Demente Staatenlenker: Risiken und Nebenwirkungen

Abstract

Intellectually challenged heads of state have had a remarkable impact on the course of history and the problem of age-associated impairment in politicians appears to increase with growing life expectancy. Lenin, Paul Deschanel, Woodrow Wilson, Franklin D. Roosevelt, Heinrich Lübke, Urho Kekkonen, Mao tse tung, Ronald Reagan, Pope John Paul II., and Robert Mugabe were still in power while showing signs of cognitive impairment. Margaret Thatcher, Walter Scheel, Helmut Kohl and many others developed dementia after their resignation. Mild cognitive impairment in Paul von Hindenburg and in communist sclerocrats (Andropow, Breshnew, Ceausescu, Honecker, Mielke and others) may have contributed to the rise of Adolf Hitler and the downfall of communist regimes, respectively. Two prototypes of presidential dementia have to be distinguished: the tragic senile King-Lear-form with cognitive deficits and the buffalo- and buffoon-like King-Ubu-type with predominant behavioral disturbances.

Die tragische Gestalt des senilen König Lear einerseits [1] und die surreale Dreistigkeit des verhaltensauffälligen König Ubu andererseits [2] repräsentieren die beiden Extreme des Demenzspektrums. Sie finden sich in der Klinik ebenso wie in der Politik.

Schlüsselwörter

Demenz - Lenin - Deschanel - Hindenburg

Key words

dementia - Lenin - Deschanel - Hindenburg

• Literatur

• 1 Shakespeare W. The Tragedy of King Lear. 1606
• 2 Jarry A. Ubu Roi. Paris (ohne Verlagsangabe): 1896
• 3 Romm J. Dying every day. Seneca at the court of Nero. New York: Random House; 2014
• 4 Sotos JG. Taft and Pickwick: sleep apnea in the White House. Chest 2003; 124: 1133-1142
• 5 Berg M. Woodrow Wilson, Amerika und die Neuordnung der Welt. München: CH Beck; 2017
• 6 Toole JF. Dementia in world leaders and its effects upon international events: the examples of Franklin D. Roosevelt and T. Woodrow Wilson. Eur J Neurol 1999; 6: 115-119
• 7 Bruenn HG. Clinical notes on the illness and death of President Franklin D. Roosevelt. Ann Intern Med 1970; 72: 579-591
• 8 Ali R. et al. The Strokes that Killed Churchill, Roosevelt and Stalin. Neurosurg Focus 2016; 41: E7 . doi:10.3171/2016.4.FOCUS1575
• 9 Berisha V. et al. Tracking discourse complexity preceding Alzheimer’s disease diagnosis: a case study comparing the press conferences of presidents Ronald Reagan and George Herbert Walker Bush. J Alz Dis 2015; 45: 959-963 . doi:10.3233/JAD-142763
• 10 Roth J, Polt G. FJS: Mich können Sie nicht stoppen, ich bin da (Audio CD). München: Kunstmann; 2012
• 11 Eckart WU. Ferdinand Sauerbruch – Meisterchirurg im politischen Sturm. Heidelberg: Springer; 2016
• 12 Der Spiegel. Sauerbruch: Tod des Titanen. Der Spiegel; 1960
• 13 Pyta W. Hindenburg, Herrschaft zwischen Hohenzollern und Hitler. Berlin: Siedler; 2007
• 14 Owen D. Diseased, demented, depressed: serious illness in Heads of State. QJM 2003; 96: 325-336
• 15 Post JM, Robins RS. When Illness strikes the Leader. The Dilemma of the Captive King. New Haven and London: Yale Univ Press; 1993
• 16 Winkler HA. Auf ewig in Hitlers Schatten. München: CH Beck; 2018
• 17 Kershaw I. Hitler. London: Penguin; 2008
• 18 Thamer HU. Adolf Hitler. München: CH Beck; 2018
• 19 Park BE. The Impact of Illness on World Leaders. Philadelphia: Univ of Pennsylvania Press; 1986
• 20 Gibbels E. Hitlers Nervenleiden – Differentialdiagnose des Parkinson-Syndroms. Fortschr Neurol Psychiatr 1989; 57: 505-517 . doi:10.1055/s-2007-1001147
• 21 Wade O. The treatment of a dictator. J Med Biograph 2003; 11: 118-122
• 22 Cassier P. Schändliches Trauerspiel um den Bundespräsidenten. Die Welt 2012
• 23 Bästlein K. Der Fall Mielke. Baden-Baden: Nomos Verlag; 2002
• 24 Chlewnjuk O. Stalin, eine Biografie. München: Siedler; 2015
• 25 Owen D. In Sickness and in Power. London: Harper Collins; 2008
• 26 Ludwig AM. King of the Mountain. The Nature of Political Leadership. Lexington: Univ Press of Kentucky; 2002
• 27 Boller F. et al. Neuropsychiatric afflictions of modern French presidents: Marechal Henri-Philippe Petain and Paul Deschanel. Eur J Neurol 1999; 6: 133-136
• 28 Moran CMW. Winston Churchill: the struggle for survival. London: Constable; 1966
• 29 Gagare O. Mugabe ill-health scales crisis point. The Independent 2017
• 30 Menger RP. et al. Woodrow Wilson’s hidden stroke of 1919; the impact of patient-physician confidentiality on United States foreign policy. Neurosurg Focus 2015; 39: E6 . doi:10.3171/2015.4.FOCUS1587
• 31 Lerner V. et al. The enigma of Lenin’s (1870–1924) malady. Eur J Neurol 2004; 11: 371-376
• 32 Vinters H. et al. Vessels of stone: Lenin’s “circulatory disturbance of the brain”. Hum Pathol 2013; 44: 1967-1972 . doi: 10.1016/j.humpath.2012.11.017
• 33 Giniger H. Franco is dead in Madrid at 82. New York Times 1975
• 34 Zhisui Li. The private life of chairman Mao. London: Arrow Books; 1994
• 35 Palo J. The cover-up of president Urho Kekkonen’s dementia and its impact on the political life in Finland – a personal account. Eur J Neurol 1999; 6: 137-140
• 36 Altman LK. Reagan’s twilight. New York Times 1997
• 37 Süddeutsche Zeitung. Von den Ostverträgen zum gelben Wagen, Nachruf auf Walter Scheel. Süddeutsche Zeitung 2016
• 38 Cornwell J. The Pope in Winter. New York: Viking; 2005
• 39 Montaner CA. Fidel Castro – vom kubanischen Revolutionär zum Desillusionär. Die Welt 2016
• 40 Laurance J. Ariel Sharon dead: how Israel’s sleeping giant was kept in a coma for eight years. The Independent 2014
• 41 Sherwood H. Former Israeli PM Ariel Sharon dies after eight-year coma. The Guardian 2014
• 42 Reeves P. Yeltsin health secrets revealed on TV. The Independent 1998
• 43 Die Welt. Kim Jong-il nach Schlaganfall regierungsunfähig. Die Welt 2008
• 44 Albright M. Faschismus, eine Warnung. Köln: Dumont; 2018
• 45 Lilienfeld SO. et al. The Goldwater rule: perspectives from and implications for Psychological Science. Perspect Psychol Sci 2018; 13: 3-27 . doi:10.1177/1745691617727864
• 46 Frances A. Twilight of American Sanity: A psychiatrist analyzes the age of Trump. New York: Harper Collins; 2017