Karl Birnbaum
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Karl Birnbaum (August 20, 1878 in Schweidnitz/
Świdnica Świdnica (; ; ) is a city on the Bystrzyca (Oder), Bystrzyca River in south-western Poland in the Lower Silesian Voivodeship. As of 2021, it has a population of 55,413 inhabitants. It is the seat of Świdnica County, and also of the smaller dis ...
– March 31, 1950 in
Philadelphia Philadelphia ( ), colloquially referred to as Philly, is the List of municipalities in Pennsylvania, most populous city in the U.S. state of Pennsylvania and the List of United States cities by population, sixth-most populous city in the Unit ...
) was a German-American
psychiatrist A psychiatrist is a physician who specializes in psychiatry. Psychiatrists are physicians who evaluate patients to determine whether their symptoms are the result of a physical illness, a combination of physical and mental ailments or strictly ...
and
neurologist Neurology (from , "string, nerve" and the suffix -logia, "study of") is the branch of medicine dealing with the diagnosis and treatment of all categories of conditions and disease involving the nervous system, which comprises the brain, the ...
.


Career

In 1902 he received his doctorate from the
University of Freiburg The University of Freiburg (colloquially ), officially the Albert Ludwig University of Freiburg (), is a public university, public research university located in Freiburg im Breisgau, Baden-Württemberg, Germany. The university was founded in 1 ...
, and subsequently working at the Herzberge asylum in
Berlin-Lichtenberg Lichtenberg () is a quarter (''Ortsteil'') of Berlin in the homonymous borough (''Bezirk'') of Lichtenberg. Until 2001 it was an autonomous district with the localities of Fennpfuhl, Rummelsburg, Friedrichsfelde and Karlshorst. History The ...
. In 1923 he began work as an assistant to
Karl Bonhoeffer Karl Bonhoeffer (; March 31, 1868 – December 4, 1948) was a German neurologist, psychiatrist and physician. Life Bonhoeffer was born in Neresheim in the Kingdom of Württemberg to Friedrich von Bonhoeffer (1828–1907), who worked as judge ...
(1868-1948) at the
Charité The Charité – Universitätsmedizin Berlin (Charité – Berlin University of Medicine; ) is Europe's List of hospitals by capacity, largest university hospital, affiliated with Humboldt University of Berlin, Humboldt University and the Free ...
-
Berlin Berlin ( ; ) is the Capital of Germany, capital and largest city of Germany, by both area and List of cities in Germany by population, population. With 3.7 million inhabitants, it has the List of cities in the European Union by population withi ...
. In 1927 he became an associate professor. An early interest in criminal psychology reportedly developed while in charge of high-secure wards for criminal and dangerous patients between 1908 and 1919. In 1930 he was appointed medical director of the Heil- und Pflegeanstalt in Berlin, but because of his Jewish heritage was dismissed from his position after the Nazi takeover of Germany. In 1939 he emigrated to the United States, where he worked as a lecturer at the
New School for Social Research The New School for Social Research (NSSR), previously known as The University in Exile and The New School University, is a graduate-level educational division of The New School in New York City, United States. NSSR enrolls more than 1,000 stud ...
in
New York City New York, often called New York City (NYC), is the most populous city in the United States, located at the southern tip of New York State on one of the world's largest natural harbors. The city comprises five boroughs, each coextensive w ...
. From 1940 he also worked at the municipal medical department of
Philadelphia Philadelphia ( ), colloquially referred to as Philly, is the List of municipalities in Pennsylvania, most populous city in the U.S. state of Pennsylvania and the List of United States cities by population, sixth-most populous city in the Unit ...
. Birnbaum's primary research was in the fields of
clinical psychiatry Clinical psychology is an integration of human science, behavioral science, theory, and clinical knowledge for the purpose of understanding, preventing, and relieving psychologically-based distress or Mental disorder, dysfunction and to promote ...
,
criminal psychology Criminal psychology, also referred to as criminological psychology, is the study of the views, thoughts, intentions, actions and reactions of criminals and suspects.Richard Ncsis, Applied criminal psychology: a guide to forensic behavioral science ...
(
forensic psychiatry Forensic psychiatry is a subspecialty of psychiatry and is related to criminology. It encompasses the interface between law and psychiatry. According to the American Academy of Psychiatry and the Law, it is defined as "a subspecialty of psychiatr ...
,
psychopathy Psychopathy, or psychopathic personality, is a personality construct characterized by impaired empathy and remorse, along with bold, disinhibited, and egocentric traits. These traits are often masked by superficial charm and immunity ...
and
psychopathology Psychopathology is the study of mental illness. It includes the signs and symptoms of all mental disorders. The field includes Abnormal psychology, abnormal cognition, maladaptive behavior, and experiences which differ according to social norms ...
).


Theories


Psychopathy

Birnbaum was an influential writer on
psychopathy Psychopathy, or psychopathic personality, is a personality construct characterized by impaired empathy and remorse, along with bold, disinhibited, and egocentric traits. These traits are often masked by superficial charm and immunity ...
, then having a very broad usage perhaps more equivalent to the category of
personality disorders Personality disorders (PD) are a class of mental health conditions characterized by enduring maladaptive patterns of behavior, cognition, and inner experience, exhibited across many contexts and deviating from those accepted by the culture. T ...
today, especially in regard to
criminology Criminology (from Latin , 'accusation', and Ancient Greek , ''-logia'', from λόγος ''logos'', 'word, reason') is the interdisciplinary study of crime and deviant behaviour. Criminology is a multidisciplinary field in both the behaviou ...
. Millon, Simonsen and Birket-Smith have stated that "K. Birnbaum (1909), writing in Germany at the time of Kraepelin's later editions, was the first to suggest that the term "sociopathic" might be the most apt designation for the majority of these cases." The term sociopathy would later gradually become popular in America, especially as expounded by psychologist George E. Partridge (1930) and adopted into early versions of the
Diagnostic and Statistical Manual of Mental Disorders The ''Diagnostic and Statistical Manual of Mental Disorders'' (''DSM''; latest edition: ''DSM-5-TR'', published in March 2022) is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a com ...
and is still referred to as an alternative term for
antisocial personality disorder Antisocial personality disorder (ASPD) is a personality disorder defined by a chronic pattern of behavior that disregards the rights and well-being of others. People with ASPD often exhibit behavior that conflicts with social norms, leading to ...
. Birnbaum proposed several subtypes of sociopathy and argued that while there may be varying degrees of 'constitutional' disposition towards disorders that could lead to maladjustment and crime, it was the effect of social forces and environments which shaped the eventual outcome. Richard Wetzell (2000
''Inventing the Criminal: A History of German Criminology, 1880-1945''
Chapel Hill, NC: University of North Carolina Press.
Birnbaum published in 1914 a large encyclopedic volume on criminal psychopaths, a second and revised edition of which would be released in 1926. Reviewers at the time noted different themes—a view of constitutional psychopathy as a form of degeneration with both inherited (genetic 'taint') and prenatally acquired (through injury to '
germ plasm Germ plasm () is a biological concept developed in the 19th century by the German biologist August Weismann. It states that heritable information is transmitted only by germ cells in the gonads (ovaries and testes), not by somatic cells. The ...
') types, resulting in a disposition towards mental disorder or a reduced capacity to resist anti-social tendencies; rejection of the term 'inferiors' for this category; a view that emotion is central to the disorder rather than necessarily deficient intellect; description of nearly 20 subtypes of psychopathic personalities (more akin to personality disorders than psychopathy as often defined today); a pivotal role for life events and social conditions in shaping whether someone with various psychopathic dispositions would end up engaging in antisocial or criminal behavior or not, and an insistence that even lifelong criminality does not necessarily mean underlying psychopathy. Birnbaum suggested that some forms of psychopathy involving moral or emotional immaturity or instability could be overcome by social-educative methods or spiritual leadership. In 1930 in an article 'The Social Significance of the Psychopathic', Birnbaum defined psychopaths as anyone who shows 'in a moderate degree dispositionally conditioned, 'constitutional', psychic deviations, and especially...in the sphere of character'. He stated this sufficiently distinguished psychopaths from the 'really insane', though not necessarily from the 'normal'. By 1949, now in America, Birnbaum writes in regard to pathological
Juvenile delinquency Juvenile delinquency, also known as juvenile offending, is the act of participating in unlawful behavior younger than the statutory age of majority. These acts would be considered crimes if the individuals committing them were older. The term ...
about the importance of considering both an immaturity of the personality from within, and environmental influences from without, and the complex interactions and pathways to conditions that result.


Pathogenesis and Pathoplasticity

Birnbaum in 1923 also coined a distinction between
pathogenic In biology, a pathogen (, "suffering", "passion" and , "producer of"), in the oldest and broadest sense, is any organism or agent that can produce disease. A pathogen may also be referred to as an infectious agent, or simply a germ. The term ...
and ''pathoplastic'' factors, in his work "Der Aufbau der Psychose. Grundzüge der psychiatrischen Strukturanalyse". The term pathogenic was used to refer to what causes the essential structure of a
pathology Pathology is the study of disease. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used in the context of modern medical treatme ...
, and pathoplastic to what causes the variation in the disorder between individuals or cultures. The terms are still sometimes used today in explanations for psychiatric conditions, though the concept of plasticity also has separate widespread uses as in
neuroplasticity Neuroplasticity, also known as neural plasticity or just plasticity, is the ability of neural networks in the brain to change through neurogenesis, growth and reorganization. Neuroplasticity refers to the brain's ability to reorganize and rewir ...
or
Activity-dependent plasticity Activity-dependent plasticity is a form of functional and structural neuroplasticity that arises from the use of cognitive functions and personal experience. Hence, it is the biological basis for learning and the formation of new memory, memories. ...
, and
phenotypic plasticity Phenotypic plasticity refers to some of the changes in an organism's behavior, morphology and physiology in response to a unique environment. Fundamental to the way in which organisms cope with environmental variation, phenotypic plasticity encompa ...
). It has recently been pointed out that the distinction has generally been used to report
Culture-bound syndrome In medicine and medical anthropology, a culture-bound syndrome, culture-specific syndrome, or folk illness is a combination of psychiatric and somatic symptoms that are considered to be a recognizable disease only within a specific society or c ...
s in non-Western countries, despite
western culture Western culture, also known as Western civilization, European civilization, Occidental culture, Western society, or simply the West, refers to the Cultural heritage, internally diverse culture of the Western world. The term "Western" encompas ...
also causing its own unique forms of disorders. Moreover, cultural factors could be pathogenic as well as pathoplastic, for example by influencing
epigenetic In biology, epigenetics is the study of changes in gene expression that happen without changes to the DNA sequence. The Greek prefix ''epi-'' (ἐπι- "over, outside of, around") in ''epigenetics'' implies features that are "on top of" or "in ...
and associated
neuronal A neuron (American English), neurone (British English), or nerve cell, is an excitable cell that fires electric signals called action potentials across a neural network in the nervous system. They are located in the nervous system and help to ...
processes.Epigenetics and its implications for Psychology
Héctor González-Pardo and Marino Pérez Álvarez, Universidad de Oviedo. Psicothema, 2013, Vol. 25, No. 1, 3-12 doi: 10.7334/psicothema2012.327


See also

*
Ernst Kretschmer Ernst Kretschmer (8 October 18888 February 1964) was a German psychiatrist who researched the human constitution and established a Personality type, typology. Life Kretschmer was born in Wüstenrot near Heilbronn. He attended Cannstatt Gymnas ...
*
Kurt Schneider Kurt Schneider (7 January 1887 – 27 October 1967) was a German psychiatrist known largely for his writing on the diagnosis and understanding of schizophrenia, as well as personality disorders then known as psychopathic personalities. ...


Literary works

* (1902) ''Versuch eines Schemas für Intelligenzhandlungen''. Freiburg i.B.: Epstein (Med. Diss. v. 1902). * (1902
Versuch eines Schemas für Intelligenzhandlungen
''Pädagogisch-psychologische Studien'', 3: 57-62. * (1908) ''Psychosen mit Wahnbildung und wahnhafte Einbildungen bei Degenerativen''. Halle a.S.: Marhold. * (1909) ''Über psychopathische Persönlichkeiten. Eine psychopathologische Studie''. Wiesbaden: Bergmann. * (1911) ''Die krankhafte Willenschwäche und ihre Erscheinungsformen. Eine psychopathologische Studie für Ärzte, Pädagogen und gebildete Laien''. Wiesbaden: Bergmann. * (1914) ''Die psychopathischen Verbrecher. Die Grenzzustände zwischen geistiger Gesundheit und Krankheit in ihren Beziehungen zu Verbrechen und Strafwesen''. Leipzig: Thieme. * (1918) ''Psychische Verursachung seelischer Störungen und die psychisch bedingten abnormen Seelenvorgänge''. Wiesbaden: Bergmann. * (1919) Der Aufbau der Psychose. ''Allgemeine Zeitschrift für Psychiatrie'', 75: 455-502. * (1920) ''Psychopathologische Dokumente. Selbstbekenntnisse und Fremdzeugnisse aus dem seelischen Grenzlande''. Berlin: Springer. * (1920) Die Strukturanalyse als klinisches Forschungsprinzip. ''Zeitschrift für die gesamte Neurologie und Psychiatrie'', 53: 121-129. * (1921) ''Kriminalpsychopathologie. Systematische Darstellung''. Berlin: Springer. * (1923) ''Der Aufbau der Psychose. Grundzüge der psychiatrischen Strukturanalyse''. Berlin: Springer. * (1924) ''Grundzüge der Kulturpsychopathologie''. München: Bergmann. * (1927) ''Die psychischen Heilmethoden. Für ärztliches Studium und Praxis''. Leipzig: Thieme. * (1928) Geschichte der psychiatrischen Wissenschaft. In O. Bumke (Hrsg.), ''Handbuch der Geisteskrankheiten'' (Erster Band, Erster Teil). Berlin: Springer, 11-49. * (1930) * (1930) (Hrsg.) ''Handwörterbuch der medizinischen Psychologie''. Leipzig: Thieme. * (1931) ''Kriminalpsychopathologie und psychobiologische Verbrecherkunde''. Berlin: Springer. * (1933) ''Soziologie der Neurosen''. Berlin: Springer. * (1935) ''Die Welt des Geisteskranken''. Berlin: Springer.


References


External links



at www.kfunigraz.ac.at
Peoples.ru: Карл Бирнбаум / Karl Birnbaum
at www.peoples.ru (Russian) * Julian Schwarz
Biography of Karl Birnbaum
in
Biographical Archive of Psychiatry (BIAPSY)
{{DEFAULTSORT:Birnbaum, Karl German neurologists German psychiatrists American neurologists American psychiatrists Emigrants from Nazi Germany to the United States People from Świdnica Physicians from the Province of Silesia 1878 births 1950 deaths