[The origin of violence in psychiatry--a contribution to double-bind rage]

The discussion about Euthanasia newly has raised the question on the violent implications of interaction in psychiatry. Psychiatry is under obligation of the forces of order on one, of the wish to help on the other side. This double bind reflects an interactional feature of construction which the psychotic patient has to go through, but which he carries on too. The selfreduplicative construction of originally individual double bind-situations corresponds to the patient's conception of live, but evokes a specific, only perceptible at short notice, disintigrating "double-bind-Wut" in the involved therapist, which mainly is endangering the patient. The state of "double-bind-Wut" and the working up of this rage is determined by the primary process therefore directly unconscious. We investigate to what extent the "double-bind-Wut" is to make perceptible and thus to handle; by the means of casuistic microstructures we give reasons for the assumption that the desintrating power of "double-bind-Wut" might become a methodical paradigm of future research.