Psychiatrie

Tölle, Rainer; Windgassen, Klaus; Lempp, Reinhart; Bois, Reinmar du

doi:10.1007/3-540-29502-x

Cited by 8 publications

(20 citation statements)

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“…34f.]. In our sample, mention of BN as a condition with increased food intake is found only in the current textbooks by Schneider and Tölle/Windgassen ( 5 , 23 ). Although in 1879, Krafft-Ebing used the term “bulimia” in relation to increased appetite, he did not mention measures to avoid weight gain that are regarded as typical for this disease today ( 28 ).…”

Section: Discussionmentioning

confidence: 82%

“…However, initially, only AN was listed as an eating disorder. Another 40 years elapsed before BED and BN appeared as independent diagnoses, in the current textbook by Tölle and Windgassen ( 23 ). Prior to 1974, disturbed eating behaviors were not categorized as a separate diagnostic condition, even though such behaviors were mentioned as symptoms accompanying a variety of psychiatric disorders.…”

Section: Resultsmentioning

confidence: 91%

“…Only Rennert mentions fear of obesity as a possible causal factor ( 20 ). Tölle and Windgassen emphasize the pathophysiologic role of body image distortion in their current textbook ( 23 ).…”

Section: Resultsmentioning

confidence: 99%

“…It was not until 1987, that Rennert claimed that food refusal may be an accompaniment of suicidal intent in patients with anorexia [( 20 ), p. 457]. Finally, Tölle and Windgassen explicitly mention eating disorders in their chapter on suicidality where they refer to anorexia nervosa as a form of “chronic suicide.” Obesity is also noted as a possible variant of this suicide type [( 23 ), p. 100, 126].…”

Section: Resultsmentioning

confidence: 99%

“…In the second half of the 20th century, Huber and Rennert describe delusions of poisoning as a symptom of schizophrenia [( 20 ), p. 278, ( 21 ), p. 177]. Tölle and Windgassen also discuss a link between these conditions [( 23 ), p. 198]. Thus, delusions of poisoning have been consistently regarded and taught as a symptom of schizophrenia in the past 200 years of German academic psychiatry and often linked to eating behavior.…”

Section: Resultsmentioning

confidence: 99%

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Descriptions of Disordered Eating in German Psychiatric Textbooks, 1803–2017

et al. 2021

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The most common eating disorders (EDs) according to DSM-5 are anorexia nervosa (AN), bulimia nervosa (BN) and binge eating disorder (BED). These disorders have received increasing attention in psychiatry due to rising prevalence and high morbidity and mortality. The diagnostic category “anorexia nervosa,” introduced by Ernest-Charles Lasègue and William Gull in 1873, first appears a century later in a German textbook of psychiatry, authored by Gerd Huber in 1974. However, disordered eating behavior has been described and discussed in German psychiatric textbooks throughout the past 200 years. We reviewed content regarding eating disorder diagnoses but also descriptions of disordered eating behavior in general. As material, we carefully selected eighteen German-language textbooks of psychiatry across the period 1803–2017. Previously, in German psychiatry, disordered eating behaviors were seen as symptoms of depressive disorders, bipolar disorder or schizophrenia, or as manifestations of historical diagnoses no longer used by the majority of psychiatrists such as neurasthenia, hypochondria and hysteria. Interestingly, 19th and early 20th century psychiatrists like Kraepelin, Bumke, Hoff, Bleuler, and Jaspers reported symptom clusters such as food refusal and vomiting under these outdated diagnostic categories, whereas nowadays they are listed as core criteria for specific eating disorder subtypes. A wide range of medical conditions such as endocrinopathies, intestinal or brain lesions were also cited as causes of abnormal food intake and body weight. An additional consideration in the delayed adoption of eating disorder diagnoses in German psychiatry is that people with EDs are commonly treated in the specialty discipline of psychosomatic medicine, introduced in Germany after World War II, rather than in psychiatry. Viewed from today's perspective, the classification of disorders associated with disordered eating is continuously evolving. Major depressive disorder, schizophrenia and physical diseases have been enduringly associated with abnormal eating behavior and are listed as important differential diagnoses of EDs in DSM-5. Moreover, there are overlaps regarding the neurobiological basis and psychological and psychopharmacological therapies applied to all of these disorders.

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Section: Discussionmentioning

confidence: 82%

Section: Resultsmentioning

confidence: 91%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Descriptions of Disordered Eating in German Psychiatric Textbooks, 1803–2017

et al. 2021

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Grundlagen

Wien¹,

Bergmann²,

Niebling³

et al.

Psychische Erkrankungen in Der Hausarztpraxis

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Zur Psychopathologie der Ich-Störungen

Bürgy

2010

Nervenarzt

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The phenomena which Kurt Schneider grouped together to form the ego disturbances have always been of particular diagnostic relevance for schizophrenia. While little importance was historically attached to accurately describing and distinguishing psychopathological symptoms, Karl Jaspers' and Kurt Schneider's descriptive psychopathology aims to draw a sharp yet differentiated distinction between psychotic and non-psychotic disorders at the symptom level. New developments in phenomenology including aspects of symptom development are presented. The depersonalization experience is focused on as a transitional phenomenon which is distinguishes from neurotic depersonalization through a disturbed sense of mineness. The ego disturbances indicate that disturbed mineness can be seen as the common denominator of first-rank symptoms of schizophrenia.

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Psychiatrie

Cited by 8 publications

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Descriptions of Disordered Eating in German Psychiatric Textbooks, 1803–2017

Descriptions of Disordered Eating in German Psychiatric Textbooks, 1803–2017

Grundlagen

Zur Psychopathologie der Ich-Störungen

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