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[Socialpsychiatric and ethical reflections about prevention of schizophrenic disorders]
1Abteilung Sozialpsychiatrie und Psychotherapie der Medizinischen Hochschule Hannover, Podbielskistrasse 158, Hannover.
Problem:
In the last years there has been a shift from curative to preventive objectives in politics (prevention law) and medicine, by which socialpsychiatric practice also is affected. This requires a critical reflection about ethical, methodical and therapeutic problems of the prevention of psychological disorders--especially schizophrenic psychosis.
Arguments:
Studies dealing with the prodromal stage of schizophrenia point to a successful early detection and intervention. But also negative consequences like stigmatization and side effects by psychotherapeutic or pharmacologic interventions should be taken into account.
Conclusion:
Under critical consideration of the ethical principles of not causing harm, acting for the well-being and the person's right of self-determination prevention should play a larger role in psychiatry. Therefore further empirical studies about the efficacy of early detection and intervention are needed.
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