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The Journal of Nervous and Mental Disease, Vol. 56




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Excerpt from The Journal of Nervous and Mental Disease, Vol. 56: An American Journal of Neuropsychiatry Founded in 1874; July December, 1922 Old distinctions, such as those between soma and psyche and between normal and pathological, are breaking down and releasing new interests which are slowly, perhaps, but surely, profoundly changing the way of thinking of psychopathological problems. While this is deeply true, still the outward form of psychiatry, that is, its nosological compartments, remain approximately the same and with very much the same labels. New methods of classification, more especially the mechanistic scheme of Kempf,(l) have not replaced that of Kraepelin. The terminology of Kraepelin continues its hold partly perhaps from inertia, but probably more because his terms present more or less concrete pictures to the mind, and whether those pictures be right or wrong, they are more acceptable than terms which are more abstract and vague, even though perhaps logically and scientifically more sound. The Kraepelinian classification seems to include a greater number of factors that are desirable than any other, and also to make certain concessions to practical needs that indicate that it will hold sway for some time to come. While this is a general statement of the situation, as might be expected, there are certain tendencies which are visible in the literature which are not so simply stated, but which can perhaps best be understood when so backgrounded. In the first place there are those who slavishly follow the Kraepelinian scheme, of course, more particularly where that scheme is most definite, as in the paranoia, manic-depressive, and dementia precox formulations. Bleuler (2) has very well pointed out the danger from such a restricted viewpoint in his criticism of Rudins (3) study of heredity in precox, more particularly by showing how his too rigid formulation of precox overlooks many larvated or undeveloped cases that never get into institutions, many who never develop a characteristic schizophrenic picture or remain well under exceptionally favorable circumstances, but all of whom may be the bearers of a germ plasm factor of precox significance. On the other hand, there is the widest departure from Kraepelinian standards in the direction of dynamic interpretations as perhaps best exemplified by Kempf.(l) Most of the dynamic interpretations, however, the psychoanalysts in particular, retain the Kraepelinian captions as the most practical set of symbols. Between these two extremes there are all sorts of efforts, but the general tendencies indicate clearly a growing dissatisfaction with older static formulations and an increasing effort in the direction of a truly interpretative psychiatry. From the point of view of the situation as I have thus stated it I will call your attention to certain indications of these existing tendencies and to certain recent developments and correlations. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.


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