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布鲁诺·舒尔茨和他 1926 年的文章:“关于确定遗传性预后问题。精神分裂症患者的侄子和侄女的发病前景”。

Bruno Schulz and his 1926 Article: "Regarding the Problem of Determining Hereditary Prognosis. The Affliction Prospects for Nephews and Nieces of Schizophrenics".

机构信息

Department of Psychiatry, Virginia Institute of Psychiatric and Behavioral Genetics, Medical College of Virginia, Virginia Commonwealth University, Richmond, VA, USA.

Department of Germanic Languages and Literatures, University of Toronto, ON, Canada.

出版信息

Schizophr Bull. 2022 Oct 19;48(Suppl 1):S28-S36. doi: 10.1093/schbul/sbac109.

Abstract

Authored by one of Rüdin's most productive colleagues, Bruno Schulz, the main goal of this article was to estimate risk for dementia praecox (DP) in nieces/nephews (n/n) of DP probands to address practical questions for genetic counseling. Schulz selected 76 primary probands from records of the genealogical department of the German Research Institute of Psychiatry who both had DP and had siblings-secondary probands-with children aged 20 years or greater. Those children had a morbid risk for DP of 1.4%, much lower than that found in the offspring of DP in Hoffmann's study. However, the secondary probands had much lower rates of DP than the unselected siblings of DP cases studied by Rüdin. So rates of DP in n/n of DP probands are likely lower than expected theoretically because the secondary probands are being indirectly selected for a lowered genetic risk for DP by having successfully reproduced. Schulz diagnosed eccentric and other disordered personalities in the secondary probands and their spouses and presented evidence that other disordered personalities but especially eccentric personalities in parents were related to the risk of both eccentricity and DP in their children, the n/n of the DP probands. Eugenic issues play a minor role in this article. Although generally supportive of eugenic goals, historical sources document that Schulz was opposed to the National Socialists and actively attempted to protect Jews and his patients from involuntary sterilization. This complicates attempts to judge the morality of the work of the Rüdin school as a single unit.

摘要

本文的主要作者是鲁丁最有成就的同事之一布鲁诺·舒尔茨,他的主要目标是评估早发性痴呆(DP)在 DP 先证者的侄女/侄子(n/n)中的风险,以解决遗传咨询中的实际问题。舒尔茨从德国精神病学研究所家谱系的记录中选择了 76 名原发性先证者,这些先证者均患有 DP,并具有兄弟姐妹-二级先证者-年龄在 20 岁或以上的子女。这些孩子患有 DP 的病态风险为 1.4%,远低于霍夫曼研究中 DP 后代的风险。然而,二级先证者的 DP 发病率远低于鲁丁研究中 DP 未选择的兄弟姐妹。因此,DP 先证者的 n/n 中 DP 的发病率可能低于理论预期,因为二级先证者通过成功繁殖而间接地选择了 DP 的遗传风险降低。舒尔茨在二级先证者及其配偶中诊断出了古怪和其他障碍性人格,并提供了证据表明,父母的其他障碍性人格,特别是古怪人格,与他们的孩子(即 DP 先证者的 n/n)中古怪人格和 DP 的风险有关。优生学问题在本文中扮演着次要的角色。尽管舒尔茨普遍支持优生学的目标,但历史资料表明,他反对纳粹主义,并积极试图保护犹太人和他的病人免受非自愿绝育。这使得对鲁丁学派作为一个整体的工作的道德进行评判变得复杂。

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引用本文的文献

1
Bruno Schulz's 1933 Monograph: On the Hereditary Etiology of Schizophrenia.
Schizophr Bull. 2022 Oct 19;48(Suppl 1):S45-S55. doi: 10.1093/schbul/sbac111.

本文引用的文献

1
Rüdin's 1916 Monograph: On the Inheritance and Primary Origin of Dementia Praecox.
Schizophr Bull. 2022 Oct 19;48(Suppl 1):S8-S19. doi: 10.1093/schbul/sbac107.
2
The place of Franz Kallmann's 1938 "the genetics of schizophrenia" in the history of psychiatric genetics.
Am J Med Genet B Neuropsychiatr Genet. 2022 Jan;189(1-2):26-36. doi: 10.1002/ajmg.b.32886. Epub 2022 Jan 13.
3
The Prehistory of Psychiatric Genetics: 1780-1910.
Am J Psychiatry. 2021 Jun;178(6):490-508. doi: 10.1176/appi.ajp.2020.20030326. Epub 2020 Oct 15.
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[In memoriam: Bruno Schulz; 1890-1958].
Arch Psychiatr Nervenkr Z Gesamte Neurol Psychiatr. 1958;197(2):121-3. doi: 10.1007/BF00340233.
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Genetic epidemiology of major depression: review and meta-analysis.
Am J Psychiatry. 2000 Oct;157(10):1552-62. doi: 10.1176/appi.ajp.157.10.1552.
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Ernst Rüdin, a Nazi psychiatrist and geneticist.
Am J Med Genet. 1997 Jul 25;74(4):457-8; author reply 461-3. doi: 10.1002/(sici)1096-8628(19970725)74:4<457::aid-ajmg23>3.0.co;2-g.

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