.
Child guidance as a transnational movement
In her history of child guidance in the USA, Margo Horn dates the emergence of
the child guidance movement to 1922, when amid growing concerns about problems of
juvenile delinquency and “mental disease”, the Commonwealth Fund financed the
establishment of community mental health facilities for children and adolescents: so
called child guidance clinics (Horn, 1989, p. 2). Child guidance was a key component
of the Fund’s philanthropic programme of mental hygiene (Stevenson, 1934). It formed
part of a broader preventative mental health strategy, in which children could be
studied and treatment provided for emotional, psychological and behavioural problems
in their early stages. Consequently, as Horn argues, the history of child guidance is
intimately connected to the history of the Commonwealth Fund, and the direction its
board of directors chose in forging its work in the areas of child welfare, public health
and mental hygiene (Horn, 1989, p. ix).
Founded in 1918 with an initial bequest of US$10 million from Anna Harkness, the
Commonwealth Fund was established with freedom to choose its own direction, being
charged only with the responsibility that it was “to do something for the welfare of
mankind” (Commonwealth Fund, 1963, p. 4). In its first years, appropriations were
made for a variety of purposes, but by the early 1920s it began to develop structured
programmes, finding its niche in the area of public health with an emphasis on the
mental and physical health of children. One of its first major initiatives in this area
was the “Program for the Prevention of Delinquency”, which included the
establishment of child guidance clinics, training of child guidance personnel and
studies of children and problems of childhood. The Fund’s initial focus on delinquency,
however, quickly moved to that of the “normal” child exhibiting mild behaviour
and emotional troubles. Evidently, the treatment of delinquents could only be of limited
effectiveness. The real promise was in prevention, before maladjustment could
manifest itself in antisocial or criminal behaviour and serious disorders of conduct
(Horn, 1984). With this shift in focus, child guidance came to constitute a popular
and significant element of the American mental hygiene movement.
Both in the USA and elsewhere, support for mental hygiene reflected an
enthusiastic embrace of the emerging knowledges and professional expertise of the
human sciences, and optimism about their role in progressive social reform (Thomson,
1995). The child study and parent education movements both embraced and
contributed to the reconfiguration of understandings of childhood, understandings
which were, in turn, promoted by psychiatrists, psychologists and middle-class
reformers alike. This involved a growing acceptance of the view that childhood was a
period of psychological and emotional vulnerability and that modern scientific
approaches to parenting were urgently needed. The rapid increase in child-rearing
manuals in the 1920s reflected this, and involved not only the proffering of advice to
anxious parents, but the emergence of new standards, which in turn created new
anxieties (Schlossman, 1981; Stearns, 2003). Parents were warned that children
who deviated from prescribed standards of normality were at risk of maladjustment.
Hence, early intervention was important, indeed critical in order to circumvent
major social and psychological problems later in life (Tyler, 1997). The theory and
technique of child guidance provided an important means by which emerging
expertise in the area of child development could be marshalled to tackle what appeared
to be increasingly intractable social problems: first that of juvenile delinquency and,
soon after, that of mental illness.
Closely associated with the development of child guidance was a range of
philanthropic sponsored activities designed to create a greater understanding of
childhood as well as promote mental health in children of all ages, from preschool to
adolescence. Scientific research on child development and parent education, for
example, was a key focus of the Laura Spellman Rockefeller Memorial, which funded
child study institutes in the USA in the 1920s and 1930s (Richardson, 1989). Many of
these institutes had connections to day nurseries and nursery schools, which
themselves were an important site of childhood intervention, providing the new
experts of childhood with a cohort of preschool-aged children for the scientific study,
and children with an environment conducive to optimal socialisation and normal
development. Teachers in nursery schools commonly took courses in psychology,
child study and mental hygiene, and some day nurseries appointed psychiatrists and
social workers, a development attributed to the success of the child guidance clinics set
up by the Commonwealth Fund (Wrigley, 1990, p. 298; Richardson, 1989, p. 100;
Stevenson, 1934, p. 44).
While the mental hygiene movement encompassed a diverse range of activities,
child guidance, according to the director of the Commonwealth Fund’s Division of
Community Clinics, George Stevenson, represented “a reasonably unified approach to
the behavior problems of children” (Stevenson, 1934, p. vi). Clinics were both places
of research and centres for treatment, where the study of problems of children and
their clinical management was undertaken by a team comprising a psychiatrist,
a psychologist and at least one – usually psychoanalytically trained – social worker.
Certainly, there were variations between clinics – in terms of technical procedure, the
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provision of training for child guidance personnel and the use of external professional
expertise, such as a paediatrician. Nevertheless, the defining feature of the child
guidance model was that it was based on this threefold multidisciplinary clinical team,
which meant that a comprehensive picture of the child could be ascertained from a
psycho-medical, psychological and social standpoint (Cook, 1944; Stevenson, 1934).
Schools, social agencies, parents and courts were the chief instigators for the
assessment of a child, and selected “cases” were typically of “normal” intelligence and
exhibiting behaviour problems or problems of educational or emotional adjustment.
Following receipt of a referral or request for an appointment, staff of the clinic, usually
the social worker, would elicit further information about the child whereupon the clinic
staff would decide whether the child should be accepted for diagnosis and, if necessary,
treatment. For some children contact with the clinic was limited to simple diagnostic
study. An educational problem, for example, might be resolved with a diagnosis of a
physical impairment, such as a vision problem. The “full service” of the clinic, by
contrast, involved drawing on the expertise of each child guidance specialist. In such
cases, the psychiatrist would conduct a physical examination and interview the child
to gain an insight into emotional problems. The psychologist would administer
psychological tests and the social worker would attempt to understand the underlying
social factors, generally through contact with the child’s family and school, as well as
through referring social agencies. Treatment would then consist of psychotherapy,
which often involved both the child and the parents, for as Stevenson noted, “usually
the more toxic factors in the situation are found in the adult environment” (Stevenson,
1934, p. 58). Where necessary, environmental “adjustments”, such as changes in school
placement, physical regime and recreational activities, would also be made.
In the USA, the Commonwealth Fund’s child guidance activities constituted a broad
programme through a network of associated agencies. Clinics were established across
the country under the auspices of the National Committee for Mental Hygiene and
funded for an initial “demonstration” period; a Bureau of Child Guidance was set up at
the New York School of Social Work for the examination and treatment of children and
the training of psychiatric social workers; and the Public Education Association of
New York coordinated a programme of visiting teachers, essentially school social
workers who identified problem children and referred them to clinics (Horn, 1989).
By the time the Commonwealth Fund withdrew direct support for mental hygiene
programmes in the USA, child guidance was well established[2]. In 1933, 11 years after
the eight original demonstration clinics were set up, 35 were in operation across
the country, and a decade later this number had reached 60 (Horn, 1989, p. 58). In
addition, there were hundreds of psychiatric clinics for children operating along child
guidance lines, with a threefold staff of psychiatrist, psychologist and social worker
(Witmer, 1940).
It was not only in the USA, however, that the Commonwealth Fund was
instrumental to the establishment of child guidance. Indeed, the programmes it funded
shaped ideas and practices in many western countries, not least in Britain, where in
the late 1920s it financed and oversaw child guidance activities based on the American
model (Stewart, 2004, 2006b). “The English Mental Hygiene Program” began in 1927
and was supported by the Commonwealth Fund for 20 years. It involved the
establishment of a child guidance clinic in London, which also served as a training
centre for social workers, financial support for a mental health course at the London
School of Economics and aid for the Child Guidance Council, which was something of
an educative agency for mental hygiene and preventative psychiatry (Scoville, n.d.).
Soon after the London clinic opened, others were set up along similar lines. By 1932, the
Child Guidance Council had assisted with the establishment of clinics in Liverpool,
Glasgow and Birmingham, and by 1936 there were 18 clinics in connection with it,
most of which had been given assistance in the form of the loan of a psychiatric social
worker for the first year or two of operation[3].
Both in Britain and the USA, support of the Commonwealth Fund was critical to the
coordinated efforts to institutionalise child guidance, which as we shall see, was
missing in Australia. The programmes it designed reflected recognition of the clinical,
educational and organisational elements needed to successfully establish a new
multidisciplinary model of mental health service provision for young people.
Professional education and training was critical. In fact the Fund’s support of the
London clinic was conditional upon it acting as a research centre and training facility
for psychiatric social workers. Public education, or “propaganda” as it was referred to,
also formed an important component, and this in turn was coordinated through
committees charged with responsibility for setting standards and disseminating
information about the utility of early intervention for problems of maladjustment. In
addition to the coordinated efforts of the Commonwealth Fund to develop and forge
links with key players and agencies concerned with mental hygiene, its division of
publications also played an important role in facilitating the dissemination of
knowledge of child guidance, not only within the USA and Britain, but also
internationally.
The international flourishing of ideas about mental hygiene and child guidance
formed part of the broader transnational traffic in ideas about social welfare and public
policy during the interwar period[4]. Certainly, there were elements of cultural
imperialism. As Matthew Thomson argues, international attempts at spreading the
mental hygiene message were in reality predominantly American. Yet there were also
other factors at play, not least of which were professionalising activities of mental
health workers who, as Thomson notes, “were both part of an international psychiatric
community yet dependent on national patronage for their personal success” (Thomson,
1995, p. 284). Exporting American ideas of mental hygiene through child guidance
was, consequently, a difficult and sometimes fraught enterprise. As John Stewart has
shown, the Commonwealth Fund found its British operations “immensely frustrating”
as there was often a discord between its views and directions taken in England
(Stewart, 2004).
According to Thomson, the Commonwealth Fund’s attempt to institute the
American model of child guidance in Britain was thus only partially successful.
A distinctly professionalised US form of child guidance did emerge, but alongside it
developed what Thomson notes was “a larger corps of less professionalised, often
voluntary, mental health workers” (Thomson, 1995, p. 296). Certainly US practices in
general, and the Commonwealth Fund model in particular, were highly influential
in Britain. But what the British case makes clear is that it was not simply a matter
of American expertise transported, for what eventuated from the traffic in ideas, in
finance and in personnel across the Atlantic was a model of practice that
drew on international expertise but was distinctly shaped by local concerns.
Something of a similar situation occurs in Australia. However, what most sharply
distinguishes Australian developments from those in America and Britain is
that Australia never benefited from the kind of well-financed philanthropic
support which enabled the execution of a coordinated and targeted social reform
agenda.
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While attempts were made to secure Commonwealth Fund support, Australian
appeals were declined. It may have been a case of bad timing; for by the time
Australian applications were made the Fund was progressively withdrawing support
for what had already become a well-established field elsewhere. It did, however,
provide assistance to a number of Australians in the form of information about
establishing and organising clinics, and with the arrangement of visits to clinics in
the USA[5]. Through these activities, and through its sponsorship of the child guidance
movement more broadly, the Commonwealth Fund’s influence was thus highly
significant. Indeed it provided the foundational ideas and models for practice that
shaped the establishment of child guidance in Australia. Yet the influence of American
philanthropy in Australia was not limited to the realm of ideas and the activities
of the Commonwealth Fund. Through its Commonwealth programme and through
ACER, the Carnegie Corporation provided financial support for clinical practice and
professional training, and funded research and publications related to child guidance,
as well as travel grants to Australian educators and psychologists who were exposed
to international child guidance practices.
The Victorian Vocational and Child Guidance Centre (VVCGC)
The founding in the early 1930s of state-based Mental Hygiene Councils was pivotal to
the development of child guidance in Australia. These associations, whose members
included prominent educationalists, doctors, psychologists and social reformers,
provided the organisational platform from which the principles of child guidance
could be disseminated and put into practice[6]. While there had long been enthusiasm
about the promise of child guidance, it was the founding of the VCMH that set in train
the establishment of the first child guidance clinic in Melbourne, set up along the
lines of the Commonwealth Fund clinics in the USA. By this time, the international
child guidance movement had shifted from a concern with solving problems of
delinquency among poor urban youth, to an ostensibly medical endeavour in which
mild behaviour problems and children’s emotional and psychological “adjustment”
became the target of intervention under a model of preventative psychiatry.
A primary objective of the VCMH was to oversee the establishment of a clinic that
would provide treatment for children who were deemed “neurotic”, “hyperactive”,
“hypokinetic”, “seclusive”, “emotional”, “egocentric” or in some way “inadequate”
(Cunningham, 1932, p. 78). The Council was concerned about the extent of emotional
and psychological problems in children and believed, furthermore, that the problem
was not limited to particular sectors of the community. Indeed, as Cunningham noted,
while the “less favoured homes and districts have a larger proportion of problem
cases, they have by no means a monopoly of them” (Cunningham, 1932, p. 85). The
response of teachers in the 14 schools, kindergartens and institutions visited during
the 1931 joint ACER and VCMH investigation into the need for a child guidance clinic
in Victoria indicated that abnormalities of physical, mental, educational, emotional and
social development were common among the city’s youth. Thus there appeared to be
significant need and scope for at least one child guidance clinic in Melbourne.
The institution established on the basis of Cunningham’s study was the VVCGC.
The decision to establish a centre that would offer both child guidance and vocational
guidance arose from a coalescence of the interests and objectives of the VCMH
with those of the Victorian Vocational Guidance Association (VVGA). In 1930, as the
VVGA was preparing for the establishment of a vocational guidance bureau, it was
discovered that the Council for Mental Hygiene was making similar plans, albeit in
relation to child guidance. Members of the VVGA and the VCMH consequently
determined there was sufficient commonality in objectives to justify cooperation
(VCMH, 1931). August 1932 thus saw the establishment of a centre in Melbourne,
where both child guidance and vocational guidance were available. The initial
appointments of the Board of Management included a Melbourne psychiatrist,
Dr N.A. Albiston, a psychologist from Sydney, R.K. Whately, and a social worker
from Western Australia, Constance Moffit, all of whom had completed postgraduate
work overseas, and were presumably acquainted with child guidance practices
elsewhere. In a somewhat divergent approach to the organisation of clinics in the USA
and Britain, it was the psychologist, Whately, who assumed the role of clinic
director[7].
The VVCGC straddled a space, or at least aspired to, between two major forms of
guidance that had gained popularity throughout the Anglo-American world during
the 1920s. This confluence was unusual, reflecting something of a departure from the
typical approach abroad, which saw child guidance and vocational guidance as largely
separate enterprises. Yet I would argue that bringing together the problem of choosing
a suitable vocation and problems of emotional or psychological “adjustment”
nevertheless reflected the philosophy of the broader guidance movement; namely,
the promise of early intervention and necessity of expert assistance. Indeed the
rationale for the VVCGC’s establishment as a joint venture was based on the view that
there were many points at which child guidance and vocational guidance overlapped,
and that much would be gained by bringing these two forms of guidance into closer
association. Those involved with its establishment argued that childhood
maladjustment was more common than generally believed, and that the choosing of
future careers represented an even wider problem (VCMH, 1931). This position, I argue,
is significant on a number of fronts. It reflects an emerging view that problems of
psychological, educational and vocational “adjustment” were often interrelated.
Further, it posits that such problems could be measured along a continuum, from the
minor to the major, and if identified at an early stage, could be corrected. Perhaps most
significantly, though, it points to the ways in which early intervention as a mode of
thought gained currency in disparate domains – from psychological and emotional life
to the school and the workplace.
It was the view of the VCMH that “many of the social and individual
maladjustments of adult life have their origin in childhood [and] unless corrected
during this period they may be difficult or impossible to deal with at a later stage”
(VCMH, 1931, p. 10). The VVCGC therefore intended to provide facilities for the early
recognition of disorders of conduct, emotional disturbances, educational retardation, as
well as recognition of especially gifted children. Of the first 135 cases investigated, 30
were classified as primarily constituting behaviour problems. A small minority, just
nine people, came to the Centre seeking both vocational and child guidance, while 15 of
the 96 people presenting for vocational or educational guidance were referred to the
Centre psychiatrist for examination and treatment of an emotional maladjustment.
In total, 54 cases were classified as requiring the full complement of the child guidance
team. In these cases, Whately administered psychometric tests, Albiston investigated
the child’s physical and emotional condition, and Moffit visited the child’s school or
home, or both when deemed warranted. Reports were issued by Albiston. Typical of
the problems identified were “scholastic backwardness”, disciplinary problems,
truancy and lack of interest in school. Feeling of inferiority, absentmindedness, lack of
enthusiasm and emotional drive, “shut in” personality, lying, stealing, sex problems,
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thumb sucking and swearing were among a range of other problems that staff at the
Centre sought to treat[8].
Notwithstanding its wide-ranging work, the VVCGC was, in many respects, a far
cry from the kind of institution envisaged by Berry several years earlier. Little or no
research was conducted, and despite fears about widespread childhood maladjustment,
it was vocational guidance rather than child guidance that constituted the greater part
of the Centre’s activities. After two years of operation, over 300 young people had been
examined at the Centre, and hundreds more in schools. The average age was around 16
years, mostly male, and mostly seeking vocational guidance[9]. The child guidance
component of the VVCGC had initially followed the typical configuration of
psychiatrist, psychologist and social worker, but by 1934, the services of the Centre’s
social worker had been dispensed with due to financial constraints (see footnote 9,
p. 12). Whately’s reports indicate that the Board of Management was hopeful that the full
complement of the child guidance team could be reinstated when finances permitted.
The fee-for-service model, however, proved impossible to sustain in the bleak economic
climate of the early to mid-1930s. The vocational aspect, by contrast, was far more
amenable to rationalisation, with psychometric assessment enabling career advice to
be proffered to large numbers of adolescents without the need for extensive psychiatric
“interviews” or the community liaison carried out by the social worker. Consequently,
despite the aspirations of supporters of the mental hygiene movement, the VVCGC
failed to emulate the American model of child guidance. While its vocational guidance
service prospered, by 1936 it ceased its child guidance work, dissolved its association
with the VCMH, and became, simply, the Victorian Vocational Guidance Centre.
The collapse of child guidance in Melbourne reflected the difficulties faced by the
movement in Australia more generally. One major problem was that of public
perception. At a time in which psychological and psychiatric approaches to child
management were still nascent, and indeed regarded with suspicion by many,
garnering support for clinical intervention proved difficult. Grasping the complexities
of its purpose was, evidently, problematic even for some of its apparent supporters.
According to Dr A.R. Phillips, psychiatrist at Travancore Development Centre, the
VVCGC suffered an early blow from which it never fully recovered when a politician
delivering the inaugural speech appeared to be “under the impression that he was
opening a clinic for mental defectives” (Phillips, 1946a, p. 10)[10]. Although Phillips
does not name the politician, it was, presumably, none less than the Premier of Victoria,
Sir Stanley Argyle, who presided over the official opening of the Centre early in
October 1932 (The Argus, 1932b).
The primary difficulty, however, faced by the VVCGC was its failure to secure the
extent of financial support required to fund a costly multidisciplinary clinical team for
the provision of child guidance. From the outset it was plagued by financial concerns.
Despite attracting progressively more clients, it continued to rely on the aid of private
subscribers and grants from ACER[11]. While a number of small bequests and grants
kept it solvent for several years, the costs of providing child guidance services were not
met by the income it generated. Unlike the early clinics established in the USA, it
benefited from neither major start-up funding, nor significant ancillary support, fatally
hampering the attempt to implement the VCMH’s vision for child guidance in Melbourne.
Child guidance in Sydney
Developments in Sydney provide an interesting point of comparison. While
philanthropic sponsorship was similarly not secured, child guidance did find
significant support from the NSW state government. In 1936 a child guidance clinic
was established as part of the School Medical Service. Three years later, a second clinic
began and by the mid-1950s there were five clinics operating under the auspices of
the Education Department in that state[12]. In contrast to the independent Melbourne
centre, which needed to be self-supporting, the Sydney clinic would only accept
children as patients if parents or guardians were unable to meet the cost of specialised
clinical services that could be obtained elsewhere. Following the establishment of the
first clinic, head teachers were asked to identify children who showed “nervous
symptoms”, such as morbid fears, obsessions and sleep disturbances, those suffering
from “personality disorders” such as shyness, unsociability, disobedience, over-activity
and so on, and those exhibiting “behaviour disorders”, like tantrums, truancy, lying,
stealing and sex difficulties (Burton, 1939).
During the period January 1937 to June 1938, over 1,000 children were referred to the
clinic. Around half of the clinic’s “clients” were referred by their school (through
teachers, inspectors and school counsellors), around a quarter came from the child
welfare department, and the remainder were referred by the children’s court or came
via direct application by parents (Burton, 1939, p. 20). Parents or guardians of children
identified by schools or other social agencies as potentially in need of child guidance
were notified by way of a letter from the clinic with a tentative appointment
scheduled[13].
Children assessed at the clinic would typically receive a medical examination and
psychological analysis. The psychiatrist would first interview the parent or guardian –
usually the mother – and gain from her a full family history to supplement the report
received from the school. While the mother was with the psychiatrist, the child would
be interviewed by the psychologist and would be asked to complete a Binet intelligence
test. The child then would see the psychiatrist, who would at that time interview him or
her and perform a physical examination. After a brief consultation between the
psychiatrist and the psychologist, the psychiatrist would again talk to the parent. Case
conferences were held and the social worker would visit the school and/or the home.
If educational difficulties appeared to be the problem, the psychologist would
administer further testing. If there was an emotional maladjustment needing
treatment, the psychiatrist would begin therapy. Following examination of the child, a
report would be furnished to the Principal of their school (Burton, 1939). The report
would include description of any physical “defects”, the “mental age” of the child, along
with suggestions for treatment (see footnote 13).
The positioning of child guidance within the Education Department was critical to
its success in NSW in a number of ways. First, it meant that a greater number of
children with a broader range of problems came under the purview of clinicians than in
the case of an independent clinic like the VVCGC, or clinics attached to hospitals and
children’s courts which were primarily concerned with psychiatric cases and problems
of delinquency. Second, it facilitated the liaising of clinicians with staff in other areas of
the department, including medical officers, staff of special schools, truancy and
probation officers, teachers, principals, inspectors and school counsellors. The
structural organisation of child guidance in NSW thus provided both an important
measure of legitimacy, and perhaps more significantly, sustained financial support. In
Melbourne, the director of the VVCGC needed to engage from the outset in a media and
public relations campaign in order to garner support for his Centre. The NSW
Education Department clinic, by contrast, had the luxury of making a quieter entry
into the field, taking no steps to make public its activities and in fact initially
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withholding information from reporters for fear that there would be an “overflow of
cases” (Burton, 1939, p. 18). The psychologist at that clinic, Nancy Burton, was later
critical of the departmental directive prohibiting publicity. She argued that it was a
short-sighted policy and that child guidance would have been better served if reporters
had been encouraged and professional expertise disseminated by experienced
clinicians (Burton, 1939, p. 31).
Nevertheless, the Education Department’s implementation of child guidance was
clearly successful. Burton herself noted that its association with the medical branch
gave child guidance a considerable degree of prestige. Unlike the Melbourne centre,
which needed to be self-funding, the Education Department met the cost of employing
a psychiatrist, psychologist and social worker. The Sydney clinic was therefore in a far
better position to emulate the consolidated approach of the American child guidance
model. Still, as with the ill-fated Melbourne clinic, the NSW Education Department
clinics failed to undertake research-related activities during the 1930s and practitioners
were, moreover, acutely aware of their isolation and the limitations that their lack of
specialised education and training in the field posed (Burton, 1939, p. 34). Burton, for
example, was keen to further her clinical knowledge and experience with study and
work in the USA. After being declined a leave of absence to do so, she resigned her post
at the Child Guidance Clinic in Sydney and departed in February 1939 for the USA
(Sydney Morning Herald, 1939).
Burton’s decision to study abroad was not unusual; many Australian psychologists
undertook further education in Britain and America (Taft, 1982, p. 31). While some,
like Burton, pursued education opportunities independently, others, usually young
men further advanced in their careers and considered likely to make a significant
contribution in Australia, had access to financial support in the form of travel
grants made available to Australians through the philanthropic activities of the
Carnegie Corporation. The transnational movement of people and ideas, much of
which was sponsored by Carnegie, was critical to the development of child guidance
in Australia. Indeed travel grants offered an important means by which modern
educational and psychological practices could be studied abroad and ideas
brought home for implementation in Australia. An important means by which these
ideas were subsequently disseminated in Australia was through the publishing of
travel grant reports by ACER, which, as Michael White has noted, “publicised
US ‘progressive’ developments as a challenge to Australian policy and practice”
(White, 1997, p. 7).
One beneficiary of a Carnegie travel Grant was Philip Halford Cook, a psychologist
from Melbourne[14]. The grant enabled Cook to study child guidance in Britain and the
USA in the late 1930s and into the early 1940s[15]. Cook’s study tour and subsequent
enrolment at the University of Kansas culminated in a doctoral dissertation examining
child guidance with special reference to Australian conditions (Cook, 1941). While this
contribution – along with his previous work at the Travancore psychological clinic –
positioned him to take a leading child guidance role in Australia, Cook’s return in 1942
effectively signalled the end of his engagement with the field. The demands of wartime
saw him “manpowered” to the Department of Labour and National Service, where his
subsequent work was primarily in the area of industrial psychology (Bourke, 2007).
Cook’s legacy for child guidance in Australia nevertheless endured, thanks to a second
injection of Carnegie funds, this time through ACER and in the form of the publication
of his doctoral study as a monograph. The Theory and Technique of Child Guidance
(Cook, 1944) was the first Australian publication to survey the field. In providing
practitioners with what was effectively an Australian manual, it represented an
important local contribution to the field of child guidance.
As I have argued, in the establishment and development of child guidance in
Australia, the Commonwealth Fund and the Carnegie Corporation played important
but distinctive roles. The Commonwealth Fund’s influence in Australia is particularly
interesting, for it underlines the significance of the reach of American philanthropy,
which in the case of child guidance effectively underwrote an international movement,
even though direct funding was largely restricted to its mental hygiene programmes in
the USA and Britain. The Carnegie Corporation, by contrast, with its significant
funding of a range of activities in the dominions, was especially important to
Australian developments, providing support for the transnational carriage of ideas and
practices that had been set in train elsewhere.
Conclusion
Despite the efforts of some enthusiastic supporters, child guidance remained a
fledgling movement during the 1930s and indeed into the 1940s in Australia, with only
a small number of dedicated child guidance clinics established during that time.
In 1944, Cook lamented the fact that Australian developments lagged behind those of
America and Britain, declaring that “the history of child guidance in Australia is yet to
be made” (Cook, 1944, p. 14). Australia’s “backwardness”, in his view, was not due to an
absence of need, but rather arose from insufficient public and professional concern with
child guidance, inadequate training facilities and the failure of governments to provide
adequate financial support. While perhaps underestimating the significant inroads
that had been made in the field, especially in Sydney, his observation nevertheless
captures the sense of disappointment that many Australian advocates of child
guidance felt at its slow rate of expansion.
NSW was the only state education department to establish full service child
guidance clinics in the 1930s (Cunningham and Pratt, 1940). Clinics were also
established, in NSW and elsewhere, in association with Health Departments –
generally attached to hospitals, such as the clinic established at the Rachel Foster
Hospital for Women and Children which opened in Sydney in the mid-1930s and
another that was in operation soon after at the Royal Alexandra Hospital for
Children[16]. As a reflection of an important international preventative mental health
initiative for children and adolescents during the interwar period, child guidance
deserves further attention in Australian historiography. In NSW, as I have shown, the
clinic played a pivotal role in the shift towards the school as a site of surveillance,
intervention and regulation of the child. Nevertheless, the dearth of historical
records renders the history of child guidance in Australia problematic. While it has
been possible to map out the general organisation and funding of clinics established
during the interwar period, it is difficult to ascertain the extent to which clinics
established in NSW and elsewhere reflected a wholesale adoption of the clinical
model of American child guidance, or whether a particularly Australian approach
developed.
What is clear is that in a general sense, the American model of child guidance had a
measure of success in Australia in the 1930s. However, the vision of early advocates,
who had hoped they could emulate the level of service provision as it existed
internationally, failed to be fully realised. While the Carnegie Corporation provided
important support, including grants for the ill-fated Melbourne centre, travel grants
and publications through ACER and support for the training of psychiatric social
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workers in Sydney, the movement in Australia was largely piecemeal and ad hoc. The
Australian experience, particularly when compared with that of America and Britain,
highlights the critical role of the Commonwealth Fund’s major coordinated
philanthropic programmes of the 1920s and 1930s. As A.R. Phillips noted in 1946:
“Child Guidance is, and always will be, an expensive service, beyond the reach of the
majority of people unless supported by charitable endowments or government aid”
(Phillips, 1946b, p. 25). Consequently, with the exception of clinics in NSW, the
institutionalisation of child guidance appears to have been more indirect, its principles,
as Phillips put it, “grafted on to the work of clinics originally organised for other
purposes” rather than reflected through the establishment of dedicated child guidance
clinics (Phillips, 1946a, p. 10).
It is tempting, then, to assess the early history of child guidance in Australia largely
in administrative and institutional terms – the failure of the Melbourne centre and the
success of its Sydney counterpart reflecting the critical role of state in the absence of
philanthropic support. Certainly, this is an important part of the story. Yet, if one is to
measure the influence of the child guidance movement in the 1930s in terms of the
uptake of ideas, rather than a count of child guidance clinics, a more complex picture
emerges. Newspaper articles and other contemporary sources do suggest a general
acceptance of the utility of the child guidance approach. And as Phillips noted in
the mid-1940s, a “child guidance outlook” had by that decade come to characterise
the work of psychiatrists, psychologists and social workers in many clinics engaged
with the psychological and psychiatric assessment and treatment of children. It may
thus be surmised that while few child guidance clinics were in operation in 1930s
Australia, child guidance principles were widely embraced (Phillips, 1946b). Along
with the institutional developments, therefore, it is important to also acknowledge
the traction gained in the broader realm of ideas and practices about “adjustment” and
mental health, particularly the efficacy of multidisciplinary approaches to problems
of childhood and the necessity of early intervention. Both in its clinical form and in the
broader philosophy of the movement, child guidance typified the embrace of early
intervention as a mode of thought. Providing “help for wayward children” through
child guidance was, consequently, a strategy that not only targeted the problem child
of the present, but also the potentially maladjusted adult of the future.
Notes
1. Children seen in US clinics were generally aged between five and 15 years, with the majority
of cases being in the age group of 10-14 years. While treatment was provided for both boys
and girls, clinics saw a significantly higher number of boys (Stevenson, 1934, pp. 55-6).
2. By the early 1930s the Commonwealth Fund moved from direct financing to coordination
and oversight, and in the years leading up to 1945 when funding ceased, its focus was largely
securing child guidance as a speciality practice through clinical training and overseeing
clinical practice.
3. Reports of the general director to the directors of the Commonwealth Fund, 5 April 1932,
Commonwealth Fund Archives, Box 2; 21 April 1936, Box 5, Series 31, Rockefeller Archive
Center, Sleepy Hollow, NY. In Britain, churches and social welfare agencies provided primary
financial support for clinics, with local government also contributing financially. As with US
clinics, socio-demographic patterns influenced the client base of clinics and the funding
sources they secured.
4. For a broader analysis of this issue, see Rodgers (1998, p. 3).
5. As detailed in various Reports of the General Director to the Directors of the Commonwealth
Fund during the 1930s.
6. Both in Victoria and NSW, the establishment of clinics were founding objectives of statebased Mental Hygiene Councils, see VCMH (1931); Papers of Kenneth Cunningham, Series
52, Vol. 4, Box 5095, Australian Council for Educational Research Archives, Cunningham
Library, ACER, Melbourne; Sydney Morning Herald (1932).
7. VCMH, Second Annual Report 1931-1932.
8. VCMH, Third Annual Report 1932-1933.
9. VCMH, Fourth Annual Report 1933-1934.
10. Travancore was established in 1933 for the care and education of “mentally retarded”
children. By 1938 it included a special school, administered by the Department of Education,
and a residential unit and psychiatric clinic, administered by the Mental Hygiene Authority.
In 1939 the Mental Hygiene Authority assumed responsibility for all aspects of the Centre
(Cunningham et al., 1939, p. 175; Cunningham and Pratt, 1940, p. 277).
11. VCMH, Sixth Annual Report 1935-1936, Council of Social Service of NSW records, MLMSS
2929, Box K48910, Mitchell Library, Sydney; The Argus (1932a).
12. There were also court and hospital clinics, which dealt with more severe cases. For an
overview of clinical services connected with education across Australian states, see
Cunningham et al. (1939); Cunningham and Pratt (1940) and Jennings (1957).
13. Letter to SA Education Department Principal Medical Officer outlining details of NSW Child
Guidance Clinics, NSW Education Department Subject Files, Medical Branch, 20/12793,
State Records Office of NSW, Sydney, 3 June 1937.
14. “Cook, P.H., 1938-1941” (n.d.), CCNY Records, Series III.A, Box 122, Folder 12, Columbia
University, New York; “Alison Turtle interview with P.H. Cook”, 8 December 1988, Box 124,
Folder 91/144, Australian Psychological Society Archives, University of Melbourne,
Melbourne.
15. A number of Australians, including Kenneth Cunningham, visited child guidance clinics
while in the USA on Carnegie Travel Grants.
16. The Rachel Forster Hospital for Women and Children, Thirteenth Annual Report, June 1935,
p. 6; Sydney Morning Herald (1938).
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Commonwealth Fund (1963), The Commonwealth Fund: Historical Sketch, 1918-1962, The
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18
Cunningham, K.S. (1932), “Problem children in Melbourne schools”, Australian Educational
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Further reading
Stewart, J. (2006a), “Child guidance in interwar Scotland: international influences and domestic
concerns”, Bulletin of the History of Medicine, Vol. 80 No. 3, pp. 513-39.
About the author
Katie Wright is an Australian Research Council Postdoctoral Fellow in the Melbourne Graduate
School of Education at the University of Melbourne. Her research interests include the history
and cultural influence of psychology, the sociology of education, and historical and
contemporary approaches to the provision of student welfare and support services. She is the
author of The Rise of the Therapeutic Society: Psychological Knowledge & the Contradictions of
Cultural Change (New Academia, 2011) and is currently researching the history of student
guidance and counselling in Australia. Katie Wright can be contacted at: kwright@
unimelb.edu.au
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