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[The concept of hyperthymia].

Friederike Fritze1, U Ehrt, P Brieger

  • 1Klinik und Poliklinik für Psychiatrie und Psychotherapie der Martin-Luther-Universität Halle-Wittenberg, Germany.

Fortschritte Der Neurologie-Psychiatrie
|March 7, 2002
PubMed
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Hyperthymia, a concept dating to the 19th century, has evolved to describe both psychopathology and personality traits. Modern research supports a hyperthymic temperament distinct from hypomania, with significant genetic and diagnostic implications.

Area of Science:

  • Psychiatry and Psychology
  • History of Medicine

Context:

  • The concept of hyperthymia has a complex history, originating in the early 19th century.
  • It has evolved into two main paths: a psychopathological syndrome and a personality disorder (psychopathy).
  • Early descriptions by psychiatrists like Mendel, Wernicke, and Jung foreshadowed modern understandings.

Purpose:

  • To review the conceptual history and evolution of hyperthymia.
  • To analyze the contributions of key figures such as K. W. Stark, Kurt Schneider, and Emil Kraepelin.
  • To differentiate hyperthymic temperament from hypomania and discuss its current relevance.

Summary:

  • Hyperthymia was initially described by Stark and later influenced by Schneider's practical concept of psychopathy.
  • Kraepelin integrated 'constitutional excitation' into manic-depressive illness, a spectrum concept later overlooked.

Related Experiment Videos

  • Recent empirical data support the distinction between hyperthymic temperament (trait-marker) and hypomania (state-marker), despite its absence in DSM-IV and ICD-10.

    • Impact:

    • The historical analysis reveals the long-standing recognition of hyperthymic traits.
    • Differentiating hyperthymic temperament from hypomania offers diagnostic clarity.
    • The concept of hyperthymia holds significant implications for genetics, diagnostics, and theoretical frameworks in psychiatry.