the-shifting-boundary-between-neurology-and-psychiatry

The shifting boundary between neurology and psychiatry

January 3, 2026

By Cecile Coumau THE Subscribers

Since the late 19th century, these two disciplines dealing with brain diseases seemed irreconcilable. The advent of neuroscience is now shaking this legacy. An old story is finding a new beginning.

Sainte-Anne Hospital

Stereo-electroencephalography (SEEG) carried out in 1967 at Sainte-Anne Hospital by the psychiatrist and later neurosurgeon Jean Talairach (right), creator of this technique.

PAUL ALMASY / AKG IMAGES

This article is taken from the monthly magazine Sciences et Avenir n°947, dated January 2026.

When Alois Alzheimer observed the plaques and degeneration in Auguste D.'s brain in 1906, he effectively signed the birth certificate of a disease that would bear his name. Four years later, for the first time, in a new edition of his seminal treatise on psychiatry, Emil Kraepelin shifted a disorder from psychiatry to neurology. The observation of a lesion justified separating this case from other forms of dementia. This shift was emblematic of the boundary that would long separate "brain" diseases from "mental" disorders. It also reflects the recurring tensions between neurology and psychiatry, a partnership that has always had a tumultuous relationship.

Psychiatry Neuroscience Neurology

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