The Rise of Modern Neuropsychiatry

  • Donald Mender


A psychiatrist, sitting in his office today, faces an awesome array of challenges. He has to deal with government bureaucracies, malpractice insurance, competing professionals, and the need for continuing education. A beeper and answering service constantly test his mettle. But most importantly, he has to decide among a bewildering host of options in his approach to each individual patient.


Mental Illness Mental Symptom Stereo System Community Mental Health Program Medical School Library 
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  1. 1.
    Gerard Piel et al., eds., The Brain (San Francisco: W. H. Freeman, 1979), p. 141.Google Scholar
  2. 2.
  3. 3.
    Nancy Andreasen, The Broken Brain (New York: Harper & Row, 1984), p. 152.Google Scholar
  4. 4.
    Eric Kandel, “Psychotherapy and the Single Synapse,” New England Journal of Medicine 301:19 (8 Nov 1979), p. 1028.PubMedCrossRefGoogle Scholar
  5. 5.
    Ibid., pp. 1028–1029.PubMedCrossRefGoogle Scholar
  6. 6.
  7. 7.
    Andreasen, The Broken Brain, pp. 1–2, 37, 141–142, 144–145.Google Scholar
  8. 8.
    Ming T. Tsuang, Stephen V. Faraone, and Max Day, “Schizophrenic Disorders,” in The New Harvard Guide to Psychiatry, ed. Armand Nicholi (Cambridge: Bellknap Press, 1988), p. 259.Google Scholar
  9. 9.
    Peter McGuffin, “Mental Illness,” in The Oxford Companion to the Mind, ed. Richard Gregory (Oxford: Oxford University Press, 1987), p. 473.Google Scholar
  10. 10.
    Andreasen, The Broken Brain, pp. 36, 63, 53.Google Scholar
  11. 11.
    Harvard Medical School, Department of Continuing Education, Psychiatry, a Comprehensive Review and Update, syllabus for course given 6–11 March 1989, p. 71.Google Scholar
  12. 12.
    David Tomb, Psychiatry for the House Officer (Baltimore: Williams and Wilkins, 1988), p. 66.Google Scholar
  13. 13.
    Ibid., pp. 66, 69–71.Google Scholar
  14. 14.
    Kenneth Tardiff, “The Current State of Psychiatry in the Treatment of Violent Patients,” Archives of General Psychiatry 49 (June 1992), pp. 493–495.PubMedCrossRefGoogle Scholar
  15. 15.
    Tomb, p. 136.Google Scholar
  16. 16.
    “Hippocrates” (no author given), in Gregory, ed., The Oxford Companion, p. 312.Google Scholar
  17. 17.
    “Galen (Claudius Galenus)” (no author given), Ibid., p. 281.Google Scholar
  18. 18.
    J. O. Thorne, ed., Chambers’s Biographical Dictionary (New York: St. Martin’s Press, 1962), p. 509.Google Scholar
  19. 19.
    Hippocrates, “The Physiological Bases of Experience,” in Body, Mind, and Death, ed. Anthony Flew (New York: Macmillan, 1964), pp. 32–33.Google Scholar
  20. 20.
    L. S. Hearnshaw, The Shaping of Modern Psychology (London: Routledge, 1987), pp. 151–152.Google Scholar
  21. 21.
    Harold Kaplan and Benjamin Sadock, Synopsis of Psychiatry (Baltimore: Williams and Wilkins, 1988), pp. 1–2.Google Scholar
  22. 22.
    Vieda Skultans, “Insanity, Early Theories,” in The Oxford Companion, p. 372.Google Scholar
  23. 23.
    Jean-Pierre Changeux, Neuronal Man (Oxford: Oxford University Press, 1985), p. 11.Google Scholar
  24. 24.
    Kaplan and Sadock, pp. 2, 4.Google Scholar
  25. 25.
    Ibid., p. 7.Google Scholar
  26. 26.
    Thorne, ed., p. 95.Google Scholar
  27. 27.
    Raymond Adams and Maurice Victor, Principles of Neurology (New York: McGraw-Hill, 1977), p. 642.Google Scholar
  28. 28.
    W. A. Lishman, Organic Psychiatry (Oxford: Blackwell, 1987), pp. 281–282.Google Scholar
  29. 29.
    John Walton, revising author, Brain’s Diseases of the Nervous System (Oxford: Oxford University Press, 1977), p. 454.Google Scholar
  30. 30.
    Adams and Victor, p. 642.Google Scholar
  31. 31.
    Daniel X. Freedman, “The Search: Body, Mind, and Human Purpose,” American Journal of Psychiatry 149:7 (July 1992), p. 861.Google Scholar
  32. 32.
    Christian Herriman, “Neurosyphilis,” in Merritt’s Textbook of Neurology, ed. Lewis Rowland (Philadelphia: Lea and Febiger, 1984), p. 123.Google Scholar
  33. 33.
    Kaplan and Sadock, p. 10.Google Scholar
  34. 34.
    Thorne, ed., p. 1342.Google Scholar
  35. 35.
    Walton, p. 468.Google Scholar
  36. 36.
    These developments were in line with the then ascendant germ theory of disease causation, a view promoted by the perfection of the microscope in the nineteenth century and by the work of Louis Pasteur and Robert Koch [Fritjof Capra, The Turning Point (New York: Bantam, 1982), pp. 110–111, 127–129].Google Scholar
  37. 37.
    Freedman, pp. 861–862.Google Scholar
  38. 38.
    Andreasen, The Broken Brain, p. 14.Google Scholar
  39. 39.
    David Gorman and Jurgen Unutzer, “Brodmann’s ‘Missing’ Numbers,” Neurology 43 (January 1993), pp. 226–227.PubMedCrossRefGoogle Scholar
  40. 40.
    Jonathan Winson, Brain and Psyche (Garden City: Doubleday, 1985), p. 63.Google Scholar
  41. 41.
    O. L. Zangwill, “Kraepelin, Emil,” in Gregory, ed., The Oxford Companion, p. 414.Google Scholar
  42. 42.
    Phillip N. Johnson-Laird, The Computer and the Mind (Cambridge: Harvard University Press, 1988), pp. 20–21.Google Scholar
  43. 43.
    Kaplan and Saddock, pp. 147–149.Google Scholar
  44. 44.
    James Schellenberg, Masters of Social Psychology (New York: Oxford University Press, 1978), p. 63.Google Scholar
  45. 45.
    The search for biological treatment paradigms in psychiatry grew from the germ theory’s success in promoting vaccines and antibiotics active against infectious diseases. These techniques, along with other new modalities like insulin treatment for diabetes, encouraged the idea of biological and chemical therapies to deal with mental symptoms (Capra, pp. 111, 131–132).Google Scholar
  46. 46.
    Pragmatic considerations have always been a spur for developing biological methods of treating abnormal behavior. The ancients furnished precedents in their attempts to cure emotional problems by “direct” physical means. The Greek Hippocrates tried to treat hysteria by luring supposedly errant wombs back to their proper anatomical site, using fragrances applied to the vagina. Some physicians, following theories of the Roman Galen, handled their patients’ behavioral quirks by removing excess bodily “humors”; blood-letting was the most common example of such a practice (Andreasen, The Broken Brain, p. 143).Google Scholar
  47. 47.
    Kaplan and Sadock, p. 528.Google Scholar
  48. 48.
    Andreasen, The Broken Brain, pp. 119, 214–215.Google Scholar
  49. 49.
    Kaplan and Sadock, p. 531.Google Scholar
  50. 50.
    Ibid., pp. 528–529, 531.Google Scholar
  51. 51.
    Andreasen, The Broken Brain, p. 198.Google Scholar
  52. 52.
    Ross Baldessarini and Jonathan O. Cole, “Chemotherapy,” in Nicholi, ed., The New Harvard Guide, p. 499.Google Scholar
  53. 53.
    Andreasen, The Broken Brain, pp. 191–192.Google Scholar
  54. 54.
    Ibid., pp. 192–193.Google Scholar
  55. 55.
    Baldessarini and Cole, p. 483.Google Scholar
  56. 56.
    Andreasen, The Broken Brain, pp. 194–195.Google Scholar
  57. 57.
    Baldessarini and Cole, pp. 507–508.Google Scholar
  58. 58.
    Winson, pp. 194–195.Google Scholar
  59. 59.
    Baldessarini and Cole, pp. 521–523.Google Scholar
  60. 60.
    Tomb, pp. 77, 87–88, 208–210.Google Scholar
  61. 61.
    Andreasen, The Broken Brain, p. 193.Google Scholar
  62. 62.
    Ibid., p. 31.Google Scholar
  63. 63.
    Stuart C. Yudofsky and Robert E. Hales, “The Reemergence of Neuropsychiatry: Definition and Direction,” Journal of Neuropsychiatry 1:1 (Winter 1989), p. 3.Google Scholar
  64. 64.
    Andreasen, The Broken Brain, pp. 19, 149–150.Google Scholar

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© Donald Mender 1994

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  • Donald Mender

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