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[1900年左右德语区精神病学中的“慢性躁狂”概念是否是成人注意力缺陷多动障碍(ADHD)疾病的早期贡献?]

[Are the concepts of "chronic mania" in German-speaking psychiatry around 1900 early contributions to the disorder of the adult form of attention deficit hyperactivity disorder (ADHD)?].

作者信息

Müller Steffen, Strauß Maria, Steinberg Holger

机构信息

Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Leipzig AöR, Leipzig, Deutschland.

Forschungsstelle für die Geschichte der Psychiatrie, Klinik und Poliklinik für Psychiatrie und Psychotherapie, Medizinische Fakultät der Universität Leipzig, Semmelweisstraße 10, 04103, Leipzig, Deutschland.

出版信息

Nervenarzt. 2025 Jan;96(1):81-88. doi: 10.1007/s00115-024-01669-7. Epub 2024 May 15.

Abstract

The adult form of attention deficit hyperactivity disorder (ADHD) has increasingly become a focus of adult psychiatry. Despite long-established diagnostic criteria and specific therapeutic approaches for the disorder, the common misconception that ADHD is a "fad" has persisted. Examining the history of psychiatry can make an educational contribution by showing that the adult form of ADHD is a continuously existing illness phenomenon. The present study examines the discussion of sometimes prominent authors about "chronic mania" in German-speaking psychiatry around 1900. The individual concepts were analyzed for their content and compared with each other and with modern diagnostic manuals for adult ADHD. The aim of this work is to question and discuss whether these "chronic-manic concepts" are part of the conceptual history of adult ADHD and whether a gap in the history of this disorder can be filled with their help. It is concluded that in the early twentieth century neurologists reported and discussed about patients who nowadays would almost certainly receive the diagnosis of ADHD. The psychiatrists had difficulty in classifying this disorder into their nosological schemes but their "chronic-manic concepts" show clear parallels to the current diagnostic criteria for adult ADHD and its symptoms.

摘要

成人注意力缺陷多动障碍(ADHD)越来越成为成人精神病学的关注焦点。尽管针对该疾病已有既定的诊断标准和特定的治疗方法,但ADHD是一种“时尚”的常见误解依然存在。审视精神病学的历史有助于开展教育,表明成人ADHD是一种持续存在的疾病现象。本研究考察了1900年左右德语区精神病学中一些著名作者对“慢性躁狂症”的讨论。分析了各个概念的内容,并相互比较,还与成人ADHD的现代诊断手册进行了比较。这项工作的目的是质疑并讨论这些“慢性躁狂症概念”是否属于成人ADHD概念史的一部分,以及它们能否填补该疾病历史中的空白。结论是,在20世纪初,神经科医生报告并讨论了如今几乎肯定会被诊断为ADHD的患者。精神科医生难以将这种疾病纳入他们的疾病分类体系,但其“慢性躁狂症概念”与当前成人ADHD的诊断标准及其症状有明显的相似之处。

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