History of psychiatry as a medical specialty Flashcards
Which physician “liberated the insane from their chains”
Phillipe Pinel- made the study of psychiatry a brach of medicine Medico-philisophical treatise on mental alienation
When did the specialties of neurology and psychiatry separate
1960
Initial meaning of neuroses and who coined the term
1769, Cullen, dysfunction of the nervous system
Developments from beginning of 20th century to 2nd world war
- Kraeplin’s nosological system in 1900, altered in 1911 by Bleuler’s description of SCZ and Jaspers psychopathological perspective
- Overpopulation of asylums
- Specialist training for psychiatrist
- Focus on social factors, mental health (Adolf Meyer)
Expansion of psychiatry after 1945
- Recognition of mental health as important task by govnt
- New perspectives- biopsychosocial
- The psychodynamic wave-> psychoanalysts of Germany forced out to USA
- 1960-> expansion of behavioural and cognitive therapies
- Social wave> focus on community mental health care, reducing inpatient beds, access to psychiatric care
- Biological wave-> 1952: chlorpromazine discovered to be beneficial in schizophrenia and mania, 1949 lithium for mania, 1957 imipramine and MOAi
Who was Alois Alzheimer
German psychiatris and neuropathologist
Colleague of Emil Kraeplin
Identified “presenile dementia which Kraeplin would later identify as Alzheimer’s
Who identified Alzheimers
Emil Kraeplin
Who was Durkheim
French Sociologist
Modern social science
Seminal monograph on suicide
Refined the positivism
Wilhelm Griesinger
Head of institution for mentally handicapped
Proposed modern model of community care, closure of asylums, recovery model
Karl Jaspers
Phenomenology
Documenting and describing link of phenomenology with diagnosis
German
Diagnosis should be based on form, not content
Primary delusions- un-understandable
Theodor Meynert
German-Austrian
Brain anatomy, histology, topography
Cerebral-cortext cytoarchictectonics
Theories in regards to correlating neuroanatomy and mental processes
Link between cerebral pathologies and psychoses
Franz Nissl
Neuropathologist
Neural connections between cortex and thalamic nuclei
Popularised use of spinal puncture
Carl Wernicke
German physician/anatomist/psychiatrist
Brain disease on speech and language
Found damage to L posterior superior temporal gyrus resulted in deficits in language comprehension “Wernicke’s area”
Wilhelm Windelband
German
Nomothetic and idiographic measures in psychology
Philosophy should engage in humanistic dialogue with natural sciences and no uncritically appropriating its methodologies
Who showed neurological changes in general paralysis different than those in dementia
Nissl
Who claimed mental illnesses are brain illnesses
Griesinger
Who argued that philosophy should engage in humanistic dialogue with natural sciences rather than uncritically appropriating its methodologies
Windelband
Founder of cortex cytoarchtectonics
Meynert
Who examined neural connections between human cortex and nuclei
Nissl
William Cullen
Scottish proponent of moral treatment
1710-1790
Donald Hebb
The organisation of Human Behaviour
Research on interrogation techniques funded by CIA
Canadian psychologist
Robert Whytt
On nervous, hypochondriac or hysteric diseases
Herbert Graf
Little Hans discussed in Frueds 1909 study Analysis of a phobia in a 5 year old boy
Little Albert Experiment (John Watson)
- Introduction of a loud sound (unconditioned stimulus) resulted in fear (unconditioned response), a natural response
- Intro of rat (neutral) paired with loud sound resulted in fear
- Successive intro of rat resulted in fear
Classical conditioning
Harry Stack Sullivan
1892-1949
Advocated for psychotherapy in patients with schizophrenia
Interpersonal theory
Influenced by Adolf Meyers belief that psychiatric sx represent pathological reaction to personal circumstances
Ernst Kretschmer
Described schizoid personality Relationship between 3 different physical types and psychological disorder "Short round people-> cyclothymia/BP" "Thin asthenic-> schizophrenia" Failed to control for age