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Schneider-Oriented versus Conrad-Oriented Psychiatric Diagnosis in the same German Clinic

Published online by Cambridge University Press:  27 April 2018

Karl Koehler  and
Wolfgang Guth
Karl Koehler
Affiliation:
University Neuropsychiatrie Clinic 6650 Homburg/Saar, West Germany
Wolfgang Guth
Affiliation:
University Neuropsychiatrie Clinic 6650 Homburg/Saar, West Germany
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Summary

The Chair of the University Nervenklinik in Homburg/Saar was held by Klaus Conrad from 1949-58 and by H.-H, Meyer, a former pupil and colleague of Kurt Schneider, from 1962-72. As the catchment area and admission policy of the clinic remained substantially unchanged throughout, comparison of the relative proportions of all admissions allocated to different diagnostic categories in 1949-58 and 1962-72 can be used to elucidate the similarities and differences between Conrad's and Schneider's diagnostic criteria. The results of this comparison indicate that Schneider's concept of schizophrenia was broader than Conrad's, and his concept of manic-depressive depx-ession more restricted. More detailed comparisons are complicated by differences in nomenclature and in the varieties of functional mental illness recognized in the two periods. However, it seems that Conrad's concept of mania was wider only when the atypical schizophrenia-like psychoses diagnosed during the Conrad era were added to the Conrad-oriented cases of mania; when this was not done, the Schneiderian concept of mania was broader.

Type
Papers
Information
The British Journal of Psychiatry , Volume 129 , Issue 5 , November 1976 , pp. 446 - 451
Copyright
Copyright © Royal College of Psychiatrists, 1976 

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References

Anderson, E. W. (1959) Foreword to Clinical Psychopathology by Schneider, K. New York and London: Grune and Stratton.Google Scholar
Conrad, K. (1956) Beitrag zur Diagnosenstatistik. Die Aufnahmen der Homburger Klinik in den Jahren 1949-55. Fortschritte der Neurologie, Psychiatrie und ihrer Grenzgebiete, 24, 231–44.Google Scholar
Anderson, E. W. (1958) Die beginnende Schizophrenie. Stuttgart: Georg Thieme Verlag.Google Scholar
Anderson, E. W. (1959) Das Problem der ‘nosologischen Einheit’ in der Psychiatrie. Nervenarzt, 30, 488–94.Google Scholar
Anderson, E. W. (1960) Die symptomatischen Psychosen. In Psychiatrie der Gegenwart. Volume II (ed. Gruhle, H. W., Jung, R., Mayer-Gross, W., Müller, M.). Berlin-Göttingen-Heidelberg: Springer Verlag.Google Scholar
Cooper, J. E., Kendell, R. E. & Gurland, B. J. et al (1972) Psychiatric Diagnosis in New York and London: a Comparative Study of Mental Hospital Admissions. London: Oxford University Press.Google Scholar
Fish, F. J. (1960) A review of Die beginnende Schizophrenie. Journal of Mental Science, 106, 34–54.Google Scholar
Fish, F. J. (1961) A neurophysiological theory of schizophrenia. Journal of Mental Science, 107, 828–39.Google Scholar
Fish, F. J. (1962) Schizophrenia. Bristol: John Wright and Sons.Google Scholar
Hirsch, S. R. & Shepherd, M. (1974) (eds.) Themes and Variations in European Psychiatry. Bristol: John Wright and Sons.Google Scholar
Hofstätter, P. R. & Wendt, D. (1974) Qualitative Methoden der Psychologie. Volume I, Frankfurt am Main: Johann Ambrosius Barth Verlag.Google Scholar
Janzarik, W. (1974) Themen und Tendenzen der deutschsprachigen Psychiatrie. Berlin-Heidelberg-New York: Springer Verlag.Google Scholar
Jung, R. (1948) Ein neurologisch-psychiatrisches Diagnosenschema. Nervenarzt, 19, 552–9.Google Scholar
Kendell, R. E., Pichot, P. & Von Cranach, M. (1974) Diagnostic criteria of English, French and German psychiatrists. Psychological Medicine, 4, 187–95Google Scholar
Kleist, K. (1928) Cycloid, paranoid, and epileptoid psychoses and the problem of degenerative psychoses. Translated 1974 in Themes and Variations in European Psychiatry (ed. Hirsch, S. R., Shepherd, M.). Bristol: John Wright and Sons.Google Scholar
Kridde, O. E. (1961) Das Krankengut der Psychiatrischen und Neurologischen Klinik der Universität des Saariandes in den Jahren 1956-58. M.D. Thesis.Google Scholar
Leonhard, K. (1968) Aufteilung der endogenen Psychosen. Berlin: Akademie Verlag.Google Scholar
Lewis, A. (1938) States of depression: their clinical and aetiologicai differentiation. British Medical Journal, ii, 875–8.Google Scholar
Lewis, A. (1967) Empirical or rational? The nature and basis of psychiatry. Lancet, i, 1–9.Google Scholar
Lewis, A. (1972) Foreword to Psychiatric Diagnosis in New York and London: a Comparative Study of Mental Hospital Admissions by Cooper, J. E., Kendell, R. E., Gurland, B. J., et al. London: Oxford University Press.Google Scholar
Meyer, J. E. (1961) Diagnostische Einteilungen und Diagnosenschema in der Psychiatrie. In Psychiatrie der Gegenwart. Volume III (ed. Gruhle, H. W., Jung, R., Mayer-Gross, W., Müller, M.). Berlin-GöttingenHeidelberg: Springer Verlag.Google Scholar
Ott, B. (1964) Das Krankengut einer nervenfachärzt-lichen Praxis im Vergleich zur Klinik. Nervenarzt, 35, 504–9.Google Scholar
Pasamanick, B., Dinitz, S., & Lefton, M. (1959) Psychiatric orientation and its relation to diagnosis and treatment in a mental hospital. American Journal of Psychiatry, 116, 127–32.Google Scholar
Schneider, K. (1937) Fünf Jahre klinischer Erfahrung an der Forschungsanstalt für Psychiatrie. Deutsche medizinische Wochenschrift, 63, 957–62.CrossRefGoogle Scholar
Schneider, K. (1956) Kraepelin und die gegenwärtige Psychiatrie. Fortschritte der Neurologie Psychiatrie und ihrer Grenzgebiete, 24, 1–17.Google Scholar
Schneider, K. (1971) Klinische Psychopathologie. Stuttgart: Georg Thieme Verlag.Google Scholar
Slater, E. & Roth, M. (1969) Clinical Psychiatry. Third Edition. Baltimore: Williams and Wilkins.Google Scholar
Spitzer, R. L. & Fleiss, J. L. (1974) A re-analysis of the reliability of psychiatric diagnosis. British Journal of Psychiatry, 125, 341–7.CrossRefGoogle ScholarPubMed
Weitbrecht, H. J. (1972) Depressive und manische endogene Psychosen. In Psychiatrie der Gegenwart. Volume II, Part 1 (ed. Kisker, K. P., Meyer, J. E., Müller, M., Strömgren, E.). Berlin-Heidelberg-New York: Springer Verlag.Google Scholar
Witter, H. (1963) Methodologische Probleme der Psychiatrie. Fortschritte der Neurologie Psychiatrie und ihrer Grenzgebiete, 31, 491–513.Google Scholar
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