Würzburg key
The Würzburg Key is a classification system for psychiatric and neurological diseases that was developed in 1930 and replaced the German 'Reichsirrenstatistik' of 1901 . The system was developed by the German Association for Psychiatry , tested in psychiatric clinics from 1930 to 1932 and introduced in Germany on the occasion of its annual meeting, which took place on January 24, 1933 in Würzburg. It was largely designed by Karl Bonhoeffer , the Berlin professor for psychiatry and head of the Charité's neurological clinic, and was based on statistical surveys of the number of sick people in his clinic. It was expressly designed for the purpose of calculating costs in institutional psychiatry.
| Würzburg key from 1933 | ||
|---|---|---|
| 1. | Congenital and early acquired feeble-minded states (idiocy and imbecility) | |
| a | with no demonstrable cause | |
| b | as a result of proven brain damage | |
| c | cretinism | |
| 2. | Mental disorders after brain injuries (concussion and contusion) | |
| a | acute traumatic psychoses (commotion psychoses) | |
| b | traumatic secondary states (epileptic changes in personality, etc.) | |
| 3. | Progressive paralysis | |
| 4th | Mental disorders in Lues cerebri, Tabes and Lues latens | |
| 5. | Encephalitis epidemica | |
| 6th | Mental disorders of older age | |
| a | atherosclerotic forms (including common hypertension) | |
| b | Presenile forms (depressive and paranoid images) | |
| c | senile forms | |
| d | other forms (Alzheimer's, Pick, etc.) | |
| 7th | Huntington's chorea | |
| 8th. | Mental disorders in other brain diseases (tumor, multiple sclerosis, etc.) | |
| 9. | Mental disorders in acute infections, diseases of internal organs, general diseases and cachexia ("symptomatic psychoses" in the narrower sense) | |
| a | for infectious diseases (including chorea minor) | |
| b | in diseases of internal organs, general diseases and gastrointestinal diseases, diabetes, uremia and eclampsia, anemia, carcinosis, pellagra, etc. | |
| c | in Graves, myxedema, tetany and other endocrine diseases | |
| d | symptomatic psychoses in the puerperium and during lactation | |
| 10. | alcoholism | |
| a | States of intoxication | |
| b | chronic alcoholism (delusional jealousy, etc.) | |
| c | Delirium tremens and hallucinosis | |
| d | Korsakov's psychosis (poliencephalitis haemorrhagica) | |
| 11. | Sought (morphinism, cocainism, etc.) | |
| 12. | Mental disorders with other poisoning: sleeping pills, lead, mercury, arsenic, carbon disulfide, carbon monoxide, etc. | |
| 13. | epilepsy | |
| a | with no demonstrable cause | |
| b | symptomatic epilepsy (if not listed in another group) | |
| 14th | Schizophrenic form circle | |
| 15th | Manic-depressive form circle | |
| a | manic and depressive phases | |
| b | hyperthymic, dysthymic, and cyclothymic constitution | |
| 16. | Psychopathic personalities | |
| 17th | Abnormal reactions | |
| a | paranoid reactions and paranoid developments (delusional delusions, etc.) | |
| b | depressive reactions which do not fall under 15a | |
| c | Sticking reactions | |
| d | Pension neuroses | |
| e | other psychogenic reactions | |
| f | induced insanity | |
| 18th | Psychopathic children and adolescents (up to the age of 18) | |
| 19th | unresolved cases | |
| 20th | Nervous diseases without mental disorders | |
| 21st | Not nervous and free from psychological deviations | |
Individual evidence
- ^ A b A. Dörries, J. Vollmann: [Medical and ethical problems in the classification of psychiatric disorders. The "Wurzburger Schlüssel" of 1933] . In: Advances in Neurology-Psychiatry . tape 65 , no. December 12 , 1997, ISSN 0720-4299 , p. 550-554 , doi : 10.1055 / s-2007-996362 , PMID 9451567 ( nih.gov [accessed June 13, 2020]).
- ^ Würzburg Key - WürzburgWiki. Retrieved June 13, 2020 .
- ↑ Stephanie Neuner: Politics and Psychiatry: The state care of mentally disabled war invalids in Germany 1920-1939 (Critical Studies on History, Volume 197) - PDF Free Download. Vandenhoeck & Ruprecht, 2011, accessed on June 16, 2020 (ISBN: 9783647370200).
- ↑ Nitsche, P .: Insane statistics of the German Association for Psychiatry for the year 1932 . In: Allg. Z. psychiatrist. No. 102 , 1934, pp. 377-387 .