[Temperament and affective disorders--historical basis of current discussion].
The history of the temperament concept begins in ancient Greece. The humoral theory remained influential over the centuries. At the beginning of the 20 th century, both Wilhelm Wundt and his pupil Emil Kraepelin formulated new aspects. Wundt described two dimensions: "speed of variability of emotions" and "intensity of emotions". Kraepelin observed four fundamental states (depressive, manic, irritable and cyclothymic), which he linked to manic-depressive illness. Since then different lines of temperament research have evolved: (1) psychiatric-psychopathological theories (e. g. Ewald, Kretschmer and Sheldon), which tend to see temperament as a dilution of full-blown affective disorders; (2) neurobiological theories (e. g. Pavlov, Eysenck and Gray), which understand temperament as determined by underlying neurobiological processes - especially levels of arousal; and (3) developmental theories (e. g. Chess & Thomas, Rothbart and Kagan), which derived their temperament concept from early childhood observations. Recent theories (e. g. those of Cloninger or Akiskal) combine different aspects. After reviewing the historical temperament concepts we present underlying factors which are linked to affective disorders (such as emotional reactivity, cyclicity or trait affectivity). Finally, we illustrate the importance of temperament concepts for research in affective disorders.
Ehrt
U
U
Universitätsklinik für Psychiatrie und Psychotherapie der Martin-Luther-Universität Halle-Wittenberg, Halle/Saale.
Brieger
P
P
Marneros
A
A
D049672:History, 19th Century; D049673:History, 20th Century; D049690:History, Ancient; D006801:Humans; D019964:Mood Disorders / Q000266:history* / Q000523:psychology; D010551:Personality / Q000502:physiology; D013694:Temperament / Q000502:physiology*