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The history of bipolar disorders

2009/01/01 by Andreas Marneros · 1 citation
Medicine · Arts and Humanities · Psychology · #Bipolar Disorder and Treatment #Schizophrenia research and treatment #Mental Health and Psychiatry #Bipolar disorder #Hypomania #Mania #Psychology #Psychiatry #Prevalence of mental disorders #Dementia praecox #Mood disorders #Clinical psychology #Psychoanalysis #Mood #Schizophrenia (object-oriented programming) #Anxiety

paper · doi:10.1007/978-3-7643-8567-5_1

openalex publication_date 2009/01/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/04

Abstract

Bipolar disorders have a long history. Depression and mania are mankind’s oldest known mental disorders, and they were the first mental disorders conceptualised by Hippocrates as a part of medicine. Mania and depression as part of one and the same disease—what we today call bipolar disorder—was first described by the famous Greek physician of the first century AD, Aretaeus of Cappadocia. The next decisive step in the development of our conceptualisation of bipolar disorders was done by two French psychiatrists, Falret (1851) and Baillarger (1854), who described them as separate entities. At the end of the 19th century, Emil Kraepelin subsumed all kinds of mood disorders—both unipolar and bipolar—under the umbrella of manic-depressive insanity. But there was also strong opposition against the very influential opinions of Kraepelin, especially by the so-called Wernicke-Kleist-Leonhard school (Karl Kleist coined the term ‘bipolar’), which subclassified bipolar disorders into distinct entities. In 1966, Angst and Perris showed that unipolar and bipolar disorders are autonomous. That was also the start of a very rapid development of concepts, research, and general knowledge about bipolar disorders. Subgroups like cyclothymia, hypomania, and mixed states were identified or reidentified. Another innovation was the development of a bipolar spectrum disorder concept. An overlap of bipolar and schizophrenic spectra can be postulated which is certainly genetically determined, and which gives rise to states like bipolar schizoaffective disorders or acute polymorphic disorders. These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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