“Prototypic personality disorder” and the social issue: The category of psychopathy in Polish psychiatry in the interwar period.

Abstract

The category of psychopathy has a long history, and its meaning has undergone a notable evolution since its conception in the 19th century. The history of psychopathy has been concentrating mainly on English-and German-speaking psychopathology. This article investigates definitions of psychopathy, its classification, and social issues associated with this category in Polish psychiatry in the interwar period. Polish definitions of psychopathy were influenced predominantly by Ernst Kretschmer's constitutional theory as well as by Eugen Kahn's, William Stern's, and Kurt Schneider's ideas. The term was generally understood as a borderline category denoting states between health and mental illness. As those states could manifest differently, it was thought to be many psychopathies. Two Polish psychiatrists, Maurycy Bornsztajn and Jakub Frostig, presented comprehensive classifications of psychopathies. Social issues associated with the category of psychopathy concentrated on three topics: psychopathy in children as a problem of the prevention of mental disorders; psychopathy as a problem of the justice system, the penitentiary, and military systems; and psychopathy as an issue of eugenics and social usefulness. Polish psychiatrists highlighted the need for the development of national institutions for the care of psychopathic children. Issues of accountability and insanity of psychopaths from the point of view of forensic psychiatry were also discussed. In conclusion, psychopathy in interwar Polish psychiatry was not just one of the personality disorders-it denoted the whole spectrum of characterological disturbances; thus, it rather corresponds to the modern category of personality disorders than to the contemporary understanding of psychopathy.