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Classic Text No. 72 Non-dementia non-praecox: note on the advantages to mental hygiene of extirpating a term
E.E. Southard
DeSales University
Richard Noll
DeSales University, richard.noll{at}desales.edu
In February 1919 the Harvard neuropathologist Elmer Ernst Southard (1876—1920) presented a paper in which he outlined his reasons for dropping the term `dementia praecox' in favour of a competing diagnostic concept and term, `schizophrenia'. Southard's criticisms reflected the opinion of many US psychiatrists at that time, leading to the replacement of Emil Kraepelin's dementia praecox by Eugen Bleuler's schizophrenia in US psychiatry by the mid-1920s. The text of Southard's lecture is published here for the first time. Also included are excerpts from letters from US psychiatrists George H. Kirby, Albert M. Barrett, Adolf Meyer and August Hoch to Southard in response to his query as to whether dementia praecox or schizophrenia should be adopted in US psychiatric nomenclature.
Key Words: Adolf Meyer dementia praecox Elmer Ernst Southard psychiatric nomenclature schizophrenia
References
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- Southard, E.E. (1910) A study of the dementia praecox group in light of certain cases showing anomalies or scleroses in particular brain regions. American Journal of Insanity, 67, 119—76.[Web of Science]
- Southard, E.E. (1913) A series of normal-looking brains in psychopathic subjects. American Journal of Insanity, 69, 689—704.[Web of Science]
- Southard, E.E. (1914a) Anatomical findings in the brains of manic-depressive subjects. Proceedings of the American Medico-Psychological Association, 21, 237—74.
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- Southard, E.E. (1914—1915) On the topographical distribution of cortex lesions and anomalies in dementia praecox with some account of their functional significance. American Journal of Insanity, 71, 383—403.
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- Southard, E.E. (1916) Dissociation of parenchymatous (neuronic) and interstitial (neuroglia) changes in the brains of certain psychopathic subjects, especially in dementia praecox. Transactions of the Association of American Physicians, 31, 293—310.
- Southard, E.E. (1919a) On the focality of microscopic brain lesions found in dementia praecox. Archives of Neurology and Psychiatry, 1, 172—92.[Web of Science]
- Southard, E.E. (1919b) Applications of the pragmatic method to psychiatry. Journal of Laboratory and Clinical Medicine, 5, 139—45.
- Southard, E.E. (1919c) Non-dementia non-praecox: a note on the advantages of mental hygiene of extirpating a term. Journal of Nervous and Mental Disease, 50, 251—2.
- Southard, E.E. and Canavan, M.M. (1917) The stratigraphical analysis of finer cortex changes in certain normal-looking brains in dementia praecox. Journal of Nervous and Mental Disease, 45, 97—129.[CrossRef][Web of Science]
- Southard, E.E. and Canavan, M.M. (1918) Notes on the relation of tuberculosis to dementia praecox. Journal of Nervous and Mental Disease, 48, 193—200.[CrossRef][Web of Science]
History of Psychiatry, Vol. 18, No. 4,
483-502 (2007)
DOI: 10.1177/0957154X07082895

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