Somatic School
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Somatic School
Somatic school may refer to those in the nineteenth and early twentieth centuries who argued for a biological (as opposed to psychological) etiology of insanity; or it may refer to a group of nineteenth-century German psychiatrists, including Carl Jacobi, Christian Friedrich Nasse and Carl Friedrich Flemming, who taught that insanity is a symptom of biological diseases ''located outside the brain'', particularly diseases of the abdominal and thoracic viscera (akin to the delirium caused by many acute biological illnesses). This latter German school opposed the "physiological school" represented in Germany by Wilhelm Roser, Wilhelm Griesinger and Carl Wunderlich, who insisted on there being a brain lesion A lesion is any damage or abnormal change in the tissue of an organism, usually caused by disease or trauma. ''Lesion'' is derived from the Latin "injury". Lesions may occur in plants as well as animals. Types There is no designated classifi ... underlying every case of in ...
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Etiology
Etiology (pronounced ; alternatively: aetiology or ætiology) is the study of causation or origination. The word is derived from the Greek (''aitiología'') "giving a reason for" (, ''aitía'', "cause"); and ('' -logía''). More completely, etiology is the study of the causes, origins, or reasons behind the way that things are, or the way they function, or it can refer to the causes themselves. The word is commonly used in medicine (pertaining to causes of disease) and in philosophy, but also in physics, psychology, government, geography, spatial analysis, theology, and biology, in reference to the causes or origins of various phenomena. In the past, when many physical phenomena were not well understood or when histories were not recorded, myths often arose to provide etiologies. Thus, an etiological myth, or origin myth, is a myth that has arisen, been told over time or written to explain the origins of various social or natural phenomena. For example, Virgil's ''Aeneid'' is ...
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Carl Wigand Maximilian Jacobi
Carl Wigand Maximilian Jacobi (10 April 1775 – 18 May 1858) was a German psychiatrist. Biography He was born in Düsseldorf, the son of philosopher Friedrich Heinrich Jacobi. He attended the universities of Jena, Göttingen, Erfurt, and Edinburgh, and for a period of time worked as a hospital aide in London. Later he became director of a mental hospital at Salzburg, and beginning in 1816 was a Prussian ''Medizinalrat'' (medical officer). In 1825 he was the first director at the Siegburg lunatic asylum, located north of Bonn. One of his better known assistants at Siegburg was Bernhard von Gudden. Jacobi was a prominent member of the somatic school of psychiatry in Germany, believing that mental disorders were largely due to organic factors. His views on psychiatry were in direct contrast to those of Leipzig professor Johann Christian August Heinroth Johann Christian August Heinroth (17 January 1773 – 26 October 1843) was a German physician who was the first to use the term ps ...
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Christian Friedrich Nasse
Christian Friedrich Nasse (18 April 1778 – 18 April 1851) was a German physician and psychiatrist born in Bielefeld. He studied medicine at the University of Halle under physiologist Johann Christian Reil (1759–1813). At Halle, Achim von Arnim (1781–1831) and Friedrich von Raumer (1781–1873) were among his friends. Following graduation returned to Bielefeld as a general practitioner, later serving as director of a hospital for the poor. From 1819 until his death in 1851, he worked as a professor at the University of Bonn. Nasse was a member of the somatic school of psychiatry that was popular during the first half of the 19th century in Germany. He believed that diagnosis and treatment of mental disorders depended on investigation of the somatic activity of a patient, formulating his belief system on the basis that physical disease produced a disturbance in the relationship between the psyche and the soma. He was interested in the works of Johann Friedrich Herbart (1776– ...
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Carl Friedrich Flemming
Carl Friedrich Flemming (27 December 1799 – 27 January 1880) was a German psychiatrist born in Jüterbog. He was the father of cellular biology, cellular biologist Walther Flemming (1843-1905). After receiving his medical doctorate from Berlin, he worked as an assistant at the ''Irrenheilanstalt Sonnenschein'' (Sonnenschein mental asylum) near Pirna. From 1830 to 1854 he was director of the new psychiatric hospital at Sachsenberg, and afterwards maintained a private practice in Schwerin. In 1844 he introduced the term ''dysthymia mutabilis'' to describe a disorder that is an alternation of ''dysthymia atra'' (black depression) and ''dysthymia candida'' (low-level mania). He was part of the somatic school who held that insanity is a symptom of biological diseases located outside the brain, particularly diseases of the abdominal and thoracic viscera, akin to the delirium caused by many acute biological illnesses. Flemming died in Wiesbaden. Written works * ''De noctis circa mo ...
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Wilhelm Roser
Wilhelm Roser (26 March 1817 – 16 December 1888) was a German surgeon and ophthalmologist. He was born in Stuttgart and died in Marburg. In 1839 he received his medical doctorate from the University of Tübingen, and afterwards continued his education in Würzburg, Halle, Vienna and Paris. In 1841 he returned to Tübingen, where he was habilitated for surgery. In 1846 he practiced medicine in Reutlingen, and later succeeded Eduard Zeis (1807–1868) as professor of surgery at the University of Marburg. Roser would remain at Marburg for the remainder of his career. With his lifelong friends, clinician Carl Wunderlich (1815–1877) and neurologist Wilhelm Griesinger (1817–1868), he founded a journal of physiological medicine titled ''Archiv für physiologische Heilkunde''. He published over 150 medical papers, and was the author of ''Handbuch der anatomischen Chirurgie'', a textbook on anatomical surgery that ran through eight editions, and was translated into French and Engli ...
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Wilhelm Griesinger
Wilhelm Griesinger (29 July 1817 – 26 October 1868) was a German neurologist and psychiatrist born in Stuttgart. Life and career He studied under Johann Lukas Schönlein at the University of Zurich and physiologist François Magendie in Paris. After receiving his doctorate, he worked in several locations, including Winnethal in Württemberg, in Stuttgart (private practice), in the medical clinic at Tübingen, and at the University of Kiel. In 1845 Griesinger published his influential textbook ''Die Pathologie und Therapie der psychischen Krankheiten''. In the early 1850s he traveled to Egypt as director of the medical school in Cairo, and in the meantime became a personal physician to Abbas I. During his stay in Egypt, he gained experience in regards to tropical diseases, and as a result published ''Klinische und anatomische Beobachtungen über die Krankheiten von Aegypten'' (1854) and ''Infectionskrankheiten'' (1857). In 1854 he returned to the University of Tübingen ...
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Carl Reinhold August Wunderlich
Carl Reinhold August Wunderlich (4 August 1815, Sulz am Neckar – 25 September 1877, Leipzig) was a German physician, pioneer psychiatrist, and medical professor. He is known for his measurement of mean normal human body temperature of 37 °C (98.6 °F), now known more accurately to be about 36.8 °C (98.2 °F). He attended grammar school in Stuttgart and at the age of eighteen he began his medical studies at University of Tübingen, where he completed his final exams in 1837. In 1838 he worked as assistant at St Catharine's Hospital in Stuttgart, and wrote his MD thesis. Two years later he wrote his MD habilitation on internal medicine at University of Tübingen. In 1846, he was appointed Professor (ordentlicher Professor) and head of the general hospital at Tübingen. He moved to Leipzig University as Professor and Medical Director of the university hospital four years later. There he introduced clinical pedagogy, combined with a rigorous methodolo ...
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Lesion
A lesion is any damage or abnormal change in the tissue of an organism, usually caused by disease or trauma. ''Lesion'' is derived from the Latin "injury". Lesions may occur in plants as well as animals. Types There is no designated classification or naming convention for lesions. Since lesions can occur anywhere in the body and the definition of a lesion is so broad, the varieties of lesions are virtually endless. Generally, lesions may be classified by their patterns, their sizes, their locations, or their causes. They can also be named after the person who discovered them. For example, Ghon lesions, which are found in the lungs of those with tuberculosis, are named after the lesion's discoverer, Anton Ghon. The characteristic skin lesions of a varicella zoster virus infection are called '' chickenpox''. Lesions of the teeth are usually called dental caries. Location Lesions are often classified by their tissue types or locations. For example, a "skin lesion" or a " bra ...
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Psychical School
The psychical school or psychic school was a school of thought in eighteenth, nineteenth and early twentieth century psychiatry that held insanity to be solely caused by psychological (as opposed to bodily) disorder. Early representatives included English surgeon Andrew Harper (?–1790), and German psychiatrists Johann Gottfried Langermann (1768–1832), Johann Heinroth (1773–1843) and Karl Wilhelm Ideler (1795–1860). Harper concluded that "actual insanity ... seldom arises from any other source than a defection of the mind alone." Langermann called all mental illness a disorder of the spirit. Heinroth developed a "theological psychiatry", arguing that all mental illness is due to moral failing—a weakness of will—and he rejected the idea that bodily pathology may play any role. He asserted that "Innocence will not be perverted into insanity; ... but the soul laden with sin" will be ... "derangement of the mind has its sole origin in the abuse and misuse of freedom." Ide ...
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Johann Christian August Heinroth
Johann Christian August Heinroth (17 January 1773 – 26 October 1843) was a German physician who was the first to use the term psychosomatic A somatic symptom disorder, formerly known as a somatoform disorder,(2013) Leipzig Leipzig ( , ; Upper Saxon: ) is the most populous city in the German state of Saxony. Leipzig's population of 605,407 inhabit ...
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History Of Psychiatry
History (derived ) is the systematic study and the documentation of the human activity. The time period of event before the invention of writing systems is considered prehistory. "History" is an umbrella term comprising past events as well as the memory, discovery, collection, organization, presentation, and interpretation of these events. Historians seek knowledge of the past using historical sources such as written documents, oral accounts, art and material artifacts, and ecological markers. History is not complete and still has debatable mysteries. History is also an academic discipline which uses narrative to describe, examine, question, and analyze past events, and investigate their patterns of cause and effect. Historians often debate which narrative best explains an event, as well as the significance of different causes and effects. Historians also debate the nature of history as an end in itself, as well as its usefulness to give perspective on the problems of the p ...
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