Patricianship, the quality of belonging to a patriciate, began in the ancient world, where cities such as Ancient Rome had a social class of patrician families, whose members were initially the only people allowed to exercise many political functions. In the rise of European towns in the 12th and 13th centuries, the patriciate, a limited group of families with a special constitutional position, in Henri Pirenne's view, was the motive force. In 19th century Central Europe, the term had become synonymous with the upper Bourgeoisie and cannot be interchanged with the medieval patriciate in Central Europe. In the maritime republics of the Italian Peninsula as well as in German-speaking parts of Europe, the patricians were as a matter of fact the ruling body of the medieval town. Particularly in Italy, they became part of the nobility and it became a noble title.
With the establishment of the medieval towns, Italian city-states and maritime republics, the patriciate was a formally defined social class of governing wealthy families. They were found in the Italian city-states and maritime republics, particularly in Venice, Genoa, Pisa and Amalfi. They were also found in many of the free imperial cities of the Holy Roman Empire, such as Nuremberg, Ravensburg, Augsburg, Konstanz, Lindau, Bern, Basel, Zürich, St. Gallen and many more.