[Which way ahead for psychiatry? Identity, competence and cooperation--challenges of the 21st century]

In the past decades some disadvantageous changes have been occurred in almost each field of medicine, especially neurology and psychiatry. Medical students and young doctors are less and less able to utilize their neurological knowledge in the everyday clinical practice and the number of doctors specialized in neurosciences is decreasing. Recent problems of psychiatry originate from special development, controversial process of detachment, particular societal and cultural roots, differences from medical model, and problems of identity, self-determination and competence, which may cause many difficulties in clinical practice. The author - near the review of the theoretical background - mentions several practical topics as well, for example: the difficulties of diagnosing, and classification of mental disorders, the diagnostic and treating problems being in the background of psychopathological symptoms. In the article it is emphasized that the present situation results in several serious problems for the psychiatrists like emotional overburden, somatic and mental disorders and burnout, moreover psychiatry became one of the least popular medical professions, which causes huge difficulties in the aftergrowth. Furthermore the author emphasises, that this profession has to actualize the humanistic view in clinical practice based on the holistic bio-psycho-socio-spiritual approach. The (neuro)scientific and consultative psychiatric viewpoints, the constructive intra- and interdisciplinary communication, the more effective value-based advocacy and the modern, evidence-based, interactive and personal education together have a key role in the solution of the above mentioned problems.