Rhapsodien über Liebe, Begegnung und Gegnerschaft in der Psychiatrie.

The article examines the possibility of love in psychiatry against the background of its history, its tendency towards objectification and exclusion, and from the perspective of a philosophy of encounter and hospitality.

[Brave New Psychiatry? Or: What Astray is Artificial Intelligence Leading Psychiatry?] / Brave New Psychiatry? Oder: Wohin führt die Künstliche Intelligenz die Psychiatrie?

The article summarizes various publications on the application of "learning algorithms" and "artificial neural networks" in psychiatry to describe a dystopian future scenario. The draft of a nosology based on molecular biology is opposed to the ecological disturbance concept of psychiatry developed from the critical examination of history and in dialogue with the stakeholders.

[Misfortune with Health - Fortune in Illness]. / Pech mit der Gesundheit ­ Glück in der Krankheit.

Health and illness in modern societies are often understood as moral or normative categories. The author proposes an anthropological, not mutually excluding concept. A case study shows that even a severe illness with shortened life-expectation and -quality can provide new possibilities and confer fulfilment and happiness for the people affected on condition that they and their caregivers have an open-minded attitude ("serendipity"), sense of coherence, empowerment and orientation towards "recovery" as a new concept of healthiness at their disposal. The challenges for mental health services are being discussed.

The Fate of Polish Psychiatry under German Occupation in World War II.

Polish psychiatry was since its origin deeply influenced by German (Austrian) and Russian psychiatry. As a larger part of the Polish territory had belonged to Germany or Austria before 1918, many institutions and staff in mental health had a German or Austrian history. During the occupation nearly all mental hospitals were taken over by the Germans, sometimes all the patients, sometimes part of them were murdered, and often the staff members were shot together with their patients. Jews were separated from non-Jews and killed. Some institutions continued to work under German rule and with German directors. This paper will explore these issues from a historical and organizational perspective and address how Polish psychiatry attempted to survive during and after the war.

[The fate of Polish psychiatry under German occupation during World War II]. / Das Schicksal der polnischen Psychiatrie unter deutscher Besatzung im Zweiten Weltkrieg.

Polish psychiatry was since its origin deeply influenced by German (Austrian) and Russian psychiatry. After the German assault Polish psychiatric patients were the first victims of mass executions, and the first to be killed by new developed "gassing" technology. Especially cruel was the fate of Jewish patients. German "health policy" in occupied Poland was only "starvation or shooting". Some hospitals continued working under German rule and received patients from Germany in the framework of Nazi-"euthanasia". The article describes the mostly ignored facts of the close link between the medical programme of annihilation of the "unfit" and the genocide of Poles and Jews.

[Reorganisation of the diagnostic and therapeutic courses in the psychiatric care centre--from the analysis to implementation]. / Neuorganisation der diagnostischen und therapeutischen Abläufe im psychiatrischen Versorgungszentrum--von der Analyse zur Umsetzung.

Under current conditions psychiatric-psychotherapeutic inpatient care can not be sustained in its present form for much longer. Therefore, our main priority must be to adapt the care structures to the changes in society and psychiatry under consideration of the patients' needs. Cooperation, integration, and interlocking of cross-sectoral and interdisciplinary treatment provision are the challenge of the next decade. They will require networked organisation forms of high complexity as well as new mindsets and approaches. Significant steps and instruments of a structural transformation in the overall therapeutic services are elucidated using the example of a psychiatric care centre and discussed in connection with the introduction of a new reimbursement system for psychiatric and psychosomatic facilities in 2013. New cross-sectoral concepts could ensure care, particularly in regions with lacking or inadequate outpatient structure. Management competences combined with holistic thinking can help to create patient-centred alignments in this context.