Karl Motesiczky studied in Vienna, first cello, then law. In 1925 he became friends with the author Heimito von Doderer. He organised readings in Vienna and later in Heidelberg for him. In 1928 he went to Heidelberg, in 1930 to Marburg, where he studied philosophy and theology. Due to his commitment to the socialist student movement, he also came in contact with Communism.
In 1931 he moved to Berlin, where he met the Viennese psychoanalyst Wilhelm Reich. He became his patient, student, and colleague. 1933 they emigrated together from Copenhagen to Oslo. In Oslo Reich continued his work. Motesiczky was his colleague, and the financial backer of Reich's Zeitschrift für Politische Psychologie und Sexualökonomie (Magazine for Political Psychology and Sexual Economy)
Between 1934 and 1938 Motesiczky published several political articles for this magazine under the pseudonym Karl Teschitz, and a book, Religion, Kirche, Religionsstreit in Deutschland. (Religion, Church, and Religious Disputes in Germany) In Oslo he studied medicine and treated patients by psychoanalysis under Reich's supervision. He returned to Austria in the winter of 1937/38. Though of Jewish descent, he stayed in Austria after the Nazis took over in March 1938. His mother and sister Marie-Louise escaped to the Netherlands and then to London.
His mansion in Hinterbrühl became a meeting point for Jewish families and non-Jewish opponents of National Socialism, for example the pianists Erna Gál and Isa Strasser, as well as Ernst Wildgans, the Przibrams and Dr. Ella and Kurt Lingens. If someone was in danger of getting captured by Gestapo, he would harbour them and he helped a lot of them to emigrate. In the autumn of 1939 he founded a resistance group with some friends, (including Ella and Kurt Lingens and Robert Lammer) He continued the study of medicine, but due to his Jewish origins he was forbidden to become a psychotherapist.
In July 1942 two couples fleeing from occupied Kracow came to Vienna, in order to get to Switzerland with his help. Denounced by an intermediary, Motesiczky was arrested together with Ella Lingens by the Gestapo; after four months in the Gestapo prison in Vienna, he was deported to Auschwitz, where he died of typhus on 25 June 1943.
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