University of Parma, Italy.
Department of Mental Health, Central Tuscany, Italy.
Hist Psychiatry. 2022 Mar;33(1):34-46. doi: 10.1177/0957154X211062534. Epub 2022 Jan 10.
Pre-Kraepelinian observations converged in Kahlbaum's and Hecker's description of Hebephrenia. For Kraepelin, Hebephrenia was an 'idiopathic incurable dementia whose onset is in adolescence'. It became the core of 'Dementia Praecox', and then Bleulerian 'Schizophrenia'. In recent decades, the resurgence of the 'late neurodevelopment' hypothesis of schizophrenia has brought into focus Hecker's clinical reports of adolescents who, as a result of a putative loss of psychic energy, showed a rapidly progressive cognitive impairment leading to functional and behavioural disorganization. This paper summarizes the nineteenth-century conceptualization of Hebephrenia as a developmental illness.
前克拉佩林时代的观察结果在卡尔鲍姆和赫克的青春型精神分裂症描述中趋于一致。对于克拉佩林来说，青春型精神分裂症是一种“特发性不可治愈的痴呆症，其发病年龄在青春期”。它成为“早发性痴呆”的核心，然后是布洛伊勒的“精神分裂症”。近几十年来，精神分裂症“晚期神经发育”假说的复兴使赫克的临床报告成为焦点，这些报告描述了一些青少年由于所谓的精神能量丧失，表现出快速进展的认知障碍，导致功能和行为紊乱。本文总结了 19 世纪将青春型精神分裂症视为一种发育性疾病的概念化。
