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April 1986

Neuropsychiatry... Again

Author Affiliations

Rochester, NY

Arch Neurol. 1986;43(4):325-327. doi:10.1001/archneur.1986.00520040013010

Like an old suit returning to fashion, neuropsychiatry, until recently a term of opprobrium among many academic psychiatrists and neurologists, is being taken from storage for cleaning. The wearer of an old garment soon discovers, however, that despite similarities between the classic and the vogue, styles have changed.

Griesinger1 began the movement to unify mental disorders and brain diseases with the two editions of his book, Mental Pathology and Therapeutics, published in 1845 and 1867, respectively. During the first half of the 20th century, many psychiatrists considered neuropsychiatry as synonymous with general psychiatry. Many neurologists striving for survival believed it was necessary to hold themselves out as physicians for the mentally impaired to ensure an adequate number of patients. An enthusiasm for the clinical-neuropathologic correlation of cerebral disorders, which developed from the study of aphasia, was encouraged further by the recognition that general paresis of the insane was an