Kraepelin's 'lost biological psychiatry'? Autointoxication, organotherapy and surgery for dementia praecox.

Hist Psychiatry

Department of Social Sciences, DeSales University, Center Valley, PA 18034-9568, USA.

Published: September 2007

AI Article Synopsis

  • Kraepelin proposed that chronic metabolic autointoxication, potentially linked to the sex glands, leads to chemical brain damage, causing dementia praecox symptoms.
  • The evolution of this autointoxication theory is documented across the 5th to 8th editions (1895-1913) of his textbook, Psychiatrie.
  • The discussion also covers the historical context of the theory, Kraepelin's rational treatment approach called organotherapy, and how North America responded with a focus on surgical treatment.

Article Abstract

Kraepelin believed that a chronic metabolic autointoxication, perhaps arising from the sex glands, eventually caused chemical damage to the brain and led to the symptoms of dementia praecox. The evolution of Kraepelin's autointoxication theory of dementia praecox is traced through the 5th to 8th (1895 to 1913) editions of his textbook, Psychiatrie. The historical context of autointoxication theory in medicine is explored in depth to enable the understanding of Kraepelin's aetiological assumption and his application of a rational treatment based on it--organotherapy. A brief account of the North American reception of Kraepelin's concept of dementia praecox, its autotoxic basis, and the preferred American style of rational treatment--surgery--concludes the discussion.

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Source
http://dx.doi.org/10.1177/0957154X07078705DOI Listing

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