title: [Schizophrenia: pars pro toto for psychiatry? : A historical essay on the status of schizophrenia in psychiatric discourse].
abstract: In the history of psychiatry, "schizophrenia" has often been portrayed as the discipline's pars pro toto, which prototypically represents mental illness as such and which draws together the fundamental questions concerning psychiatric epistemology and practice. Taking a conceptual history approach, this essay examines how "schizophrenia" is represented in psychiatric discourse and what aspects of its representation account for the pars pro toto status. Three such aspects are identified: a pragmatic, an existential and a justificatory aspect. Following up these aspects in present day psychiatric discourse, it is concluded that "schizophrenia" is losing its special status as the representations of psychiatry and of mental illness have changed and become more diverse. Tentative conclusions regarding current debates about the abolition of "schizophrenia" are drawn.
authors.affiliation: Psychiatrische Universitätsklinik Zürich, Lenggstrasse 31, 8032, Zürich, Schweiz. anke.maatz@puk.zh.ch.
authors.forename: A
authors.initials: A
authors.lastname: Maatz
authors.affiliation: Psychiatrische Universitätsklinik Zürich, Lenggstrasse 31, 8032, Zürich, Schweiz. paul.hoff@puk.zh.ch.
authors.forename: P
authors.initials: P
authors.lastname: Hoff
mesh_terms: D005858:Germany; D049672:History, 19th Century; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D008960:Models, Psychological; D011570:Psychiatry / Q000266:history*; D011613:Psychotherapy / Q000266:history*; D012559:Schizophrenia / Q000145:classification* / Q000266:history*
keywords: Abolition debates; Conceptual history; Cultural theory; Nosology; Schizophrenia