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HISTORY

Why does Denmark have the world’s largest collection of brains?

Almost 10,000 preserved brains, collected over four decades in the 20th century, are still used today by researchers in Denmark.

Why does Denmark have the world's largest collection of brains?
A researcher takes a box with human brain fragments from a fridge in the laboratory of the Bispebjerg hospital in Copenhagen. Photo: Sergei GAPON / AFP

Countless shelves line the walls of a basement at Denmark’s University of Southern Denmark in Odense, holding what is thought to be the world’s largest collection of brains.

There are 9,479 of the organs, all removed from the corpses of mental health patients over the course of four decades until the 1980s.

Preserved in formalin in large white buckets labelled with numbers, the collection was the life’s work of prominent Danish psychiatrist Erik Strömgren.

Begun in 1945, it was a “kind of experimental research,” Jesper Vaczy Kragh, an expert in the history of psychiatry, explained to AFP.

Strömgren and his colleagues believed “maybe they could find out something about where mental illnesses were localised, or they thought they might find
the answers in those brains”.

The brains were collected after autopsies had been conducted on the bodies of people committed to psychiatric institutes across Denmark.

Neither the deceased nor their families were ever asked permission.

“These were state mental hospitals and there were no people from the outside who were asking questions about what went on in these state
institutions,” he said.

At the time, patients’ rights were not a primary concern.

On the contrary, society believed it needed to be protected from these people, the researcher from the University of Copenhagen said.

Between 1929 and 1967, the law required people committed to mental institutions to be sterilised.

Up until 1989, they had to get a special exemption in order to be allowed to marry.

Denmark considered “mentally ill” people, as they were called at the time, “a burden to society (and believed that) if we let them have children, if we
let them loose… they will cause all kinds of trouble,” Vaczy Kragh said.

Back then, every Dane who died was autopsied, said pathologist Martin Wirenfeldt Nielsen, the director of the collection.

“It was just part of the culture back then, an autopsy was just another hospital procedure,” Nielsen said.

The evolution of post-mortem procedures and growing awareness of patients’ rights heralded the end of new additions to the collection in 1982.

A long and heated debate then ensued on what to do with it.

Denmark’s state ethics council ultimately ruled it should be preserved and used for scientific research.

An employee works on human brain fragments in the laboratory of the Bispebjerg hospital in Copenhagen. Photo: Sergei GAPON / AFP

Hidden secrets

The collection, long housed in Aarhus, was moved to Odense in 2018.

Research on the collection has over the years covered a wide range of illnesses, including dementia, schizophrenia, bipolar disorder and depression.

“The debate has basically settled down, and (now people) say ‘okay, this is very impressive and useful scientific research if you want to know more about
mental disease’,” the collection’s director said.

Some of the brains belonged to people who suffered from both mental health issues and brain illnesses.

“Because many of these patients were admitted for maybe half their life, or even their entire life, they would also have had other brain diseases, such as
a stroke, epilepsy or brain tumours,” he added.

Four research projects are currently using the collection.

“If it’s not used, it does no good,” says the former head of the country’s mental health association, Knud Kristensen.

“Now we have it, we should actually use it,” he said, complaining about a lack of resources to fund research.

Neurobiologist Susana Aznar, a Parkinson’s expert working at a Copenhagen research hospital, is using the collection as part of her team’s research
project.

She said the brains were unique in that they enable scientists to see the effects of modern treatments.

“They were not treated with the treatments that we have now,” she said.

The brains of patients nowadays may have been altered by the treatments they have received.

When Aznar’s team compares these with the brains from the collection, “we can see whether these changes could be associated with the treatments,” she
said.

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HEALTH

‘Some towns had zero births’: Greenlanders sue Denmark over forced contraception

Henriette Berthelsen was separated from her family at 11 and forced to wear a contraceptive coil, a trauma she buried until she and 142 other Greenlandic women sued the Danish state.

'Some towns had zero births': Greenlanders sue Denmark over forced contraception

Henriette Berthelsen was separated from her family at 11 and forced to wear a contraceptive coil, a trauma she buried until she and 142 other Greenlandic women sued the Danish state.

“I’ve suppressed so much,” Berthelsen said. “I had an IUD (intrauterine device) fitted nine times since the age of 13, according to my medical records,” the psychologist and activist explained with poise and dignity.

“Luckily — if one can say luckily — they fell out,” she said, her voice cracking, at her home in a Copenhagen suburb. “I remember being in so much pain.” 

Now 66, Berthelsen is one of the 143 Greenland Inuits who have sued the Danish state for violating their rights during its forced contraception campaign from the 1960s to 1980.

Some 4,500 fertile women were forced to undergo the procedure, often without their or their family’s consent.

Denmark carried out the campaign to limit the birth rate in the Arctic territory, which had not been its colony since 1953 but was still under its control.

Berthelsen’s parents never consented to her coils.

At the recommendation of the state, she was sent to Denmark for a year as a young girl to learn Danish and then to a Danish boarding school in Nuuk, Greenland’s capital, far from her hometown of Qeqertarsuatsiaat in southwestern Greenland.

One day, “there was a sign that said that all the girls from the boarding school had to go to the infirmary”, she said.

The IUDs kept falling out, she recalled, holding a photograph of herself from the time — a young girl with long dark plaits.

‘Never contradict a Dane’

For a long time she didn’t tell anyone about her ordeal, remembering what her mother had taught her: ‘Never contradict a Dane’.

For many of her classmates, the experience had a devastating impact.

“In my class there were several girls who were never able to have children,” she said.

Berthelsen herself went on to have two kids.

She is now campaigning to get the Danish state to pay for therapy for the victims living in Denmark.

Greenland already pays such benefits to those living in the territory.

Ebbe Volquardsen, a lecturer at the University of Nuuk, said the women were seeking justice now because the time was ripe.

“It simply takes time for marginalised groups, including Greenlanders within the Danish realm, to develop an awareness of systemic inequality and the ability to articulate it as a problem,” she explained.

One of the victims spoke out in the media several years ago about the trauma she experienced.

A podcast series by Danish public broadcaster DR in 2022 then revealed the extent of the campaign.

“It’s important that the Danish state takes responsibility,” said Berthelsen.

“Some things happened as a result of colonialism” — like “deciding, instead of the people (concerned), whether they are too many or too few, committing a genocide, committing violence and offences against young girls”, she fumed.

Historian Soren Rud told AFP: “In the context of the 2020s, the authoritarian elements of the campaign stood out as a shocking example of how the colonial and post-colonial situation affected the interaction between Greenlanders and Danes.”

‘Big success’

The lawyer for the plaintiffs, Mads Pramming, said one of the documents presented as evidence in the case is a copy of a 1971 review by a doctor extolling the “success” of the policy.

“There were 9,000 fertile women and, in just four years, they inserted an IUD in half of them. So 4,500. And the population dived enormously,” he said.

“Some towns had zero births during that period. After four years they concluded (it was a) big success.”

The large majority of the plaintiffs — the oldest of whom is now 82 — were left with lasting scars.

“Of the 143, about 50 of them had their uterus removed and were not able to have kids, and all of them suffered” physically and mentally, he said.

“Their own testimony is going to be the hardest evidence in the case.”

A fire destroyed many of the women’s medical files but that’s unlikely to change much.

“I don’t think the doctor would put in the medical file that he inserted this IUD in a 12-year-old girl with her crying and being held by two other adults,” Pramming said.

In October 2023, 67 of the plaintiffs filed claims for compensation from the Danish state of 300,000 kroner ($42,000) each.

“All of the requests for compensation will be evaluated by (us),” the health ministry told AFP in an email.

The case comes as Denmark and Greenland are re-examining their past relationship in a historic parliamentary committee.

In addition, researchers have opened a probe specifically into the forced contraception campaign.

Its conclusions are due in mid-2025.

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