Obviously cyclothymia has always existed as other mood disorders ( recounted in the Bible or the texts of Homer), it was described not only by doctors but also by artists and writers (Goethe and Werther and Shakespeare with Hamlet!) but did not describe precisely this hypersensitivity and lability mood.
In 1877, the two major German psychiatrists Kahlbaum Hecker and his disciple are finally named by naming the disorder: cyclothymia. In 1898, Hecker cyclothymia described as "a disease of the circular emotional sensitivity" (Gemuthserkrankung).
principles of psychiatry during the XIX century was based on a physiological and biological and biological. Psychoanalysts have questioned psychiatry and particularly on the origin of heritable mental disorders and nervous and somatic treatments substantially. Peter Kramer in his book Listening to Prozac "says eugenics and Nazi racial theories were discredited approach while humoral medicine Ancient Greek had nothing to do with these pseudo-scientific approaches.
Psychoanalysts believed that dialogue between patient and therapist would be the cure rather than a conventional auscultation ... Freud addressed disorders such as hysteria and depression (neurasthenia) by introspection reliving the emotional crises to Originally supposed to evacuate the course that could worsen the patient's situation.
In the 30s, psychoanalysis became increasingly popular in France, Germany and USA. In the 50s, all key positions in U.S. universities were held by psychiatrists, psychoanalysts, psychiatrists while in Europe were still resistance.
In France, May 68 meant a second wave of influence in psychoanalysis thanks to anti-psychiatry movement hostile to the ECT, the concept of "psychopathology" and that psychiatric hospitals were compared to prisons. In France, medical students have requested that psychoanalysis is in school curricula. In the late 70s, the creation of the DSM (first edition 1980) in the USA and the success of certain drugs have meant a sharp decline of psychoanalysis.
In 1977, Prof. Akiskal reintroduced the concept of temperament, bipolar spectrum and thus cyclothymia.
In Europe, Professor Angst in Zurich and his team working on the concept of bipolar and bipolar spectrum.
The medical history of cyclothymia is therefore unique because it is a disorder well defined and understood at the end of XIX and reappears a century later!
Psychoanalysts and psychiatrists who deny the existence of bipolarity attenuated (BPII) or cyclothymia seem to ignore the remarkable work of German doctors and french at the time! But what seems most worrisome is inability to diagnose and therefore treat those in need. For many doctors, bipolarity is a fashion and therefore only BP I are really sick.
To support my argument, I propose in my next posts you select a few passages of the doctoral thesis of Peter Kahn defended 1909.Ce remarkable work that I mentioned a few weeks ago deserves our attention and admiration .
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