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Schizophrenia and Modern Culture

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1 Schizophrenia and Modern Culture

2 Connecticut Hospital for the Insane,
Middletown, CT, 1922 (founded 1868)

pen and ink drawing, c. 1822

4 Genealogy of “Schizophrenia”
* Augustin Morel (1860): Dementia Praecox Ewald Hecker (1871): Hebephrenia Karl Kahlbaum (1874) Paranoia, Catatonia * Emil Kraepelin (1896): Dementia Praecox (included Hebephrenia, Catatonia, Paranoia) * Eugen Bleuler (1911): Schizophrenia

5 Emil Kraepelin ( )

6 Kraepelin’s Nosology Form of early-onset dementia
Manic Depressive Insanity Combination of mania & melancholy Good prognosis Dementia Praecox Form of early-onset dementia Deteriorating course Included hebephrenia, catatonia, paranoia

7 Eugen Bleuler (1857-1939) Director of Burghölzli
Dementia Praecox: or the Group of the Schizophrenias (1911) Director of Burghölzli Hospital, at University of Zurich

8 Zurich, Switzerland

9 Bleuler’s Primary Symptoms of Schizophrenia
1) Association: loosening of mental associations similar to the process of dreaming. 2) Affect: dysfunction between cognitive and affective apparatus. 3) Ambivalence: Simultaneous presence of contrary feelings. 4) Autism: distanced from reality; seek their own way, engaged in symbolic thinking.

10 Hans Prinzhorn ( ) Artistry of the Mentally Ill (1922)

11 Karl Gustav Sievers (schizophrenia) “untitled”

12 Josef Heinrich Grebing (dementia praecox) “Untitled”

13 Peter Meyer (Moog) (Schizophrenic) “Destruction of Jerusalem”

14 Katharina Detzel (Manic-Depression/Schizo.)

15 Josef Forster (Schizophrenia) “Untitled”

16 Marie Lieb Periodic Mania
“Cell floor decorated with torn strips of cloth”

17 Paul Goesch (Schizophrenic)
“Horus Dismembered”

18 August Natterer (no diagnosis given) “Witch’s head”

19 August Natterer (no diagnosis given) “Witch’s head”

20 Paul Klee Runner at the Goal

21 Frieda Fromm-Reichmann 1889 - 1957
I Never Promised you a Rose Garden, 1964 Frieda Fromm-Reichmann “Schizophrenogenic mother”


23 Wagner-Jauregg overseeing Malarial Therapy c. 1918 (at back)

24 Bringing a patient out of insulin coma, Belgian asylum c. 1940

25 Patient in convulsions following Metrazol treatment, c.1941

26 Electroconvulsive Shock Treatment

27 Fever and Shock Therapies
Julius Wagner-Jauregg: 1918 Malarial Fever Therapy Manfred Sakel: 1933 Insulin Coma Therapy Ladislav Meduna: 1935 Metrazol Shock Therapy Ugo Cerletti: 1938 Electroconvulsive Shock Therapy

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