The results indicate that aripiprazole may be an efficacious and safe treatment option for pre-treated patients with schizophrenia also in a naturalistic psychiatrist/neurologist practice setting with effects on health and psychosocial functioning and a comparably low dropout rate.

Due to the small number of patients referred by psychiatrists, the cooperation between psychiatric hospital and psychiatrists in private practice has to be focused by the quality management of the hospital.

In the first part the decrease of the psychopathological research was described and the impact on the practical psychopathology was deplored, which in its existential tendencies could be very productive for a patient-orientated psychiatrist. The writings of D. Wyss stand in contrast to that disappearance of psychopathology. The author stressed the historical development of the patient an the importance of conflict which yields the dynamics of that development. The conception of psychosis has as its basic concept that of perspective which is a fundamental union of the "interior" and "exterior" of the human person. The essay ends with a discussion of the importance of the author for a humane psychotherapy which exists in a symmetric relation to the patient.

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