TY - JOUR
T1 - Kraepelin’s views on obsessive neurosis
T2 - A comparison with DSM-5 criteria for Obsessive-Compulsive disorder
AU - Steinberg, Holger
AU - Carius, Dirk
AU - Fontenelle, Leonardo F.
PY - 2017/10/1
Y1 - 2017/10/1
N2 - Emil Kraepelin (1856-1926) is considered one of the founders of modern psychiatric nosology. However, his conceptualization of obsessive-compulsive phenomena is relatively understudied. In this article, we compare and contrast excerpts from the eighth edition (1909-1915) of Kraepelin’s Textbook of Clinical Psychiatry focusing on what Kraepelin called ‘‘obsessive neurosis’’ and related ‘‘original pathological conditions’’ with the current DSM-5 criteria for obsessive-compulsive disorder (OCD). Consistently with DSM-5 OCD, Kraepelin described obsessive neurosis as characterized by obsessive ideas, compulsive acts, or both together. His detailed descriptions of these symptoms are broadly coherent with their characterization in DSM-5, which is also true for the differential diagnoses he provided. He also mentioned cases illustrating decreased insight into symptoms and association with tic disorders. In conclusion, Kraepelin’s experience, which reflects decades of consistent clinical work, may help validate current ideas and explain how the current conceptualization has emerged and developed. Even though one can hardly say that the classification laid out in DSM-5 goes back to Kraepelin’s views directly, it still is true that Kraepelin played an outstanding role in systematizing psychiatric diagnostic criteria in general, and provided a major contribution to the conceptual history of OCD.
AB - Emil Kraepelin (1856-1926) is considered one of the founders of modern psychiatric nosology. However, his conceptualization of obsessive-compulsive phenomena is relatively understudied. In this article, we compare and contrast excerpts from the eighth edition (1909-1915) of Kraepelin’s Textbook of Clinical Psychiatry focusing on what Kraepelin called ‘‘obsessive neurosis’’ and related ‘‘original pathological conditions’’ with the current DSM-5 criteria for obsessive-compulsive disorder (OCD). Consistently with DSM-5 OCD, Kraepelin described obsessive neurosis as characterized by obsessive ideas, compulsive acts, or both together. His detailed descriptions of these symptoms are broadly coherent with their characterization in DSM-5, which is also true for the differential diagnoses he provided. He also mentioned cases illustrating decreased insight into symptoms and association with tic disorders. In conclusion, Kraepelin’s experience, which reflects decades of consistent clinical work, may help validate current ideas and explain how the current conceptualization has emerged and developed. Even though one can hardly say that the classification laid out in DSM-5 goes back to Kraepelin’s views directly, it still is true that Kraepelin played an outstanding role in systematizing psychiatric diagnostic criteria in general, and provided a major contribution to the conceptual history of OCD.
KW - Diagnosis and classification
KW - History of psychiatry
KW - Neurosis
KW - Obsessive-compulsive disorder
KW - Tourette’s disorder
UR - http://www.scopus.com/inward/record.url?scp=85034440335&partnerID=8YFLogxK
U2 - 10.1590/1516-4446-2016-1959
DO - 10.1590/1516-4446-2016-1959
M3 - Article
C2 - 28300946
AN - SCOPUS:85034440335
VL - 39
SP - 355
EP - 364
JO - Revista Brasileira de Psiquiatria
JF - Revista Brasileira de Psiquiatria
SN - 1516-4446
IS - 4
ER -