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Formulation by Kraepelin, Bleuler and Meyer BY SOLOMON K.ATZENELBOGEN, M. D.t The terms dementia prmcox and schizophrenia are almost gener- ally in use as synonyms. The pathological conditon or conditions covered by this nomenclature are designated by Adolf Meyer as parergasic reactions. It is common knowledge that some psychiatric institutions are more ready than others to make the diagnosis of dementia prmcox- schizophrenia, although they are diagnosing similar cases. Evi- dently, a common understanding of the conditions designated as dementia prmcox or schizophrenia or parergasia is still lacking. It seems, therefore, appropriate to discuss the fundamental concepts of these conditions, as formulated by Kraepelin, Bleuler and Adolf Meyer. KRAEPELIN 'S FORMULATION The term ddmence pr~coce was first used by Morel in 1860 in the diagnosis of the mental condition of a boy 14 years old. Loss of memory and marked mental deterioration were the outstanding symptoms. The historyxevealed that the boy had gradually grown seclusive, had been ashamed of his short stature and had shown hatred toward his father. Hecker, in ]871, under the heading of "hebephrenia," described a disease which begins in adolescence and rapidly progresses toward mental deficiency. Kraepelin, in 1896, under the influence of Morel and
Psychiatric Quarterly – Springer Journals
Published: Jan 15, 2014
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