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    33 viagra online kaufen paypal Chapter 3. A history of psychiatric classification Much of nineteenth-century understanding of psychiatric illness was synthesized by Edward Spitzka, a New York City neurologist and President of the New York Neurological Society.55 Spitzka considered psychiatric disorders as reflections of brain diseases and explicitly rejected the unitary psychosis model. Differing from “mental disorders” only in the coarseness or identifiableness of the brain pathology, spitzka introduced the term coarse brain disease to characterize behavioral syndromes secondary to what we now defined as neurologic disease.

    It took psychiatry in the USA another 70 years to recognize the value of this primary–secondary construct. Spitzka concluded, however, that while the ultimate understanding of the truth of psychiatric disease would derive from scientific inquiry, that goal was generations removed viagra online kaufen paypal. Among his rich descriptions and classification substantially ahead of his contemporaries, he recognized mania, melancholia, catatonia, benign stupor, delirium, a dementing process of late life suggestive of Alzheimer’s disease, and “senile dementia”, occurring shortly after the “involutional period”, and likely frontal–temporal dementia.

    He described developmental disorders, hysterical insanity, a periodic insanity, and monomania (paranoia or present-day delusional disorder). His demographic and epidemiologic conclusions about the major psychiatric syndromes rival present-day understanding. Spitzka offered a descriptive classification organized by what he understood to be either intrinsic brain disease or brain dysfunction resulting from disease in other organ systems.

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