Janusz Rybakowski: 120 years of the Kraepelinian dichotomy of "endogenous psychoses" in historical perspective


Hans-Juergen Möller’s reply to Hector Warnes comment


        I read Hector Warnes` excellent  comment on my paper with the subtitle  "Kraepelin’s dichotomy and beyond" carefully and with great interest. I have the impression that Warnes summarizes well my position. I especially like his suggestion that we cannot call the endogenous psychoses functional psychoses anymore but have to interpret them as a kind of organic psychoses.

        Principally I see like many others the limitations of the dichotomy but learned that even the DSM-5 related activities did finally  not dare to finish with this  tradition, from my viewpoint for good theoretical and pragmatic reasons (Möller, Bandelow, Bauer et al. 2015).



Möller HJ, Bandelow B, Bauer M, Hampel H, Herpertz SC, Soyka M, Barnikol UB, Lista S, Severus E, Maier W.  DSM-5 reviewed from different angles: goal attainment, rationality, use of evidence, consequences—part 2: bipolar disorders, schizophrenia spectrum disorders, anxiety disorders, obsessive-compulsive disorders, trauma- and stressor-related disorders, personality disorders, substance-related and addictive disorders, neurocognitive disorders. Eur Arch Psychiatry Clin Neurosci. 2015 Mar;265(2):87-106.


August 13, 2020