[Consultation psychiatry in a university clinic--from the viewpoint of psychoanalytic supervision work]. / Konsiliarpsychiatrie in einer Universitätsklinik--aus dem Blickwinkel tiefenpsychologischer Supervisionsarbeit.

In contrast to English-speaking countries, Consultant/Liaison Psychiatry has been a neglected discipline in the GFR until now. Liaison Psychiatry in particular, is hardly represented. Consultant Psychiatry confronts the psychiatrist with a wide spectrum range of problems, whereas in his further training in the GFR he is insufficiently prepared for these responsibilities. Therefore, the authors report on a model which has already been tried and tested at the University Hospital in Ulm. Based on the annual data evaluation the authors outline the different questions in psychiatric consultations which are mainly raised and required by the Medical Hospital. In most cases they can be solved in case-focussed team conferences. However, within the framework of interdisciplinary cooperation there are more complex problems solved by regular psychotherapeutic supervision meetings with the whole team. The conditions for this procedure are clearly stated and illustrated by case studies.

[Liaison psychiatry in an internal medicine clinic. Study of a subgroup of patients with psychogenic reactions and neurotic disorders]. / Konsiliarpsychiatrie an einer internistischen Klinik. Untersuchung der Subgruppe der Patienten mit psychogenen Reaktionen und neurotischen Störungen.

Too little attention is paid to psychiatric consultation activities--and this also applies to the literature. Within the framework of an overall consideration of patients passing through a psychiatric consultation service in 1989 and 1990 at the Medical Department of the University Hospital in Ulm, the largest subgroup of patients with psychogenic reactions and neuroses were examined in detail. Among the psychiatric disorders diagnosed, anxiety disturbances clearly predominated. Among the psychogenic reactions these latter presented in the form of body-related anxiety and among the neurotic patients more often as a diffuse feeling of anxiety. With respect to the acceptance of the diagnoses and the passing-on of the therapeutic recommendations by the internist, certain reservations were observed, in particular involving patients with psychogenic reactions, which in the first instance were induced by the disease and associated diagnostic and therapeutic measures. For this patient group, however, more intensive management with respect to further treatment could be very helpful.