[Health and disease in leisure-time families].

This paper is concerned with the actual anthropological background of medical practice. Cultural differentiation and specialisation have led to a splitting of all areas of living in multiple ways. This process of fission is pathogenic when areas belonging together are not lived together respectively are not diagnosed and treated together or when single aspects are neglected seriously.

[Addiction--a contribution from the viewpoint of adolescent psychiatry].

While a single patient's addiction arises from a pattern of individual factors there appears to be a general cultural climate fostering its genesis in many variants. In the present contribution the metamorphosis of the metaparadigm from the dialectic to the dialogue is characterized as cultural transition-time demanding from the individual to cope and live with permanent contradictions and conflicts. On the background of this anthropologic situation addiction is understood as internalized foreign determination sustaining a common though antiquated scheme of psychic and social conflict conditioned by outdated patterns of education and socialisation.

[Common structures of psychotherapy and movement therapy].

The text deals with the anthropological analogies of psychotherapy and movement therapy, especially in view of cooperation between therapists of both directions. Points in common are: coordination of psychic and somatic processes, the unity of perception and movement, the significance of imagination, the connection of the imaginary with the real consciousness as well as promotion of partial functions with central integration and of activity with relaxation. Important analogies further concern the experience of space, time and the formation of identity.

Day-hospital programs for children and adolescents in eight West German cities and in Zurich, Switzerland.

The information presented in this paper was the outgrowth of a symposium held in Dusseldorf, West Germany, in 1985. This gathering of professionals involved in day psychiatric treatment of children and adolescents from German-speaking areas represented a first step in a "getting-to-know-you" process. The data collated from the meetings are presented briefly in both tabular and narrative form and include a description of the history and current status of day-hospital treatment as a therapeutic modality in West Berlin, Dortmund, Dusseldorf, Kassel, Cologne, Mannheim, Marburg, Munich, and Zurich.

The day hospital for children in Zurich, Switzerland, and the concept of dialogics.

The only day hospital for children and adolescents in the German-speaking part of Switzerland is located in Zurich. It has been operating since 1975 within the philosophical principles of dialogics. In this paper the author describes in detail the concept of dialogics as it relates to the beliefs and practices in carrying out an integrated therapeutic environment for children and their parents.

[Diagnostic results of pediatric-child psychiatric cooperation exemplified by the Pediatric Clinic of the Winterthur Canton Hospital 1971-1980].

This article reports on the diagnostic results of 232 patients who were examined in close collaboration by the paediatrician and the child psychiatrist at a Swiss children's hospital between 1971 and 1980. The main diagnosis was psychogenic disorders with mainly psychic symptoms in 53.9% of the cases, psychogenic disorders with mainly somatic symptoms in 37.

[Scientific nature, dialogic aspects and psychosis].

This paper tries to point out the analogy of development of science which is also attributed to the psychosis. Belonging to this are the loss regarding relation to reality and to the whole of reality, development of subcultures, role-establishment, double messages, exaggerated defence mechanisms towards views outside its own system, repeating and stereotype tendencies and finally segregation of affect and misconstruction of reality. In conclusion the author names a few tendencies which he deems necessary to counteract such a development.

[Youth movements and puberty].

Since the "Wandervogelbewegung" (german youth movement), there has been a formation of youth movements in all industrialized countries throughout the 20th century. They may have different aspects, but they have a mutual concern: Youth movements are the expression of countercultural trends. The sensibility regarding social conflicts is increased during puberty, youth is therefore particularly ready to accept to be employed against existing cultural trends and for humanization of the computer society.

[Detection and early treatment of mental disorders in early childhood].

Neurotic and psychosomatic developmental disorders and the rare psychoses in early childhood should be recognized and treated at an early age. This paper shows some characteristic features of treatment, as nonverbal communication, frequent organic-functional symptoms, family systems that are just being built up, risk of competitive situations towards the parents (especially the mother), problems of the indication of transfer from the paediatrician to the psychotherapist. Because of its institutional concept the psychotherapeutic day-clinic is especially qualified for intensive and early treatment of problems due to age and development.

[Cooperation between pediatrics and child psychiatry in a pediatric hospital; possibilities and limits].

Cooperation between pediatrics and child psychiatry in a children's hospital is becoming more and more important and necessary in dealing with many common problems such as psychological reactions to physical illness, psychosomatic disturbances, physical examination of psychiatric patients, and disorders and retardation of growth and development. The authors describe a cooperative model which has been developed and proved its usefulness during a period of 10 years. This method is an alternative to the traditional referral or consulting system, which involves little real cooperation between the two specialties, and also to excessive penetration of nonmedical psychology into pediatrics.