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In her wide ranging and thoughtful article Rzesnitzek (2013), recalls the long, conflicting and at times convoluted history of attempts to describe and delineate the beginnings of schizophrenia. As Rzesnitzek shows us, this history is at once scientific, clinical, and political. It involved practitioners from all over the Western world as well as from what used to be called the Eastern world. The reader is struck by the range of the debates, the number of conflicting positions as well as the size of the research effort involved in these debates. In a way, the debates over the beginnings of schizophrenia were merely an abridged version of those over the nature of the disorder itself. In fact, while Rzesnitzek herself does not clearly make this point, her article demonstrates quite convincingly that the debates over the beginnings of schizophrenia were debates over the very definition of the disorder. What was seen as the manifestation of an early form of schizophrenia or what was rather understood as a predisposing condition clearly reflected divergent visions of the nature and symptoms of the disorder. As a sociologist and social historian, I would add that these visions should in turn be associated with the settings and practical conditions in which psychiatrists saw patients.

frontiers in psychology

Clinical knowledge, health policies and social identities. Commentary on Lara Rzesnitzek (2013) â€œEarly psychosis as a mirror of biologist controversies in post war German, Anglo-Saxon and Soviet psychiatryâ€

Clinical knowledge, health policies and social identities. Commentary on Lara Rzesnitzek (2013) â€œEarly psychosis as a mirror of biologist controversies in post war German, Anglo-Saxon and Soviet psychiatryâ€

Clinical knowledge, health policies and social identities. Commentary on Lara Rzesnitzek (2013) â€œEarly psychosis as a mirror of biologist controversies in post war German, Anglo-Saxon and Soviet psychiatryâ€