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The Demise of the Kraepelinian Binary Concept and the Aetiological Unity of the Psychoses

  • T. J. Crow
Conference paper

Abstract

Emil Kraepelin’s key contribution was to establish that there is a relationship between the form of a psychotic illness and its outcome. Illnesses in which affective change is a prominent component have a better outcome than those in which affective features are less prominent and in which the psychotic phenomena cannot be understood as secondary to affective change. The success of the Kraepelinian system, even its survival, owes everything to the reality of this relationship. Yet the independence of the two Kraepelinian entities has never been satisfactorily established (and Kraepelin himself had doubts). Notwithstanding this, the influence of the Kraepelinian concept is pervasive: every textbook has separate chapters on schizophrenia and affective disorder. A major objective of operational diagnostic criteria such as the Research Diagnostic Criteria (RDC) and Diagnostic and Statistical Manual (DSM) III is to separate these two entities with maximum reliability.

Keywords

Affective Disorder Schizo Affective Disorder Psychotic Illness Continuum Concept Research Diagnostic Criterion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1991

Authors and Affiliations

  • T. J. Crow
    • 1
  1. 1.Division of Psychiatry, Clinical Research CentreNorthwick Park HospitalHarrowUK

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