Through examination of the career of the psychiatrist August Hoch (1868—1919), this essay challenges two assumptions implicit in histories of US progressive-era psychiatry: that the emergence of Freudian psychoanalysis signalled a devaluation of Kraepelin's contributions and that theoretical and therapeutic eclecticism inhibited psychiatric research. Locating Hoch's guiding principles within the context of Kraepelin's clinical psychiatry, I analyse how Hoch mediated the demands of classification and the dynamic understanding of persons in prosecuting a new kind of clinical research that would not have been possible within either the Kraepelinian or Freudian perspective alone.
American Medico-Psychological Association and National Committee for Mental Hygiene (1918) Statistical Manual for the Use of Institutions for the Insane (New York: National Committee for Mental Hygiene).
2.
Amsden, G.S. (1923) The practical value of the study of personality in mental disorders. American Journal of Psychiatry,2, 501—13.
3.
Amsden, G.S. (1924) A Guide to the Descriptive Study of the Personality with Special Reference to Use in Psychiatric Cases (White Plains, NY: Bloomingdale Hospital Press).
4.
Amsden, G.S. (1928) Mental and emotional components of the personality in schizophrenia. In: Schizophrenia [Dementia Praecox]: An Investigation of the Most Recent Advances. The Proceedings of the Association , New York, December 28th & 29th, 1925. Research publications (Association for Research in Nervous and Mental Disease), Vol. 5, edited by C. L. Dana et al. (New York: Paul B. Hoeber), 133—8.
5.
Beck, S.J. (1938) Personality Structure in Schizophrenia. A Rorschach Investigation in 81 Patients and 64 Controls (New York : Nervous and Mental Disease Monographs).
6.
Beer, M.D. (1996) The endogenous psychoses: a conceptual history . History of Psychiatry, 7, 1—29.
7.
Berrios, G.E. (1981) Stupor: a conceptual history. Psychological Medicine, 11, 677—88.
8.
Berrios, G.E. (1987) Historical aspects of psychoses: 19th century issues. British MedicalBulletin, 43, 484—98.
9.
Berrios, G.E. (1991) Affective disorders in old age: a conceptual history . International Journal of Geriatric Psychiatry, 6, 337—46.
10.
Berrios, G.E. (1996) The History of Mental Symptoms: Descriptive Psychopathology since the Nineteenth Century (Cambridge: Cambridge University Press).
11.
Berrios, G.E. and Hauser, R. (1995) Kraepelin. Clinical section — part II. In G. E. Berrios and R. Porter (eds), A History of Clinical Psychiatry: The Origin and History of Psychiatric Disorders (New York: New York University Press), 280—91.
12.
Blashfield, R.K. (1984) The Classification of Psychopathology: Neo-Kraepelinian and Quantitative Approaches (New York: Plenum Press).
13.
Bond, E.D. (1913) Personality and outcome in two hundred consecutive cases. American Journal of Insanity, 69, 731—8.
14.
Bond, E.D. and Partridge, G.E. (1925) Interpretations of manic-depressive phases. American Journal of Psychiatry,4, 643—62.
15.
Bowman, K.M. (1934) A study of the pre-psychotic personality in certain psychoses. In: The Biology of the Individual: An Investigation of the Most Recent Advances. The Proceedings of the Association, New York, December 28th and 29th, 1933. Research publications (Association for Research in Nervous and Mental Disease), Vol. 14, edited by J. R. Hunt et al. ( Baltimore, MD: Williams & Wilkins), 180—210.
16.
Bowman, K.M. and Kasanin, J. (1933) Constitutional schizophrenia. American Journal of Psychiatry, 13, 645—58.
17.
Breuer, J. and Freud, S. (1893—95) Studies on Hysteria. In J. Strachey (trans. and ed.), The Standard Edition of the Complete Psychological Works of Sigmund Freud, Vol. 2 (London: Hogarth Press, 1955), 1—311.
18.
Burnham, J.C. (1960) Psychiatry, psychology and the progressive movement . American Quarterly, 12, 457—65.
19.
Burnham, J.C. (1967) Psychoanalysis and American Medicine, 1894—1918: Medicine, Science, and Culture (New York: International Universities Press).
20.
Burnham, J.C. (1979) From avant-garde to specialism: psychoanalysis in America. Journal of the History of the Behavioral Sciences , 15, 128—34.
21.
Burr, C.W. (1914) A criticism of psychoanalysis. In: Proceedings of the American Medico-Psychological Association at the Seventieth Annual Meeting held in Baltimore, Md., Vol. 70 (Baltimore, MD: Lord Baltimore Press), 303—24.
22.
Caplan, E. (1998) Mind Games: American Culture and the Birth of Psychotherapy (Berkeley, CA: University of California Press).
23.
Castel, R., Castel, F. and Lovell, A. (1982) The Psychiatric Society, translated by A. Goldhammer (New York: Columbia University Press); originally published in French in 1979.
24.
Cheney, C. O. (ed.) (1934) Outlines for Psychiatric Examinations (Utica, NY: State Hospitals Press).
25.
Cheney, C.O. (ed.) (1938) Outlines for Psychiatric Examinations, 2nd edn (Utica, NY: State Hospitals Press).
26.
Cowles, E. (1902) Annual report (eighty-fourth) of the superintendent of the McLean Hospital. In: Trustees of the Massachusetts General Hospital, Annual Report, 89, 41—86.
27.
Cowles, E. (1903) Annual report (eighty-fifth) of the superintendent of the McLean Hospital. In: Trustees of the Massachusetts General Hospital, Annual Report, 90, 194—220.
28.
Cowles, E. (1904) Annual report (eighty-sixth) of the superintendent of the McLean Hospital. In: Trustees of the Massachusetts General Hospital, Annual Report, 91, 195—214.
29.
Cowles, E. (1905) Annual report (eighty-seventh) of the superintendent of the McLean Hospital. In: Trustees of the Massachusetts General Hospital, Annual Report, 92, 203—13.
30.
Davidoff, E. and Whitaker, C.A. (1940) Prepsychotic personality in alcoholic psychoses . Psychiatric Quarterly, 14, 103—20.
31.
Diethelm, O. (1934) The personality concept in relation to graphology and the Rorschach test. In: The Biology of the Individual: An Investigation of the Most Recent Advances. The Proceedings of the Association, New York, December 28th and 29th, 1933. Research publications ( Association for Research in Nervous and Mental Disease), Vol. 14, edited by J. R. Hunt et al. (Baltimore, MD: Williams & Wilkins ), 278—86.
32.
Dreyfus, G.L. (1907). Die Melancholie. Ein Zustandsbild des Manisch-Depressiven Irreseins. Ein Klinische Studie (Jena: Fischer).
33.
Engstrom, E.J. (2003) Clinical Psychiatry in Imperial Germany: A History of Psychiatric Practice (Ithaca, NY: Cornell University Press).
34.
Engstrom, E.J. and Weber, M.M. (2005) `The directions of psychiatric research' by Emil Kraepelin (Introduction to Classic Text No. 63). History of Psychiatry, 16, 345—9.
35.
Freud, S. (1900) The Interpretation of Dreams (2nd part). In J. Strachey (trans. and ed.), The Standard Edition of the Complete Psychological Works of Sigmund Freud , Vol. 5 (London: Hogarth Press, 1953), 339—627.
36.
Freud, S. (1905) Three Essays on the Theory of Sexuality. In J. Strachey (trans. and ed.), The Standard Edition of the Complete Psychological Works of Sigmund Freud , Vol. 7 (London: Hogarth Press, 1953), 123—245.
Grob, G.N. (1983) Mental Illness and American Society, 1875—1940 ( Princeton, NJ: Princeton University Press).
39.
Hale, N.G. (1971) Freud and the Americans: The Beginnings of Psychoanalysis in the United States, 1876—1917 (New York: Oxford University Press).
40.
Hale, N.G. (1995) The Rise and Crisis of Psychoanalysis in the United States: Freud and the Americans, 1917—1985 (New York: Oxford University Press).
41.
Hinsie, L.E. (1932) The catatonic syndrome in dementia praecox. Psychiatric Quarterly, 6, 457—68.
42.
Hoch, A. (1896) Kraepelin on psychological experimentation in psychiatry . American Journal of Insanity, 52, 387—96.
43.
Hoch, A. (1898a) Nerve-cell changes in somatic diseases. American Journal of Insanity, 55, 231—40.
44.
Hoch, A. (1898b) On changes in the nerve cells of the cortex in a case of acute delirium and a case of delirium tremens. American Journal of Insanity, 54, 589—605.
45.
Hoch, A. (1900) On the clinical study of psychiatry. American Journal of Insanity, 57, 281—95.
46.
Hoch, A. (1902a) Insanity, manic-depressive. In A. H. Buck (ed.), A Reference Handbook of the Medical Sciences, Vol. 5 (New York: William Wood), 120—8.
47.
Hoch, A. (1902b) Insanity: melancholia. In A . H. Buck (ed.), A Reference Handbook of the Medical Sciences , Vol. 5 (New York: William Wood), 117—20.
48.
Hoch, A. (1907a) The psychogenic factors in the development of psychoses. Psychological Bulletin, 4, 161—9.
49.
Hoch, A. (1907b) The psychogenetic factors in some paranoic conditions, with suggestions for prophylaxis and treatment. Medical Record , 71, 708—11.
50.
Hoch, A. (1907c) A report of two cases of general paralysis with focal symptoms. Review of Neurology and Psychiatry, 5, 17—39.
51.
Hoch, A. (1908) Psychogenesis in dementia praecox. Medical Record, 73, 452—4.
52.
Hoch, A. (1909a) The manageable causes of insanity. State Hospitals Bulletin, NS, 2, 358—83.
53.
Hoch, A. (1909b) A study of the mental make-up in the functional psychoses. Journal of Nervous and Mental Disease, 36, 230—6.
54.
Hoch, A. (1910) Constitutional factors in the dementia praecox group. Review ofNeurology and Psychiatry, 8, 463—74.
55.
Hoch, A. (1911a) On some of the mental mechanisms in dementia praecox . Journal of Abnormal Psychology, 5, 255—73.
56.
Hoch, A. (1911b) Report of the director of the Psychiatric Institute for the fiscal year 1910—1911. In: State Commission in Lunacy, Annual Report, 23 (Albany, NY: J. B. Lyon), 94—103.
57.
Hoch, A. (1911c) Suggestions for further systematization of psychiatric research in our hospitals. State Hospitals Bulletin, NS, 3, 477—97.
58.
Hoch, A. (1912a) Report of the director of the Psychiatric Institute for the fiscal year 1911—1912. In: State Hospital Commission , Annual Report, 24 (Albany, NY: Argus), 225—31.
59.
Hoch, A. (1912b) Review of Bleuler's schizophrenia. Review of Neurology and Psychiatry, 10, 259—78.
60.
Hoch, A. (1913a) Personality and psychosis. State Hospital Bulletin, NS, 6, 220—30.
61.
Hoch, A. (1913b) Report of the director of the Psychiatric Institute for the fiscal year 1912—1913. In: State Hospital Commission , Annual Report, 25 (Albany, NY: J. B. Lyon), 320—30.
62.
Hoch, A. (1914a) Precipitating mental causes in dementia praecox . American Journal of Insanity, 70, 637—47.
63.
Hoch, A. (1914b) Report of the director of the Psychiatric Institute for the fiscal year 1913—1914. In: State Hospital Commission , Annual Report, 26 (Albany, NY: J. B. Lyon), 295—312.
64.
Hoch, A. (1915a). Early manifestations of mental disorders. State Hospital Bulletin, NS, 8, 12—20.
65.
Hoch, A. (1915b) Report of the director of the Psychiatric Institute for the fiscal year 1914—1915. In: State Hospital Commission , Annual Report, 27 (Albany, NY: J. B. Lyon), 169—80.
66.
Hoch, A. (1915c) Review of Hans Schmid's Zur Psychologie der Brandstifter. (The psychology of incendiaries). State Hospital Bulletin, NS, 8, 291—5.
67.
Hoch, A. (1915d) A study of the benign psychoses. Johns Hopkins Hospital Bulletin, 26, 165—9.
68.
Hoch, A. (1916) Review of Eugen Bleuler's Physisch und Psychisch in der Pathologie (Physical and mental factors in pathology). Psychiatric Bulletin of the New York State Hospitals, 1, 382—86.
69.
Hoch, A. (1921) Benign Stupors: A Study of a New Manic-Depressive Reaction Type (New York: Macmillan ).
70.
Hoch, A. and Amsden, G.S. (1913) A guide to the descriptive study of the personality. With special reference to the taking of anamneses of cases with psychoses. Review of Neurology andPsychiatry, 11, 577—87.
71.
Hoch, A. and MacCurdy, J.T. (1922) The prognosis of involution melancholia. Archives of Neurology and Psychiatry, 7, 1—37.
Hoche, A.E. (1912) Die Bedeutung der Symptomkomplexe in der Psychiatrie . Translated by R. G. Dening and T. R. Dening (1991) The significance of symptom complexes in psychiatry (Classic Text No. 7). History of Psychiatry, 2, 334—43.
74.
Hoff, P. (1994) Emil Kraepelin und die Psychiatrie als Klinische Wissenschaft: Ein Beitrag zum Selbstverständnis Psychiatrischer Forschung (Berlin: Springer-Verlag).
75.
Hoff, P. (1995) Kraepelin. Clinical section — part I. In G. E. Berrios and R. Porter (eds), A History of Clinical Psychiatry: The Origin and History of Psychiatric Disorders (New York: New York University Press), 261—79.
76.
Horwitz, A.V. (2002) Creating Mental Illness (Chicago : University of Chicago Press).
77.
Jackson, S.W. (1986) Melancholia and Depression: From Hippocratic Times to Modern Times (New Haven, CT: Yale University Press).
78.
Kasanin, J. and Rosen, Z.A. (1933) Clinical variables in schizoid personalities. Archives of Neurology and Psychiatry, 30, 538—66.
79.
Kirby, G.H. (1908) Review of Dreyfus's Die Melancholie ein Zustandsbild des Manisch-Depressiven Irreseins (Melancholia a phase of manic-depressive insanity). State Hospitals Bulletin, NS, 1, 499—505.
80.
Kirby, G.H. (1913) The catatonic syndrome and its relation to manic-depressive insanity. Journal of Nervous and Mental Disease, 40, 694—704.
81.
Kirby, G. H. (ed.) (1921) Guides for History Taking and Clinical Examination of Psychiatric Cases ( Utica, NY: State Hospitals Press).
82.
Kolb, L.C. and Roizin, L. (1993) The First Psychiatric Institute: How Research and Education Changed Practice (Washington, DC: American Psychiatric Press).
83.
Kraepelin, E. (1895) Der psychologische Versuch in der Psychiatrie. In E. Kraepelin (ed.), Psychologische Arbeiten, I. Band (Leipzig: Engelmann), 1—91.
84.
Kraepelin, E. (1896) Psychiatrie. Ein Lehrbuch für Studirende und Aerzte. Fünfte, vollständig umgearbeitete Auflage (reprinted: New York: Arno Press, 1976).
85.
Kraepelin, E. (1899) Psychiatrie. Ein Lehrbuch für Studirende und Aerzte. Sechste, vollständig umgearbeitete Auflage, II. Band. Klinische Psychiatry (Leipzig: Barth).
86.
Kraepelin, E. (1904) Psychiatrie. Ein Lehrbuch für Studirende und Ärzte. Siebente, vielfach umgearbeitete Auflage, II. Band. Klinische Psychiatrie (Leipzig: Barth).
87.
Kraepelin, E. (1909) Psychiatrie. Ein Lehrbuch für Studirende und Ärzte. Achte, vollständig umgearbeitete Auflage. I. Band. Allgemeine Psychiatrie (Leipzig: Barth).
88.
Kraepelin, E. (1910) Psychiatrie. Ein Lehrbuch für Studirende und Ärzte. Achte, vollständig umgearbeitete Auflage. II. Band. I. Teil. Klinische Psychiatrie (Leipzig : Barth).
89.
Kraepelin, E. (1913) Psychiatrie. Ein Lehrbuch für Studirende und Ärzte. Achte, vollständig umgearbeitete Auflage, III. Band. II. Teil. Klinische Psychiatrie ( Leipzig: Barth).
90.
Kraepelin, E. (1915) Psychiatrie. Ein Lehrbuch für Studirende und Ärzte. Achte, vollständig umgearbeitete Auflage, IV. Band. III. Teil. Klinische Psychiatrie (Leipzig : Barth).
91.
Kraepelin, E. (1920) Die Erscheinungsformen des Irreseins. Translated by D. Beer (1992) The manifestations of insanity (Classic Text No. 12). History of Psychiatry , 3, 509—29.
92.
Kuhn, T.S. (1970) The Structure of Scientific Revolutions (Chicago: University of Chicago Press).
93.
Lanczik, M. (1992) Karl Ludwig Kahlbaum (1828—1899) and the emergence of psychopathological and nosological research in German psychiatry . History of Psychiatry, 3, 53—8.
94.
Levin, H.L. (1922) On the prognostic significance of the mental content in manic-depressive psychosis. State Hospital Quarterly, 7, 584—95.
95.
Lewis, N.D.C. (1943) Outlines for Psychiatric Examinations, 3rd edn (Utica, NY: State Hospitals Press).
96.
Leys, R. (1990a) Adolf Meyer: a biographical note. In R. Leys and R. B. Evans (eds), The Correspondence between Adolf Meyer and Edward Bradford Titchener (Baltimore, MD: Johns Hopkins University Press), 39—57.
97.
Leys, R. (1990b) The correspondence between Adolf Meyer and E. B.Titchener. In R. Leys and R. B. Evans (eds), The Correspondence between Adolf Meyer and Edward Bradford Titchener (Baltimore, MD : Johns Hopkins University Press), 58—114.
98.
Lidz, T. (1966) Adolf Meyer and the development of modern psychiatry . American Journal of Psychiatry, 123, 320—32.
99.
MacCurdy, J.T. (1922) Problems in Dynamic Psychology: A Critique of Psychoanalysis and Suggested Formulations (New York: Macmillan).
100.
MacCurdy, J.T. (1925) The Psychology of Emotion: Morbid and Normal (New York: Harcourt, Brace).
101.
Meyer, A. (1897) General paralysis and other nervous and mental affections, following syphilitic infection. In E. E. Winters (ed.), The Collected Papers of Adolf Meyer , Vol. 1 (Baltimore, MD: Johns Hopkins Press, 1950), 439—44.
102.
Meyer, A. (1902a) Aims and Plans of the Pathological Institute for the New York State Hospitals. In Winters, 1951 : 90—104.
103.
Meyer, A. (1902b) A few remarks concerning the organization of the medical work in large hospitals for the insane. In Winters , 1951: 82—90.
104.
Meyer, A. (1903) An attempt at analysis of the neurotic constitution . In Winters, 1951: 321—30.
105.
Meyer, A. (1904a) A few trends in modern psychiatry. In Winters, 1951: 386—404.
106.
Meyer, A. (1904b) A review of recent problems of psychiatry. In Winters, 1951: 331—85.
107.
Meyer, A. (1905) Suggestions concerning a grouping of facts according to cases. In Winters, 1951: 140—6.
108.
Meyer, A. (1906) Fundamental conceptions of dementia praecox. In Winters, 1951: 432—7.
109.
Meyer, A. (1908) The problems of mental reaction types, mental causes and diseases. In Winters, 1951: 591—603.
110.
Meyer, A. (1910) The dynamic interpretation of dementia praecox . In Winters, 1951: 443—58.
111.
Meyer, A. (1912) The relationship of hysteria, psychasthenia, and dementia praecox. In Winters, 1951: 438—42.
112.
Meyer, A. (1919) August Hoch, M.D. (1868—1919) II. In E. E. Winters (ed.), The Collected Papers of Adolph Meyer, Vol. 3 ( Baltimore, MD: Johns Hopkins Press, 1951), 518—19.
113.
Partridge, G.E. (1931) Personality and the concept `manic-depressive psychosis' . In: Manic-depressive Psychosis: An Investigation of the Most Recent Advances. The Proceedings of the Association, New York, December 29th and 30th, 1930. Research publications (Association for Research in Nervous and Mental Disease ), Vol. 11, edited by W. A. White et al. (Baltimore, MD: Williams & Wilkins), 405—12.
114.
Pollock, H.M., Malzberg, B. and Fuller, R.G. (1939) Hereditary and Environmental Factors in the Causation of Manic-depressive Psychoses and Dementia Praecox (Utica, NY: State Hospitals Press).
115.
Rachlin, H.L. (1935) A follow-up study of Hoch's benign stupor cases . American Journal of Psychiatry,92, 531—58.
116.
Romano, T.M. (2002) Making Medicine Scientific: John Burdon Sanderson and the Culture of Victorian Science (Baltimore, MD: Johns Hopkins University Press).
117.
Rowe, C.E. (1921) A comparative study of personality traits in early and late dementia praecox. State Hospital Quarterly, 6, 167—73.
118.
Russell, W.L. (1945) The New York Hospital: A History of the Psychiatric Service, 1771—1936 (New York: Columbia University Press).
119.
Sadowsky, J. (2006) Beyond the metaphor of the pendulum: Electroconvulsive therapy, psychoanalysis, and the styles of American psychiatry. Journal of the History of Medicine and Allied Sciences, 61, 1—25.
120.
Sanford, W.H. (1913) A study of cases of dementia praecox with sudden onset. State Hospital Bulletin, NS, 6, 381—6.
121.
Shorter, E. (1997) A History of Psychiatry: From the Era of the Asylum to the Age of Prozac (New York: John Wiley & Sons).
122.
Skodol, A.E. (2000) Diagnosis and classification of mental disorders . In R. W. Menninger and J. C. Nemiah (eds), American Psychiatry after World War II (1944—1994) (Washington, DC: American Psychiatric Press), 430—57.
State Hospital Commission (1915) Minutes of quarterly conference, February 18, 1915. State Hospital Bulletin, NS, 8, 125—81.
125.
Strecker, E.A. and Willey, G.F. (1924) An analysis of recoverable `dementia praecox' reactions . American Journal of Psychiatry,3, 593—679.
126.
Strecker, E.A. and Willey, G.F. (1928) Prognosis in schizophrenia. In: Schizophrenia [Dementia Praecox]: An Investigation of the Most Recent Advances . The Proceedings of the Association, New York, December 28th & 29th, 1925. Research publications (Association for Research in Nervous and Mental Disease ), Vol. 5, edited by C. L. Dana et al. (New York: Paul B. Hoeber), 403—31.
127.
Strecker, E.A. et al. (1931) The prognosis in manic-depressive psychosis . In: Manic-depressive Psychosis: An Investigation of the Most Recent Advances. The Proceedings of the Association, New York, December 29th and 30th, 1930. Research publications (Association for Research in Nervous and Mental Disease), Vol. 11, edited by W. A. White et al. (Baltimore, MD: Williams & Wilkins ), 471—538.
128.
Sutton, S.B. (1986) Crossroads in Psychiatry: A History of the McLean Hospital (Washington, DC: American Psychiatric Press).
129.
Titley, W.B. (1936) Prepsychotic personality of patients with involutional melancholia. Archives of Neurology and Psychiatry, 36, 19—33.
130.
Weber, M.M. and Engstrom, E.J. (1997) Kraepelin's `diagnostic cards': the confluence of clinical research and preconceived categories. History of Psychiatry, 8, 375—85.
131.
Wells, F.L. (1914) The systematic observation of the personality — in its relation to the hygiene of mind. Psychological Review , 21, 295—333.
132.
Wertham, F. (1930) Experimental type psychology. Archives of Neurology and Psychiatry, 24, 605—11.
133.
Whitehorn, J.C. and Zilboorg, G. (1933) Present trends in American psychiatric research . American Journal of Psychiatry, 13, 303—12.
134.
Wilmanns, K. (1907) Zur Differentialdiagnostik der `funktionellen' Psychosen. Centralblatt für Nervenheilkunde und Psychiatrie , 30, 569—88.
135.
Winters, E. E. (ed.) (1951) The Collected Papers of Adolf Meyer, Vol. 2 (Baltimore, MD: Johns Hopkins Press).
136.
Wolff, S.C. (1932) Thought content in catatonic dementia praecox. Psychiatric Quarterly, 6, 504—12.
137.
Wright, W.W. (1921) The study of the trend in a group of dementia praecox cases. State Hospital Quarterly, 6, 336—51.
