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The Development of Kraepelin's Mature Diagnostic Concept of Catatonic Dementia Praecox: A Close Reading of Relevant Texts.
Schizophrenia Bulletin ( IF 6.6 ) Pub Date : 2019-11-02 , DOI: 10.1093/schbul/sbz101
Kenneth S Kendler 1, 2
Affiliation  

Through a close reading of texts, this essay traces the development of catatonia from its origination in Kahlbaum’s 1874 monograph to Kraepelin’s catatonic subtype of his new category of Dementia Praecox (DP) in 1899. In addition to Kraepelin’s second to sixth textbook editions, I examine the six articles referenced by Kraepelin: Kahlbaum 1874, Brosius 1877, Neisser 1887, Behr 1891, Schüle 1897, and Aschaffenburg 1897 (Behr and Aschaffenburg worked under Kraepelin). While Brosius and Neisser confirmed Kahlbaum’s descriptions, Behr, Schüle, and Aschaffenburg concluded that his catatonic syndrome was nonspecific and only more narrowly defined forms, especially those with deteriorating course, might be diagnostically valid. Catatonia is first described by Kraepelin as a subform of Verrücktheit (chronic nonaffective delusional insanity) in his second to fourth editions. In his third edition, he adds a catatonic form of Wahnsinn (acute delusional-affective insanity). His fourth and fifth editions contain, respectively, catatonic forms of his two proto-DP concepts: Psychischen Entartungsprocesse and Die Verblödungsprocesse. Kahlbaum’s catatonia required a sequential phasic course. Positive psychotic symptoms were rarely noted, and outcome was frequently good. While agreeing on the importance of key catatonic signs (stupor, muteness, posturing, verbigeration, and excitement), Kraepelin narrowed Kahlbaum’s concept, dropping the phasic course, emphasizing positive psychotic symptoms and poor outcome. In his fourth to sixth editions, as he tried to integrate his three DP subtypes, he stressed, as suggested by Aschaffenburg and Schüle, the close clinical relationship between catatonia and hebephrenia and emphasized the bizarre and passivity delusions seen in catatonia, typical of paranoid DP.

中文翻译:

Kraepelin对强直性痴呆Praecox的成熟诊断概念的发展:相关文本的细读。

通过仔细阅读文本,这篇文章追溯了卡塔顿的发展过程,从卡特鲍姆(Kahlbaum)1874年的专着到卡特佩林(Karepelin)1899年他的新类别痴呆症(DP)的重音亚型。 Kraepelin引用的六篇文章:Kahlbaum 1874,Brosius 1877,Neisser 1887,Behr 1891,Schüle1897和Aschaffenburg 1897(Behr和Aschaffenburg在Kraepelin的领导下工作)。当Brosius和Neisser确认了Kahlbaum的描述时,Behr,Schüle和Aschaffenburg得出结论,他的紧张症候群是非特异性的,只有更狭窄定义的形式,尤其是那些病程恶化的形式,在诊断上可能是有效的。卡塔波尼亚在第二版至第四版中首先被Kraepelin描述为Verrücktheit(慢性非情感性妄想精神错乱)的一种形式。在他的第三版中,他添加了瓦森(Wahnsinn)(急性妄想-情感疯狂)的阳离子形式。他的第四版和第五版分别包含他的两种原始DP概念的紧张形式:Psychischen Entartungsprocesse和DieVerblödungsprocesse。卡尔鲍姆(Kahlbaum)的卡塔顿尼亚(catatonia)需要一个连续的阶段性过程。很少注意到阳性精神病症状,并且结果通常是良好的。在同意关键性紧张症状(昏迷,沉默,姿势,僵硬和兴奋)的重要性时,Kraepelin缩小了Kahlbaum的概念,放弃了阶段性治疗,强调了积极的精神病症状和不良的预后。在他的第四至第六版中
更新日期:2020-04-17
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