Ernst Kretschmer

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Ernst Kretschmer
Ernst Kretschmer.jpg
Ernst Kretschmer
Born8 October 1888
Wüstenrot
Died8 February 1964 (aged 75)
Tübingen
NationalityGerman
Known forTypology
Scientific career
FieldsPsychiatry
InstitutionsMarburg University

Ernst Kretschmer (8 October 1888 – 8 February 1964) was a German psychiatrist who researched the human constitution and established a typology.

Life[edit]

Kretschmer was born in Wüstenrot near Heilbronn. He attended Cannstatt Gymnasium, one of the oldest Latin schools in Stuttgart area. From 1906 to 1912 he studied theology, medicine, and philosophy at the universities of Tübingen, Munich and Hamburg. From 1913 he was assistant of Robert Gaupp in Tübingen, where he received his habilitation in 1918. He continued as assistant medical director until 1926.

In 1926 he became the director of the psychiatric clinic at Marburg University.

Kretschmer was a founding member of the International General Medical Society for Psychotherapy (AÄGP) which was founded on January 12, 1927. He was the president of AÄGP from 1929. In 1933 he resigned from the AÄGP for political reasons.

From 1946 until 1959, Kretschmer was the director of the psychiatric clinic of the University of Tübingen. He died, aged 75, in Tübingen.

Сooperating with the Nazis[edit]

After he resigned from the AÄGP, he started to support the SS and signed the "Vow of allegiance of the professors of the German universities and high-schools to Adolf Hitler and the National Socialistic state." (German: "Bekenntnis der Professoren an den deutschen Universitäten und Hochschulen zu Adolf Hitler und dem nationalsozialistischen Staat").[1]

Scientific contribution[edit]

The persistent vegetative state and sensitive paranoia research[edit]

Kretschmer was the first to describe the persistent vegetative state which has also been called Kretschmer's syndrome. Another medical term coined after him is Kretschmer’s sensitive paranoia.[2] This classification has the merit of singling out "a type of paranoia that was unknown" prior to Kretschmer, and which "does not resemble the stereotypical image [...] of sthenic paranoia".[3] Furthermore, between 1915 and 1921 he developed a differential diagnosis between schizophrenia and manic depression.

Types of physique[edit]

Kretschmer is also known for developing a classification system that can be seen as one of the earliest exponents of a constitutional (the total plan or philosophy on which something is constructed) approach. His classification system was based on three main body types:

  • a) asthenic (thin, small, weak);
  • b) athletic (muscular, large–boned);
  • c) pyknic (stocky, fat)[4].

The concept of two great psychopathological types of manic-depressive or 'circular' insanity and dementia praecox (i. e. schizophrenia) was developed by Emil Kraepelin.

Each of these body types was associated by Kretschmer with certain personality traits and, in a more extreme form, mental disorders. He wrote that there is only a weak relation between Schizophrenics and pyknic body type on the one hand, and between Circulars (with the tendency to circular type of manic-depressive psychosis) and asthenics, athletics, and dysplastics on the other[4]. Among the schizophrenics also the asthenico–athletic types are very prevalent[4]. Kretschmer believed that pyknic persons were friendly, interpersonally dependent, and gregarious. In a more extreme version of these traits, this would mean for example that the obese are predisposed toward manic-depressive illness. Thin types were associated with introversion and timidity. This was seen as a milder form of the negative symptoms exhibited by withdrawn schizophrenics. However, the idea of the association of body types with personality traits is no longer influential in personality psychology.

Asthenic type[edit]

The essential characteristic of the asthenic type, in Kretschmer's words, "a deficiency in thickness combined with an average unlessened length". The deficiency is present in all parts of body: muscle, bone, neck, face, trunk, extremities, and in all the tissues skin.[4] The average weight as well as the other body measurements are below the general value for males.[4]

We have, consequently, in the clearest cases a lean narrowly-built man: with narrow shoulders, with thin muscles, delicately boned hands, with a narrow, long, flat chest, on which we can usually see the ribs.[4]

The asthenic female are not only thin, but also of very small height.[4] In their general appearance they're the same as asthenic men.[4]

Asthenic type. A frontal portrait. Schizoid psychopath (schizoid personality disorder).
Principal average measurements of asthenic type[4]
Men Women
Height (cm) 168.4 153.8
Weight (kg) 50.5 32.8
Width of

shoulders (cm)

35.5 44.4
Chest (cm) 84.1 77.7
Stomach (cm) 74.1 67.7
Hips (cm) 84.7 82.2
Forearm

(circum.; cm)

23.5 20.4
Hand

(circum.; cm)

19.7 18.0
Calf

(circum.; cm)

З0.0 27.7
Length of leg 89.4 79.2

Athletic type[edit]

The male athletic type is characterized by the strong development of the musculature, skeleton, and also the skin.[4]

We have, therefore, in the clearest cases the following general impression: a man with a middle-sized to tall man, with a superb chest, wide projecting shoulders ("particularly the hypertrophied shoulders" as Kretschmer said), firm stomach, magnificent legs.[4] The expression "hypertrophied" meaning a development which oversteps the average, not in the sense of a pathological disturbance.[4]

The athletic type among female corresponds to the male form.[4] The certain characteristic deviation is the development of fat, it's rich, but not electively abnormal as with pyknics.[4] Besides of these athletic type women with feminine rounded figure, there are also those women which have outstanding musculature in body face and face. In many cases, athletic type women are actually masculine in muscle relief.[4]

Athletic type with schizophrenia. A frontal portrait.
Principal average measurements of athletic type[4]
Men Women
Height (cm) 170.0 163.1
Weight (kg) 62.9 61.7
Width of

shoulders (cm)

39.1 37.4
Chest (cm) 91.7 86.0
Stomach (cm) 79.6 95.8
Forearm

(circum.; cm)

91.5 24.2
Hand

(circum.; cm)

21.7 20.0
Calf

(circum.; cm)

33.1 31.7
Length of leg 90.9 85.0

Pyknic type[edit]

The pyknic type is characterized by the peripheral development of the body cavities (breast, head, and stomach), and a tendency to a distribution of fat about the torso.[4] They also have a more graceful construction of the motor apparatus (limbs and shoulders).[4]

The characteristics of the well-developed cases: rounded figure, middle height, a soft broad face on a short massive neck, sitting between the shoulders, shoulders are not broad; soft, rounded, and displaying little muscle relief limbs, the hands soft, rather wide and short.[4]

The pyknic type tend emphatically to a covering of fat.[4] The obesity of the pyknic is restricted within moderate limits for the most part. The female pyknics covering of fat is more strongly concentrated over the hips and chest.[4]

The ratio of chest to shoulder of the female pyknics is the same as in the male pyknics.[4]

Pyknic type. A frontal portrait. Circular.
Principal average measurements of pyknic type[4]
Men Women
Height (cm) 167.8 156.5
Weight (kg) 68.0 56.3
Width of

shoulders (cm)

36.9 34.3
Chest (cm) 94.5 86.0
Stomach (cm) 88.8 78.7
Hips (cm) 92.0 94.2
Forearm

(circum.; cm)

25.5 22.4
Hand

(circum.; cm)

20.7 18.6
Calf

(circum.; cm)

33.2 31.2
Length of leg 87.4 80.5

Distribution of the body types among the schizophrenics and circulars[edit]

Physical and psychic dispositions[4]
Circular Schizophrenics
Asthenic 4 81
Athletic 3 31
Asthenico–athletic mixed 2 11
Pyknic 58 2
Pyknic mixture 14 3
Dysplastic 34
Deformed and uncataloguable forms 4 13
Total 85 175

The temperaments[edit]

Kretschmer divided the temperaments into the two "constitutional groups": schizothymic, which contain a "psychæsthetic proportion" between sensitive and cold poles, and cyclothymes which contain a "diathetic" proportion between raised (happy) and sad[4]. The modern term for light version of 'circular' insanity is cyclothymia. Psychic tempo of schizothymic people is between unstable and tenacious and they have alternation mode of feeling and thought, and cyclothymes psychic tempo is between mobile and comfortable[4]. Schizothymic's psychomotility often inadequate to stimulus: inhibited, restrained, lamed, stiff, etc., and psychomotility of cyclothymes is adequate to stimulus and natural[4]. Cyclothymes are often pyknics, schizothymes – athletic, asthenic, dysplastic, and their mixtures[4].

The Schizoids consist of the hyperæsthetic (sensitive) and anæsthetic (cold) characters.

Works[edit]

  • Wahnbildung und manisch-depressiver Symptomenkomplexe, Berlin, (1914, dissertation) (development of delusion and manic-depressive symptom complex)
  • Der sensitive Beziehungswahn, Berlin (1918), 2. Aufl. Berlin (1927), habilitation) (the sensitive relative delusion)
  • Physique and Character (International Library of Psychology) (1931), Routledge, ISBN 0-415-21060-7
  • Medizinische Psychologie, (1922) (medical psychology)
  • Hysteria, Reflex, and Instinct, Leipzig (1923) Greenwood, ISBN 0-8371-5754-4
  • Die Veranlagung zu seelischen Störungen, mit Ferdinand Adalbert Kehrer (1883–1966), Berlin (1924) (the disposition for psychic disturbances)
  • Störungen des Gefühlslebens, Temperamente, Handbuch der Geisteskrankheiten. Band 1. Berlin (1928) (psychic disturbances and temperaments)
  • The Psychology of Men of Genius (International Library of Psychology), Berlin (1929), Routledge, ISBN 0-415-21061-5
  • Das apallische Syndrom, in Ztschr. Neurol. Psychiat, 169,576-579 (1940) (the apallic syndrome)
  • Psychotherapeuthische Studien, Stuttgart (1949) (psychotherapeutic studies)
  • Robert Gaupp zum Gedächtnis, Deutsche medizinische Wochenschrift, Stuttgart (1953) 78: 1713. (in memory of Robert Gaupp)
  • Gestufte Aktivhypnose - Zweigleisige Standardmethode, In: V. E. Frankl, V.v. Gebsattel and J.H. Schultz, Hrsg.: Handbuch der Neurosenlehre und Psychotherapie, Band IV, pp. 130–141. Urban & Schwarzenberg, München-Berlin (1959)
  • Gestalten und Gedanken (1963) (characters and thoughts)

See also[edit]

Notes[edit]

  1. ^ Ernst Klee: Das Personenlexikon zum Dritten Reich. Wer war was vor und nach 1945? Fischer Taschenbuch Verlag, Zweite aktualisierte Auflage, Frankfurt am Main 2005, S. 339.
  2. ^ Whonamedit? – A dictionary of medical eponyms. Ernst Kretschmer
  3. ^ Miller, J.-A., in de Georges, P. (2012). "The Meaning of Kretschmer". Hurly-Burly 8: 161.
  4. ^ a b c d e f g h i j k l m n o p q r s t u v w x y z aa ab Kretschmer E. (1921). Körperbau und Charakter. Untersuchungen zum Konstitutionsproblem und zur Lehre von den Temperamenten (in German). Berlin: Springer.

References[edit]

  • Ideology and ethics. The perversion of German psychiatrists’ ethics by the ideology of National Socialism. by L. Singer, Eur. Psychiatry 1998
  • Un apercu sur la psychiatrie sociale allemande en 1934. by J. Bieder, Ann. Med. Psychol. 1996
  • Priwitzer, Martin, Ernst Kretschmer und das Wahnproblem, (Ernst Kretschmer and the problem of delusion) Dissertation, 2004; published - Stuttgart: Franz Steiner, 2007, xiv + 314 S.
  • Millon, T., Grossman, S., Millon, C., Meagher, S & Ramnath, R. (2004). Personality disorders in modern life (2nd edition). Hoboken: John Wiley & Sons, Inc.
  • de Georges, P. (2012). "The Meaning of Kretschmer". Hurly-Burly 8: 149-168.
  • Trizzino, A. (2014). "Il mondo nella testa. Sul delirio di rapporto sensitivo di Ernst Kretschmer". Comprendre. Archive International pour l’Anthropologie et la Psychopathologie Phénoménologiques 24: 217-224 [1]

External links[edit]