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From Griesinger to DSM-V: Do we need the diagnosis of schizophrenia?

Published online by Cambridge University Press:  23 March 2020

A. Erfurth  and
G. Sachs
A. Erfurth*
Affiliation:
Otto-Wagner-Spital, 6th Psychiatric Department, Vienna, Austria
G. Sachs
Affiliation:
Medical University of Vienna, Department of Psychiatry and Psychotherapy, Vienna, Austria
*
* Corresponding author.

Abstract

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The dichotomy between “dementia praecox” and “manic-depressive insanity” by Emil Kraepelin is one of the milestones of nosology in psychiatry [1].

This dichotomy reflects the necessity – particularly in the absence of effective treatment in Kraepelin's time – to differentiate (and to predict) the functional outcome of individual patients. Since Kraepelin's original division particularly the influence of Kurt Schneider has led to a full acknowledgment of the dichotomy in both ICD and DSM.

While this division has proven to be clinically useful, alternatives have been proposed covering a large spectrum from the idea of unitary psychosis as in Wilhelm Griesinger and Klaus Conrad to further subdivisions as in Karl Leonhard. Recent research in neuroscience suggests the presence of an overlap between schizophrenia and other psychiatric disorders [2–4].

Disclosure of interest

The author has not supplied his declaration of competing interest.

Type
W29
Information
European Psychiatry , Volume 33 , Issue S1: Abstracts of the 24th European Congress of Psychiatry , March 2016 , pp. S65
Copyright
Copyright © European Psychiatric Association 2016

References

Kraepelin, E. Psychiatrie. 6th edition Leipzig: J.A. Barth 1899Google Scholar
Smoller, J.W., et al. Lancet 2013; 381: 1371–1379Google Scholar
Lee, S.H., et al. Nat Genet 2013; 45: 984–994CrossRefGoogle Scholar
Padmanabhan, J.L., et al. Schizophr Bull 2015;41(1):154–162CrossRefGoogle Scholar
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