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Serious and realistic research into the inheritance of the psychoses started in earnest at the beginning of the twentieth century. This was encouraged by both the acceptance of the Kraepelinian classification and the rediscovery of the Mendelian model of inheritance. The application of Mendelian rules to the very complex genetics of the psychoses led to agonizing debate. The Classic Text is a translation of the introduction of the doctoral thesis of Jens Chr. Smith, a little-known Danish psychiatrist who was able to summarize, with the enthusiasm typical to his youth and with surprising accuracy, the early stages of the debate mentioned above.

The little-known writing by Frederik Lange translated in this Classic Text belongs to what can be called the prolegomenal history of the construction of the concept of schizophrenia. It describes one effort to capture the convergence of certain words of diverse coinage (dementia praecox, acquired idiocy, hebephrenia, heboidophrenia, etc.) with some newly accepted concepts (e.g. the temporalization of madness and the view that adolescence was an independent period of life), and with some old behaviours (which for centuries had been called madness, the portmanteau soon to be rebaptized as psychosis). This convergence culminated in the work of Kraepelin, who was to call it 'dementia praecox'. Lange's transitional efforts and pangs can be sensed as he struggles to describe a new form of madness that affects young people.

At the beginning of the 20th century there took place in German Psychiatry an important debate on the nature and relative importance of mental symptoms and diseases. Young psychiatrists such as Störring, Ziehen, Gaupp, Hoche, Jaspers and Gruhle challenged, from various perspectives, the nosology of established figures such as Kraepelin and Wernicke. The Classic Text is a commented translation of Gruhle's 1913 lecture on the meaning of mental symptoms. After concluding that mental symptoms should be used as the epistemological unit of analysis in psychiatry, Gruhle rued the fact that little was yet known about their inner structure. He believed that any account of the latter should include an account of the 'meaning' of mental symptoms, that is, of their role in the patient's total disease. Gruhle found Freud's account of meaning wanting, but was himself unable to offer a viable alternative. Be that as it may, his concern remains unanswered and is as relevant today as it was in 1913., (© The Author(s) 2015.)

Since its construction in Classical times, the meaning of 'paranoia' has changed at least three times. Important gaps still interrupt its long chronology, and more studies of specific clinical and cultural usages are needed before its total history is put together. [ABSTRACT FROM AUTHOR]

The literature of the past has included self-reports by the mentally ill since before Roy Porter reminded us that their views and experiences constitute an important document for historians of psychiatry. The value of these self-reports can be enhanced if their potential biases and informational power are duly determined. This Classic Text concerns a self-report of a form of periodic madness written by an eighteenth-century Danish vicar. It shows how the same document can be presented in a more or less neutral fashion by a medical historian (Maar) or used as 'evidence' for some 'ontological' view of madness by a clinician (Rasmussen). [ABSTRACT FROM AUTHOR]

Heiberg's 1913 text on psychopathological concepts and terms in classical times remains important because of its freshness and historiographical value. A philologist and classical scholar, he seemed puzzled by the assumption of nosological continuity between classical categories of madness and current ones that prevailed at the time among historians of medicine and psychiatry. Heiberg's text acts as a bridge or transition between the nosological antiquarianism of the 19th century and histories of psychiatry that later warned of the dangers of an anachronistic reading of earlier medical texts. It also shows how important has been the contribution of classical philologists to the study of the history of madness. To our knowledge, this is the first rendition into English of the complete Danish work. [ABSTRACT FROM AUTHOR]

An excerpt from the article "Evolutive Paranoia" by August Wimmer is presented.

Literature on the history of ‘paranoia’ (as a clinical concept) is large and confusing. This is partly explained by the fact that over the centuries the word ‘paranoia’ has been made to participate in several convergences (clinical constructs), and hence it has named different forms of behaviour and been linked to different explanatory concepts. The Classic Text that follows provides information on the internal clinical evolution of the last convergence in which ‘paranoia’ was made to participate. August Wimmer maps the historical changes of ‘Verrücktheit’ as it happened within the main European psychiatric traditions since the early 19th century. After World War II, that clinical profile was to become reified and renamed as ‘delusional disorder’. [ABSTRACT FROM AUTHOR]

The motility psychoses are a group of acute psychiatric conditions characterized by salient disorders of movement (increased, decreased and disorganized), psychotic experiences, confusion and good prognosis. The debate on whether they are just atypical forms of schizophrenia or manic-depressive insanity or constitute an independent group of psychoses has not yet been settled. Erik Strömgren’s classical chapter deals with the history and clinical aspects of the motility psychoses. Based on a historical analysis and an empirical study of a patient cohort, the author draws conclusions on the nature of this clinical group that has stood the test of time well. [ABSTRACT FROM AUTHOR]