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Richard von Krafft-Ebing's views on the etiology of major psychiatric illness

Published online by Cambridge University Press:  15 August 2012

E. J. Engstrom  and
K. S. Kendler
E. J. Engstrom
Affiliation:
Department of History, Humboldt University, Berlin, Germany
K. S. Kendler*
Affiliation:
Virginia Institute of Psychiatric and Behavioral Genetics and Departments of Psychiatry and Human and Molecular Genetics, Virginia Commonwealth University School of Medicine, Richmond, VA, USA
*
*Author for correspondence: K. S. Kendler, M.D., Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University Medical School, Box 980126, 800 E. Leigh Street, Room 1-123, Richmond, VA 23298-0126, USA. (Email: kendler@hsc.vcu.edu)
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Abstract

While best known in the anglophonic world for his work on sexual deviations and his advocacy for degeneration theory, Richard Krafft-Ebing (RKE) (1840–1902) was a major figure in late-19th century European psychiatry and author of the most widely read German psychiatric textbook of that era. With the goal of (re-)introducing his work to an anglophonic audience, we review and provide an historical context for RKE's etiologic theory of major psychiatric illness. RKE saw psychiatric disorders as multifactorial, arising from two sets of etiologic factors: predisposing and exciting. Exciting causes were either psychological or physical, while predisposing causes were either general (e.g. sex, occupation, age) or individual-specific. Three major individual-specific risk factors were of particular importance: heredity, personality and education/rearing. Hereditary factors were typically the most important but were usually non-specific in their effect with the forms of psychiatric illness often differing in close relatives. He emphasized the importance of the ‘neuropathic personality,’ which rendered affected individuals sensitive to the pathogenic effects of various exciting influences. Poor rearing could also substantially increase risk for major mental illness. RKE saw the influences of hereditary and rearing factors on psychiatric illness as often mediated through a neuropathic personality. While RKE believed in degeneration theory and emphasized the potential etiologic importance of masturbation in psychiatric illness, his clinical writings were otherwise characterized by a broad-minded and sensible approach that lacked the narrowness of the strongly brain-based or psychoanalytic psychiatric schools which were very influential during and shortly after his life.

Keywords

History19th centurypsychiatric diagnosistheories of etiology
Type
Review Article
Information
Psychological Medicine , Volume 43 , Issue 7 , July 2013 , pp. 1345 - 1352
Copyright
Copyright © Cambridge University Press 2012 

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References

Amidon, KS (2008). Sex on the brain: the rise and fall of German sexual science. Endeavour 32, 64–69.CrossRefGoogle ScholarPubMed
Ash, MG (2005). The uses and usefulness of psychology. Annals of the American Academy of Political and Social Science 600, 99–114.CrossRefGoogle Scholar
Beard, GM (1881). American Nervousness, its Causes and Consequences. Putnam: New York, NY.CrossRefGoogle Scholar
Benzenhöfer, U (1993). Psychiatrie und Anthropologie in der ersten Hälfte des 19. Jahrhunderts Hurtgenwald: Pressler Verlag.Google Scholar
Breathnach, CS (1986). Biographical sketches – 63. Krafft-Ebing. Irish Medical Journal 79, 106.Google ScholarPubMed
Bruckner, B (2007). Delirium und Wahn: Geschichte, Selbstzeugnisse und Theorien von der Antike bis 1900. Hurtgenwald: Pressler.Google Scholar
Burton, R (1932). The Anatomy of Melancholy. Volume One. E. P. Dutton and Company Inc.: New York.Google Scholar
Eickholt, A (1893). Review of v. Krafft-Ebing's ‘Der klinische Unterricht in der Psychiatrie’. Deutsche Medizinische Wochenschrift 19, 867.Google Scholar
Engstrom, EJ (2003 a). Clinical Psychiatry in Imperial Germany: A History of Psychiatric Practice. Cornell University Press: Ithaca, NY.Google Scholar
Engstrom, EJ (2003 b). Quantifying individual psychiatry: on the role of experimental psychology in Emil Kraepelin's psychiatry (part I) [in French]. Psychiatrie-Sciences Humaines-Neurosciences vol. 1.1, pp. 53–61.Google Scholar
Engstrom, EJ (2003 c). Quantifying individual psychiatry: on the role of experimental psychology in Emil Kraepelin's psychiatry (part II) [in French]. Psychiatrie-Sciences Humaines-Neurosciences vol. 1.2, pp. 40–46.Google Scholar
Hare, EH (1962). Masturbatory insanity: the history of an idea. Journal of Mental Science 108, 1–25.CrossRefGoogle ScholarPubMed
Hoche, A (1934). Jahresringe. Lehmann Verlag: Munich.Google Scholar
Hoff, P (2008). Kraepelin and degeneration theory. European Archives of Psychiatry and Clinical Neuroscience 258 (Suppl. 2), 12–17.CrossRefGoogle ScholarPubMed
Janzarik, W (1979). Clinical psychopathology between Griesinger and Kraepelin: a snapshot in the year 1878. In Psychologie als Grundlagenwissenschaft. Enke Verlag: Stuttgart, pp. 51–61.Google Scholar
Kirn, L (1881). Review of ‘Lehrbuch der Psychiatrie’ by von Krafft-Ebing. Zeitschrift für Psychiatrie 37, 298–305.Google Scholar
Kraepelin, E (1983). Lebenserinnerungen. Springer Verlag: Berlin.CrossRefGoogle Scholar
Kraepelin, E (2005). The directions of psychiatric research. History of Psychiatry 16, 350–364.Google Scholar
Kraepelin, E (2007). On the question of degeneration (1908). History of Psychiatry 18, 399–404.CrossRefGoogle Scholar
Krafft-Ebing, Rv (1903 a). Lehrbuch der Psychiatrie auf klinischer Grundlage für praktische Arzte und Studirende, 7th edn [the last German edition]. Enke Verlag: Stuttgart.Google Scholar
Krafft-Ebing, Rv (1903 b). Text-Book of Insanity Based on Clinical Observations (for Practitioners and Students of Medicine) (translated by Chaddock, C. G., MD). F. A. Davis Company: Philadelphia, PA.Google Scholar
Laumann, EO, Gagnon, JH, Michael, RT, Michaels, S (1994). The Social Organization of Sexuality: Sexual Practices in the United States. University of Chicago Press: Chicago, IL.Google Scholar
Leibbrand, W, Wettley, A (1961). Der Wahnsinn: Geschichte der abendländischen Psychopathologie. Karl Albers: Munich.Google Scholar
Makari, G (2008). Revolution in Mind: The Creation of Psychoanalysis. Harper Perennial: New York, NY.Google Scholar
Malamud, W, Palmer, G (1932). The role played by masturbation in the causation of mental disturbances. Journal of Nervous and Mental Disease 76, 220–233.CrossRefGoogle Scholar
Money, J (2003). History, causality, and sexology. Journal of Sex Research 40, 237–239.CrossRefGoogle ScholarPubMed
Monroe, SM, Simons, AD (1991). Diathesis-stress theories in the context of life stress research: implications for the depressive disorders. Psychological Bulletin 110, 406–425.CrossRefGoogle ScholarPubMed
Oosterhuis, H (2000). Stepchildren of Nature: Krafft-Ebing, Psychiatry, and the Making of Sexual Identity. University of Chicago Press: Chicago, IL.Google Scholar
Pelman, C (1891). Review of von Krafft-Ebing's ‘Die Entwicklung und Bedeutung der Psychiatrie als klinischer Wissenschaft’ and ‘Der klinische Unterricht in der Psychiatrie’. Allgemeine Zeitschrift fur Psychiatrie und ihre Grenzgebiete 47, 693–694.Google Scholar
Pelman, C (1896). Review of von Krafft-Ebing's ‘Lehrbuch der Psychiatrie auf klinischer Grundlage’. Deutsche Medizinische Wochenschrift 22, 126.Google Scholar
Peterson, F (1903). Introduction. In Text-Book of Insanity, Based on Clinical Observations for Practitioners and Students in Medicine (ed. Krafft-Ebing, R. v.), pp. xiii–xvi. F. A. Davis Company: Philadelphia, PA.Google Scholar
Samt, P (1874). Die Naturwissenschaftliche Methode in der Psychiatrie. August Hirschwald: Berlin.Google Scholar
Savoia, P (2010). Sexual science and self-narrative: epistemology and narrative technologies of the self between Krafft-Ebing and Freud. History of the Human Sciences 23, 17–41.CrossRefGoogle ScholarPubMed
Schott, H, Tolle, R (2006). Geschichte der Psychiatrie: Krankheitslehren, Irrwege, Behandlungsformen. Beck Verlag: Munich.Google Scholar
Shorter, E (1997). A History of Psychiatry: From the Era of the Asylum to the Age of Prozac. John Wiley & Sons Inc.: New York.Google Scholar
Sigusch, V (2004). Richard von Krafft-Ebing (1840–1902). A centennial obituary. Nervenarzt 75, 92–96.CrossRefGoogle Scholar
Werlinder, H (1978). Psychopathy: A History of the Concepts. (Uppsala studies in education). Coronet Books Inc.Google Scholar
Weygandt, W (1927). Emil Kraepelin. Allgemeine Zeitschrift für Psychiatrie 85, 443–458.Google Scholar