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Delirium and Confusion in the 19th Century: A Conceptual History

Published online by Cambridge University Press:  29 January 2018

G. E. Berrios*
Affiliation:
Department of Psychiatry, University of Cambridge Robinson College, Cambridge

Summary

Delirium remained a stable psychiatric category until the early 19th century when it underwent aetiological and phenomenological redefinition, precipitating the transformation of the functional insanities into psychoses.

Confusion, introduced by French workers during the second half of the century, referred to a syndrome wider than (but including) delirium. It emphasized chaotic thinking and cognitive failure. The notion of clouding of consciousness (and temporo-spatial disorientation) established a common denominator for the two concepts, while Chaslin and Bonhoeffer redefined confusion and delirium as the stereotyped manifestations of acute brain failure.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1981 

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References

Acknerknecht, E. H. (1957) Kurze Geschichte der Psychiatric Stuttgart: Enke Verlag. English translation by Wolff, S. (1959) A Short History of Psychiatry New York and London: Hafner Google Scholar
Alexander, F. & Selesnick, S. (1966) The History of Psychiatry. New York: Harper & Row.Google Scholar
Alonson Fernández, F. (1977) Fundamentos de la psiquiatria actual. Vol. 2, 603–4. Madrid: Editorial Paz Montalvo.Google Scholar
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders. (Third ed.). Washington. Anonymous (1896) Reviews and Abstracts. Brain, 19, 123–7.Google Scholar
American Psychiatric Association (1898) Review of Chaslin. Journal of Mental Science, 44, 159–62.Google Scholar
Baillarger, M. J. (1843) De l'état désigné chez les aliénés sous le nom de stupidité. Annales Medico-psychologiques, 1, 76, 256.Google Scholar
Baldwin, J. M. (1901) Dictionary of Philosophy and Psychology. Vol. 2, London: Macmillan.Google Scholar
Ball, B. & Ritti, A. (1882) Délire. In Dictionnaire Encyclopédique des Sciences Médicales (ed. Dechambre, T.). Vol. 26. Paris: P. Asselin, S. R. de Labé and Victor Masson et fils.Google Scholar
Baruk, H. (1967) La Psychiatric Française de Pinel à nos Jours. Paris: Presses Universitaires de France.Google Scholar
Baruk, H. (1972) Automatisme et troubles des mécanismes de la pensée intérieure dans la psychiatrie française et dans la psychologie interprétative de Freud. In Les Sciences de la Folic (ed. Bastide, R.). Paris: Mouton.Google Scholar
Bastian, H. C. (1870) Consciousness. Journal of Mental Science, 15, 501–23.Google Scholar
Bayle, A. L. J. (1822) Recherches sur l'Arachnitis Chronique … Considérées comme Cause d'Aliénation Mentale. Paris: Gabon.Google Scholar
Bayle, A. L. J. (1825) Nouvelle Doctrine des Maladies Mentales. Paris: Gabon.Google Scholar
Benton, A. L., Van Allen, M. W. & Fogel, M. L. (1964) Temporal disorientation in cerebral disease. Journal of Nervous Mental Disease, 139, 110–19.Google Scholar
Bernard, P. & Trouvé, S. (1977) Sémiologie Psychiatrique. Paris: Masson.Google Scholar
Berrios, G. E. (1977) Henri Ey, Jackson et les idées obsédantes. L'Evolution Psychiatrique, 42, 687–99.Google Scholar
Berrios, G. E. (1981) Stupor, a conceptual history. Psychological Medicine (in press).Google Scholar
Billod, E. (1847) Maladies de la volonté. Annales Médico- psychologiques, 10, 1535, 170—202, 317—47.Google Scholar
Binet, A. (1892) Les Altérations de la Personalité. Paris: Alcan.Google Scholar
Bleuler, E. (1911) Dementia Praecox oder die Gruppe der Schizophrenien. In Handbuch der Psychiatrie (ed. Aschaffenburg, G.). Leipzig: Deuticke. English translation by Zinkin, J. (1951) Dementia Praecox or the Group of Schizophrenias. New York: International Universities Press.Google Scholar
Bleuler, M., Willi, J. & Bühler, H. R. (1966) Akute Psychische Begleiterscheinungen Körperlicher Krankheiten. Stuttgart: George Thiem Verlag.Google Scholar
Bolton, J. S. (1906) Amentia and dementia: a clinico-pathological study. Journal of Mental Science, 52, 427–90.Google Scholar
Bonhoeffer, K. (1910) Die Symptomatischen Psychosen. Leipzig: Franz Deuticke.Google Scholar
Boring, E. G. (1950) A History of Experimental Psychology (2nd ed.). New York: Appleton-Century Crofts.Google Scholar
Brierre de Boismont, A. (1845) Du délire aigu. Memoires de l'Académie de Médecine, 11, 477595.Google Scholar
Bruce, L. C. (1935) Physical symptoms of acute confusional insanity. Lancet, i, 550–1.Google Scholar
Bucknill, J. C. & Tuke, D. H. (1858) A Manual of Psychological Medicine. London: John Churchill.Google Scholar
Calmeil, L. F. (1859) Traité des Maladies Inflammatoires du Cerveau. 2 vols. Paris: J. B. Baillière et Fils.Google Scholar
Camuset (1897) Review of Chaslin's “La confusion mentale primitive”. Annales Médico-psychologiques, 8th Series, 5, 317.Google Scholar
Canguilhem, G. (1975) Le Normal et le Pathologique. Paris: Presses Universitaires de France.Google Scholar
Chaslin, Ph. (1892) La confusion mentale primitive. Annales Médico-psychologiques, 7th Series, 16, 225–73.Google Scholar
Chaslin, Ph. (1895) La Confusion Mentale Primitive. Paris: Asselin et Houzeau.Google Scholar
Chaslin, Ph. (1915) La confusion mentale. Annales Médico-psychologiques, 6, 276–89, 413—43.Google Scholar
Chaslin, Ph. (1920) Quelques mots sur la confusion mentale. Annales Médico-psychologiques, 6, 356–66.Google Scholar
Clouston, T. S. (1887) Clinical Lectures on Mental Disease. London: J. & A. Churchill.Google Scholar
Conolly, J. (1830) An Enquiry Concerning the Indications of Insanity. London: John Taylor.Google Scholar
Conrad, K. (1960) Die symptomatischen Psychosen. In Psychiatrie der Gegenwart (eds. Grühle, H. W. and Mayer-Gross, W.) (Vol. 2). Berlin: Springer Verlag.Google Scholar
Cotterau, M. & Gaussel, J. (1971) Syndrome confusionnel. Revue de Médecine, 27, 1739–43.Google Scholar
Cullen, W. (1785) Synopsis Nosologiae Methodicae, Vol. 3, pp 90 and 254. Edinburgh: Gulielums Creech.Google Scholar
Davies, W. G. (1873) Consciousness and ‘unconscious cerebration’. Journal of Mental Science, 18, 202–17.Google Scholar
Delasiauve, M. (1851) Du diagnostic différentiel de la lypémanie. Annales Médico-psychologiques, 2nd Series, 3, 380442.Google Scholar
Delay, J. (1953) Le Jacksonisme et l'oeuvre de Ribot. In Études de Psychologie Médicale. Paris: Presses Universitaires de France. Dupuytren, Baron de (1834) On nervous delirium. Lancet, i, 919–23.Google Scholar
Eisler, R. (1904) Wörterbuch der Philosophischen Begriffe. Vol. 2. Berlin: Mittler und Sohn.Google Scholar
Esquirol, J. E. D. (1814) Délire. In Dictionnaire des Sciences Médicales. Paris: C. L. F. Panckoucke.Google Scholar
Esquirol, J. E. D. (1838) Des Maladies Mentales. Paris: J. B. Baillière.Google Scholar
Ey, H. (1954) Confusion et délire confuso-onirique. Étude 24. In Études Psychiatriques, vol. III. Paris: Desclée de Brouwer.Google Scholar
Ey, H. (1973) Traité des Hallucinations. Paris: Masson.Google Scholar
Falret, J. P. (1864) Délire. In Des Maladies Mentales et des Asiles d'Aliénés. p 354. Paris: P. Asselin SR de Labe.Google Scholar
Feuchtersleben, E. von (1845) Lehrbuch der Ärztlichen Seelenkunde, pp 228–29. Vienna: Carl Gerold. English translation by Lloyd, H. E. (1847) The Principles of Medical Psychology. London: New Sydenham Society.Google Scholar
Fish, F. (1974) Clinical Psychopathology. (Revised by Hamilton, Max). Bristol: John Wright.Google Scholar
Foucault, M. (1954) Maladie Mentale et Psychologie. Paris: Presses Universitaires de France. English translation by Sheridan, Alan (1976) Mental Illness and Psychology. New York: Harper Colophon Books.Google Scholar
Garrison, F. H. (1929) An Introduction to the History of Medicine. Philadelphia: W. B. Saunders.Google Scholar
Georget, E. J. (1820) De la Folie. Paris: Crevot.Google Scholar
Georget, E. J. (1835) Délire. In Dictionnaire de Médecine ou Répertoire Général des Sciences Médicales. 2nd ed., vol. 10. Paris: Bechet.Google Scholar
Gowers, W. (1888) A Manual of Diseases of the Nervous System, vol. 2, p. 97. London: J. & A. Churchill.Google Scholar
Griesinger, W. (1878) Die Pathologie und Therapie der Psychischen Krankheiten. Braunschweig: Friedrich Wroden. English translation of second German edition by Lockhart Robertson, C. and Rutherford, J. (1867) Mental Pathology and Therapeutics. London: New Sydenham Society.Google Scholar
Grimm, J. & Grimm, W. (1956) Deutsches Wörterbuch, vol. 12. Leipzig: S. Hirzel.Google Scholar
Hamilton, W. (1859) Lectures on Metaphysics and Logic (vol. I), pp 129383. Edinburgh: William Blackwood & Sons.Google Scholar
Hankoff, L. D. (1972) Ancient descriptions of organic brain syndrome: the ‘Kordiakos’ of the Talmud. American Journal of Psychiatry, 129, 233–6.Google Scholar
Heimann, H. (1974) Bewusstseinsstörungen. In Lexicon der Psychiatrie (ed. Müller, C.). Berlin: Springer Verlag. Hippocrates Works, vol. I (with an English translation by Jones, W. H. S., 1972). Loeb Classical Library. London: William Heinemann.Google Scholar
Johnson, Samuel (1755) A Dictionary of the English Language. London: J. and P. Knopton, Longman, T. et al. Google Scholar
Kahlbaum, K. L. (1874) Die Katatonie. Berlin: Kirschwald. English translation by Levi, Y. and Pridan, T. (1973) Catatonia. Baltimore: John Hopkins University Press.Google Scholar
Kenny, A. (1968) Descartes: A Study of his Philosophy. New York: Random House.Google Scholar
Klein, D. B. (1970) A History of Scientific Psychology. pp 638–98. London: Routledge & Kegan Paul.Google Scholar
Lain Entralgo, P. (1978) Historia de la Medicina. Barcelona: Salvat.Google Scholar
Lasègue, C. (1852) Du délire de persécution. Archives Generates de Médicine, 28, 129–50.Google Scholar
Leader (1864) Acute delirium in 1845 and 1860. American Journal of Insanity, 21, 181200.Google Scholar
Leibrand, W. & Wettley, A. (1961) Der Wahnsinn, Geschichte der Abendländischen Psychopathologie. Freiburg: Karl Alber.Google Scholar
Levin, M. (1956) Varieties of disorientation. Journal of Mental Science, 102, 619–23.Google Scholar
Lipowski, Z. J. (1980) Delirium. Acute Brain Failure in Man. Springfield, Illinois: Charles C. Thomas.Google Scholar
Lishman, W. A. (1978) Organic Psychiatry. Oxford: Blackwell.Google Scholar
Littré, E. (1877) Dictionnaire de la Langue Française, vol. 2. Paris: Librairie Hachette.Google Scholar
Llopis, B. (1954) La psicosis unica. Archivos de Neurobiologia, 17, 139.Google Scholar
López Piñero, J. M. (1963) Origenes historicos del concepto de neurosis. Cuadernos Valencianos de Historia de la Medicina.Google Scholar
Magnan, V. (1886—7) Considérations générales sur la folie. Le Progrès Médical, 4, 1089–91, 1108—12; 5, 187—90, 209—13.Google Scholar
Magnan, V. & Sérieux, T. (1911) Délire chronique. In Traité International de Psychologie Pathologique. (Marie, Directeur A.). Vol. 2. Paris: Librairie Félix Alcan.Google Scholar
Marchais, P. (1981) Les Processus Psychopathologiques de l'Adulte. Paris: Privat.Google Scholar
Meynert, Th. (1890) Amentia, die Verwirrtheit. Jahrbücher für Psychiatric und Neurologie, 9, 1.Google Scholar
Middleton, E., Turnbull, W., Ellis, T. & Davison, J. (circa 1780) Dictionary of Arts and Sciences; or A Universal System of Useful Knowledge. London: Alex Hog.Google Scholar
Max, J. S. (1845) A System of Logic. (1898 ed.). London: Longmans, Green & Co.Google Scholar
Morel, B. A. (1857) Traité des Dégénérescences Physiques Intellectuelles et Morales de l'Espèce Humaine. Paris: J. B. Baillière.Google Scholar
Norman, C. (1890) Acute confusional insanity. Dublin: Journal of Medical Science, 89, 506–18.Google Scholar
Pappenheim, E. (1975) On Meynert's amentia. International Journal of Neurology, 9, 310–26.Google Scholar
Petersen, J. F. G. (1892) Delirium. In Dictionary of Psychological Medicine (ed. Tuke, D. H.) p. 332. London: Churchill.Google Scholar
Pinel, P. (1809) Traité Medico-philosophique sur l'Aliénation Mentale. 2nd Ed. Paris: J. Ant. Brosson.Google Scholar
Pistoia, L. del (1973) Le problème de la temporalité dans la psychiatrie française classique. L'Évolution Psychiatrique, 36, 445–74.Google Scholar
Porot, A. (1975) Manual Alphabétique de Psychiatrie. Paris: Presses Universitaires de France.Google Scholar
Postel, J. (Ed.) (1972) Introduction (pp 721) to selected texts, De la Folie. (Georget, E. 1820). Paris: Privat.Google Scholar
Power, H. & Sedwick, L. W. (1892) The New Sydenham Society's Lexicon of Medicine and the Allied Sciences. London: New Sydenham Society.Google Scholar
Redlich, E. (1912) Die Psychosen bei Gehirnerkrankungen. In Handbuch der Psychiatrie (ed. Aschaffenburg, G.). Leipzig: Franz Deuticke.Google Scholar
Regis, E. (1906) Précis de Psychiatrie. Paris: Octave Doin.Google Scholar
Regis, E. & Hesnard, A. (1911) Les confusions mentales. In Traité International de Psychopathologie (ed. Marie, A.), Vol. 2. Paris: Felix Alcan.Google Scholar
Roccatagliata, G. (1973) Storia della Psichiatria Arnica. Milan: Ulrico Hoepli Editore.Google Scholar
Sauri, J. J. (1969) Historia de las Ideas Psiquiátricas. Buenos Aires: Carlos Lohle.Google Scholar
Sauri, J. J. (1972) Las significaciones del vocablo psicosis. Acta Psiquiatrica Psicologica de America Latina, 18, 219.Google Scholar
Scharfetter, C. (1980) General Psychopathology. Cambridge University Press.Google Scholar
Schneider, K. (1948) Beiträge zur Psychiatrie. Stuttgart: Enke Verlag.Google Scholar
Seglas, J. (1894) De la confusion mentale primitive. Archives Générales de Médécine, 1, 538–49, 665—84.Google Scholar
Siegel, R. E. (1973) Galen on Psychology, Psychopathology and Function and Diseases of the Nervous System. Basel: S. Karger.Google Scholar
Simon, B. (1978) Mind and Madness in Ancient Greece. London: Cornell University Press.Google Scholar
Société Médico-Psychologique (1923) Annales Médico-psychologiques, p. 288.Google Scholar
Spurzheim, G. (1826) Phrenology in Connexion with the Study of Physiognomy. London: Treuttel, Wurtz and Richter.Google Scholar
Starobinski, J. (1962) Historia del tratamiento de la melancolia de los orígenes hasta 1900. Acta Psychosomatica No. 3. Basel: Geigy S.A. Google Scholar
Sutton, T. (1813) Tracts on Delirium Tremens, on Peritonitis … and on the Gout, pp 177. London: Thomas Underwood.Google Scholar
Swain, G. (1977) Le Sujet de la Folie, Naissance de la Psychiatrie. Paris: Privat.Google Scholar
Thoré, M. fils (1850) De la folie consécutive aux maladies aiguës. Annales Médico-psychologiques, 2nd Series, 2, 586602.Google Scholar
Toulouse, Juquelier & Mignard, (1920) Confusion, démence et autoconduction. Annales Medico Psychologlques, 10th Series, 12, 335–49.Google Scholar
Tuke, D. H. (ed.) (1892) Dictionary of Psychological Medicine, 2 vols., p. viii. London: Churchill.Google Scholar
Walshe, F. M. R. (1957) The brain stem conceived as the ‘highest level’ of function in the nervous system, with particular reference to the ‘automatic apparatus’ of Carpenter (1850) and to the ‘centrencephalic integrating system’ of Penfield. Brain, 80, 510–39.Google Scholar
Walther-Büel, H. (1973) Delirien. In Lexicon der Psychiatrie (Muller, C. Herausg.). Heidelberg: Springer Verlag.Google Scholar
Warren, H. C. (1921) A History of the Association Psychology. New York: Charles Scribner.Google Scholar
Wernicke, C. (1879) Uber das Bewusstsein. Allgmeine Zeitschrift für Psychiatrie, 35, 420.Google Scholar
Wieck, H. H. (1961) Zur klinische Stellung des Durchgangs-syndrome. Schweizer Archiv für Neurologie und Psychiatrie, 88, 409–19.Google Scholar
Wille, L. (1888) Die Lehre von der Verwirrtheit. Archives für Psychiatrie, 19, 328–51.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press.Google Scholar
Wolf, T. H. (1973) Alfred Binet. Chicago and London: The University of Chicago Press.Google Scholar
Worcester, W. L. (1889) Delirium. American Journal of Psychiatry, 46, 22–7.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in accordance with the Ninth Revision of the International Classification of Diseases. Geneva: WHO.Google Scholar
Young, R. M. (1970) Mind, Brain and Adaptation in the 19th Century. Oxford: Clarendon Press.Google Scholar
Zilboorg, G. (1941) A History of Medical Psychology. New York: W. W. Norton & Co.Google Scholar
Zutt, J., Straus, E. & Schiller, H. (Eds.) (1969) Karl Bonhoeffer, Zum Hundertsten Geburstag am 31 Marz 1969. Berlin: Springer-Verlag.Google Scholar
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