Jahn Martin, Steinberg Holger
Forschungsstelle für die Geschichte der Psychiatrie, Klinik und Poliklinik für Psychiatrie und Psychotherapie, Medizinische Fakultät, Universität Leipzig, Semmelweisstraße 10, 04103, Leipzig, Deutschland.
Neurologisches Rehabilitationszentrum Leipzig, Bennewitz, Deutschland.
Schmerz. 2020 Apr;34(2):172-180. doi: 10.1007/s00482-020-00447-z.
Paul Ferdinand Schilder was born in Vienna in 1886 and died in New York in 1940. Today he is remembered particularly as a psychoanalyst and a psychotherapist. His research in neuroscience, however, was also both comprehensive and innovative. For example, he is considered to be the first to describe Schilder's disease, which was named after him. This article focuses on pain asymbolia, which was also first described by Schilder, and is currently little known and considered to be rarely encountered. Pain asymbolia is a central impairment of pain experience with no negative affective-emotional component. The basis of Schilder's discovery and the differential diagnosis of pain asymbolia was the detailed examination of eleven medical cases between 1928 and 1930. His publications on the condition are characterized by meticulousness, progressive thinking and critical reflection. He nosologically assigned pain asymbolia to the group of agnosias and integrated it into the concept of body image, which was a central issue in his entire scientific work. This article additionally addresses the question of whether Schilder's assumptions are still valid today and what consequences might arise from this.
保罗·费迪南德·席尔德于1886年出生在维也纳，1940年在纽约去世。如今，他尤其被人们铭记为一名精神分析学家和心理治疗师。然而，他在神经科学方面的研究同样全面且具有创新性。例如，他被认为是首个描述席尔德氏病的人，该病即以他的名字命名。本文聚焦于疼痛失认症，这也是席尔德首先描述的，目前鲜为人知且被认为很少见。疼痛失认症是一种疼痛体验的中枢性损害，不存在负面情感 - 情绪成分。席尔德发现疼痛失认症并对其进行鉴别诊断的基础是1928年至1930年间对11个病例的详细检查。他关于该病症的出版物具有细致入微、进步的思想和批判性反思的特点。他在疾病分类学上把疼痛失认症归为失认症一类，并将其纳入身体意象的概念中，而这是他整个科学工作中的核心问题。本文还探讨了席尔德的假设如今是否仍然有效以及可能会产生哪些后果的问题。
